sample_id,patient_id,study_id,image_num,Section,Report,Sentence,Pathology,Position,Label,image_paths,previous_images
s50001612_19,p13421580,s50001612,19,Findings,"ET tube is 4 cm below the level of the carina, and is in appropriate position. NG tube enters in to proximal stomach and is out of field of view. Left PICC tip is in mid SVC and right IJ tip is in low SVC. Mild interval decrease in size of multiple bilateral rounded opacities suggestive of septic emboli. Lung volumes remain low. No new focal opacity, pneumothorax, pleural effusion, or pulmonary edema. Heart size, mediastinal contour and hila are normal. No bony abnormality.",Mild interval decrease in size of multiple bilateral rounded opacities suggestive of septic emboli.,rounded opacities,bilateral,Better,['files/p13/p13421580/s50001612/089b48e3-21dd2256-41eb2c07-e7ac0494-da51c1b8.jpg'],
s50001612_19,p13421580,s50001612,19,Impression,Mild interval decrease in size of bilateral rounded opacities suggestive of septic emboli.,Mild interval decrease in size of bilateral rounded opacities suggestive of septic emboli.,rounded opacities,bilateral,Better,['files/p13/p13421580/s50001612/089b48e3-21dd2256-41eb2c07-e7ac0494-da51c1b8.jpg'],
s50001612_19,p13421580,s50001612,19,Findings,"ET tube is 4 cm below the level of the carina, and is in appropriate position. NG tube enters in to proximal stomach and is out of field of view. Left PICC tip is in mid SVC and right IJ tip is in low SVC. Mild interval decrease in size of multiple bilateral rounded opacities suggestive of septic emboli. Lung volumes remain low. No new focal opacity, pneumothorax, pleural effusion, or pulmonary edema. Heart size, mediastinal contour and hila are normal. No bony abnormality.",Lung volumes remain low.,lung volumes,general,Stable,['files/p13/p13421580/s50001612/089b48e3-21dd2256-41eb2c07-e7ac0494-da51c1b8.jpg'],
s50006562_1,p15658321,s50006562,1,Findings,PA and lateral chest radiograph demonstrate clear lungs bilaterally. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits. No overt pulmonary edema. A large hiatal hernia is again identified. Osseous structures are without an acute abnormality.,A large hiatal hernia is again identified.,Hiatal hernia,,Stable,"['files/p15/p15658321/s50006562/06b6a3e0-208c063d-2c0b4f80-9348ff49-d46e8591.jpg', 'files/p15/p15658321/s50006562/22af58d7-30892703-e9699647-89e52ade-df1be193.jpg', 'files/p15/p15658321/s50006562/643dcfc3-df3d87ec-c5b390e2-4483ada9-b37c922f.jpg']",
s50023807_2,p13736401,s50023807,2,Impression,"In comparison with the earlier study of this date, there has been removal of the left chest tube with no definite pneumothorax. Little change in the appearance of the heart and lungs.","In comparison with the earlier study of this date, there has been removal of the left chest tube with no definite pneumothorax.",,Left chest tube,Resolve,['files/p13/p13736401/s50023807/ae55293e-607959ee-bf6ea683-731aaf2c-7974ce2c.jpg'],
s50023807_2,p13736401,s50023807,2,Impression,"In comparison with the earlier study of this date, there has been removal of the left chest tube with no definite pneumothorax. Little change in the appearance of the heart and lungs.",Little change in the appearance of the heart and lungs.,,Heart and lungs,Stable,['files/p13/p13736401/s50023807/ae55293e-607959ee-bf6ea683-731aaf2c-7974ce2c.jpg'],
s50033879_4,p17266832,s50033879,4,Findings,"Lung volumes are low. The cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta. There is again mild relative elevation of the right hemidiaphragm. Calcified nodule in the right lower lobe is again visible. The lungs appear otherwise clear. There are no pleural effusions or pneumothorax. Surgical clips project over each axillary region.",Calcified nodule in the right lower lobe is again visible.,calcified nodule,right lower lobe,Stable,"['files/p17/p17266832/s50033879/08d3b0e9-3f6dfcf8-d9219b83-4c89a45a-7c6e8389.jpg', 'files/p17/p17266832/s50033879/3e9f6639-0bc202dc-db3c1fdf-420f69f1-dd068bc5.jpg']",
s50033879_4,p17266832,s50033879,4,Findings,"Lung volumes are low. The cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta. There is again mild relative elevation of the right hemidiaphragm. Calcified nodule in the right lower lobe is again visible. The lungs appear otherwise clear. There are no pleural effusions or pneumothorax. Surgical clips project over each axillary region.","The cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta.",contours,"cardiac, mediastinal and hilar",Stable,"['files/p17/p17266832/s50033879/08d3b0e9-3f6dfcf8-d9219b83-4c89a45a-7c6e8389.jpg', 'files/p17/p17266832/s50033879/3e9f6639-0bc202dc-db3c1fdf-420f69f1-dd068bc5.jpg']",
s50033879_4,p17266832,s50033879,4,Findings,"Lung volumes are low. The cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta. There is again mild relative elevation of the right hemidiaphragm. Calcified nodule in the right lower lobe is again visible. The lungs appear otherwise clear. There are no pleural effusions or pneumothorax. Surgical clips project over each axillary region.",There is again mild relative elevation of the right hemidiaphragm.,hemidiaphragm elevation,right,Stable,"['files/p17/p17266832/s50033879/08d3b0e9-3f6dfcf8-d9219b83-4c89a45a-7c6e8389.jpg', 'files/p17/p17266832/s50033879/3e9f6639-0bc202dc-db3c1fdf-420f69f1-dd068bc5.jpg']",
s50033879_4,p17266832,s50033879,4,Findings,"Lung volumes are low. The cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta. There is again mild relative elevation of the right hemidiaphragm. Calcified nodule in the right lower lobe is again visible. The lungs appear otherwise clear. There are no pleural effusions or pneumothorax. Surgical clips project over each axillary region.","The cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta.",aorta,thoracic,Stable,"['files/p17/p17266832/s50033879/08d3b0e9-3f6dfcf8-d9219b83-4c89a45a-7c6e8389.jpg', 'files/p17/p17266832/s50033879/3e9f6639-0bc202dc-db3c1fdf-420f69f1-dd068bc5.jpg']",
s50033879_4,p17266832,s50033879,4,Findings,"Lung volumes are low. The cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta. There is again mild relative elevation of the right hemidiaphragm. Calcified nodule in the right lower lobe is again visible. The lungs appear otherwise clear. There are no pleural effusions or pneumothorax. Surgical clips project over each axillary region.","The cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta.",cardiomegaly,thoracic,Stable,"['files/p17/p17266832/s50033879/08d3b0e9-3f6dfcf8-d9219b83-4c89a45a-7c6e8389.jpg', 'files/p17/p17266832/s50033879/3e9f6639-0bc202dc-db3c1fdf-420f69f1-dd068bc5.jpg']",
s50043121_1,p11287042,s50043121,1,Impression,1. Interval resolution of the right subpulmonic pleural effusion. 2. No acute cardiopulmonary process.,1. Interval resolution of the right subpulmonic pleural effusion,pleural effusion,right subpulmonic,Resolve,"['files/p11/p11287042/s50043121/c5937742-fb73ee63-48b37017-9cc947e5-fa8342d4.jpg', 'files/p11/p11287042/s50043121/dc423670-4243d370-0917d0d7-e7ccb499-f9e256e6.jpg']",
s50043121_1,p11287042,s50043121,1,Findings,"Interval resolution of the right subpulmonic effusion. Mild elevation of the left hemidiaphragm, most likely secondary to bowel distention and interposition of bowel between the spleen and left hemidiaphragm. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Stable appearance of the cardiomediastinal silhouette. No sub-diaphragmatic intra-abdominal free air.",Stable appearance of the cardiomediastinal silhouette,cardiomediastinal silhouette,,Stable,"['files/p11/p11287042/s50043121/c5937742-fb73ee63-48b37017-9cc947e5-fa8342d4.jpg', 'files/p11/p11287042/s50043121/dc423670-4243d370-0917d0d7-e7ccb499-f9e256e6.jpg']",
s50043121_1,p11287042,s50043121,1,Findings,"Interval resolution of the right subpulmonic effusion. Mild elevation of the left hemidiaphragm, most likely secondary to bowel distention and interposition of bowel between the spleen and left hemidiaphragm. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Stable appearance of the cardiomediastinal silhouette. No sub-diaphragmatic intra-abdominal free air.",Interval resolution of the right subpulmonic effusion,effusion,right subpulmonic,Resolve,"['files/p11/p11287042/s50043121/c5937742-fb73ee63-48b37017-9cc947e5-fa8342d4.jpg', 'files/p11/p11287042/s50043121/dc423670-4243d370-0917d0d7-e7ccb499-f9e256e6.jpg']",
s50050632_0,p13313381,s50050632,0,Findings,Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No displaced fracture is seen.,The cardiac and mediastinal silhouettes are stable and unremarkable.,cardiac and mediastinal silhouettes,,Stable,"['files/p13/p13313381/s50050632/9f3c1525-622b3786-d4ec71b4-0ce69eb7-b8ebd96a.jpg', 'files/p13/p13313381/s50050632/ca27223c-046c7c71-84a448f9-cd2bfe19-fecb7623.jpg']",
s50056854_2,p17096560,s50056854,2,Impression,"1. Left-sided subclavian Port-A-Cath continues to have its tip in the distal SVC, near the cavoatrial junction. Heart remains enlarged, which may reflect cardiomegaly, although pericardial effusion should also be considered. Mediastinal contours are unchanged. There is persistent minimal blunting the left costophrenic angle, which may represent a tiny effusion or chronic pleural thickening. Streaky linear opacities at the left base may reflect areas of atelectasis or scarring. No focal airspace consolidation is seen to suggest pneumonia. No pneumothorax. No evidence of pulmonary edema. Linear density overlying the left upper quadrant is likely external to the patient, but clinical correlation would be recommended.","Heart remains enlarged, which may reflect cardiomegaly, although pericardial effusion should also be considered.",enlargement,heart,Stable,['files/p17/p17096560/s50056854/92846817-78ec0a2e-50265c40-0e7cad3b-6d912f6e.jpg'],
s50056854_2,p17096560,s50056854,2,Impression,"1. Left-sided subclavian Port-A-Cath continues to have its tip in the distal SVC, near the cavoatrial junction. Heart remains enlarged, which may reflect cardiomegaly, although pericardial effusion should also be considered. Mediastinal contours are unchanged. There is persistent minimal blunting the left costophrenic angle, which may represent a tiny effusion or chronic pleural thickening. Streaky linear opacities at the left base may reflect areas of atelectasis or scarring. No focal airspace consolidation is seen to suggest pneumonia. No pneumothorax. No evidence of pulmonary edema. Linear density overlying the left upper quadrant is likely external to the patient, but clinical correlation would be recommended.",Mediastinal contours are unchanged.,appearance,mediastinal contours,Stable,['files/p17/p17096560/s50056854/92846817-78ec0a2e-50265c40-0e7cad3b-6d912f6e.jpg'],
s50056854_2,p17096560,s50056854,2,Impression,"1. Left-sided subclavian Port-A-Cath continues to have its tip in the distal SVC, near the cavoatrial junction. Heart remains enlarged, which may reflect cardiomegaly, although pericardial effusion should also be considered. Mediastinal contours are unchanged. There is persistent minimal blunting the left costophrenic angle, which may represent a tiny effusion or chronic pleural thickening. Streaky linear opacities at the left base may reflect areas of atelectasis or scarring. No focal airspace consolidation is seen to suggest pneumonia. No pneumothorax. No evidence of pulmonary edema. Linear density overlying the left upper quadrant is likely external to the patient, but clinical correlation would be recommended.","There is persistent minimal blunting the left costophrenic angle, which may represent a tiny effusion or chronic pleural thickening.",blunting,left costophrenic angle,Stable,['files/p17/p17096560/s50056854/92846817-78ec0a2e-50265c40-0e7cad3b-6d912f6e.jpg'],
s50056854_2,p17096560,s50056854,2,Impression,"1. Left-sided subclavian Port-A-Cath continues to have its tip in the distal SVC, near the cavoatrial junction. Heart remains enlarged, which may reflect cardiomegaly, although pericardial effusion should also be considered. Mediastinal contours are unchanged. There is persistent minimal blunting the left costophrenic angle, which may represent a tiny effusion or chronic pleural thickening. Streaky linear opacities at the left base may reflect areas of atelectasis or scarring. No focal airspace consolidation is seen to suggest pneumonia. No pneumothorax. No evidence of pulmonary edema. Linear density overlying the left upper quadrant is likely external to the patient, but clinical correlation would be recommended.","1. Left-sided subclavian Port-A-Cath continues to have its tip in the distal SVC, near the cavoatrial junction.",Port-A-Cath,left-sided subclavian,Stable,['files/p17/p17096560/s50056854/92846817-78ec0a2e-50265c40-0e7cad3b-6d912f6e.jpg'],
s50058197_13,p17055995,s50058197,13,Findings,"Single portable view of the chest. Again, low lung volumes are seen. Increased interstitial markings on the current exam suggestive of vascular congestion. Left costophrenic angle is now more blunted potentially due to atelectasis, although effusion is also possible. Linear retrocardiac opacity persists. Cardiomediastinal silhouette is stable. There is a new right IJ central venous catheter whose tip is in the right atrium and could be withdrawn 4.5 cm to be at the lower SVC. No visualized pneumothorax. Lower cervical fixation hardware is identified.",There is a new right IJ central venous catheter whose tip is in the right atrium and could be withdrawn 4.5 cm to be at the lower SVC.,central venous catheter,right IJ,New,['files/p17/p17055995/s50058197/77dab00f-4b12bcda-d0dfea2c-e540bb9e-fe5b3114.jpg'],
s50058197_13,p17055995,s50058197,13,Findings,"Single portable view of the chest. Again, low lung volumes are seen. Increased interstitial markings on the current exam suggestive of vascular congestion. Left costophrenic angle is now more blunted potentially due to atelectasis, although effusion is also possible. Linear retrocardiac opacity persists. Cardiomediastinal silhouette is stable. There is a new right IJ central venous catheter whose tip is in the right atrium and could be withdrawn 4.5 cm to be at the lower SVC. No visualized pneumothorax. Lower cervical fixation hardware is identified.",Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,['files/p17/p17055995/s50058197/77dab00f-4b12bcda-d0dfea2c-e540bb9e-fe5b3114.jpg'],
s50058197_13,p17055995,s50058197,13,Findings,"Single portable view of the chest. Again, low lung volumes are seen. Increased interstitial markings on the current exam suggestive of vascular congestion. Left costophrenic angle is now more blunted potentially due to atelectasis, although effusion is also possible. Linear retrocardiac opacity persists. Cardiomediastinal silhouette is stable. There is a new right IJ central venous catheter whose tip is in the right atrium and could be withdrawn 4.5 cm to be at the lower SVC. No visualized pneumothorax. Lower cervical fixation hardware is identified.",Linear retrocardiac opacity persists.,opacity,retrocardiac,Stable,['files/p17/p17055995/s50058197/77dab00f-4b12bcda-d0dfea2c-e540bb9e-fe5b3114.jpg'],
s50058197_13,p17055995,s50058197,13,Findings,"Single portable view of the chest. Again, low lung volumes are seen. Increased interstitial markings on the current exam suggestive of vascular congestion. Left costophrenic angle is now more blunted potentially due to atelectasis, although effusion is also possible. Linear retrocardiac opacity persists. Cardiomediastinal silhouette is stable. There is a new right IJ central venous catheter whose tip is in the right atrium and could be withdrawn 4.5 cm to be at the lower SVC. No visualized pneumothorax. Lower cervical fixation hardware is identified.","Left costophrenic angle is now more blunted potentially due to atelectasis, although effusion is also possible.",blunting,Left costophrenic angle,Worse,['files/p17/p17055995/s50058197/77dab00f-4b12bcda-d0dfea2c-e540bb9e-fe5b3114.jpg'],
s50058197_13,p17055995,s50058197,13,Findings,"Single portable view of the chest. Again, low lung volumes are seen. Increased interstitial markings on the current exam suggestive of vascular congestion. Left costophrenic angle is now more blunted potentially due to atelectasis, although effusion is also possible. Linear retrocardiac opacity persists. Cardiomediastinal silhouette is stable. There is a new right IJ central venous catheter whose tip is in the right atrium and could be withdrawn 4.5 cm to be at the lower SVC. No visualized pneumothorax. Lower cervical fixation hardware is identified.",Increased interstitial markings on the current exam suggestive of vascular congestion.,interstitial markings,,Worse,['files/p17/p17055995/s50058197/77dab00f-4b12bcda-d0dfea2c-e540bb9e-fe5b3114.jpg'],
s50058197_13,p17055995,s50058197,13,Impression,New right IJ central venous line with tip likely within the right atrium and could be withdrawn to be in the lower SVC. Pulmonary vascular congestion.,New right IJ central venous line with tip likely within the right atrium and could be withdrawn to be in the lower SVC.,central venous line,right IJ,New,['files/p17/p17055995/s50058197/77dab00f-4b12bcda-d0dfea2c-e540bb9e-fe5b3114.jpg'],
s50058197_13,p17055995,s50058197,13,Findings,"Single portable view of the chest. Again, low lung volumes are seen. Increased interstitial markings on the current exam suggestive of vascular congestion. Left costophrenic angle is now more blunted potentially due to atelectasis, although effusion is also possible. Linear retrocardiac opacity persists. Cardiomediastinal silhouette is stable. There is a new right IJ central venous catheter whose tip is in the right atrium and could be withdrawn 4.5 cm to be at the lower SVC. No visualized pneumothorax. Lower cervical fixation hardware is identified.","Again, low lung volumes are seen.",low lung volumes,,Stable,['files/p17/p17055995/s50058197/77dab00f-4b12bcda-d0dfea2c-e540bb9e-fe5b3114.jpg'],
s50068096_0,p14517112,s50068096,0,Impression,Dense consolidation in the right upper lobe is probably pneumonia. This needs to be followed to exclude another condition such as bronchogenic carcinoma. Tiny right pleural effusion may be present. There is no left pleural effusion or pneumothorax. Heart is normal size and pulmonary vasculature is not engorged. Thoracic aorta is tortuous but not clearly dilated. There is narrowing of the airway at an below the colitis suggesting local edema. This may be due to recent intubation or laryngitis. Clinical correlation is advised.,This needs to be followed to exclude another condition such as bronchogenic carcinoma.,bronchogenic carcinoma,right upper lobe,New,"['files/p14/p14517112/s50068096/15ad38d1-1b385c79-9b4ecf28-d3257ab1-6c474573.jpg', 'files/p14/p14517112/s50068096/f4d7124a-97e34422-3896bcd4-fb0af1d2-4cfb07dd.jpg']",
s50068096_0,p14517112,s50068096,0,Impression,Dense consolidation in the right upper lobe is probably pneumonia. This needs to be followed to exclude another condition such as bronchogenic carcinoma. Tiny right pleural effusion may be present. There is no left pleural effusion or pneumothorax. Heart is normal size and pulmonary vasculature is not engorged. Thoracic aorta is tortuous but not clearly dilated. There is narrowing of the airway at an below the colitis suggesting local edema. This may be due to recent intubation or laryngitis. Clinical correlation is advised.,Dense consolidation in the right upper lobe is probably pneumonia.,pneumonia,right upper lobe,New,"['files/p14/p14517112/s50068096/15ad38d1-1b385c79-9b4ecf28-d3257ab1-6c474573.jpg', 'files/p14/p14517112/s50068096/f4d7124a-97e34422-3896bcd4-fb0af1d2-4cfb07dd.jpg']",
s50068096_0,p14517112,s50068096,0,Impression,Dense consolidation in the right upper lobe is probably pneumonia. This needs to be followed to exclude another condition such as bronchogenic carcinoma. Tiny right pleural effusion may be present. There is no left pleural effusion or pneumothorax. Heart is normal size and pulmonary vasculature is not engorged. Thoracic aorta is tortuous but not clearly dilated. There is narrowing of the airway at an below the colitis suggesting local edema. This may be due to recent intubation or laryngitis. Clinical correlation is advised.,There is narrowing of the airway at an below the colitis suggesting local edema.,airway narrowing,below the colitis,New,"['files/p14/p14517112/s50068096/15ad38d1-1b385c79-9b4ecf28-d3257ab1-6c474573.jpg', 'files/p14/p14517112/s50068096/f4d7124a-97e34422-3896bcd4-fb0af1d2-4cfb07dd.jpg']",
s50068096_0,p14517112,s50068096,0,Impression,Dense consolidation in the right upper lobe is probably pneumonia. This needs to be followed to exclude another condition such as bronchogenic carcinoma. Tiny right pleural effusion may be present. There is no left pleural effusion or pneumothorax. Heart is normal size and pulmonary vasculature is not engorged. Thoracic aorta is tortuous but not clearly dilated. There is narrowing of the airway at an below the colitis suggesting local edema. This may be due to recent intubation or laryngitis. Clinical correlation is advised.,There is no left pleural effusion or pneumothorax.,pleural effusion,left,Resolve,"['files/p14/p14517112/s50068096/15ad38d1-1b385c79-9b4ecf28-d3257ab1-6c474573.jpg', 'files/p14/p14517112/s50068096/f4d7124a-97e34422-3896bcd4-fb0af1d2-4cfb07dd.jpg']",
s50068096_0,p14517112,s50068096,0,Impression,Dense consolidation in the right upper lobe is probably pneumonia. This needs to be followed to exclude another condition such as bronchogenic carcinoma. Tiny right pleural effusion may be present. There is no left pleural effusion or pneumothorax. Heart is normal size and pulmonary vasculature is not engorged. Thoracic aorta is tortuous but not clearly dilated. There is narrowing of the airway at an below the colitis suggesting local edema. This may be due to recent intubation or laryngitis. Clinical correlation is advised.,Thoracic aorta is tortuous but not clearly dilated.,thoracic aorta,,Stable,"['files/p14/p14517112/s50068096/15ad38d1-1b385c79-9b4ecf28-d3257ab1-6c474573.jpg', 'files/p14/p14517112/s50068096/f4d7124a-97e34422-3896bcd4-fb0af1d2-4cfb07dd.jpg']",
s50068096_0,p14517112,s50068096,0,Impression,Dense consolidation in the right upper lobe is probably pneumonia. This needs to be followed to exclude another condition such as bronchogenic carcinoma. Tiny right pleural effusion may be present. There is no left pleural effusion or pneumothorax. Heart is normal size and pulmonary vasculature is not engorged. Thoracic aorta is tortuous but not clearly dilated. There is narrowing of the airway at an below the colitis suggesting local edema. This may be due to recent intubation or laryngitis. Clinical correlation is advised.,Tiny right pleural effusion may be present.,pleural effusion,right,New,"['files/p14/p14517112/s50068096/15ad38d1-1b385c79-9b4ecf28-d3257ab1-6c474573.jpg', 'files/p14/p14517112/s50068096/f4d7124a-97e34422-3896bcd4-fb0af1d2-4cfb07dd.jpg']",
s50068096_0,p14517112,s50068096,0,Impression,Dense consolidation in the right upper lobe is probably pneumonia. This needs to be followed to exclude another condition such as bronchogenic carcinoma. Tiny right pleural effusion may be present. There is no left pleural effusion or pneumothorax. Heart is normal size and pulmonary vasculature is not engorged. Thoracic aorta is tortuous but not clearly dilated. There is narrowing of the airway at an below the colitis suggesting local edema. This may be due to recent intubation or laryngitis. Clinical correlation is advised.,Heart is normal size and pulmonary vasculature is not engorged.,pulmonary vasculature,,Stable,"['files/p14/p14517112/s50068096/15ad38d1-1b385c79-9b4ecf28-d3257ab1-6c474573.jpg', 'files/p14/p14517112/s50068096/f4d7124a-97e34422-3896bcd4-fb0af1d2-4cfb07dd.jpg']",
s50068096_0,p14517112,s50068096,0,Impression,Dense consolidation in the right upper lobe is probably pneumonia. This needs to be followed to exclude another condition such as bronchogenic carcinoma. Tiny right pleural effusion may be present. There is no left pleural effusion or pneumothorax. Heart is normal size and pulmonary vasculature is not engorged. Thoracic aorta is tortuous but not clearly dilated. There is narrowing of the airway at an below the colitis suggesting local edema. This may be due to recent intubation or laryngitis. Clinical correlation is advised.,Heart is normal size and pulmonary vasculature is not engorged.,heart size,,Stable,"['files/p14/p14517112/s50068096/15ad38d1-1b385c79-9b4ecf28-d3257ab1-6c474573.jpg', 'files/p14/p14517112/s50068096/f4d7124a-97e34422-3896bcd4-fb0af1d2-4cfb07dd.jpg']",
s50068096_0,p14517112,s50068096,0,Impression,Dense consolidation in the right upper lobe is probably pneumonia. This needs to be followed to exclude another condition such as bronchogenic carcinoma. Tiny right pleural effusion may be present. There is no left pleural effusion or pneumothorax. Heart is normal size and pulmonary vasculature is not engorged. Thoracic aorta is tortuous but not clearly dilated. There is narrowing of the airway at an below the colitis suggesting local edema. This may be due to recent intubation or laryngitis. Clinical correlation is advised.,There is no left pleural effusion or pneumothorax.,pneumothorax,left,Resolve,"['files/p14/p14517112/s50068096/15ad38d1-1b385c79-9b4ecf28-d3257ab1-6c474573.jpg', 'files/p14/p14517112/s50068096/f4d7124a-97e34422-3896bcd4-fb0af1d2-4cfb07dd.jpg']",
s50068096_0,p14517112,s50068096,0,Impression,Dense consolidation in the right upper lobe is probably pneumonia. This needs to be followed to exclude another condition such as bronchogenic carcinoma. Tiny right pleural effusion may be present. There is no left pleural effusion or pneumothorax. Heart is normal size and pulmonary vasculature is not engorged. Thoracic aorta is tortuous but not clearly dilated. There is narrowing of the airway at an below the colitis suggesting local edema. This may be due to recent intubation or laryngitis. Clinical correlation is advised.,This may be due to recent intubation or laryngitis.,laryngitis,,New,"['files/p14/p14517112/s50068096/15ad38d1-1b385c79-9b4ecf28-d3257ab1-6c474573.jpg', 'files/p14/p14517112/s50068096/f4d7124a-97e34422-3896bcd4-fb0af1d2-4cfb07dd.jpg']",
s50068096_0,p14517112,s50068096,0,Impression,Dense consolidation in the right upper lobe is probably pneumonia. This needs to be followed to exclude another condition such as bronchogenic carcinoma. Tiny right pleural effusion may be present. There is no left pleural effusion or pneumothorax. Heart is normal size and pulmonary vasculature is not engorged. Thoracic aorta is tortuous but not clearly dilated. There is narrowing of the airway at an below the colitis suggesting local edema. This may be due to recent intubation or laryngitis. Clinical correlation is advised.,This may be due to recent intubation or laryngitis.,intubation,,New,"['files/p14/p14517112/s50068096/15ad38d1-1b385c79-9b4ecf28-d3257ab1-6c474573.jpg', 'files/p14/p14517112/s50068096/f4d7124a-97e34422-3896bcd4-fb0af1d2-4cfb07dd.jpg']",
s50084553_7,p10003502,s50084553,7,Impression,"Compared to chest radiographs since ___, most recently ___. Large right and moderate left pleural effusions and severe bibasilar atelectasis are unchanged. Cardiac silhouette is obscured. No pneumothorax. Pulmonary edema is mild, obscured radiographically by overlying abnormalities.","Compared to chest radiographs since ___, most recently ___. Large right and moderate left pleural effusions and severe bibasilar atelectasis are unchanged.",atelectasis,bibasilar,Stable,['files/p10/p10003502/s50084553/70d7e600-373c1311-929f5ff9-23ee3621-ff551ff9.jpg'],
s50084553_7,p10003502,s50084553,7,Impression,"Compared to chest radiographs since ___, most recently ___. Large right and moderate left pleural effusions and severe bibasilar atelectasis are unchanged. Cardiac silhouette is obscured. No pneumothorax. Pulmonary edema is mild, obscured radiographically by overlying abnormalities.","Compared to chest radiographs since ___, most recently ___. Large right and moderate left pleural effusions and severe bibasilar atelectasis are unchanged.",pleural effusions,right and left,Stable,['files/p10/p10003502/s50084553/70d7e600-373c1311-929f5ff9-23ee3621-ff551ff9.jpg'],
s50091414_7,p11135350,s50091414,7,Impression,"As compared to ___, the monitoring and support devices are constant. Increasing right pleural effusion. Unchanged moderate cardiomegaly with signs of mild to moderate pulmonary edema. Increasing extent of a left retrocardiac atelectasis.",Unchanged moderate cardiomegaly with signs of mild to moderate pulmonary edema.,cardiomegaly,,Stable,['files/p11/p11135350/s50091414/9f4042d8-67b0cf43-edad00d1-e8a6f893-c8c3548c.jpg'],
s50091414_7,p11135350,s50091414,7,Impression,"As compared to ___, the monitoring and support devices are constant. Increasing right pleural effusion. Unchanged moderate cardiomegaly with signs of mild to moderate pulmonary edema. Increasing extent of a left retrocardiac atelectasis.",Increasing extent of a left retrocardiac atelectasis.,atelectasis,left retrocardiac,Worse,['files/p11/p11135350/s50091414/9f4042d8-67b0cf43-edad00d1-e8a6f893-c8c3548c.jpg'],
s50091414_7,p11135350,s50091414,7,Impression,"As compared to ___, the monitoring and support devices are constant. Increasing right pleural effusion. Unchanged moderate cardiomegaly with signs of mild to moderate pulmonary edema. Increasing extent of a left retrocardiac atelectasis.","As compared to ___, the monitoring and support devices are constant.",monitoring and support devices,,Stable,['files/p11/p11135350/s50091414/9f4042d8-67b0cf43-edad00d1-e8a6f893-c8c3548c.jpg'],
s50091414_7,p11135350,s50091414,7,Impression,"As compared to ___, the monitoring and support devices are constant. Increasing right pleural effusion. Unchanged moderate cardiomegaly with signs of mild to moderate pulmonary edema. Increasing extent of a left retrocardiac atelectasis.",Unchanged moderate cardiomegaly with signs of mild to moderate pulmonary edema.,pulmonary edema,,Stable,['files/p11/p11135350/s50091414/9f4042d8-67b0cf43-edad00d1-e8a6f893-c8c3548c.jpg'],
s50091414_7,p11135350,s50091414,7,Impression,"As compared to ___, the monitoring and support devices are constant. Increasing right pleural effusion. Unchanged moderate cardiomegaly with signs of mild to moderate pulmonary edema. Increasing extent of a left retrocardiac atelectasis.",Increasing right pleural effusion.,pleural effusion,right,Worse,['files/p11/p11135350/s50091414/9f4042d8-67b0cf43-edad00d1-e8a6f893-c8c3548c.jpg'],
s50120531_10,p12056668,s50120531,10,Findings,"The patient is rotated rightwards. There is a new left thoracostomy pigtail catheter terminating at the left base, with decrease in size of a moderate-sized left pleural effusion. Adjacent atelectasis is present. Right pleural effusion and atelectasis have worsened. There is no pneumothorax.","There is a new left thoracostomy pigtail catheter terminating at the left base, with decrease in size of a moderate-sized left pleural effusion.",pleural effusion,left base,Better,['files/p12/p12056668/s50120531/218d1c93-0e3c7a85-76dca3b3-1b9ebcc9-e2b4c42d.jpg'],
s50120531_10,p12056668,s50120531,10,Impression,"Left basilar thoracostomy tube, with interval decrease of a moderate left effusion. Worsening right basilar atelectasis and right effusion.","Left basilar thoracostomy tube, with interval decrease of a moderate left effusion.",thoracostomy tube,left basilar,New,['files/p12/p12056668/s50120531/218d1c93-0e3c7a85-76dca3b3-1b9ebcc9-e2b4c42d.jpg'],
s50120531_10,p12056668,s50120531,10,Impression,"Left basilar thoracostomy tube, with interval decrease of a moderate left effusion. Worsening right basilar atelectasis and right effusion.",Worsening right basilar atelectasis and right effusion.,effusion,right basilar,Worse,['files/p12/p12056668/s50120531/218d1c93-0e3c7a85-76dca3b3-1b9ebcc9-e2b4c42d.jpg'],
s50120531_10,p12056668,s50120531,10,Impression,"Left basilar thoracostomy tube, with interval decrease of a moderate left effusion. Worsening right basilar atelectasis and right effusion.",Worsening right basilar atelectasis and right effusion.,atelectasis,right basilar,Worse,['files/p12/p12056668/s50120531/218d1c93-0e3c7a85-76dca3b3-1b9ebcc9-e2b4c42d.jpg'],
s50120531_10,p12056668,s50120531,10,Impression,"Left basilar thoracostomy tube, with interval decrease of a moderate left effusion. Worsening right basilar atelectasis and right effusion.","Left basilar thoracostomy tube, with interval decrease of a moderate left effusion.",effusion,left basilar,Better,['files/p12/p12056668/s50120531/218d1c93-0e3c7a85-76dca3b3-1b9ebcc9-e2b4c42d.jpg'],
s50120531_10,p12056668,s50120531,10,Findings,"The patient is rotated rightwards. There is a new left thoracostomy pigtail catheter terminating at the left base, with decrease in size of a moderate-sized left pleural effusion. Adjacent atelectasis is present. Right pleural effusion and atelectasis have worsened. There is no pneumothorax.",Right pleural effusion and atelectasis have worsened.,pleural effusion,right,Worse,['files/p12/p12056668/s50120531/218d1c93-0e3c7a85-76dca3b3-1b9ebcc9-e2b4c42d.jpg'],
s50120531_10,p12056668,s50120531,10,Findings,"The patient is rotated rightwards. There is a new left thoracostomy pigtail catheter terminating at the left base, with decrease in size of a moderate-sized left pleural effusion. Adjacent atelectasis is present. Right pleural effusion and atelectasis have worsened. There is no pneumothorax.","There is a new left thoracostomy pigtail catheter terminating at the left base, with decrease in size of a moderate-sized left pleural effusion.",thoracostomy pigtail catheter,left base,New,['files/p12/p12056668/s50120531/218d1c93-0e3c7a85-76dca3b3-1b9ebcc9-e2b4c42d.jpg'],
s50120531_10,p12056668,s50120531,10,Findings,"The patient is rotated rightwards. There is a new left thoracostomy pigtail catheter terminating at the left base, with decrease in size of a moderate-sized left pleural effusion. Adjacent atelectasis is present. Right pleural effusion and atelectasis have worsened. There is no pneumothorax.",Right pleural effusion and atelectasis have worsened.,atelectasis,right,Worse,['files/p12/p12056668/s50120531/218d1c93-0e3c7a85-76dca3b3-1b9ebcc9-e2b4c42d.jpg'],
s50124571_2,p17223574,s50124571,2,Impression,"AP chest compared to ___: Mild pulmonary edema is improving, moderate cardiomegaly and low lung volumes are also improved. Pleural effusions are small if any. No pneumothorax.","AP chest compared to ___: Mild pulmonary edema is improving, moderate cardiomegaly and low lung volumes are also improved.",mild pulmonary edema,,Better,['files/p17/p17223574/s50124571/526a62c7-2062d35d-cde3cc73-7934b77c-256c9a3c.jpg'],
s50124571_2,p17223574,s50124571,2,Impression,"AP chest compared to ___: Mild pulmonary edema is improving, moderate cardiomegaly and low lung volumes are also improved. Pleural effusions are small if any. No pneumothorax.","AP chest compared to ___: Mild pulmonary edema is improving, moderate cardiomegaly and low lung volumes are also improved.",moderate cardiomegaly,,Better,['files/p17/p17223574/s50124571/526a62c7-2062d35d-cde3cc73-7934b77c-256c9a3c.jpg'],
s50127791_3,p19175595,s50127791,3,Impression,"AP chest compared to ___: Consolidation at the base of the left lung which worsened from ___ through ___ at 12:08 a.m. is unchanged. This could be atelectasis alone or aspiration. A small amount of fluid has accumulated in the left hemithorax with persistence of the moderate left pneumothorax, unchanged in volume since it was first detectable radiographically on ___. Heart size is top normal. The fractures of the right middle ribs laterally are probably chronic.","A small amount of fluid has accumulated in the left hemithorax with persistence of the moderate left pneumothorax, unchanged in volume since it was first detectable radiographically on ___.",pneumothorax,left hemithorax,Stable,"['files/p19/p19175595/s50127791/6045dc58-d2828d46-c4119b31-d6945588-c87489d8.jpg', 'files/p19/p19175595/s50127791/bf6eb378-707fd26c-5cd1b5e6-c5ded073-83c8bd46.jpg', 'files/p19/p19175595/s50127791/f120c01c-111b4b69-2583a40d-de1f181d-72de42e0.jpg']",
s50127791_3,p19175595,s50127791,3,Impression,"AP chest compared to ___: Consolidation at the base of the left lung which worsened from ___ through ___ at 12:08 a.m. is unchanged. This could be atelectasis alone or aspiration. A small amount of fluid has accumulated in the left hemithorax with persistence of the moderate left pneumothorax, unchanged in volume since it was first detectable radiographically on ___. Heart size is top normal. The fractures of the right middle ribs laterally are probably chronic.",AP chest compared to ___: Consolidation at the base of the left lung which worsened from ___ through ___ at 12:08 a.m. is unchanged.,consolidation,base of the left lung,Stable,"['files/p19/p19175595/s50127791/6045dc58-d2828d46-c4119b31-d6945588-c87489d8.jpg', 'files/p19/p19175595/s50127791/bf6eb378-707fd26c-5cd1b5e6-c5ded073-83c8bd46.jpg', 'files/p19/p19175595/s50127791/f120c01c-111b4b69-2583a40d-de1f181d-72de42e0.jpg']",
s50132992_2,p13565877,s50132992,2,Impression,"Bilateral calcified pleural plaques again seen, consistent with the prior asbestos exposure. No acute cardiopulmonary process.","Bilateral calcified pleural plaques again seen, consistent with the prior asbestos exposure.",calcified pleural plaques,bilateral,Stable,"['files/p13/p13565877/s50132992/f15ca291-081f6d47-5fe46ec7-03874ec4-a58b9780.jpg', 'files/p13/p13565877/s50132992/f635620c-c59587a0-ea69a0e8-2b68825f-8a5e281f.jpg']",
s50132992_2,p13565877,s50132992,2,Findings,"Frontal and lateral views of the chest were obtained. The lungs remain hyperinflated with flattening of the diaphragm, suggesting chronic obstructive pulmonary disease. Evidence of bilateral pleural and diaphragmatic plaques are again seen consistent with prior asbestos exposure. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.",The cardiac and mediastinal silhouettes are stable and unremarkable.,silhouettes,cardiac and mediastinal,Stable,"['files/p13/p13565877/s50132992/f15ca291-081f6d47-5fe46ec7-03874ec4-a58b9780.jpg', 'files/p13/p13565877/s50132992/f635620c-c59587a0-ea69a0e8-2b68825f-8a5e281f.jpg']",
s50132992_2,p13565877,s50132992,2,Findings,"Frontal and lateral views of the chest were obtained. The lungs remain hyperinflated with flattening of the diaphragm, suggesting chronic obstructive pulmonary disease. Evidence of bilateral pleural and diaphragmatic plaques are again seen consistent with prior asbestos exposure. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.",Evidence of bilateral pleural and diaphragmatic plaques are again seen consistent with prior asbestos exposure.,pleural and diaphragmatic plaques,bilateral,Stable,"['files/p13/p13565877/s50132992/f15ca291-081f6d47-5fe46ec7-03874ec4-a58b9780.jpg', 'files/p13/p13565877/s50132992/f635620c-c59587a0-ea69a0e8-2b68825f-8a5e281f.jpg']",
s50132992_2,p13565877,s50132992,2,Findings,"Frontal and lateral views of the chest were obtained. The lungs remain hyperinflated with flattening of the diaphragm, suggesting chronic obstructive pulmonary disease. Evidence of bilateral pleural and diaphragmatic plaques are again seen consistent with prior asbestos exposure. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.","The lungs remain hyperinflated with flattening of the diaphragm, suggesting chronic obstructive pulmonary disease.",hyperinflation,lungs,Stable,"['files/p13/p13565877/s50132992/f15ca291-081f6d47-5fe46ec7-03874ec4-a58b9780.jpg', 'files/p13/p13565877/s50132992/f635620c-c59587a0-ea69a0e8-2b68825f-8a5e281f.jpg']",
s50135643_5,p10543994,s50135643,5,Impression,Since the prior study there is no substantial change in widespread parenchymal opacities and no focal consolidation that would be neo wall concerning for aspiration. The rest of the findings are similar to previous examination,Since the prior study there is no substantial change in widespread parenchymal opacities and no focal consolidation that would be neo wall concerning for aspiration.,focal consolidation,,Stable,['files/p10/p10543994/s50135643/343111ee-6c14729f-63955176-bbc37b84-e1195f48.jpg'],
s50135643_5,p10543994,s50135643,5,Impression,Since the prior study there is no substantial change in widespread parenchymal opacities and no focal consolidation that would be neo wall concerning for aspiration. The rest of the findings are similar to previous examination,Since the prior study there is no substantial change in widespread parenchymal opacities and no focal consolidation that would be neo wall concerning for aspiration.,parenchymal opacities,widespread,Stable,['files/p10/p10543994/s50135643/343111ee-6c14729f-63955176-bbc37b84-e1195f48.jpg'],
s50135643_5,p10543994,s50135643,5,Impression,Since the prior study there is no substantial change in widespread parenchymal opacities and no focal consolidation that would be neo wall concerning for aspiration. The rest of the findings are similar to previous examination,The rest of the findings are similar to previous examination,rest of the findings,,Stable,['files/p10/p10543994/s50135643/343111ee-6c14729f-63955176-bbc37b84-e1195f48.jpg'],
s50146664_5,p16034181,s50146664,5,Findings,"Cardiac silhouette has increased in size and is accompanied by widening of vascular pedicle, pulmonary vascular congestion, and moderate pulmonary edema. Additionally, there small pleural effusions are present bilaterally, left greater than right.","Cardiac silhouette has increased in size and is accompanied by widening of vascular pedicle, pulmonary vascular congestion, and moderate pulmonary edema.",Cardiac silhouette size,,Worse,['files/p16/p16034181/s50146664/052836b8-b02d3f46-3faf7e36-07ce1ba1-1052a8a6.jpg'],
s50146664_5,p16034181,s50146664,5,Findings,"Cardiac silhouette has increased in size and is accompanied by widening of vascular pedicle, pulmonary vascular congestion, and moderate pulmonary edema. Additionally, there small pleural effusions are present bilaterally, left greater than right.","Cardiac silhouette has increased in size and is accompanied by widening of vascular pedicle, pulmonary vascular congestion, and moderate pulmonary edema.",Widening of vascular pedicle,,New,['files/p16/p16034181/s50146664/052836b8-b02d3f46-3faf7e36-07ce1ba1-1052a8a6.jpg'],
s50146664_5,p16034181,s50146664,5,Findings,"Cardiac silhouette has increased in size and is accompanied by widening of vascular pedicle, pulmonary vascular congestion, and moderate pulmonary edema. Additionally, there small pleural effusions are present bilaterally, left greater than right.","Cardiac silhouette has increased in size and is accompanied by widening of vascular pedicle, pulmonary vascular congestion, and moderate pulmonary edema.",Pulmonary vascular congestion,,New,['files/p16/p16034181/s50146664/052836b8-b02d3f46-3faf7e36-07ce1ba1-1052a8a6.jpg'],
s50146664_5,p16034181,s50146664,5,Findings,"Cardiac silhouette has increased in size and is accompanied by widening of vascular pedicle, pulmonary vascular congestion, and moderate pulmonary edema. Additionally, there small pleural effusions are present bilaterally, left greater than right.","Cardiac silhouette has increased in size and is accompanied by widening of vascular pedicle, pulmonary vascular congestion, and moderate pulmonary edema.",Moderate pulmonary edema,,New,['files/p16/p16034181/s50146664/052836b8-b02d3f46-3faf7e36-07ce1ba1-1052a8a6.jpg'],
s50152901_9,p17055995,s50152901,9,Findings,"Single portable view of the chest. Right PICC line is no longer seen. The patient is rotated to the left. The lungs however are clear. Calcified granuloma seen at the right lung base. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected, lower cervical fixation hardware is again seen.",Right PICC line is no longer seen.,Right PICC line,,Resolve,['files/p17/p17055995/s50152901/55a0e030-4bb997bd-b5d19ede-c9996085-f874501a.jpg'],['files/p17/p17055995/s50058197/77dab00f-4b12bcda-d0dfea2c-e540bb9e-fe5b3114.jpg\n']
s50196128_0,p10649970,s50196128,0,Findings,"AP view of the chest. There are low lung volumes. Calcified nodules in the right lung base are unchanged from prior, likely sequelae of prior healed infection. There is bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.","Calcified nodules in the right lung base are unchanged from prior, likely sequelae of prior healed infection.",calcified nodules,right lung base,Stable,['files/p10/p10649970/s50196128/1d781883-bb2d3cf0-14fd56ff-c4d0e12f-1143d820.jpg'],
s50196128_0,p10649970,s50196128,0,Impression,"1. No evidence of pneumonia. 2. Stable calcified nodules in the right lung base, likely sequela of prior healed infection.","Stable calcified nodules in the right lung base, likely sequela of prior healed infection.",calcified nodules,right lung base,Stable,['files/p10/p10649970/s50196128/1d781883-bb2d3cf0-14fd56ff-c4d0e12f-1143d820.jpg'],
s50207397_0,p13970691,s50207397,0,Findings,"Single AP upright portable view of the chest was obtained. There are low lung volumes, which accentuate the bronchovascular markings. Given this, there appears to be mild central vascular pulmonary engorgement. Soft tissue overlying the lung base likely causes underpenetration. The cardiac and mediastinal silhouettes are stable. No definite focal consolidation or pneumothorax is seen.",The cardiac and mediastinal silhouettes are stable.,silhouettes,Cardiac and mediastinal,Stable,['files/p13/p13970691/s50207397/05a331ae-17b42621-787f72cc-ebadd560-6d2586c0.jpg'],
s50223793_4,p10337896,s50223793,4,Findings,"Allowing for differences in technique and projection, there has been minimal change in the appearance of the chest except for apparent slight increase in bilateral pleural effusions, now moderate on the right and small to moderate on the left.","Allowing for differences in technique and projection, there has been minimal change in the appearance of the chest except for apparent slight increase in bilateral pleural effusions, now moderate on the right and small to moderate on the left.",pleural effusions,bilateral,Worse,['files/p10/p10337896/s50223793/5aab99c5-9eddcc03-d82c31f8-f7578391-c74b9f65.jpg'],
s50227217_17,p13894716,s50227217,17,Impression,Mild to moderate pulmonary edema has minimally increased. Moderate bilateral effusions are again noted. Cardiac size is top-normal. There is no evident pneumothorax. Lines and tubes are in standard position,Mild to moderate pulmonary edema has minimally increased.,pulmonary edema,,Worse,['files/p13/p13894716/s50227217/7ab5ab83-8d6ebc13-5e5217da-8063ac02-612d1066.jpg'],
s50227217_17,p13894716,s50227217,17,Impression,Mild to moderate pulmonary edema has minimally increased. Moderate bilateral effusions are again noted. Cardiac size is top-normal. There is no evident pneumothorax. Lines and tubes are in standard position,Moderate bilateral effusions are again noted.,effusions,bilateral,Stable,['files/p13/p13894716/s50227217/7ab5ab83-8d6ebc13-5e5217da-8063ac02-612d1066.jpg'],
s50269819_3,p10543994,s50269819,3,Impression,"Cardiomediastinal silhouette is unchanged. There is interval improvement in the left lung variation but unchanged appearance of the right lung. Port-A-Cath catheter tip is at the cavoatrial junction. A left pacemaker lead is in the right ventricle. Interstitial opacities projecting over the lung bases, right more than left are consistent with known interstitial lung disease with most likely superimposed pulmonary edema. No focal consolidation to suggest pneumonia is can see in",Cardiomediastinal silhouette is unchanged.,Cardiomediastinal silhouette,,Stable,['files/p10/p10543994/s50269819/5ed42390-a6bef7ec-7a5f8cd0-59d4304d-6a85c880.jpg'],['files/p10/p10543994/s50135643/343111ee-6c14729f-63955176-bbc37b84-e1195f48.jpg\n']
s50269819_3,p10543994,s50269819,3,Impression,"Cardiomediastinal silhouette is unchanged. There is interval improvement in the left lung variation but unchanged appearance of the right lung. Port-A-Cath catheter tip is at the cavoatrial junction. A left pacemaker lead is in the right ventricle. Interstitial opacities projecting over the lung bases, right more than left are consistent with known interstitial lung disease with most likely superimposed pulmonary edema. No focal consolidation to suggest pneumonia is can see in",There is interval improvement in the left lung variation but unchanged appearance of the right lung.,appearance,right lung,Stable,['files/p10/p10543994/s50269819/5ed42390-a6bef7ec-7a5f8cd0-59d4304d-6a85c880.jpg'],['files/p10/p10543994/s50135643/343111ee-6c14729f-63955176-bbc37b84-e1195f48.jpg\n']
s50269819_3,p10543994,s50269819,3,Impression,"Cardiomediastinal silhouette is unchanged. There is interval improvement in the left lung variation but unchanged appearance of the right lung. Port-A-Cath catheter tip is at the cavoatrial junction. A left pacemaker lead is in the right ventricle. Interstitial opacities projecting over the lung bases, right more than left are consistent with known interstitial lung disease with most likely superimposed pulmonary edema. No focal consolidation to suggest pneumonia is can see in",There is interval improvement in the left lung variation but unchanged appearance of the right lung.,variation,left lung,Better,['files/p10/p10543994/s50269819/5ed42390-a6bef7ec-7a5f8cd0-59d4304d-6a85c880.jpg'],['files/p10/p10543994/s50135643/343111ee-6c14729f-63955176-bbc37b84-e1195f48.jpg\n']
s50281684_77,p11717909,s50281684,77,Impression,Right PICC line tip is at the level of the right atrium and should be pulled back 3 cm to secure it position at the cavoatrial junction or above. Right basal atelectasis is unchanged associated with minimal amount of pleural effusion. There is no pneumothorax. No pulmonary congestion .,Right basal atelectasis is unchanged associated with minimal amount of pleural effusion.,atelectasis,right basal,Stable,['files/p11/p11717909/s50281684/dec3e055-ebb80e67-6fe65c6e-de8f0130-d39b8896.jpg'],
s50285888_16,p18057037,s50285888,16,Impression,"Interval development of left greater than right bibasilar opacities, possibly atelectasis, but aspiration or pneumonia cannot be excluded. Mild pulmonary vascular congestion and probable trace bilateral pleural effusions.","Interval development of left greater than right bibasilar opacities, possibly atelectasis, but aspiration or pneumonia cannot be excluded.",opacities,left greater than right bibasilar,New,"['files/p18/p18057037/s50285888/5ddde0e8-36797a7f-860a133e-21c372bc-632c20b9.jpg', 'files/p18/p18057037/s50285888/e4a62f0a-718060e7-49ef0069-e95d38ff-96fac7fd.jpg']",
s50285888_16,p18057037,s50285888,16,Findings,"Compared to the most recent prior chest radiograph of ___, there has been an interval decrease in lung volumes and interval development of bibasilar patchy airspace opacities. The cardiac and mediastinal contours are stable. Mild pulmonary vascular congestion is present and probable trace bilateral pleural effusions. There is no pneumothorax. Surgical clips project over the left upper abdomen.",The cardiac and mediastinal contours are stable.,contours,cardiac and mediastinal,Stable,"['files/p18/p18057037/s50285888/5ddde0e8-36797a7f-860a133e-21c372bc-632c20b9.jpg', 'files/p18/p18057037/s50285888/e4a62f0a-718060e7-49ef0069-e95d38ff-96fac7fd.jpg']",
s50285888_16,p18057037,s50285888,16,Findings,"Compared to the most recent prior chest radiograph of ___, there has been an interval decrease in lung volumes and interval development of bibasilar patchy airspace opacities. The cardiac and mediastinal contours are stable. Mild pulmonary vascular congestion is present and probable trace bilateral pleural effusions. There is no pneumothorax. Surgical clips project over the left upper abdomen.","Compared to the most recent prior chest radiograph of ___, there has been an interval decrease in lung volumes and interval development of bibasilar patchy airspace opacities.",patchy airspace opacities,bibasilar,Worse,"['files/p18/p18057037/s50285888/5ddde0e8-36797a7f-860a133e-21c372bc-632c20b9.jpg', 'files/p18/p18057037/s50285888/e4a62f0a-718060e7-49ef0069-e95d38ff-96fac7fd.jpg']",
s50289779_0,p16698318,s50289779,0,Impression,Ill-defined opacity within the right lung base which is concerning for pneumonia. Followup radiographs after treatment are recommended to ensure resolution of this finding.,Followup radiographs after treatment are recommended to ensure resolution of this finding.,opacity,right lung base,Resolve,"['files/p16/p16698318/s50289779/57e91f33-eec51e84-628b8259-c7a15e51-86787a84.jpg', 'files/p16/p16698318/s50289779/85b47dcf-a5b619d4-60c3593d-76bf6fec-02ea2a87.jpg']",
s50309094_42,p11717909,s50309094,42,Findings,Lungs: Continued parenchymal disease is seen in the right chest which has not altered significantly. There is also left basilar disease. Pleura: Likely there is a right pleural effusion is well as a small left pleural effusion. Mediastinum: Surgical clips noted in the mediastinum Heart: The heart is not enlarged. Osseous structures: The osseous structures are normal for age. Additional findings: Endotracheal tube is in the region of the thoracic inlet. Left-sided PICC line terminates in the satisfactory position. A new right internal jugular catheter terminates in the right atrium. Nasogastric tube some stomach. Monitor leads noted. There is no pneumothorax.,A new right internal jugular catheter terminates in the right atrium.,catheter,right internal jugular,New,['files/p11/p11717909/s50309094/edd6b83c-688ee075-7706abe7-8585945e-88b5d0c7.jpg'],['files/p11/p11717909/s50281684/dec3e055-ebb80e67-6fe65c6e-de8f0130-d39b8896.jpg\n']
s50309094_42,p11717909,s50309094,42,Findings,Lungs: Continued parenchymal disease is seen in the right chest which has not altered significantly. There is also left basilar disease. Pleura: Likely there is a right pleural effusion is well as a small left pleural effusion. Mediastinum: Surgical clips noted in the mediastinum Heart: The heart is not enlarged. Osseous structures: The osseous structures are normal for age. Additional findings: Endotracheal tube is in the region of the thoracic inlet. Left-sided PICC line terminates in the satisfactory position. A new right internal jugular catheter terminates in the right atrium. Nasogastric tube some stomach. Monitor leads noted. There is no pneumothorax.,Lungs: Continued parenchymal disease is seen in the right chest which has not altered significantly.,parenchymal disease,right chest,Stable,['files/p11/p11717909/s50309094/edd6b83c-688ee075-7706abe7-8585945e-88b5d0c7.jpg'],['files/p11/p11717909/s50281684/dec3e055-ebb80e67-6fe65c6e-de8f0130-d39b8896.jpg\n']
s50309094_42,p11717909,s50309094,42,Impression,Right internal jugular catheter terminates in right atrium. Continued bilateral parenchymal disease much worse on the right than the left. Probable bilateral effusions,Continued bilateral parenchymal disease much worse on the right than the left.,parenchymal disease,right,Worse,['files/p11/p11717909/s50309094/edd6b83c-688ee075-7706abe7-8585945e-88b5d0c7.jpg'],['files/p11/p11717909/s50281684/dec3e055-ebb80e67-6fe65c6e-de8f0130-d39b8896.jpg\n']
s50329542_15,p15911529,s50329542,15,Findings,"Since prior, there has been interval enlargement of a right-sided pleural effusion which is now moderate to large with associated atelectasis. Left chest wall triple lead pacing device is again noted. There is no left-sided effusion. Linear opacity in the left lower lung is likely atelectasis versus scarring. There is vascular congestion, lungs are otherwise clear of consolidation. Previously seen pneumothorax is no longer visualized.",Previously seen pneumothorax is no longer visualized.,pneumothorax,,Resolve,"['files/p15/p15911529/s50329542/41811dc3-c03a8c6d-a316dd7f-5733949b-00331055.jpg', 'files/p15/p15911529/s50329542/5cd9a16f-bb23b3f4-472f8d63-0cb675ed-dce9d747.jpg']",
s50329542_15,p15911529,s50329542,15,Findings,"Since prior, there has been interval enlargement of a right-sided pleural effusion which is now moderate to large with associated atelectasis. Left chest wall triple lead pacing device is again noted. There is no left-sided effusion. Linear opacity in the left lower lung is likely atelectasis versus scarring. There is vascular congestion, lungs are otherwise clear of consolidation. Previously seen pneumothorax is no longer visualized.","Since prior, there has been interval enlargement of a right-sided pleural effusion which is now moderate to large with associated atelectasis.",pleural effusion,right-sided,Worse,"['files/p15/p15911529/s50329542/41811dc3-c03a8c6d-a316dd7f-5733949b-00331055.jpg', 'files/p15/p15911529/s50329542/5cd9a16f-bb23b3f4-472f8d63-0cb675ed-dce9d747.jpg']",
s50329542_15,p15911529,s50329542,15,Impression,Interval enlargement of the right pleural effusion and pulmonary vascular congestion. Please note that underlying infection at the right lung base cannot be excluded.,Interval enlargement of the right pleural effusion and pulmonary vascular congestion.,pleural effusion,right,Worse,"['files/p15/p15911529/s50329542/41811dc3-c03a8c6d-a316dd7f-5733949b-00331055.jpg', 'files/p15/p15911529/s50329542/5cd9a16f-bb23b3f4-472f8d63-0cb675ed-dce9d747.jpg']",
s50329542_15,p15911529,s50329542,15,Impression,Interval enlargement of the right pleural effusion and pulmonary vascular congestion. Please note that underlying infection at the right lung base cannot be excluded.,Interval enlargement of the right pleural effusion and pulmonary vascular congestion.,pulmonary vascular congestion,,Worse,"['files/p15/p15911529/s50329542/41811dc3-c03a8c6d-a316dd7f-5733949b-00331055.jpg', 'files/p15/p15911529/s50329542/5cd9a16f-bb23b3f4-472f8d63-0cb675ed-dce9d747.jpg']",
s50329542_15,p15911529,s50329542,15,Findings,"Since prior, there has been interval enlargement of a right-sided pleural effusion which is now moderate to large with associated atelectasis. Left chest wall triple lead pacing device is again noted. There is no left-sided effusion. Linear opacity in the left lower lung is likely atelectasis versus scarring. There is vascular congestion, lungs are otherwise clear of consolidation. Previously seen pneumothorax is no longer visualized.","Since prior, there has been interval enlargement of a right-sided pleural effusion which is now moderate to large with associated atelectasis.",atelectasis,right-sided,Worse,"['files/p15/p15911529/s50329542/41811dc3-c03a8c6d-a316dd7f-5733949b-00331055.jpg', 'files/p15/p15911529/s50329542/5cd9a16f-bb23b3f4-472f8d63-0cb675ed-dce9d747.jpg']",
s50335438_0,p11669319,s50335438,0,Findings,"The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Old healed left lateral rib fractures are noted.",Old healed left lateral rib fractures are noted.,rib fractures,left lateral,Stable,"['files/p11/p11669319/s50335438/86b84bed-d791c470-659a6623-1e13e455-cc83eda7.jpg', 'files/p11/p11669319/s50335438/c681e756-278b3b38-0472808c-ce2344ce-743125ee.jpg']",
s50338064_20,p19358609,s50338064,20,Impression,"There has been interval increase in right lower lobe consolidations /pneumonia. Right apical subpleural consolidation is more conspicuous than before, part of it is chronic scarring. There appears to be also vascular congestion. Right pleural effusion has increased. Multifocal opacities in the left lung are grossly unchanged. There is evidence of loss of volume in the left lung, distortion of the lung architecture and shifting of the cardiomediastinal structures to the left. ET tube is in standard position. Right PICC tip is in the lower SVC. NG tube tip is in the stomach",There has been interval increase in right lower lobe consolidations /pneumonia.,consolidations/pneumonia,right lower lobe,Worse,['files/p19/p19358609/s50338064/f97a3cfc-72288627-14f2608a-5806db3f-293a557c.jpg'],
s50338064_20,p19358609,s50338064,20,Impression,"There has been interval increase in right lower lobe consolidations /pneumonia. Right apical subpleural consolidation is more conspicuous than before, part of it is chronic scarring. There appears to be also vascular congestion. Right pleural effusion has increased. Multifocal opacities in the left lung are grossly unchanged. There is evidence of loss of volume in the left lung, distortion of the lung architecture and shifting of the cardiomediastinal structures to the left. ET tube is in standard position. Right PICC tip is in the lower SVC. NG tube tip is in the stomach",Right pleural effusion has increased.,pleural effusion,right,Worse,['files/p19/p19358609/s50338064/f97a3cfc-72288627-14f2608a-5806db3f-293a557c.jpg'],
s50338064_20,p19358609,s50338064,20,Impression,"There has been interval increase in right lower lobe consolidations /pneumonia. Right apical subpleural consolidation is more conspicuous than before, part of it is chronic scarring. There appears to be also vascular congestion. Right pleural effusion has increased. Multifocal opacities in the left lung are grossly unchanged. There is evidence of loss of volume in the left lung, distortion of the lung architecture and shifting of the cardiomediastinal structures to the left. ET tube is in standard position. Right PICC tip is in the lower SVC. NG tube tip is in the stomach",Multifocal opacities in the left lung are grossly unchanged.,multifocal opacities,left lung,Stable,['files/p19/p19358609/s50338064/f97a3cfc-72288627-14f2608a-5806db3f-293a557c.jpg'],
s50338064_20,p19358609,s50338064,20,Impression,"There has been interval increase in right lower lobe consolidations /pneumonia. Right apical subpleural consolidation is more conspicuous than before, part of it is chronic scarring. There appears to be also vascular congestion. Right pleural effusion has increased. Multifocal opacities in the left lung are grossly unchanged. There is evidence of loss of volume in the left lung, distortion of the lung architecture and shifting of the cardiomediastinal structures to the left. ET tube is in standard position. Right PICC tip is in the lower SVC. NG tube tip is in the stomach","Right apical subpleural consolidation is more conspicuous than before, part of it is chronic scarring.",consolidation,right apical subpleural,Worse,['files/p19/p19358609/s50338064/f97a3cfc-72288627-14f2608a-5806db3f-293a557c.jpg'],
s50363438_11,p17660889,s50363438,11,Impression,"The tip of dual-lumen hemodialysis catheter through the right internal jugular approach is partially curled and unchanged since prior study. Monitoring and supporting devices are in standard position. Bilateral diffuse, lung opacities representing mild to moderate pulmonary edema has improved. Opacity in right lower has progressed and it is likely due to aspiration. Small right pleural effusion is unchanged.",Opacity in right lower has progressed and it is likely due to aspiration.,Opacity,right lower,Worse,['files/p17/p17660889/s50363438/bb6dd3b1-bf62aa24-b39fba26-f00d7c46-fe9658a3.jpg'],
s50363438_11,p17660889,s50363438,11,Impression,"The tip of dual-lumen hemodialysis catheter through the right internal jugular approach is partially curled and unchanged since prior study. Monitoring and supporting devices are in standard position. Bilateral diffuse, lung opacities representing mild to moderate pulmonary edema has improved. Opacity in right lower has progressed and it is likely due to aspiration. Small right pleural effusion is unchanged.","Bilateral diffuse, lung opacities representing mild to moderate pulmonary edema has improved.",pulmonary edema,Bilateral diffuse,Better,['files/p17/p17660889/s50363438/bb6dd3b1-bf62aa24-b39fba26-f00d7c46-fe9658a3.jpg'],
s50363438_11,p17660889,s50363438,11,Impression,"The tip of dual-lumen hemodialysis catheter through the right internal jugular approach is partially curled and unchanged since prior study. Monitoring and supporting devices are in standard position. Bilateral diffuse, lung opacities representing mild to moderate pulmonary edema has improved. Opacity in right lower has progressed and it is likely due to aspiration. Small right pleural effusion is unchanged.",The tip of dual-lumen hemodialysis catheter through the right internal jugular approach is partially curled and unchanged since prior study.,tip of dual-lumen hemodialysis catheter,right internal jugular,Stable,['files/p17/p17660889/s50363438/bb6dd3b1-bf62aa24-b39fba26-f00d7c46-fe9658a3.jpg'],
s50363438_11,p17660889,s50363438,11,Impression,"The tip of dual-lumen hemodialysis catheter through the right internal jugular approach is partially curled and unchanged since prior study. Monitoring and supporting devices are in standard position. Bilateral diffuse, lung opacities representing mild to moderate pulmonary edema has improved. Opacity in right lower has progressed and it is likely due to aspiration. Small right pleural effusion is unchanged.",Small right pleural effusion is unchanged.,Small pleural effusion,right,Stable,['files/p17/p17660889/s50363438/bb6dd3b1-bf62aa24-b39fba26-f00d7c46-fe9658a3.jpg'],
s50363621_2,p17934731,s50363621,2,Findings,"Marked rotary levoscoliosis slightly limits assessment. The cardiac and mediastinal contours are unchanged, with the heart size within normal limits. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Mild bronchial wall thickening is noted in the right lung base, compatible with bronchiectasis as seen on the prior chest CT.","The cardiac and mediastinal contours are unchanged, with the heart size within normal limits.",heart size,,Stable,"['files/p17/p17934731/s50363621/1421aadb-056057cf-459c8a3b-f595759b-60a22305.jpg', 'files/p17/p17934731/s50363621/424f08cc-824e5954-cd4cd47b-b96a37f8-29649294.jpg', 'files/p17/p17934731/s50363621/8fdce4f7-e8a2f25a-1a1a6f63-0ed1ae0f-60b43684.jpg', 'files/p17/p17934731/s50363621/d67a6a39-f7d74ca8-28b47ca7-cb8e9364-284bebd3.jpg']",
s50363621_2,p17934731,s50363621,2,Findings,"Marked rotary levoscoliosis slightly limits assessment. The cardiac and mediastinal contours are unchanged, with the heart size within normal limits. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Mild bronchial wall thickening is noted in the right lung base, compatible with bronchiectasis as seen on the prior chest CT.","The cardiac and mediastinal contours are unchanged, with the heart size within normal limits.",cardiac and mediastinal contours,,Stable,"['files/p17/p17934731/s50363621/1421aadb-056057cf-459c8a3b-f595759b-60a22305.jpg', 'files/p17/p17934731/s50363621/424f08cc-824e5954-cd4cd47b-b96a37f8-29649294.jpg', 'files/p17/p17934731/s50363621/8fdce4f7-e8a2f25a-1a1a6f63-0ed1ae0f-60b43684.jpg', 'files/p17/p17934731/s50363621/d67a6a39-f7d74ca8-28b47ca7-cb8e9364-284bebd3.jpg']",
s50369062_3,p16033763,s50369062,3,Findings,"Compared to the previous radiograph, the patient has undergone a VATS procedure. A left chest tube is in situ. No pneumothorax. No other left-sided findings, except for soft tissue air inclusion in the lateral chest wall. Unchanged position and course of the pacemaker. Moderate cardiomegaly, plate-like atelectasis at the right lung base.",Unchanged position and course of the pacemaker.,position and course of the pacemaker,,Stable,['files/p16/p16033763/s50369062/0b9a1d90-0d4e09e2-e651a638-81738947-249b3e35.jpg'],
s50370886_9,p19932024,s50370886,9,Findings,"AS COMPARED TO ___, A SWAN-GANZ CATHETER HAS BEEN REMOVED, AND A RIGHT INTERNAL JUGULAR CATHETER TERMINATES DEEP IN THE RIGHT ATRIUM. LUNG VOLUMES ARE LOWER COMPARED TO PRIOR STUDY. DIFFUSE ALVEOLAR PULMONARY EDEMA HAS PROBABLY SLIGHTLY WORSE IN THE INTERVAL, ALTHOUGH LOWER LUNG VOLUMES LIMIT COMPARISON.","AS COMPARED TO ___, A SWAN-GANZ CATHETER HAS BEEN REMOVED, AND A RIGHT INTERNAL JUGULAR CATHETER TERMINATES DEEP IN THE RIGHT ATRIUM.",Swan-Ganz catheter,,Resolve,['files/p19/p19932024/s50370886/fc82e711-14ed01dc-ce2a326a-162251e4-aee54953.jpg'],
s50370886_9,p19932024,s50370886,9,Findings,"AS COMPARED TO ___, A SWAN-GANZ CATHETER HAS BEEN REMOVED, AND A RIGHT INTERNAL JUGULAR CATHETER TERMINATES DEEP IN THE RIGHT ATRIUM. LUNG VOLUMES ARE LOWER COMPARED TO PRIOR STUDY. DIFFUSE ALVEOLAR PULMONARY EDEMA HAS PROBABLY SLIGHTLY WORSE IN THE INTERVAL, ALTHOUGH LOWER LUNG VOLUMES LIMIT COMPARISON.","DIFFUSE ALVEOLAR PULMONARY EDEMA HAS PROBABLY SLIGHTLY WORSE IN THE INTERVAL, ALTHOUGH LOWER LUNG VOLUMES LIMIT COMPARISON.",Alveolar pulmonary edema,diffuse,Worse,['files/p19/p19932024/s50370886/fc82e711-14ed01dc-ce2a326a-162251e4-aee54953.jpg'],
s50370886_9,p19932024,s50370886,9,Findings,"AS COMPARED TO ___, A SWAN-GANZ CATHETER HAS BEEN REMOVED, AND A RIGHT INTERNAL JUGULAR CATHETER TERMINATES DEEP IN THE RIGHT ATRIUM. LUNG VOLUMES ARE LOWER COMPARED TO PRIOR STUDY. DIFFUSE ALVEOLAR PULMONARY EDEMA HAS PROBABLY SLIGHTLY WORSE IN THE INTERVAL, ALTHOUGH LOWER LUNG VOLUMES LIMIT COMPARISON.",LUNG VOLUMES ARE LOWER COMPARED TO PRIOR STUDY.,Lung volumes,,Worse,['files/p19/p19932024/s50370886/fc82e711-14ed01dc-ce2a326a-162251e4-aee54953.jpg'],
s50384009_0,p15479108,s50384009,0,Findings,"Heart size, mediastinal and hilar contours are within normal limits and without change. Lungs are clear except for a small linear focus of atelectasis of scar at the left lung base. No pleural effusion or acute skeletal findings.","Heart size, mediastinal and hilar contours are within normal limits and without change.","Heart size, mediastinal and hilar contours",,Stable,"['files/p15/p15479108/s50384009/d8b7273b-a7fcc609-c3282bbb-34e43194-ff77283e.jpg', 'files/p15/p15479108/s50384009/fdd10576-222e8177-96e5f4ff-ecd5413a-66d01a79.jpg']",
s50391562_2,p11287042,s50391562,2,Impression,"Small to moderate right subpulmonic pleural effusion has re accumulated, substantially smaller than its volume on ___. Aside from mild right basal atelectasis lungs are clear. There is no left pleural effusion. There is no evidence of central lymph node enlargement. Incidental note is made of a heavily calcified mitral anulus and possible left atrial enlargement, but there is no overall cardiomegaly or any pulmonary vascular congestion or pulmonary edema.","Small to moderate right subpulmonic pleural effusion has re accumulated, substantially smaller than its volume on ___",pleural effusion,right subpulmonic,Worse,"['files/p11/p11287042/s50391562/2cd661d7-82b0c37e-0db4c82f-d0b33edb-842bf86c.jpg', 'files/p11/p11287042/s50391562/87ca06e4-657d51bb-8f660ff0-655f3f25-3c421dbe.jpg']","['files/p11/p11287042/s50043121/c5937742-fb73ee63-48b37017-9cc947e5-fa8342d4.jpg\n', 'files/p11/p11287042/s50043121/dc423670-4243d370-0917d0d7-e7ccb499-f9e256e6.jpg\n']"
s50392431_0,p10773739,s50392431,0,Impression,"The right lung is unremarkable. On the left, there is an increase in pleural effusion and, with limitation of 2 different techniques, an increase in extent of the pleural based parenchymal consolidation, as compared to the CT from ___. Only a minimal portion of the left lung continues to be ventilated. The right hemithorax is unremarkable.",Only a minimal portion of the left lung continues to be ventilated.,ventilation,left,Stable,"['files/p10/p10773739/s50392431/12c35222-67523ce4-b206cd0f-7ae4b5c5-cffd8b0f.jpg', 'files/p10/p10773739/s50392431/71567b61-e39a229b-3e60f82f-73c88327-5339c006.jpg']",
s50392431_0,p10773739,s50392431,0,Impression,"The right lung is unremarkable. On the left, there is an increase in pleural effusion and, with limitation of 2 different techniques, an increase in extent of the pleural based parenchymal consolidation, as compared to the CT from ___. Only a minimal portion of the left lung continues to be ventilated. The right hemithorax is unremarkable.","On the left, there is an increase in pleural effusion and, with limitation of 2 different techniques, an increase in extent of the pleural based parenchymal consolidation, as compared to the CT from ___.",pleural based parenchymal consolidation,left,Worse,"['files/p10/p10773739/s50392431/12c35222-67523ce4-b206cd0f-7ae4b5c5-cffd8b0f.jpg', 'files/p10/p10773739/s50392431/71567b61-e39a229b-3e60f82f-73c88327-5339c006.jpg']",
s50392431_0,p10773739,s50392431,0,Impression,"The right lung is unremarkable. On the left, there is an increase in pleural effusion and, with limitation of 2 different techniques, an increase in extent of the pleural based parenchymal consolidation, as compared to the CT from ___. Only a minimal portion of the left lung continues to be ventilated. The right hemithorax is unremarkable.","On the left, there is an increase in pleural effusion and, with limitation of 2 different techniques, an increase in extent of the pleural based parenchymal consolidation, as compared to the CT from ___.",pleural effusion,left,Worse,"['files/p10/p10773739/s50392431/12c35222-67523ce4-b206cd0f-7ae4b5c5-cffd8b0f.jpg', 'files/p10/p10773739/s50392431/71567b61-e39a229b-3e60f82f-73c88327-5339c006.jpg']",
s50393864_10,p13571108,s50393864,10,Findings,"In comparison with the study of ___, there may be small improvement in the degree of pleural effusions since the intervening procedure. No definite pneumothorax. Right lung remains clear.",Right lung remains clear.,,Right,Stable,"['files/p13/p13571108/s50393864/34c60d57-a91b9812-32e246f3-6efe8843-a09ffa27.jpg', 'files/p13/p13571108/s50393864/7ece76d5-4de53231-dc9bc951-c27b8a9c-00694cc8.jpg']",
s50393864_10,p13571108,s50393864,10,Findings,"In comparison with the study of ___, there may be small improvement in the degree of pleural effusions since the intervening procedure. No definite pneumothorax. Right lung remains clear.","In comparison with the study of ___, there may be small improvement in the degree of pleural effusions since the intervening procedure.",Pleural effusions,,Better,"['files/p13/p13571108/s50393864/34c60d57-a91b9812-32e246f3-6efe8843-a09ffa27.jpg', 'files/p13/p13571108/s50393864/7ece76d5-4de53231-dc9bc951-c27b8a9c-00694cc8.jpg']",
s50404152_4,p13894716,s50404152,4,Impression,Right middle lobe atelectasis has markedly improved. Large area of retrocardiac loss of volume and consolidation persist. Lines and tubes are in unchanged standard position. Cardiomediastinal contours are stable. Small left pleural effusion is unchanged. No other interval change from prior study.,Large area of retrocardiac loss of volume and consolidation persist.,loss of volume and consolidation,retrocardiac,Stable,"['files/p13/p13894716/s50404152/02264527-37380ab8-55ceb644-ab1a2902-d51da861.jpg', 'files/p13/p13894716/s50404152/b992d83f-9b14d160-93965b3d-de9488c3-3ec16f91.jpg']",['files/p13/p13894716/s50227217/7ab5ab83-8d6ebc13-5e5217da-8063ac02-612d1066.jpg\n']
s50404152_4,p13894716,s50404152,4,Impression,Right middle lobe atelectasis has markedly improved. Large area of retrocardiac loss of volume and consolidation persist. Lines and tubes are in unchanged standard position. Cardiomediastinal contours are stable. Small left pleural effusion is unchanged. No other interval change from prior study.,Lines and tubes are in unchanged standard position.,position,Lines and tubes,Stable,"['files/p13/p13894716/s50404152/02264527-37380ab8-55ceb644-ab1a2902-d51da861.jpg', 'files/p13/p13894716/s50404152/b992d83f-9b14d160-93965b3d-de9488c3-3ec16f91.jpg']",['files/p13/p13894716/s50227217/7ab5ab83-8d6ebc13-5e5217da-8063ac02-612d1066.jpg\n']
s50404152_4,p13894716,s50404152,4,Impression,Right middle lobe atelectasis has markedly improved. Large area of retrocardiac loss of volume and consolidation persist. Lines and tubes are in unchanged standard position. Cardiomediastinal contours are stable. Small left pleural effusion is unchanged. No other interval change from prior study.,Cardiomediastinal contours are stable.,contours,Cardiomediastinal,Stable,"['files/p13/p13894716/s50404152/02264527-37380ab8-55ceb644-ab1a2902-d51da861.jpg', 'files/p13/p13894716/s50404152/b992d83f-9b14d160-93965b3d-de9488c3-3ec16f91.jpg']",['files/p13/p13894716/s50227217/7ab5ab83-8d6ebc13-5e5217da-8063ac02-612d1066.jpg\n']
s50404152_4,p13894716,s50404152,4,Impression,Right middle lobe atelectasis has markedly improved. Large area of retrocardiac loss of volume and consolidation persist. Lines and tubes are in unchanged standard position. Cardiomediastinal contours are stable. Small left pleural effusion is unchanged. No other interval change from prior study.,Small left pleural effusion is unchanged.,pleural effusion,Small left,Stable,"['files/p13/p13894716/s50404152/02264527-37380ab8-55ceb644-ab1a2902-d51da861.jpg', 'files/p13/p13894716/s50404152/b992d83f-9b14d160-93965b3d-de9488c3-3ec16f91.jpg']",['files/p13/p13894716/s50227217/7ab5ab83-8d6ebc13-5e5217da-8063ac02-612d1066.jpg\n']
s50404152_4,p13894716,s50404152,4,Impression,Right middle lobe atelectasis has markedly improved. Large area of retrocardiac loss of volume and consolidation persist. Lines and tubes are in unchanged standard position. Cardiomediastinal contours are stable. Small left pleural effusion is unchanged. No other interval change from prior study.,Right middle lobe atelectasis has markedly improved.,atelectasis,Right middle lobe,Better,"['files/p13/p13894716/s50404152/02264527-37380ab8-55ceb644-ab1a2902-d51da861.jpg', 'files/p13/p13894716/s50404152/b992d83f-9b14d160-93965b3d-de9488c3-3ec16f91.jpg']",['files/p13/p13894716/s50227217/7ab5ab83-8d6ebc13-5e5217da-8063ac02-612d1066.jpg\n']
s50411452_1,p19366448,s50411452,1,Impression,There are low lung volumes. Cardiac size is top-normal accentuated by the projection of the low lung volumes. Lines and tubes are in unchanged standard position. There is mild vascular congestion. Increasing bibasilar opacities are likely atelectasis. Atelectasis in the perihilar regions bilaterally are unchanged,Lines and tubes are in unchanged standard position.,Lines and tubes,,Stable,['files/p19/p19366448/s50411452/da94e05c-941be1ba-f5996c0b-75dd288f-278d8503.jpg'],
s50411452_1,p19366448,s50411452,1,Impression,There are low lung volumes. Cardiac size is top-normal accentuated by the projection of the low lung volumes. Lines and tubes are in unchanged standard position. There is mild vascular congestion. Increasing bibasilar opacities are likely atelectasis. Atelectasis in the perihilar regions bilaterally are unchanged,Increasing bibasilar opacities are likely atelectasis.,opacities,bibasilar,Worse,['files/p19/p19366448/s50411452/da94e05c-941be1ba-f5996c0b-75dd288f-278d8503.jpg'],
s50411452_1,p19366448,s50411452,1,Impression,There are low lung volumes. Cardiac size is top-normal accentuated by the projection of the low lung volumes. Lines and tubes are in unchanged standard position. There is mild vascular congestion. Increasing bibasilar opacities are likely atelectasis. Atelectasis in the perihilar regions bilaterally are unchanged,Atelectasis in the perihilar regions bilaterally are unchanged,Atelectasis,perihilar regions bilaterally,Stable,['files/p19/p19366448/s50411452/da94e05c-941be1ba-f5996c0b-75dd288f-278d8503.jpg'],
s50417837_10,p19112585,s50417837,10,Impression,"The right internal jugular Swan-Ganz catheter and nasogastric tube are unchanged in position. Endotracheal tube has its tip approximately 5 cm above the carina. The heart remains stably enlarged. Overall, there is improving aeration in both lungs suggestive of resolving moderate pulmonary edema. Retrocardiac consolidation persists likely reflecting lobar collapse in the setting of a pleural effusion. Pneumonia in the retrocardiac area cannot be excluded. The and right pleural effusion. Patient is status post median sternotomy for CABG. No pneumothorax.","Overall, there is improving aeration in both lungs suggestive of resolving moderate pulmonary edema.",moderate pulmonary edema,both lungs,Resolve,['files/p19/p19112585/s50417837/e3bf86d4-2c188caf-80a8b447-d21fd5c8-83251226.jpg'],
s50417837_10,p19112585,s50417837,10,Impression,"The right internal jugular Swan-Ganz catheter and nasogastric tube are unchanged in position. Endotracheal tube has its tip approximately 5 cm above the carina. The heart remains stably enlarged. Overall, there is improving aeration in both lungs suggestive of resolving moderate pulmonary edema. Retrocardiac consolidation persists likely reflecting lobar collapse in the setting of a pleural effusion. Pneumonia in the retrocardiac area cannot be excluded. The and right pleural effusion. Patient is status post median sternotomy for CABG. No pneumothorax.",The right internal jugular Swan-Ganz catheter and nasogastric tube are unchanged in position.,nasogastric tube,,Stable,['files/p19/p19112585/s50417837/e3bf86d4-2c188caf-80a8b447-d21fd5c8-83251226.jpg'],
s50417837_10,p19112585,s50417837,10,Impression,"The right internal jugular Swan-Ganz catheter and nasogastric tube are unchanged in position. Endotracheal tube has its tip approximately 5 cm above the carina. The heart remains stably enlarged. Overall, there is improving aeration in both lungs suggestive of resolving moderate pulmonary edema. Retrocardiac consolidation persists likely reflecting lobar collapse in the setting of a pleural effusion. Pneumonia in the retrocardiac area cannot be excluded. The and right pleural effusion. Patient is status post median sternotomy for CABG. No pneumothorax.",The heart remains stably enlarged.,enlarged heart,,Stable,['files/p19/p19112585/s50417837/e3bf86d4-2c188caf-80a8b447-d21fd5c8-83251226.jpg'],
s50417837_10,p19112585,s50417837,10,Impression,"The right internal jugular Swan-Ganz catheter and nasogastric tube are unchanged in position. Endotracheal tube has its tip approximately 5 cm above the carina. The heart remains stably enlarged. Overall, there is improving aeration in both lungs suggestive of resolving moderate pulmonary edema. Retrocardiac consolidation persists likely reflecting lobar collapse in the setting of a pleural effusion. Pneumonia in the retrocardiac area cannot be excluded. The and right pleural effusion. Patient is status post median sternotomy for CABG. No pneumothorax.",The right internal jugular Swan-Ganz catheter and nasogastric tube are unchanged in position.,Swan-Ganz catheter,right internal jugular,Stable,['files/p19/p19112585/s50417837/e3bf86d4-2c188caf-80a8b447-d21fd5c8-83251226.jpg'],
s50417837_10,p19112585,s50417837,10,Impression,"The right internal jugular Swan-Ganz catheter and nasogastric tube are unchanged in position. Endotracheal tube has its tip approximately 5 cm above the carina. The heart remains stably enlarged. Overall, there is improving aeration in both lungs suggestive of resolving moderate pulmonary edema. Retrocardiac consolidation persists likely reflecting lobar collapse in the setting of a pleural effusion. Pneumonia in the retrocardiac area cannot be excluded. The and right pleural effusion. Patient is status post median sternotomy for CABG. No pneumothorax.",Retrocardiac consolidation persists likely reflecting lobar collapse in the setting of a pleural effusion.,consolidation,retrocardiac,Stable,['files/p19/p19112585/s50417837/e3bf86d4-2c188caf-80a8b447-d21fd5c8-83251226.jpg'],
s50421655_2,p19636128,s50421655,2,Findings,"The lungs are hyperinflated but clear without consolidation, effusion, or pneumothorax. Cardiomediastinum silhouette is stable. No displaced fractures identified. Hypertrophic changes are noted in the spine.",Cardiomediastinum silhouette is stable.,Cardiomediastinum silhouette,,Stable,"['files/p19/p19636128/s50421655/84f45a41-bb20a8f4-788c0893-ebfc60e0-d1a50ed2.jpg', 'files/p19/p19636128/s50421655/8c1f9b73-cfb72331-df480911-a6810f9a-a3fcbcb9.jpg', 'files/p19/p19636128/s50421655/8f8cbeb4-efe89885-f7a908dd-db2511d9-f36a3d86.jpg']",
s50421811_3,p10522265,s50421811,3,Impression,"Mild to moderate pulmonary edema, with a basal predominance, is new probably accompanied by small pleural effusions. Heart size is top-normal not appreciably changed.","Mild to moderate pulmonary edema, with a basal predominance, is new probably accompanied by small pleural effusions.",small pleural effusions,basal,New,['files/p10/p10522265/s50421811/d5aedb5c-3e300b8e-4ab8aa68-066f67dc-cfe7bd84.jpg'],
s50421811_3,p10522265,s50421811,3,Impression,"Mild to moderate pulmonary edema, with a basal predominance, is new probably accompanied by small pleural effusions. Heart size is top-normal not appreciably changed.","Mild to moderate pulmonary edema, with a basal predominance, is new probably accompanied by small pleural effusions.",pulmonary edema,basal,New,['files/p10/p10522265/s50421811/d5aedb5c-3e300b8e-4ab8aa68-066f67dc-cfe7bd84.jpg'],
s50421811_3,p10522265,s50421811,3,Impression,"Mild to moderate pulmonary edema, with a basal predominance, is new probably accompanied by small pleural effusions. Heart size is top-normal not appreciably changed.",Heart size is top-normal not appreciably changed.,Heart size,,Stable,['files/p10/p10522265/s50421811/d5aedb5c-3e300b8e-4ab8aa68-066f67dc-cfe7bd84.jpg'],
s50438069_2,p10190940,s50438069,2,Impression,Comparison to ___. No relevant change. Minimally increased atelectasis at the left lung bases. Unchanged known elevation of the left hemidiaphragm and moderate cardiomegaly as well as signs of generalized fluid overload. No new focal parenchymal opacities. No evidence of pneumonia on the frontal and lateral radiograph.,Unchanged known elevation of the left hemidiaphragm and moderate cardiomegaly as well as signs of generalized fluid overload.,cardiomegaly,,Stable,"['files/p10/p10190940/s50438069/2aafe5ea-12d26b26-972e16c4-ff3d0f9a-ae75d498.jpg', 'files/p10/p10190940/s50438069/707c7ae4-04900b82-789fd588-1d86b741-ec38124b.jpg']",
s50438069_2,p10190940,s50438069,2,Impression,Comparison to ___. No relevant change. Minimally increased atelectasis at the left lung bases. Unchanged known elevation of the left hemidiaphragm and moderate cardiomegaly as well as signs of generalized fluid overload. No new focal parenchymal opacities. No evidence of pneumonia on the frontal and lateral radiograph.,Unchanged known elevation of the left hemidiaphragm and moderate cardiomegaly as well as signs of generalized fluid overload.,elevation,left hemidiaphragm,Stable,"['files/p10/p10190940/s50438069/2aafe5ea-12d26b26-972e16c4-ff3d0f9a-ae75d498.jpg', 'files/p10/p10190940/s50438069/707c7ae4-04900b82-789fd588-1d86b741-ec38124b.jpg']",
s50438069_2,p10190940,s50438069,2,Impression,Comparison to ___. No relevant change. Minimally increased atelectasis at the left lung bases. Unchanged known elevation of the left hemidiaphragm and moderate cardiomegaly as well as signs of generalized fluid overload. No new focal parenchymal opacities. No evidence of pneumonia on the frontal and lateral radiograph.,Minimally increased atelectasis at the left lung bases.,atelectasis,left lung bases,Worse,"['files/p10/p10190940/s50438069/2aafe5ea-12d26b26-972e16c4-ff3d0f9a-ae75d498.jpg', 'files/p10/p10190940/s50438069/707c7ae4-04900b82-789fd588-1d86b741-ec38124b.jpg']",
s50457124_0,p15361393,s50457124,0,Findings,"Heart size is top normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Patchy opacity in the left lower lobe most likely reflects atelectasis. A small left pleural effusion is likely present. The right lung is clear. No pneumothorax is identified. Remote left third anterior rib fracture is identified, but no acutely displaced fractures are otherwise seen.","Remote left third anterior rib fracture is identified, but no acutely displaced fractures are otherwise seen.",fracture,left third anterior rib,Stable,"['files/p15/p15361393/s50457124/80affc57-c634ad36-7566ba24-ac44787d-46dfc160.jpg', 'files/p15/p15361393/s50457124/8ac669b7-9257e87a-4a9a70ee-6cbc9515-eacfcabb.jpg']",
s50457124_0,p15361393,s50457124,0,Impression,"Left lower lobe patchy opacity, likely atelectasis with small left pleural effusion. No displaced fractures are visualized. If there is continued concern for a rib fracture, consider a dedicated rib series.","Left lower lobe patchy opacity, likely atelectasis with small left pleural effusion.",pleural effusion,left,New,"['files/p15/p15361393/s50457124/80affc57-c634ad36-7566ba24-ac44787d-46dfc160.jpg', 'files/p15/p15361393/s50457124/8ac669b7-9257e87a-4a9a70ee-6cbc9515-eacfcabb.jpg']",
s50457124_0,p15361393,s50457124,0,Impression,"Left lower lobe patchy opacity, likely atelectasis with small left pleural effusion. No displaced fractures are visualized. If there is continued concern for a rib fracture, consider a dedicated rib series.","Left lower lobe patchy opacity, likely atelectasis with small left pleural effusion.",atelectasis,left lower lobe,New,"['files/p15/p15361393/s50457124/80affc57-c634ad36-7566ba24-ac44787d-46dfc160.jpg', 'files/p15/p15361393/s50457124/8ac669b7-9257e87a-4a9a70ee-6cbc9515-eacfcabb.jpg']",
s50457124_0,p15361393,s50457124,0,Findings,"Heart size is top normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Patchy opacity in the left lower lobe most likely reflects atelectasis. A small left pleural effusion is likely present. The right lung is clear. No pneumothorax is identified. Remote left third anterior rib fracture is identified, but no acutely displaced fractures are otherwise seen.",A small left pleural effusion is likely present.,pleural effusion,left,New,"['files/p15/p15361393/s50457124/80affc57-c634ad36-7566ba24-ac44787d-46dfc160.jpg', 'files/p15/p15361393/s50457124/8ac669b7-9257e87a-4a9a70ee-6cbc9515-eacfcabb.jpg']",
s50457124_0,p15361393,s50457124,0,Findings,"Heart size is top normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Patchy opacity in the left lower lobe most likely reflects atelectasis. A small left pleural effusion is likely present. The right lung is clear. No pneumothorax is identified. Remote left third anterior rib fracture is identified, but no acutely displaced fractures are otherwise seen.",Patchy opacity in the left lower lobe most likely reflects atelectasis.,atelectasis,left lower lobe,New,"['files/p15/p15361393/s50457124/80affc57-c634ad36-7566ba24-ac44787d-46dfc160.jpg', 'files/p15/p15361393/s50457124/8ac669b7-9257e87a-4a9a70ee-6cbc9515-eacfcabb.jpg']",
s50510466_5,p19358609,s50510466,5,Findings,"As compared to the previous radiograph, the post-surgical left lung is unchanged. In the right lung, there is an increase in interstitial markings, notably at the lung bases and in the right lower lung. In addition, there is blunting of the right costophrenic sinus, suggesting the presence of a small right pleural effusion. The size of the cardiac silhouette is unchanged. The findings in the right lung might represent a combination of pulmonary edema and pneumonia. At the time of observation and dictation, 1:14 p.m., on ___, the referring physician, ___. ___, was paged for notification and the findings were subsequently discussed over the telephone.","As compared to the previous radiograph, the post-surgical left lung is unchanged.",post-surgical changes,left lung,Stable,['files/p19/p19358609/s50510466/83e5f26d-15cf2429-72ba60ba-801c754d-2a8d1fbc.jpg'],['files/p19/p19358609/s50338064/f97a3cfc-72288627-14f2608a-5806db3f-293a557c.jpg\n']
s50510466_5,p19358609,s50510466,5,Findings,"As compared to the previous radiograph, the post-surgical left lung is unchanged. In the right lung, there is an increase in interstitial markings, notably at the lung bases and in the right lower lung. In addition, there is blunting of the right costophrenic sinus, suggesting the presence of a small right pleural effusion. The size of the cardiac silhouette is unchanged. The findings in the right lung might represent a combination of pulmonary edema and pneumonia. At the time of observation and dictation, 1:14 p.m., on ___, the referring physician, ___. ___, was paged for notification and the findings were subsequently discussed over the telephone.",The size of the cardiac silhouette is unchanged.,size,cardiac silhouette,Stable,['files/p19/p19358609/s50510466/83e5f26d-15cf2429-72ba60ba-801c754d-2a8d1fbc.jpg'],['files/p19/p19358609/s50338064/f97a3cfc-72288627-14f2608a-5806db3f-293a557c.jpg\n']
s50510466_5,p19358609,s50510466,5,Findings,"As compared to the previous radiograph, the post-surgical left lung is unchanged. In the right lung, there is an increase in interstitial markings, notably at the lung bases and in the right lower lung. In addition, there is blunting of the right costophrenic sinus, suggesting the presence of a small right pleural effusion. The size of the cardiac silhouette is unchanged. The findings in the right lung might represent a combination of pulmonary edema and pneumonia. At the time of observation and dictation, 1:14 p.m., on ___, the referring physician, ___. ___, was paged for notification and the findings were subsequently discussed over the telephone.","In the right lung, there is an increase in interstitial markings, notably at the lung bases and in the right lower lung.",interstitial markings,right lung bases; right lower lung,Worse,['files/p19/p19358609/s50510466/83e5f26d-15cf2429-72ba60ba-801c754d-2a8d1fbc.jpg'],['files/p19/p19358609/s50338064/f97a3cfc-72288627-14f2608a-5806db3f-293a557c.jpg\n']
s50512608_6,p10803114,s50512608,6,Findings,Small right apical and basilar pneumothorax is not significantly changed compared to the most recent radiograph from ___. The previously seen small caliber right pleural catheter on the prior chest radiograph is no longer identified. There are two new larger bore pleural catheters projecting over the right lung base. There has been interval improvement of the small right-sided pleural effusion. The left lung is clear without evidence of focal consolidations. There is mild right basilar atelectasis. The hilar and mediastinal contours are normal.,There are two new larger bore pleural catheters projecting over the right lung base.,larger bore pleural catheters,right lung base,New,['files/p10/p10803114/s50512608/49910657-1f377f22-5cc20631-adab4e1a-1debb4b0.jpg'],
s50512608_6,p10803114,s50512608,6,Findings,Small right apical and basilar pneumothorax is not significantly changed compared to the most recent radiograph from ___. The previously seen small caliber right pleural catheter on the prior chest radiograph is no longer identified. There are two new larger bore pleural catheters projecting over the right lung base. There has been interval improvement of the small right-sided pleural effusion. The left lung is clear without evidence of focal consolidations. There is mild right basilar atelectasis. The hilar and mediastinal contours are normal.,The previously seen small caliber right pleural catheter on the prior chest radiograph is no longer identified.,pleural catheter,right,Resolve,['files/p10/p10803114/s50512608/49910657-1f377f22-5cc20631-adab4e1a-1debb4b0.jpg'],
s50512608_6,p10803114,s50512608,6,Impression,1. S/p placement of two new larger bore pleural catheters projecting over the right lung base. Small right pneumothorax not significantly changed compared to the most recent radiograph. 2. Mild right basilar atelectasis.,1. S/p placement of two new larger bore pleural catheters projecting over the right lung base. Small right pneumothorax not significantly changed compared to the most recent radiograph.,pneumothorax,right,Stable,['files/p10/p10803114/s50512608/49910657-1f377f22-5cc20631-adab4e1a-1debb4b0.jpg'],
s50512608_6,p10803114,s50512608,6,Impression,1. S/p placement of two new larger bore pleural catheters projecting over the right lung base. Small right pneumothorax not significantly changed compared to the most recent radiograph. 2. Mild right basilar atelectasis.,1. S/p placement of two new larger bore pleural catheters projecting over the right lung base. Small right pneumothorax not significantly changed compared to the most recent radiograph.,larger bore pleural catheters,right lung base,New,['files/p10/p10803114/s50512608/49910657-1f377f22-5cc20631-adab4e1a-1debb4b0.jpg'],
s50512608_6,p10803114,s50512608,6,Findings,Small right apical and basilar pneumothorax is not significantly changed compared to the most recent radiograph from ___. The previously seen small caliber right pleural catheter on the prior chest radiograph is no longer identified. There are two new larger bore pleural catheters projecting over the right lung base. There has been interval improvement of the small right-sided pleural effusion. The left lung is clear without evidence of focal consolidations. There is mild right basilar atelectasis. The hilar and mediastinal contours are normal.,Small right apical and basilar pneumothorax is not significantly changed compared to the most recent radiograph from ___.,pneumothorax,right apical and basilar,Stable,['files/p10/p10803114/s50512608/49910657-1f377f22-5cc20631-adab4e1a-1debb4b0.jpg'],
s50512608_6,p10803114,s50512608,6,Findings,Small right apical and basilar pneumothorax is not significantly changed compared to the most recent radiograph from ___. The previously seen small caliber right pleural catheter on the prior chest radiograph is no longer identified. There are two new larger bore pleural catheters projecting over the right lung base. There has been interval improvement of the small right-sided pleural effusion. The left lung is clear without evidence of focal consolidations. There is mild right basilar atelectasis. The hilar and mediastinal contours are normal.,There has been interval improvement of the small right-sided pleural effusion.,pleural effusion,right-sided,Better,['files/p10/p10803114/s50512608/49910657-1f377f22-5cc20631-adab4e1a-1debb4b0.jpg'],
s50519407_22,p10337896,s50519407,22,Findings,"AP portable upright view of the chest. Extensive intrathoracic calcifications are again seen, better localized on the chest CT examination from ___. The heart size is top normal. A tracheostomy tube is appropriately positioned. A right PICC terminates at the caval atrial junction. Again seen are bilateral pulmonary parenchymal opacities, with interval improvement along the right mid and lower zones since the ___ radiograph. Opacities across the left lung are unchanged. There is no pneumothorax. Small bilateral pleural effusions are stable. ,","Extensive intrathoracic calcifications are again seen, better localized on the chest CT examination from ___.",calcifications,intrathoracic,Stable,['files/p10/p10337896/s50519407/47dd9117-4908216e-6fa039c8-2d7a1454-74151fad.jpg'],['files/p10/p10337896/s50223793/5aab99c5-9eddcc03-d82c31f8-f7578391-c74b9f65.jpg\n']
s50519407_22,p10337896,s50519407,22,Findings,"AP portable upright view of the chest. Extensive intrathoracic calcifications are again seen, better localized on the chest CT examination from ___. The heart size is top normal. A tracheostomy tube is appropriately positioned. A right PICC terminates at the caval atrial junction. Again seen are bilateral pulmonary parenchymal opacities, with interval improvement along the right mid and lower zones since the ___ radiograph. Opacities across the left lung are unchanged. There is no pneumothorax. Small bilateral pleural effusions are stable. ,","Again seen are bilateral pulmonary parenchymal opacities, with interval improvement along the right mid and lower zones since the ___ radiograph.",pulmonary parenchymal opacities,right mid and lower zones,Better,['files/p10/p10337896/s50519407/47dd9117-4908216e-6fa039c8-2d7a1454-74151fad.jpg'],['files/p10/p10337896/s50223793/5aab99c5-9eddcc03-d82c31f8-f7578391-c74b9f65.jpg\n']
s50519407_22,p10337896,s50519407,22,Findings,"AP portable upright view of the chest. Extensive intrathoracic calcifications are again seen, better localized on the chest CT examination from ___. The heart size is top normal. A tracheostomy tube is appropriately positioned. A right PICC terminates at the caval atrial junction. Again seen are bilateral pulmonary parenchymal opacities, with interval improvement along the right mid and lower zones since the ___ radiograph. Opacities across the left lung are unchanged. There is no pneumothorax. Small bilateral pleural effusions are stable. ,",Opacities across the left lung are unchanged.,opacities,left lung,Stable,['files/p10/p10337896/s50519407/47dd9117-4908216e-6fa039c8-2d7a1454-74151fad.jpg'],['files/p10/p10337896/s50223793/5aab99c5-9eddcc03-d82c31f8-f7578391-c74b9f65.jpg\n']
s50519407_22,p10337896,s50519407,22,Findings,"AP portable upright view of the chest. Extensive intrathoracic calcifications are again seen, better localized on the chest CT examination from ___. The heart size is top normal. A tracheostomy tube is appropriately positioned. A right PICC terminates at the caval atrial junction. Again seen are bilateral pulmonary parenchymal opacities, with interval improvement along the right mid and lower zones since the ___ radiograph. Opacities across the left lung are unchanged. There is no pneumothorax. Small bilateral pleural effusions are stable. ,",Small bilateral pleural effusions are stable.,pleural effusions,bilateral,Stable,['files/p10/p10337896/s50519407/47dd9117-4908216e-6fa039c8-2d7a1454-74151fad.jpg'],['files/p10/p10337896/s50223793/5aab99c5-9eddcc03-d82c31f8-f7578391-c74b9f65.jpg\n']
s50519407_22,p10337896,s50519407,22,Impression,"Interval decrease of right pulmonary parenchymal opacities, reflecting improvement since ___. Unchanged small bilateral pleural effusions.","Interval decrease of right pulmonary parenchymal opacities, reflecting improvement since ___.",pulmonary parenchymal opacities,right,Better,['files/p10/p10337896/s50519407/47dd9117-4908216e-6fa039c8-2d7a1454-74151fad.jpg'],['files/p10/p10337896/s50223793/5aab99c5-9eddcc03-d82c31f8-f7578391-c74b9f65.jpg\n']
s50519407_22,p10337896,s50519407,22,Impression,"Interval decrease of right pulmonary parenchymal opacities, reflecting improvement since ___. Unchanged small bilateral pleural effusions.",Unchanged small bilateral pleural effusions.,pleural effusions,bilateral,Stable,['files/p10/p10337896/s50519407/47dd9117-4908216e-6fa039c8-2d7a1454-74151fad.jpg'],['files/p10/p10337896/s50223793/5aab99c5-9eddcc03-d82c31f8-f7578391-c74b9f65.jpg\n']
s50523107_1,p18411490,s50523107,1,Impression,"In comparison with the study ___ ___, the patient has taken a much better inspiration. Cardiac silhouette remains mildly enlarged an there is an appearance of the left hemidiaphragm and costophrenic angle the could reflect pleural fluid or chronic thickening. No evidence of acute focal pneumonia.",Cardiac silhouette remains mildly enlarged an there is an appearance of the left hemidiaphragm and costophrenic angle the could reflect pleural fluid or chronic thickening.,pleural fluid or chronic thickening,left hemidiaphragm and costophrenic angle,New,"['files/p18/p18411490/s50523107/4bd8decb-25920510-72d388b1-8a496755-56136b26.jpg', 'files/p18/p18411490/s50523107/d58d0e27-e1c60eac-ce1656c7-d7b99a45-484b6ea5.jpg']","['files/p18/p18411490/s50317024/64cc948a-2c477474-c2629ba4-d9cc0822-1ec6d0f7.jpg\n', 'files/p18/p18411490/s50317024/fb08df17-1af8c15c-daeb4b46-18fc42dc-91643df8.jpg\n']"
s50523107_1,p18411490,s50523107,1,Impression,"In comparison with the study ___ ___, the patient has taken a much better inspiration. Cardiac silhouette remains mildly enlarged an there is an appearance of the left hemidiaphragm and costophrenic angle the could reflect pleural fluid or chronic thickening. No evidence of acute focal pneumonia.",Cardiac silhouette remains mildly enlarged an there is an appearance of the left hemidiaphragm and costophrenic angle the could reflect pleural fluid or chronic thickening.,mild enlargement,cardiac silhouette,Stable,"['files/p18/p18411490/s50523107/4bd8decb-25920510-72d388b1-8a496755-56136b26.jpg', 'files/p18/p18411490/s50523107/d58d0e27-e1c60eac-ce1656c7-d7b99a45-484b6ea5.jpg']","['files/p18/p18411490/s50317024/64cc948a-2c477474-c2629ba4-d9cc0822-1ec6d0f7.jpg\n', 'files/p18/p18411490/s50317024/fb08df17-1af8c15c-daeb4b46-18fc42dc-91643df8.jpg\n']"
s50536002_18,p11888614,s50536002,18,Impression,Mild pulmonary vascular congestion seen on ___ exam has resolved.,Mild pulmonary vascular congestion seen on ___ exam has resolved.,mild pulmonary vascular congestion,,Resolve,"['files/p11/p11888614/s50536002/3f69336f-36ceec41-467c3490-22a37536-b48f30e3.jpg', 'files/p11/p11888614/s50536002/73d31d6f-ca8c0564-fa33ca69-0d72a50a-31d38651.jpg', 'files/p11/p11888614/s50536002/d0e2802e-7ba958f6-7db1cbc3-31f2a1d0-0ac20695.jpg']","['files/p11/p11888614/s50160109/2b16b5f9-f1b0a358-5bd9e08e-e1f5a385-2a69e8dd.jpg\n', 'files/p11/p11888614/s50160109/d9247008-190a48a3-02caefc9-e25fb73c-1c3f9dfd.jpg\n', 'files/p11/p11888614/s50160109/e5529814-3b0dbe20-70f99d0c-f5ffb1a4-adfa0614.jpg\n']"
s50536002_18,p11888614,s50536002,18,Findings,"Frontal and lateral views of the chest demonstrate normal lung volumes. No pleural effusion, focal consolidation or pneumothorax. There is no pneumomediastinum. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Mild pulmonary vascular congestion is seen on ___ exam has resolved. Insterstiail markings appear prominent which may reflect underlying small airways disease or interstitial disease. Clinical correlation is advised. Partially imaged upper abdomen is unremarkable.",Mild pulmonary vascular congestion is seen on ___ exam has resolved.,mild pulmonary vascular congestion,,Resolve,"['files/p11/p11888614/s50536002/3f69336f-36ceec41-467c3490-22a37536-b48f30e3.jpg', 'files/p11/p11888614/s50536002/73d31d6f-ca8c0564-fa33ca69-0d72a50a-31d38651.jpg', 'files/p11/p11888614/s50536002/d0e2802e-7ba958f6-7db1cbc3-31f2a1d0-0ac20695.jpg']","['files/p11/p11888614/s50160109/2b16b5f9-f1b0a358-5bd9e08e-e1f5a385-2a69e8dd.jpg\n', 'files/p11/p11888614/s50160109/d9247008-190a48a3-02caefc9-e25fb73c-1c3f9dfd.jpg\n', 'files/p11/p11888614/s50160109/e5529814-3b0dbe20-70f99d0c-f5ffb1a4-adfa0614.jpg\n']"
s50546404_32,p19358609,s50546404,32,Impression,"In comparison with the earlier study of this date, there has been placement of a nasogastric tube that extends to the mid body of the stomach with the side port distal to the esophagogastric junction. Otherwise little change.",Otherwise little change.,,,Stable,['files/p19/p19358609/s50546404/19acab4d-9db0ca67-2cd73a86-53c399fe-f5fabe3e.jpg'],['files/p19/p19358609/s50510466/83e5f26d-15cf2429-72ba60ba-801c754d-2a8d1fbc.jpg\n']
s50546404_32,p19358609,s50546404,32,Impression,"In comparison with the earlier study of this date, there has been placement of a nasogastric tube that extends to the mid body of the stomach with the side port distal to the esophagogastric junction. Otherwise little change.","In comparison with the earlier study of this date, there has been placement of a nasogastric tube that extends to the mid body of the stomach with the side port distal to the esophagogastric junction.",nasogastric tube,mid body of the stomach,New,['files/p19/p19358609/s50546404/19acab4d-9db0ca67-2cd73a86-53c399fe-f5fabe3e.jpg'],['files/p19/p19358609/s50510466/83e5f26d-15cf2429-72ba60ba-801c754d-2a8d1fbc.jpg\n']
s50553653_20,p13421580,s50553653,20,Impression,"AP chest compared to ___: Bilateral pleural effusion, moderate on the right has improved, slightly less on the left has increased since ___. Mediastinal and pulmonary vascular congestion suggests interstitial abnormalities due to mild edema. Left lower lobe remains consolidated medially, either atelectasis or pneumonia. Heart size is normal. ET tube, right internal jugular line, feeding tube, and left PIC line are in standard placements respectively. No pneumothorax.","Bilateral pleural effusion, moderate on the right has improved, slightly less on the left has increased since ___",pleural effusion,left,Worse,['files/p13/p13421580/s50553653/9440df05-7c68c259-e576f624-576a1add-8cd42eba.jpg'],['files/p13/p13421580/s50391444/e7d5b98a-6610a0fe-de38fcf4-1d68c85e-30f96ae0.jpg\n']
s50553653_20,p13421580,s50553653,20,Impression,"AP chest compared to ___: Bilateral pleural effusion, moderate on the right has improved, slightly less on the left has increased since ___. Mediastinal and pulmonary vascular congestion suggests interstitial abnormalities due to mild edema. Left lower lobe remains consolidated medially, either atelectasis or pneumonia. Heart size is normal. ET tube, right internal jugular line, feeding tube, and left PIC line are in standard placements respectively. No pneumothorax.","Left lower lobe remains consolidated medially, either atelectasis or pneumonia",consolidation,medially,Stable,['files/p13/p13421580/s50553653/9440df05-7c68c259-e576f624-576a1add-8cd42eba.jpg'],['files/p13/p13421580/s50391444/e7d5b98a-6610a0fe-de38fcf4-1d68c85e-30f96ae0.jpg\n']
s50553653_20,p13421580,s50553653,20,Impression,"AP chest compared to ___: Bilateral pleural effusion, moderate on the right has improved, slightly less on the left has increased since ___. Mediastinal and pulmonary vascular congestion suggests interstitial abnormalities due to mild edema. Left lower lobe remains consolidated medially, either atelectasis or pneumonia. Heart size is normal. ET tube, right internal jugular line, feeding tube, and left PIC line are in standard placements respectively. No pneumothorax.","Bilateral pleural effusion, moderate on the right has improved, slightly less on the left has increased since ___",pleural effusion,right,Better,['files/p13/p13421580/s50553653/9440df05-7c68c259-e576f624-576a1add-8cd42eba.jpg'],['files/p13/p13421580/s50391444/e7d5b98a-6610a0fe-de38fcf4-1d68c85e-30f96ae0.jpg\n']
s50561566_22,p11888614,s50561566,22,Findings,"There has been little interval change from the prior exam. The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal without evidence of pulmonary edema. Again noted are bilateral ill-defined hazy airspace opacities predominantly within a perihilar distribution, not significantly changed in extent compared to the recent chest radiograph and chest CT. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.","Again noted are bilateral ill-defined hazy airspace opacities predominantly within a perihilar distribution, not significantly changed in extent compared to the recent chest radiograph and chest CT.",Bilateral ill-defined hazy airspace opacities,Perihilar distribution,Stable,"['files/p11/p11888614/s50561566/86eb621b-f9a39d0a-22d3a0de-eeb8000a-f31f0e44.jpg', 'files/p11/p11888614/s50561566/f877eb30-e2155ec8-a0bdcfb3-494d60b8-a0e7c7b7.jpg']","['files/p11/p11888614/s50536002/3f69336f-36ceec41-467c3490-22a37536-b48f30e3.jpg\n', 'files/p11/p11888614/s50536002/73d31d6f-ca8c0564-fa33ca69-0d72a50a-31d38651.jpg\n', 'files/p11/p11888614/s50536002/d0e2802e-7ba958f6-7db1cbc3-31f2a1d0-0ac20695.jpg\n']"
s50561566_22,p11888614,s50561566,22,Impression,"No significant interval change in bilateral predominantly perihilar ill-defined airspace opacities which may reflect a multifocal infectious process, but is nonspecific.","No significant interval change in bilateral predominantly perihilar ill-defined airspace opacities which may reflect a multifocal infectious process, but is nonspecific.",Bilateral ill-defined airspace opacities,Perihilar distribution,Stable,"['files/p11/p11888614/s50561566/86eb621b-f9a39d0a-22d3a0de-eeb8000a-f31f0e44.jpg', 'files/p11/p11888614/s50561566/f877eb30-e2155ec8-a0bdcfb3-494d60b8-a0e7c7b7.jpg']","['files/p11/p11888614/s50536002/3f69336f-36ceec41-467c3490-22a37536-b48f30e3.jpg\n', 'files/p11/p11888614/s50536002/73d31d6f-ca8c0564-fa33ca69-0d72a50a-31d38651.jpg\n', 'files/p11/p11888614/s50536002/d0e2802e-7ba958f6-7db1cbc3-31f2a1d0-0ac20695.jpg\n']"
s50564703_2,p13196707,s50564703,2,Impression,2 catheters are seen projecting over the inferior aspect of the heart. There is a right sided central venous line with the distal lead tip at the cavoatrial junction. SVC stent is also seen. There are low lung volumes due to poor inspiratory effort. There is some elevation of the left hemidiaphragm. There is again seen numerous parenchymal nodules better assessed on the prior CT scan.,There is again seen numerous parenchymal nodules better assessed on the prior CT scan.,Nodules,parenchymal,Stable,['files/p13/p13196707/s50564703/1ad7b193-ec7866e0-b028d0ab-58e2fd05-8da28ddd.jpg'],
s50572963_5,p18057037,s50572963,5,Findings,Volume loss in both lower lungs has increased compared to the prior day. the heart size is mildly enlarged and there is mild pulmonary vascular redistribution. An underlying infectious infiltrate cannot be excluded.,Volume loss in both lower lungs has increased compared to the prior day.,Volume loss,both lower lungs,Worse,['files/p18/p18057037/s50572963/ab80b235-0f6e4319-62504f7b-e293fad3-0ad33347.jpg'],"['files/p18/p18057037/s50285888/5ddde0e8-36797a7f-860a133e-21c372bc-632c20b9.jpg\n', 'files/p18/p18057037/s50285888/e4a62f0a-718060e7-49ef0069-e95d38ff-96fac7fd.jpg\n']"
s50572999_15,p18057037,s50572999,15,Impression,Exam unchanged with bilateral small pleural effusions and right basilar atelectasis and stable cardiomegaly.,Exam unchanged with bilateral small pleural effusions and right basilar atelectasis and stable cardiomegaly.,atelectasis,right basilar,Stable,"['files/p18/p18057037/s50572999/1b963d3e-0bf48d72-cbaf1a14-ed74724c-b8534d5a.jpg', 'files/p18/p18057037/s50572999/5139b8e5-f1349775-39057827-046ed642-60133e35.jpg']",['files/p18/p18057037/s50572963/ab80b235-0f6e4319-62504f7b-e293fad3-0ad33347.jpg\n']
s50572999_15,p18057037,s50572999,15,Impression,Exam unchanged with bilateral small pleural effusions and right basilar atelectasis and stable cardiomegaly.,Exam unchanged with bilateral small pleural effusions and right basilar atelectasis and stable cardiomegaly.,cardiomegaly,cardiac,Stable,"['files/p18/p18057037/s50572999/1b963d3e-0bf48d72-cbaf1a14-ed74724c-b8534d5a.jpg', 'files/p18/p18057037/s50572999/5139b8e5-f1349775-39057827-046ed642-60133e35.jpg']",['files/p18/p18057037/s50572963/ab80b235-0f6e4319-62504f7b-e293fad3-0ad33347.jpg\n']
s50572999_15,p18057037,s50572999,15,Impression,Exam unchanged with bilateral small pleural effusions and right basilar atelectasis and stable cardiomegaly.,Exam unchanged with bilateral small pleural effusions and right basilar atelectasis and stable cardiomegaly.,pleural effusions,bilateral,Stable,"['files/p18/p18057037/s50572999/1b963d3e-0bf48d72-cbaf1a14-ed74724c-b8534d5a.jpg', 'files/p18/p18057037/s50572999/5139b8e5-f1349775-39057827-046ed642-60133e35.jpg']",['files/p18/p18057037/s50572963/ab80b235-0f6e4319-62504f7b-e293fad3-0ad33347.jpg\n']
s50572999_15,p18057037,s50572999,15,Findings,PA and lateral chest radiographs were obtained. Lung volumes remain low with right basilar atelctasis as well as enlargement of main pulmonary artery and cardiac silhouette. There are small bilateral pleural effusions. No pneumothorax is identified. Surgical clips are again noted in the left upper quadrant.,Surgical clips are again noted in the left upper quadrant.,surgical clips,left upper quadrant,Stable,"['files/p18/p18057037/s50572999/1b963d3e-0bf48d72-cbaf1a14-ed74724c-b8534d5a.jpg', 'files/p18/p18057037/s50572999/5139b8e5-f1349775-39057827-046ed642-60133e35.jpg']",['files/p18/p18057037/s50572963/ab80b235-0f6e4319-62504f7b-e293fad3-0ad33347.jpg\n']
s50572999_15,p18057037,s50572999,15,Findings,PA and lateral chest radiographs were obtained. Lung volumes remain low with right basilar atelctasis as well as enlargement of main pulmonary artery and cardiac silhouette. There are small bilateral pleural effusions. No pneumothorax is identified. Surgical clips are again noted in the left upper quadrant.,Lung volumes remain low with right basilar atelctasis as well as enlargement of main pulmonary artery and cardiac silhouette.,atelctasis,right basilar,Stable,"['files/p18/p18057037/s50572999/1b963d3e-0bf48d72-cbaf1a14-ed74724c-b8534d5a.jpg', 'files/p18/p18057037/s50572999/5139b8e5-f1349775-39057827-046ed642-60133e35.jpg']",['files/p18/p18057037/s50572963/ab80b235-0f6e4319-62504f7b-e293fad3-0ad33347.jpg\n']
s50575681_12,p13421580,s50575681,12,Impression,"AP chest compared to ___: Large bilateral pleural effusions have increased, generally obscuring most of both lungs, where it is possible, particularly on the left, there is a large pneumonia. If pleural effusions are not to be drained, I would recommend CT scanning to examine the lungs. Heart size is normal. Mediastinum is not widened. ET tube is in standard placement, bilateral central venous catheters end in the low SVC and a feeding tube passes into the duodenum and out of view. No pneumothorax.","AP chest compared to ___: Large bilateral pleural effusions have increased, generally obscuring most of both lungs, where it is possible, particularly on the left, there is a large pneumonia.",large pneumonia,left,New,['files/p13/p13421580/s50575681/4c20cd93-cbf30533-1459577c-278ce3b2-46750f47.jpg'],['files/p13/p13421580/s50553653/9440df05-7c68c259-e576f624-576a1add-8cd42eba.jpg\n']
s50575681_12,p13421580,s50575681,12,Impression,"AP chest compared to ___: Large bilateral pleural effusions have increased, generally obscuring most of both lungs, where it is possible, particularly on the left, there is a large pneumonia. If pleural effusions are not to be drained, I would recommend CT scanning to examine the lungs. Heart size is normal. Mediastinum is not widened. ET tube is in standard placement, bilateral central venous catheters end in the low SVC and a feeding tube passes into the duodenum and out of view. No pneumothorax.","AP chest compared to ___: Large bilateral pleural effusions have increased, generally obscuring most of both lungs, where it is possible, particularly on the left, there is a large pneumonia.",large pleural effusions,bilateral,Worse,['files/p13/p13421580/s50575681/4c20cd93-cbf30533-1459577c-278ce3b2-46750f47.jpg'],['files/p13/p13421580/s50553653/9440df05-7c68c259-e576f624-576a1add-8cd42eba.jpg\n']
s50577627_0,p16617702,s50577627,0,Findings,"The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Examination of the thoracic spine shows no compression deformity and no changes compared to the ___ chest radiograph. Additionally, subtle contour irregularities at the costovertebral junctions of the posterior aspect of the right upper ribs suggest old healed injury, also unchanged from ___ chest radiograph.","Additionally, subtle contour irregularities at the costovertebral junctions of the posterior aspect of the right upper ribs suggest old healed injury, also unchanged from ___ chest radiograph.",healed injury,costovertebral junctions of the posterior aspect of the right upper ribs,Stable,"['files/p16/p16617702/s50577627/16034542-3a1b9bc2-b4765451-fa145e0a-5833793e.jpg', 'files/p16/p16617702/s50577627/8516b7c2-bc3304e9-1feaa3ac-b755f740-eef350d8.jpg']",
s50577627_0,p16617702,s50577627,0,Findings,"The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Examination of the thoracic spine shows no compression deformity and no changes compared to the ___ chest radiograph. Additionally, subtle contour irregularities at the costovertebral junctions of the posterior aspect of the right upper ribs suggest old healed injury, also unchanged from ___ chest radiograph.",Examination of the thoracic spine shows no compression deformity and no changes compared to the ___ chest radiograph.,compression deformity,thoracic spine,Stable,"['files/p16/p16617702/s50577627/16034542-3a1b9bc2-b4765451-fa145e0a-5833793e.jpg', 'files/p16/p16617702/s50577627/8516b7c2-bc3304e9-1feaa3ac-b755f740-eef350d8.jpg']",
s50588678_22,p19358609,s50588678,22,Impression,"In comparison with the study ___ ___, the monitoring and support devices are unchanged. The opacification in the left mid and upper zone has decreased. Basilar opacification on this side is consistent with postsurgical changes.",The opacification in the left mid and upper zone has decreased.,opacification,left mid and upper zone,Better,['files/p19/p19358609/s50588678/6c51a20d-ad614c00-74639c29-a955b0c2-daf48f6e.jpg'],['files/p19/p19358609/s50546404/19acab4d-9db0ca67-2cd73a86-53c399fe-f5fabe3e.jpg\n']
s50588678_22,p19358609,s50588678,22,Impression,"In comparison with the study ___ ___, the monitoring and support devices are unchanged. The opacification in the left mid and upper zone has decreased. Basilar opacification on this side is consistent with postsurgical changes.","In comparison with the study ___, the monitoring and support devices are unchanged.",monitoring and support devices,,Stable,['files/p19/p19358609/s50588678/6c51a20d-ad614c00-74639c29-a955b0c2-daf48f6e.jpg'],['files/p19/p19358609/s50546404/19acab4d-9db0ca67-2cd73a86-53c399fe-f5fabe3e.jpg\n']
s50591741_23,p15902493,s50591741,23,Findings,"A tracheostomy catheter appears in standard unchanged position. A catheter overlying the right mid clavicular line appears similar to prior examination, possibly a VP shunt. Elevation of the right hemidiaphragm is unchanged from prior. Linear bibasilar opacities are unchanged and likely reflect atelectasis. No confluent consolidation is identified. A significant widening of the right paratracheal stripe corresponds with a known large thyroid goiter, better characterized on prior chest CT. Leftward tracheal deviation appears stable. The remainder of the mediastinal and hilar contours are within normal limits for age. The heart size is borderline or slightly enlarged. There is pneumothorax.","A tracheostomy catheter appears in standard unchanged position. A catheter overlying the right mid clavicular line appears similar to prior examination, possibly a VP shunt. Elevation of the right hemidiaphragm is unchanged from prior. Linear bibasilar opacities are unchanged and likely reflect atelectasis. No confluent consolidation is identified. A significant widening of the right paratracheal stripe corresponds with a known large thyroid goiter, better characterized on prior chest CT. Leftward tracheal deviation appears stable. The remainder of the mediastinal and hilar contours are within normal limits for age. The heart size is borderline or slightly enlarged. There is pneumothorax.",position,tracheostomy catheter,Stable,['files/p15/p15902493/s50591741/41cd0cf2-1993dfdd-7f6bf2e5-a1f49826-59bd4a84.jpg'],['files/p15/p15902493/s50324636/2e6da01c-344915d4-bf3a4390-0f00d050-e8e1c919.jpg\n']
s50591741_23,p15902493,s50591741,23,Findings,"A tracheostomy catheter appears in standard unchanged position. A catheter overlying the right mid clavicular line appears similar to prior examination, possibly a VP shunt. Elevation of the right hemidiaphragm is unchanged from prior. Linear bibasilar opacities are unchanged and likely reflect atelectasis. No confluent consolidation is identified. A significant widening of the right paratracheal stripe corresponds with a known large thyroid goiter, better characterized on prior chest CT. Leftward tracheal deviation appears stable. The remainder of the mediastinal and hilar contours are within normal limits for age. The heart size is borderline or slightly enlarged. There is pneumothorax.","A tracheostomy catheter appears in standard unchanged position. A catheter overlying the right mid clavicular line appears similar to prior examination, possibly a VP shunt. Elevation of the right hemidiaphragm is unchanged from prior. Linear bibasilar opacities are unchanged and likely reflect atelectasis. No confluent consolidation is identified. A significant widening of the right paratracheal stripe corresponds with a known large thyroid goiter, better characterized on prior chest CT. Leftward tracheal deviation appears stable. The remainder of the mediastinal and hilar contours are within normal limits for age. The heart size is borderline or slightly enlarged. There is pneumothorax.",atelectasis,linear bibasilar opacities,Stable,['files/p15/p15902493/s50591741/41cd0cf2-1993dfdd-7f6bf2e5-a1f49826-59bd4a84.jpg'],['files/p15/p15902493/s50324636/2e6da01c-344915d4-bf3a4390-0f00d050-e8e1c919.jpg\n']
s50591741_23,p15902493,s50591741,23,Findings,"A tracheostomy catheter appears in standard unchanged position. A catheter overlying the right mid clavicular line appears similar to prior examination, possibly a VP shunt. Elevation of the right hemidiaphragm is unchanged from prior. Linear bibasilar opacities are unchanged and likely reflect atelectasis. No confluent consolidation is identified. A significant widening of the right paratracheal stripe corresponds with a known large thyroid goiter, better characterized on prior chest CT. Leftward tracheal deviation appears stable. The remainder of the mediastinal and hilar contours are within normal limits for age. The heart size is borderline or slightly enlarged. There is pneumothorax.","A tracheostomy catheter appears in standard unchanged position. A catheter overlying the right mid clavicular line appears similar to prior examination, possibly a VP shunt. Elevation of the right hemidiaphragm is unchanged from prior. Linear bibasilar opacities are unchanged and likely reflect atelectasis. No confluent consolidation is identified. A significant widening of the right paratracheal stripe corresponds with a known large thyroid goiter, better characterized on prior chest CT. Leftward tracheal deviation appears stable. The remainder of the mediastinal and hilar contours are within normal limits for age. The heart size is borderline or slightly enlarged. There is pneumothorax.",deviation,leftward tracheal deviation,Stable,['files/p15/p15902493/s50591741/41cd0cf2-1993dfdd-7f6bf2e5-a1f49826-59bd4a84.jpg'],['files/p15/p15902493/s50324636/2e6da01c-344915d4-bf3a4390-0f00d050-e8e1c919.jpg\n']
s50591741_23,p15902493,s50591741,23,Impression,1. Grossly stable thyroid goiter causing widening of the right paratracheal stripe. 2. Unchanged elevation of the right hemidiaphragm and bibasilar atelectasis. 3. No evidence of pneumonia or acute pulmonary edema.,1. Grossly stable thyroid goiter causing widening of the right paratracheal stripe. 2. Unchanged elevation of the right hemidiaphragm and bibasilar atelectasis. 3. No evidence of pneumonia or acute pulmonary edema.,widening of the right paratracheal stripe,thyroid goiter,Stable,['files/p15/p15902493/s50591741/41cd0cf2-1993dfdd-7f6bf2e5-a1f49826-59bd4a84.jpg'],['files/p15/p15902493/s50324636/2e6da01c-344915d4-bf3a4390-0f00d050-e8e1c919.jpg\n']
s50591741_23,p15902493,s50591741,23,Impression,1. Grossly stable thyroid goiter causing widening of the right paratracheal stripe. 2. Unchanged elevation of the right hemidiaphragm and bibasilar atelectasis. 3. No evidence of pneumonia or acute pulmonary edema.,1. Grossly stable thyroid goiter causing widening of the right paratracheal stripe. 2. Unchanged elevation of the right hemidiaphragm and bibasilar atelectasis. 3. No evidence of pneumonia or acute pulmonary edema.,elevation,right hemidiaphragm,Stable,['files/p15/p15902493/s50591741/41cd0cf2-1993dfdd-7f6bf2e5-a1f49826-59bd4a84.jpg'],['files/p15/p15902493/s50324636/2e6da01c-344915d4-bf3a4390-0f00d050-e8e1c919.jpg\n']
s50591741_23,p15902493,s50591741,23,Impression,1. Grossly stable thyroid goiter causing widening of the right paratracheal stripe. 2. Unchanged elevation of the right hemidiaphragm and bibasilar atelectasis. 3. No evidence of pneumonia or acute pulmonary edema.,1. Grossly stable thyroid goiter causing widening of the right paratracheal stripe. 2. Unchanged elevation of the right hemidiaphragm and bibasilar atelectasis. 3. No evidence of pneumonia or acute pulmonary edema.,atelectasis,bibasilar atelectasis,Stable,['files/p15/p15902493/s50591741/41cd0cf2-1993dfdd-7f6bf2e5-a1f49826-59bd4a84.jpg'],['files/p15/p15902493/s50324636/2e6da01c-344915d4-bf3a4390-0f00d050-e8e1c919.jpg\n']
s50591741_23,p15902493,s50591741,23,Findings,"A tracheostomy catheter appears in standard unchanged position. A catheter overlying the right mid clavicular line appears similar to prior examination, possibly a VP shunt. Elevation of the right hemidiaphragm is unchanged from prior. Linear bibasilar opacities are unchanged and likely reflect atelectasis. No confluent consolidation is identified. A significant widening of the right paratracheal stripe corresponds with a known large thyroid goiter, better characterized on prior chest CT. Leftward tracheal deviation appears stable. The remainder of the mediastinal and hilar contours are within normal limits for age. The heart size is borderline or slightly enlarged. There is pneumothorax.","A tracheostomy catheter appears in standard unchanged position. A catheter overlying the right mid clavicular line appears similar to prior examination, possibly a VP shunt. Elevation of the right hemidiaphragm is unchanged from prior. Linear bibasilar opacities are unchanged and likely reflect atelectasis. No confluent consolidation is identified. A significant widening of the right paratracheal stripe corresponds with a known large thyroid goiter, better characterized on prior chest CT. Leftward tracheal deviation appears stable. The remainder of the mediastinal and hilar contours are within normal limits for age. The heart size is borderline or slightly enlarged. There is pneumothorax.",elevation,right hemidiaphragm,Stable,['files/p15/p15902493/s50591741/41cd0cf2-1993dfdd-7f6bf2e5-a1f49826-59bd4a84.jpg'],['files/p15/p15902493/s50324636/2e6da01c-344915d4-bf3a4390-0f00d050-e8e1c919.jpg\n']
s50640883_5,p13894716,s50640883,5,Findings,"There are persistent bilateral interstitial infiltrates likely representing edema. In addition, there is increased density in the retrocardiac area consistent with atelectasis and possibly consolidation. Streaky density consistent with subsegmental atelectasis in the middle lobe is no longer apparent. An endotracheal tube nasogastric tube and right internal jugular catheter remain in place. Mediastinal structures are stable.",An endotracheal tube nasogastric tube and right internal jugular catheter remain in place.,right internal jugular catheter,,Stable,"['files/p13/p13894716/s50640883/42dc981d-4c3414ee-55574b45-e63422d8-81395b98.jpg', 'files/p13/p13894716/s50640883/b9c5fa7a-09bd7ea7-3a8d70e1-294c2963-340a8244.jpg']","['files/p13/p13894716/s50404152/02264527-37380ab8-55ceb644-ab1a2902-d51da861.jpg\n', 'files/p13/p13894716/s50404152/b992d83f-9b14d160-93965b3d-de9488c3-3ec16f91.jpg\n']"
s50640883_5,p13894716,s50640883,5,Findings,"There are persistent bilateral interstitial infiltrates likely representing edema. In addition, there is increased density in the retrocardiac area consistent with atelectasis and possibly consolidation. Streaky density consistent with subsegmental atelectasis in the middle lobe is no longer apparent. An endotracheal tube nasogastric tube and right internal jugular catheter remain in place. Mediastinal structures are stable.",There are persistent bilateral interstitial infiltrates likely representing edema.,interstitial infiltrates,bilateral,Stable,"['files/p13/p13894716/s50640883/42dc981d-4c3414ee-55574b45-e63422d8-81395b98.jpg', 'files/p13/p13894716/s50640883/b9c5fa7a-09bd7ea7-3a8d70e1-294c2963-340a8244.jpg']","['files/p13/p13894716/s50404152/02264527-37380ab8-55ceb644-ab1a2902-d51da861.jpg\n', 'files/p13/p13894716/s50404152/b992d83f-9b14d160-93965b3d-de9488c3-3ec16f91.jpg\n']"
s50640883_5,p13894716,s50640883,5,Findings,"There are persistent bilateral interstitial infiltrates likely representing edema. In addition, there is increased density in the retrocardiac area consistent with atelectasis and possibly consolidation. Streaky density consistent with subsegmental atelectasis in the middle lobe is no longer apparent. An endotracheal tube nasogastric tube and right internal jugular catheter remain in place. Mediastinal structures are stable.",Mediastinal structures are stable.,mediastinal structures,,Stable,"['files/p13/p13894716/s50640883/42dc981d-4c3414ee-55574b45-e63422d8-81395b98.jpg', 'files/p13/p13894716/s50640883/b9c5fa7a-09bd7ea7-3a8d70e1-294c2963-340a8244.jpg']","['files/p13/p13894716/s50404152/02264527-37380ab8-55ceb644-ab1a2902-d51da861.jpg\n', 'files/p13/p13894716/s50404152/b992d83f-9b14d160-93965b3d-de9488c3-3ec16f91.jpg\n']"
s50640883_5,p13894716,s50640883,5,Findings,"There are persistent bilateral interstitial infiltrates likely representing edema. In addition, there is increased density in the retrocardiac area consistent with atelectasis and possibly consolidation. Streaky density consistent with subsegmental atelectasis in the middle lobe is no longer apparent. An endotracheal tube nasogastric tube and right internal jugular catheter remain in place. Mediastinal structures are stable.","In addition, there is increased density in the retrocardiac area consistent with atelectasis and possibly consolidation.",consolidation,retrocardiac,Worse,"['files/p13/p13894716/s50640883/42dc981d-4c3414ee-55574b45-e63422d8-81395b98.jpg', 'files/p13/p13894716/s50640883/b9c5fa7a-09bd7ea7-3a8d70e1-294c2963-340a8244.jpg']","['files/p13/p13894716/s50404152/02264527-37380ab8-55ceb644-ab1a2902-d51da861.jpg\n', 'files/p13/p13894716/s50404152/b992d83f-9b14d160-93965b3d-de9488c3-3ec16f91.jpg\n']"
s50640883_5,p13894716,s50640883,5,Findings,"There are persistent bilateral interstitial infiltrates likely representing edema. In addition, there is increased density in the retrocardiac area consistent with atelectasis and possibly consolidation. Streaky density consistent with subsegmental atelectasis in the middle lobe is no longer apparent. An endotracheal tube nasogastric tube and right internal jugular catheter remain in place. Mediastinal structures are stable.",Streaky density consistent with subsegmental atelectasis in the middle lobe is no longer apparent.,subsegmental atelectasis,middle lobe,Resolve,"['files/p13/p13894716/s50640883/42dc981d-4c3414ee-55574b45-e63422d8-81395b98.jpg', 'files/p13/p13894716/s50640883/b9c5fa7a-09bd7ea7-3a8d70e1-294c2963-340a8244.jpg']","['files/p13/p13894716/s50404152/02264527-37380ab8-55ceb644-ab1a2902-d51da861.jpg\n', 'files/p13/p13894716/s50404152/b992d83f-9b14d160-93965b3d-de9488c3-3ec16f91.jpg\n']"
s50640883_5,p13894716,s50640883,5,Findings,"There are persistent bilateral interstitial infiltrates likely representing edema. In addition, there is increased density in the retrocardiac area consistent with atelectasis and possibly consolidation. Streaky density consistent with subsegmental atelectasis in the middle lobe is no longer apparent. An endotracheal tube nasogastric tube and right internal jugular catheter remain in place. Mediastinal structures are stable.",An endotracheal tube nasogastric tube and right internal jugular catheter remain in place.,endotracheal tube,,Stable,"['files/p13/p13894716/s50640883/42dc981d-4c3414ee-55574b45-e63422d8-81395b98.jpg', 'files/p13/p13894716/s50640883/b9c5fa7a-09bd7ea7-3a8d70e1-294c2963-340a8244.jpg']","['files/p13/p13894716/s50404152/02264527-37380ab8-55ceb644-ab1a2902-d51da861.jpg\n', 'files/p13/p13894716/s50404152/b992d83f-9b14d160-93965b3d-de9488c3-3ec16f91.jpg\n']"
s50640883_5,p13894716,s50640883,5,Findings,"There are persistent bilateral interstitial infiltrates likely representing edema. In addition, there is increased density in the retrocardiac area consistent with atelectasis and possibly consolidation. Streaky density consistent with subsegmental atelectasis in the middle lobe is no longer apparent. An endotracheal tube nasogastric tube and right internal jugular catheter remain in place. Mediastinal structures are stable.",An endotracheal tube nasogastric tube and right internal jugular catheter remain in place.,nasogastric tube,,Stable,"['files/p13/p13894716/s50640883/42dc981d-4c3414ee-55574b45-e63422d8-81395b98.jpg', 'files/p13/p13894716/s50640883/b9c5fa7a-09bd7ea7-3a8d70e1-294c2963-340a8244.jpg']","['files/p13/p13894716/s50404152/02264527-37380ab8-55ceb644-ab1a2902-d51da861.jpg\n', 'files/p13/p13894716/s50404152/b992d83f-9b14d160-93965b3d-de9488c3-3ec16f91.jpg\n']"
s50640883_5,p13894716,s50640883,5,Findings,"There are persistent bilateral interstitial infiltrates likely representing edema. In addition, there is increased density in the retrocardiac area consistent with atelectasis and possibly consolidation. Streaky density consistent with subsegmental atelectasis in the middle lobe is no longer apparent. An endotracheal tube nasogastric tube and right internal jugular catheter remain in place. Mediastinal structures are stable.","In addition, there is increased density in the retrocardiac area consistent with atelectasis and possibly consolidation.",atelectasis,retrocardiac,Worse,"['files/p13/p13894716/s50640883/42dc981d-4c3414ee-55574b45-e63422d8-81395b98.jpg', 'files/p13/p13894716/s50640883/b9c5fa7a-09bd7ea7-3a8d70e1-294c2963-340a8244.jpg']","['files/p13/p13894716/s50404152/02264527-37380ab8-55ceb644-ab1a2902-d51da861.jpg\n', 'files/p13/p13894716/s50404152/b992d83f-9b14d160-93965b3d-de9488c3-3ec16f91.jpg\n']"
s50657073_6,p11287042,s50657073,6,Impression,"Small right pleural effusion, not significantly changed from prior PET-CT.","Small right pleural effusion, not significantly changed from prior PET-CT.",pleural effusion,right,Stable,"['files/p11/p11287042/s50657073/1ad21961-ee94488b-7fc68fbd-3a8a8100-9b71edfc.jpg', 'files/p11/p11287042/s50657073/31afabb5-1bab1f87-ced724a1-8ae227f6-6bca4f42.jpg']","['files/p11/p11287042/s50391562/2cd661d7-82b0c37e-0db4c82f-d0b33edb-842bf86c.jpg\n', 'files/p11/p11287042/s50391562/87ca06e4-657d51bb-8f660ff0-655f3f25-3c421dbe.jpg\n']"
s50657073_6,p11287042,s50657073,6,Findings,"PA and lateral views of the chest provided. A small right pleural effusion is noted not significantly changed from the prior PET-CT allowing for differences in modality. Otherwise, lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact.",A small right pleural effusion is noted not significantly changed from the prior PET-CT allowing for differences in modality.,pleural effusion,right,Stable,"['files/p11/p11287042/s50657073/1ad21961-ee94488b-7fc68fbd-3a8a8100-9b71edfc.jpg', 'files/p11/p11287042/s50657073/31afabb5-1bab1f87-ced724a1-8ae227f6-6bca4f42.jpg']","['files/p11/p11287042/s50391562/2cd661d7-82b0c37e-0db4c82f-d0b33edb-842bf86c.jpg\n', 'files/p11/p11287042/s50391562/87ca06e4-657d51bb-8f660ff0-655f3f25-3c421dbe.jpg\n']"
s50659512_27,p13894716,s50659512,27,Impression,Comparison to ___. The endotracheal tube was removed and has been replaced by a tracheostomy tube. Stable low lung volumes with moderate bilateral pleural effusions and mild to moderate pulmonary edema. Moderate cardiomegaly persists. No pneumothorax. The 2 right-sided central access lines are stable.,The endotracheal tube was removed and has been replaced by a tracheostomy tube.,endotracheal tube,,Resolve,['files/p13/p13894716/s50659512/f41dc470-8bfd45a8-dd5a735a-b5eeb061-901d46fa.jpg'],"['files/p13/p13894716/s50640883/42dc981d-4c3414ee-55574b45-e63422d8-81395b98.jpg\n', 'files/p13/p13894716/s50640883/b9c5fa7a-09bd7ea7-3a8d70e1-294c2963-340a8244.jpg\n']"
s50659512_27,p13894716,s50659512,27,Impression,Comparison to ___. The endotracheal tube was removed and has been replaced by a tracheostomy tube. Stable low lung volumes with moderate bilateral pleural effusions and mild to moderate pulmonary edema. Moderate cardiomegaly persists. No pneumothorax. The 2 right-sided central access lines are stable.,Moderate cardiomegaly persists.,Moderate cardiomegaly,,Stable,['files/p13/p13894716/s50659512/f41dc470-8bfd45a8-dd5a735a-b5eeb061-901d46fa.jpg'],"['files/p13/p13894716/s50640883/42dc981d-4c3414ee-55574b45-e63422d8-81395b98.jpg\n', 'files/p13/p13894716/s50640883/b9c5fa7a-09bd7ea7-3a8d70e1-294c2963-340a8244.jpg\n']"
s50660145_8,p18573829,s50660145,8,Impression,"On ___ patient had large right and moderate left pleural effusion. Today the moderate left pleural effusion is smaller, but the right hemi thorax is now fully opacified. Since the mediastinum is not shifted to the left, there is an equivalent loss of volume a due to atelectasis compared to the residual right pleural effusion, often an indication that the pleural effusion accumulated slowly. In addition there is an abrupt termination to the air column in the right main bronchus the strongly suggesting retained impacted secretions. Feeding tube ends in the upper stomach. No endotracheal tube is seen. Heterogeneous opacification at the apex of the left lung is new from ___. Although interpreted prospectively it might have been diagnosed as pneumonia, the subsequent chest radiograph performed at 21:30 available the time of this review showed clearing. Therefore this is either edema or aspiration.","Today the moderate left pleural effusion is smaller, but the right hemi thorax is now fully opacified.",Size,Left pleural effusion,Better,['files/p18/p18573829/s50660145/41d2924f-85f8e580-6d8773b6-5ede09de-b23811f6.jpg'],
s50660145_8,p18573829,s50660145,8,Impression,"On ___ patient had large right and moderate left pleural effusion. Today the moderate left pleural effusion is smaller, but the right hemi thorax is now fully opacified. Since the mediastinum is not shifted to the left, there is an equivalent loss of volume a due to atelectasis compared to the residual right pleural effusion, often an indication that the pleural effusion accumulated slowly. In addition there is an abrupt termination to the air column in the right main bronchus the strongly suggesting retained impacted secretions. Feeding tube ends in the upper stomach. No endotracheal tube is seen. Heterogeneous opacification at the apex of the left lung is new from ___. Although interpreted prospectively it might have been diagnosed as pneumonia, the subsequent chest radiograph performed at 21:30 available the time of this review showed clearing. Therefore this is either edema or aspiration.",Heterogeneous opacification at the apex of the left lung is new from ___.,Heterogeneous opacification,Apex of the left lung,New,['files/p18/p18573829/s50660145/41d2924f-85f8e580-6d8773b6-5ede09de-b23811f6.jpg'],
s50660145_8,p18573829,s50660145,8,Impression,"On ___ patient had large right and moderate left pleural effusion. Today the moderate left pleural effusion is smaller, but the right hemi thorax is now fully opacified. Since the mediastinum is not shifted to the left, there is an equivalent loss of volume a due to atelectasis compared to the residual right pleural effusion, often an indication that the pleural effusion accumulated slowly. In addition there is an abrupt termination to the air column in the right main bronchus the strongly suggesting retained impacted secretions. Feeding tube ends in the upper stomach. No endotracheal tube is seen. Heterogeneous opacification at the apex of the left lung is new from ___. Although interpreted prospectively it might have been diagnosed as pneumonia, the subsequent chest radiograph performed at 21:30 available the time of this review showed clearing. Therefore this is either edema or aspiration.","Today the moderate left pleural effusion is smaller, but the right hemi thorax is now fully opacified.",Opacification,Right hemi thorax,Worse,['files/p18/p18573829/s50660145/41d2924f-85f8e580-6d8773b6-5ede09de-b23811f6.jpg'],
s50662142_3,p12056668,s50662142,3,Impression,"Moderate bilateral pleural effusions, not significantly changed from prior. No free air below the diaphragm.","Moderate bilateral pleural effusions, not significantly changed from prior.",pleural effusions,bilateral,Stable,['files/p12/p12056668/s50662142/62998cf2-402df6d5-0a4beadb-6220521b-ea8ed109.jpg'],['files/p12/p12056668/s50120531/218d1c93-0e3c7a85-76dca3b3-1b9ebcc9-e2b4c42d.jpg\n']
s50662142_3,p12056668,s50662142,3,Findings,"AP and lateral views of the chest are compared to previous exam from ___. When compared to prior, there has been no significant interval change in the size of the bilateral pleural effusions. There is no significant pulmonary vascular engorgement. Cardiac silhouette is grossly unchanged but limited due to bibasilar abnormalities. Hypertrophic changes are again seen in the spine. G-tube not clearly identified. No free air identified below the diaphragm.",Cardiac silhouette is grossly unchanged but limited due to bibasilar abnormalities.,cardiac silhouette,,Stable,['files/p12/p12056668/s50662142/62998cf2-402df6d5-0a4beadb-6220521b-ea8ed109.jpg'],['files/p12/p12056668/s50120531/218d1c93-0e3c7a85-76dca3b3-1b9ebcc9-e2b4c42d.jpg\n']
s50662142_3,p12056668,s50662142,3,Findings,"AP and lateral views of the chest are compared to previous exam from ___. When compared to prior, there has been no significant interval change in the size of the bilateral pleural effusions. There is no significant pulmonary vascular engorgement. Cardiac silhouette is grossly unchanged but limited due to bibasilar abnormalities. Hypertrophic changes are again seen in the spine. G-tube not clearly identified. No free air identified below the diaphragm.","When compared to prior, there has been no significant interval change in the size of the bilateral pleural effusions.",pleural effusions,bilateral,Stable,['files/p12/p12056668/s50662142/62998cf2-402df6d5-0a4beadb-6220521b-ea8ed109.jpg'],['files/p12/p12056668/s50120531/218d1c93-0e3c7a85-76dca3b3-1b9ebcc9-e2b4c42d.jpg\n']
s50674125_6,p12056668,s50674125,6,Findings,"In comparison with study of earlier in this date, there has been placement of a right pigtail catheter at the base with some decrease in the degree of pleural effusion. Opacification at the right base is consistent with persistent volume loss in the lower right lung and residual fluid. Large left pleural effusion persists.",Large left pleural effusion persists.,pleural effusion,left,Stable,['files/p12/p12056668/s50674125/e63e4411-eb57a2b9-50bb9ef0-8f980310-c7fd6f0f.jpg'],['files/p12/p12056668/s50662142/62998cf2-402df6d5-0a4beadb-6220521b-ea8ed109.jpg\n']
s50674125_6,p12056668,s50674125,6,Findings,"In comparison with study of earlier in this date, there has been placement of a right pigtail catheter at the base with some decrease in the degree of pleural effusion. Opacification at the right base is consistent with persistent volume loss in the lower right lung and residual fluid. Large left pleural effusion persists.",Opacification at the right base is consistent with persistent volume loss in the lower right lung and residual fluid.,volume loss,right base,Stable,['files/p12/p12056668/s50674125/e63e4411-eb57a2b9-50bb9ef0-8f980310-c7fd6f0f.jpg'],['files/p12/p12056668/s50662142/62998cf2-402df6d5-0a4beadb-6220521b-ea8ed109.jpg\n']
s50674125_6,p12056668,s50674125,6,Findings,"In comparison with study of earlier in this date, there has been placement of a right pigtail catheter at the base with some decrease in the degree of pleural effusion. Opacification at the right base is consistent with persistent volume loss in the lower right lung and residual fluid. Large left pleural effusion persists.","In comparison with study of earlier in this date, there has been placement of a right pigtail catheter at the base with some decrease in the degree of pleural effusion.",pleural effusion,right base,Better,['files/p12/p12056668/s50674125/e63e4411-eb57a2b9-50bb9ef0-8f980310-c7fd6f0f.jpg'],['files/p12/p12056668/s50662142/62998cf2-402df6d5-0a4beadb-6220521b-ea8ed109.jpg\n']
s50677500_2,p11529986,s50677500,2,Impression,Stable appearance of the chest with low lung volumes and a large hiatal hernia. No evidence for superimposed acute cardiopulmonary process.,Stable appearance of the chest with low lung volumes and a large hiatal hernia.,appearance,Chest,Stable,"['files/p11/p11529986/s50677500/18f9a05f-f2cd30f5-bb92443e-a96e29a2-2d10374b.jpg', 'files/p11/p11529986/s50677500/8c92d74b-8f6e075a-400a5d87-ae954228-73edbc6b.jpg', 'files/p11/p11529986/s50677500/9d98c3ef-af601aa0-e2f3bafc-9a4bf053-5680f50b.jpg']",
s50677500_2,p11529986,s50677500,2,Findings,"As compared to the prior examination dated ___, there has been no significant interval change. Low lung volumes resultant crowding of the bronchovascular structures. There is no lobar consolidation, pleural effusion, or pneumothorax. The heart size is within normal limits. A large hiatal hernia is again seen. Multiple known osseous metastases are poorly visualized on today's examination.",A large hiatal hernia is again seen.,hiatal hernia,Upper abdomen,Stable,"['files/p11/p11529986/s50677500/18f9a05f-f2cd30f5-bb92443e-a96e29a2-2d10374b.jpg', 'files/p11/p11529986/s50677500/8c92d74b-8f6e075a-400a5d87-ae954228-73edbc6b.jpg', 'files/p11/p11529986/s50677500/9d98c3ef-af601aa0-e2f3bafc-9a4bf053-5680f50b.jpg']",
s50677909_0,p11307058,s50677909,0,Impression,"Up several lines are projecting over the chest, most of them are external except for central venous line terminating in the level of lower SVC. Heart size is unchanged, normal in size. Severely dilated and tortuous descending thoracic aorta is consistent with known aneurysm I tip dissection. Lungs are essentially clear with no evidence of focal consolidation to suggest infectious process","Heart size is unchanged, normal in size.",Heart size,,Stable,['files/p11/p11307058/s50677909/9f2507a2-f8ed6c9f-657277ba-664fb54d-c23684b6.jpg'],
s50685017_4,p19358609,s50685017,4,Impression,Stable background chronic lung changes. Stable top normal heart size with evidence of volume overload consistent with provided diagnosis of right ventricular regurgitation.,Stable top normal heart size with evidence of volume overload consistent with provided diagnosis of right ventricular regurgitation.,size,heart,Stable,"['files/p19/p19358609/s50685017/96f87f7a-986127ad-254bbe00-6092f98c-b455bf5e.jpg', 'files/p19/p19358609/s50685017/cd719187-aac4497a-487e9373-f862d5a4-63a1c6b1.jpg', 'files/p19/p19358609/s50685017/ce99e222-d9e46e7e-1597d8a2-8da6576e-39759136.jpg']",['files/p19/p19358609/s50588678/6c51a20d-ad614c00-74639c29-a955b0c2-daf48f6e.jpg\n']
s50685017_4,p19358609,s50685017,4,Impression,Stable background chronic lung changes. Stable top normal heart size with evidence of volume overload consistent with provided diagnosis of right ventricular regurgitation.,Stable background chronic lung changes.,chronic lung changes,background,Stable,"['files/p19/p19358609/s50685017/96f87f7a-986127ad-254bbe00-6092f98c-b455bf5e.jpg', 'files/p19/p19358609/s50685017/cd719187-aac4497a-487e9373-f862d5a4-63a1c6b1.jpg', 'files/p19/p19358609/s50685017/ce99e222-d9e46e7e-1597d8a2-8da6576e-39759136.jpg']",['files/p19/p19358609/s50588678/6c51a20d-ad614c00-74639c29-a955b0c2-daf48f6e.jpg\n']
s50685017_4,p19358609,s50685017,4,Findings,Frontal and lateral radiographs demonstrate stable extensive post-surgical changes of the left hemithorax with associated loss of volume. Stable scarring noted in the right lung apex. On a background of chronic lung disease and chronic bibasilar opacifications there is new prominence of the interstitium as well as Kerley B lines consistent with pulmonary edeam. Heart size is top normal and stable. No pleural effusion or pneumothorax identified.,Frontal and lateral radiographs demonstrate stable extensive post-surgical changes of the left hemithorax with associated loss of volume.,post-surgical changes,left hemithorax,Stable,"['files/p19/p19358609/s50685017/96f87f7a-986127ad-254bbe00-6092f98c-b455bf5e.jpg', 'files/p19/p19358609/s50685017/cd719187-aac4497a-487e9373-f862d5a4-63a1c6b1.jpg', 'files/p19/p19358609/s50685017/ce99e222-d9e46e7e-1597d8a2-8da6576e-39759136.jpg']",['files/p19/p19358609/s50588678/6c51a20d-ad614c00-74639c29-a955b0c2-daf48f6e.jpg\n']
s50685017_4,p19358609,s50685017,4,Findings,Frontal and lateral radiographs demonstrate stable extensive post-surgical changes of the left hemithorax with associated loss of volume. Stable scarring noted in the right lung apex. On a background of chronic lung disease and chronic bibasilar opacifications there is new prominence of the interstitium as well as Kerley B lines consistent with pulmonary edeam. Heart size is top normal and stable. No pleural effusion or pneumothorax identified.,Stable scarring noted in the right lung apex.,scarring,right lung apex,Stable,"['files/p19/p19358609/s50685017/96f87f7a-986127ad-254bbe00-6092f98c-b455bf5e.jpg', 'files/p19/p19358609/s50685017/cd719187-aac4497a-487e9373-f862d5a4-63a1c6b1.jpg', 'files/p19/p19358609/s50685017/ce99e222-d9e46e7e-1597d8a2-8da6576e-39759136.jpg']",['files/p19/p19358609/s50588678/6c51a20d-ad614c00-74639c29-a955b0c2-daf48f6e.jpg\n']
s50685017_4,p19358609,s50685017,4,Findings,Frontal and lateral radiographs demonstrate stable extensive post-surgical changes of the left hemithorax with associated loss of volume. Stable scarring noted in the right lung apex. On a background of chronic lung disease and chronic bibasilar opacifications there is new prominence of the interstitium as well as Kerley B lines consistent with pulmonary edeam. Heart size is top normal and stable. No pleural effusion or pneumothorax identified.,On a background of chronic lung disease and chronic bibasilar opacifications there is new prominence of the interstitium as well as Kerley B lines consistent with pulmonary edeam.,prominence,interstitium and Kerley B lines,New,"['files/p19/p19358609/s50685017/96f87f7a-986127ad-254bbe00-6092f98c-b455bf5e.jpg', 'files/p19/p19358609/s50685017/cd719187-aac4497a-487e9373-f862d5a4-63a1c6b1.jpg', 'files/p19/p19358609/s50685017/ce99e222-d9e46e7e-1597d8a2-8da6576e-39759136.jpg']",['files/p19/p19358609/s50588678/6c51a20d-ad614c00-74639c29-a955b0c2-daf48f6e.jpg\n']
s50685017_4,p19358609,s50685017,4,Findings,Frontal and lateral radiographs demonstrate stable extensive post-surgical changes of the left hemithorax with associated loss of volume. Stable scarring noted in the right lung apex. On a background of chronic lung disease and chronic bibasilar opacifications there is new prominence of the interstitium as well as Kerley B lines consistent with pulmonary edeam. Heart size is top normal and stable. No pleural effusion or pneumothorax identified.,Heart size is top normal and stable.,size,heart,Stable,"['files/p19/p19358609/s50685017/96f87f7a-986127ad-254bbe00-6092f98c-b455bf5e.jpg', 'files/p19/p19358609/s50685017/cd719187-aac4497a-487e9373-f862d5a4-63a1c6b1.jpg', 'files/p19/p19358609/s50685017/ce99e222-d9e46e7e-1597d8a2-8da6576e-39759136.jpg']",['files/p19/p19358609/s50588678/6c51a20d-ad614c00-74639c29-a955b0c2-daf48f6e.jpg\n']
s50698281_1,p18429449,s50698281,1,Impression,"In comparison with the study of ___, there are interstitial markings in the region of the previous opacification overlying the fifth lateral posterior rib on the left. This could reflect interval consolidation with fibrous healing. The cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal consolidation. Right IJ Port-A-Cath extends to the mid to lower portion of the SVC.","In comparison with the study of ___, there are interstitial markings in the region of the previous opacification overlying the fifth lateral posterior rib on the left.",interstitial markings,fifth lateral posterior rib on the left,Stable,"['files/p18/p18429449/s50698281/5dd8247e-7b3b9aae-2d55445e-f24c799b-0e14112f.jpg', 'files/p18/p18429449/s50698281/7142481e-5cdb79dd-d3fb4159-d280d895-b663f1ab.jpg']",
s50698639_3,p14255450,s50698639,3,Findings,The lungs remain mildly hyperexpanded reflecting COPD. Mild bibasilar atelectasis has progressed. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.,The lungs remain mildly hyperexpanded reflecting COPD.,COPD,,Stable,"['files/p14/p14255450/s50698639/0973ab55-e2d9ddb3-e7c364fe-137b0308-177b4795.jpg', 'files/p14/p14255450/s50698639/136985d4-3b58fc18-a45d8bbf-7d56b225-fffb9e9a.jpg', 'files/p14/p14255450/s50698639/2a15e5d8-5e51a253-590045d2-0df7cd99-f06413f9.jpg']",
s50698639_3,p14255450,s50698639,3,Impression,1. Slight worsening of bibasilar atelectasis. 2. COPD. No acute cardiopulmonary abnormality.,1. Slight worsening of bibasilar atelectasis. 2. COPD. No acute cardiopulmonary abnormality.,COPD,,Stable,"['files/p14/p14255450/s50698639/0973ab55-e2d9ddb3-e7c364fe-137b0308-177b4795.jpg', 'files/p14/p14255450/s50698639/136985d4-3b58fc18-a45d8bbf-7d56b225-fffb9e9a.jpg', 'files/p14/p14255450/s50698639/2a15e5d8-5e51a253-590045d2-0df7cd99-f06413f9.jpg']",
s50698639_3,p14255450,s50698639,3,Findings,The lungs remain mildly hyperexpanded reflecting COPD. Mild bibasilar atelectasis has progressed. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.,Mild bibasilar atelectasis has progressed.,atelectasis,bibasilar,Worse,"['files/p14/p14255450/s50698639/0973ab55-e2d9ddb3-e7c364fe-137b0308-177b4795.jpg', 'files/p14/p14255450/s50698639/136985d4-3b58fc18-a45d8bbf-7d56b225-fffb9e9a.jpg', 'files/p14/p14255450/s50698639/2a15e5d8-5e51a253-590045d2-0df7cd99-f06413f9.jpg']",
s50698639_3,p14255450,s50698639,3,Impression,1. Slight worsening of bibasilar atelectasis. 2. COPD. No acute cardiopulmonary abnormality.,1. Slight worsening of bibasilar atelectasis. 2. COPD. No acute cardiopulmonary abnormality.,atelectasis,bibasilar,Worse,"['files/p14/p14255450/s50698639/0973ab55-e2d9ddb3-e7c364fe-137b0308-177b4795.jpg', 'files/p14/p14255450/s50698639/136985d4-3b58fc18-a45d8bbf-7d56b225-fffb9e9a.jpg', 'files/p14/p14255450/s50698639/2a15e5d8-5e51a253-590045d2-0df7cd99-f06413f9.jpg']",
s50701407_2,p10649970,s50701407,2,Impression,"1. Lung volumes remain somewhat low. There are multiple small calcified nodular opacities in the right mid and lower lungs, which are unchanged. No pulmonary edema or airspace consolidation to suggest an acute infectious process. No pneumothorax or pleural effusions. Overall cardiac and mediastinal contours are stable. No pneumothorax.",Overall cardiac and mediastinal contours are stable.,cardiac and mediastinal contours,,Stable,['files/p10/p10649970/s50701407/a1c8c7ce-7da30482-9513e5d6-e9c94ca0-4ce8696a.jpg'],['files/p10/p10649970/s50196128/1d781883-bb2d3cf0-14fd56ff-c4d0e12f-1143d820.jpg\n']
s50701407_2,p10649970,s50701407,2,Impression,"1. Lung volumes remain somewhat low. There are multiple small calcified nodular opacities in the right mid and lower lungs, which are unchanged. No pulmonary edema or airspace consolidation to suggest an acute infectious process. No pneumothorax or pleural effusions. Overall cardiac and mediastinal contours are stable. No pneumothorax.","There are multiple small calcified nodular opacities in the right mid and lower lungs, which are unchanged.",calcified nodular opacities,right mid and lower lungs,Stable,['files/p10/p10649970/s50701407/a1c8c7ce-7da30482-9513e5d6-e9c94ca0-4ce8696a.jpg'],['files/p10/p10649970/s50196128/1d781883-bb2d3cf0-14fd56ff-c4d0e12f-1143d820.jpg\n']
s50701407_2,p10649970,s50701407,2,Impression,"1. Lung volumes remain somewhat low. There are multiple small calcified nodular opacities in the right mid and lower lungs, which are unchanged. No pulmonary edema or airspace consolidation to suggest an acute infectious process. No pneumothorax or pleural effusions. Overall cardiac and mediastinal contours are stable. No pneumothorax.",Lung volumes remain somewhat low.,lung volumes,,Stable,['files/p10/p10649970/s50701407/a1c8c7ce-7da30482-9513e5d6-e9c94ca0-4ce8696a.jpg'],['files/p10/p10649970/s50196128/1d781883-bb2d3cf0-14fd56ff-c4d0e12f-1143d820.jpg\n']
s50703663_2,p11717909,s50703663,2,Impression,"Pulmonary edema has not recurred. Moderate cardiomegaly including substantial left atrial enlargement is comparable to ___ prior to removal of the intra-aortic balloon pump. Pulmonary vasculature is unremarkable. Projecting over the right second anterior rib, there could be a right juxta hilar nodules large as 19 mm across. Conventional radiographs are recommended when feasible. Pleural effusion small if any. Swan-Ganz catheter ends in standard position at the upper pole of the right hilus.",Pulmonary edema has not recurred.,Pulmonary edema,,Resolve,['files/p11/p11717909/s50703663/5dfe015d-040fa10d-c7519ab8-abd04b07-2013debb.jpg'],['files/p11/p11717909/s50309094/edd6b83c-688ee075-7706abe7-8585945e-88b5d0c7.jpg\n']
s50705665_4,p19837705,s50705665,4,Findings,There is persistent severe enlargement of the cardiac silhouette. The cardiac and mediastinal silhouettes are stable. Patient is status post median sternotomy and cardiac valve replacement. Dual lead left-sided pacer device is stable in position. No focal consolidation is seen. There is no pleural effusion or pneumothorax. No overt pulmonary edema is seen.,Dual lead left-sided pacer device is stable in position.,Dual lead pacer device,left-sided,Stable,"['files/p19/p19837705/s50705665/8f092636-8655ebb5-82f5c8a4-ac96ebaf-b108319a.jpg', 'files/p19/p19837705/s50705665/f0010041-d406dbbd-d9464b06-f9af94a5-748d7c5f.jpg']",
s50705665_4,p19837705,s50705665,4,Findings,There is persistent severe enlargement of the cardiac silhouette. The cardiac and mediastinal silhouettes are stable. Patient is status post median sternotomy and cardiac valve replacement. Dual lead left-sided pacer device is stable in position. No focal consolidation is seen. There is no pleural effusion or pneumothorax. No overt pulmonary edema is seen.,There is persistent severe enlargement of the cardiac silhouette.,Cardiac silhouette,,Worse,"['files/p19/p19837705/s50705665/8f092636-8655ebb5-82f5c8a4-ac96ebaf-b108319a.jpg', 'files/p19/p19837705/s50705665/f0010041-d406dbbd-d9464b06-f9af94a5-748d7c5f.jpg']",
s50705665_4,p19837705,s50705665,4,Impression,Persistent enlargement of the cardiomediastinal silhouette. Stable position of left-sided pacer device.,Persistent enlargement of the cardiomediastinal silhouette.,Cardiomediastinal silhouette,,Worse,"['files/p19/p19837705/s50705665/8f092636-8655ebb5-82f5c8a4-ac96ebaf-b108319a.jpg', 'files/p19/p19837705/s50705665/f0010041-d406dbbd-d9464b06-f9af94a5-748d7c5f.jpg']",
s50705665_4,p19837705,s50705665,4,Findings,There is persistent severe enlargement of the cardiac silhouette. The cardiac and mediastinal silhouettes are stable. Patient is status post median sternotomy and cardiac valve replacement. Dual lead left-sided pacer device is stable in position. No focal consolidation is seen. There is no pleural effusion or pneumothorax. No overt pulmonary edema is seen.,The cardiac and mediastinal silhouettes are stable.,Cardiac and mediastinal silhouettes,,Stable,"['files/p19/p19837705/s50705665/8f092636-8655ebb5-82f5c8a4-ac96ebaf-b108319a.jpg', 'files/p19/p19837705/s50705665/f0010041-d406dbbd-d9464b06-f9af94a5-748d7c5f.jpg']",
s50705665_4,p19837705,s50705665,4,Impression,Persistent enlargement of the cardiomediastinal silhouette. Stable position of left-sided pacer device.,Stable position of left-sided pacer device.,Pacer device,left-sided,Stable,"['files/p19/p19837705/s50705665/8f092636-8655ebb5-82f5c8a4-ac96ebaf-b108319a.jpg', 'files/p19/p19837705/s50705665/f0010041-d406dbbd-d9464b06-f9af94a5-748d7c5f.jpg']",
s50719061_1,p15480043,s50719061,1,Impression,"No relevant change as compared to the previous image. Low lung volumes. Moderate cardiomegaly with mild fluid overload but no overt pulmonary edema. No pneumonia, no pleural effusions.",No relevant change as compared to the previous image.,,,Stable,['files/p15/p15480043/s50719061/ae0d26cc-42f554c9-d591c1f3-0d0de89a-895ffeef.jpg'],
s50728268_8,p15793456,s50728268,8,Impression,Compared to chest radiographs ___ through ___. ET tube in standard placement. Left PIC line ends in the low SVC. Esophageal drainage tube can be traced as far as the lower esophagus but the tip is indistinct. Emphysema is severe. Small region of left perihilar consolidation developed on ___ is unchanged. This could be atelectasis or pneumonia. There is no pleural abnormality.,Small region of left perihilar consolidation developed on ___ is unchanged.,Consolidation,Left perihilar,Stable,['files/p15/p15793456/s50728268/aeaf352b-20abe2c1-7d09855e-8dcde264-c8dae3b5.jpg'],
s50730815_2,p12772476,s50730815,2,Impression,"AP chest compared to ___: Mild pulmonary edema, moderate bilateral pleural effusions are new since ___, increased slightly since ___. There are no findings strongly suggestive of pneumonia. A large gastrointestinal hernia or defect in the left hemidiaphragm is responsible for considerable left lower lobe atelectasis. Heart is not particularly enlarged. No pneumothorax.","AP chest compared to ___: Mild pulmonary edema, moderate bilateral pleural effusions are new since ___, increased slightly since ___.",pleural effusions,bilateral,New,['files/p12/p12772476/s50730815/96ac5d23-fc7ee66f-45c92058-4edaeaf3-87204a92.jpg'],
s50731650_3,p13894716,s50731650,3,Impression,Widening mediastinum with the right paratracheal opacity has minimally improved. Left lower lobe collapse is new. Mild vascular congestion is grossly unchanged. Right perihilar atelectasis is unchanged. Right middle lobe collapse has improved. Lines and tubes are in unchanged standard position. There is no pneumothorax. . Bilateral effusions are grossly unchanged. Right perihilar opacity is grossly unchanged. CT is recommended for further evaluation.,Lines and tubes are in unchanged standard position.,position,Lines and tubes,Stable,['files/p13/p13894716/s50731650/f524f43e-5a71f3ed-652266ed-dedcd67f-b062298b.jpg'],['files/p13/p13894716/s50659512/f41dc470-8bfd45a8-dd5a735a-b5eeb061-901d46fa.jpg\n']
s50731650_3,p13894716,s50731650,3,Impression,Widening mediastinum with the right paratracheal opacity has minimally improved. Left lower lobe collapse is new. Mild vascular congestion is grossly unchanged. Right perihilar atelectasis is unchanged. Right middle lobe collapse has improved. Lines and tubes are in unchanged standard position. There is no pneumothorax. . Bilateral effusions are grossly unchanged. Right perihilar opacity is grossly unchanged. CT is recommended for further evaluation.,Right middle lobe collapse has improved.,collapse,Right middle lobe,Better,['files/p13/p13894716/s50731650/f524f43e-5a71f3ed-652266ed-dedcd67f-b062298b.jpg'],['files/p13/p13894716/s50659512/f41dc470-8bfd45a8-dd5a735a-b5eeb061-901d46fa.jpg\n']
s50731650_3,p13894716,s50731650,3,Impression,Widening mediastinum with the right paratracheal opacity has minimally improved. Left lower lobe collapse is new. Mild vascular congestion is grossly unchanged. Right perihilar atelectasis is unchanged. Right middle lobe collapse has improved. Lines and tubes are in unchanged standard position. There is no pneumothorax. . Bilateral effusions are grossly unchanged. Right perihilar opacity is grossly unchanged. CT is recommended for further evaluation.,Bilateral effusions are grossly unchanged.,effusions,Bilateral,Stable,['files/p13/p13894716/s50731650/f524f43e-5a71f3ed-652266ed-dedcd67f-b062298b.jpg'],['files/p13/p13894716/s50659512/f41dc470-8bfd45a8-dd5a735a-b5eeb061-901d46fa.jpg\n']
s50731650_3,p13894716,s50731650,3,Impression,Widening mediastinum with the right paratracheal opacity has minimally improved. Left lower lobe collapse is new. Mild vascular congestion is grossly unchanged. Right perihilar atelectasis is unchanged. Right middle lobe collapse has improved. Lines and tubes are in unchanged standard position. There is no pneumothorax. . Bilateral effusions are grossly unchanged. Right perihilar opacity is grossly unchanged. CT is recommended for further evaluation.,Right perihilar opacity is grossly unchanged.,opacity,Right perihilar,Stable,['files/p13/p13894716/s50731650/f524f43e-5a71f3ed-652266ed-dedcd67f-b062298b.jpg'],['files/p13/p13894716/s50659512/f41dc470-8bfd45a8-dd5a735a-b5eeb061-901d46fa.jpg\n']
s50731650_3,p13894716,s50731650,3,Impression,Widening mediastinum with the right paratracheal opacity has minimally improved. Left lower lobe collapse is new. Mild vascular congestion is grossly unchanged. Right perihilar atelectasis is unchanged. Right middle lobe collapse has improved. Lines and tubes are in unchanged standard position. There is no pneumothorax. . Bilateral effusions are grossly unchanged. Right perihilar opacity is grossly unchanged. CT is recommended for further evaluation.,Right perihilar atelectasis is unchanged.,atelectasis,Right perihilar,Stable,['files/p13/p13894716/s50731650/f524f43e-5a71f3ed-652266ed-dedcd67f-b062298b.jpg'],['files/p13/p13894716/s50659512/f41dc470-8bfd45a8-dd5a735a-b5eeb061-901d46fa.jpg\n']
s50731650_3,p13894716,s50731650,3,Impression,Widening mediastinum with the right paratracheal opacity has minimally improved. Left lower lobe collapse is new. Mild vascular congestion is grossly unchanged. Right perihilar atelectasis is unchanged. Right middle lobe collapse has improved. Lines and tubes are in unchanged standard position. There is no pneumothorax. . Bilateral effusions are grossly unchanged. Right perihilar opacity is grossly unchanged. CT is recommended for further evaluation.,Mild vascular congestion is grossly unchanged.,congestion,vascular,Stable,['files/p13/p13894716/s50731650/f524f43e-5a71f3ed-652266ed-dedcd67f-b062298b.jpg'],['files/p13/p13894716/s50659512/f41dc470-8bfd45a8-dd5a735a-b5eeb061-901d46fa.jpg\n']
s50731650_3,p13894716,s50731650,3,Impression,Widening mediastinum with the right paratracheal opacity has minimally improved. Left lower lobe collapse is new. Mild vascular congestion is grossly unchanged. Right perihilar atelectasis is unchanged. Right middle lobe collapse has improved. Lines and tubes are in unchanged standard position. There is no pneumothorax. . Bilateral effusions are grossly unchanged. Right perihilar opacity is grossly unchanged. CT is recommended for further evaluation.,Left lower lobe collapse is new.,collapse,Left lower lobe,New,['files/p13/p13894716/s50731650/f524f43e-5a71f3ed-652266ed-dedcd67f-b062298b.jpg'],['files/p13/p13894716/s50659512/f41dc470-8bfd45a8-dd5a735a-b5eeb061-901d46fa.jpg\n']
s50731650_3,p13894716,s50731650,3,Impression,Widening mediastinum with the right paratracheal opacity has minimally improved. Left lower lobe collapse is new. Mild vascular congestion is grossly unchanged. Right perihilar atelectasis is unchanged. Right middle lobe collapse has improved. Lines and tubes are in unchanged standard position. There is no pneumothorax. . Bilateral effusions are grossly unchanged. Right perihilar opacity is grossly unchanged. CT is recommended for further evaluation.,Widening mediastinum with the right paratracheal opacity has minimally improved.,opacity,right paratracheal,Better,['files/p13/p13894716/s50731650/f524f43e-5a71f3ed-652266ed-dedcd67f-b062298b.jpg'],['files/p13/p13894716/s50659512/f41dc470-8bfd45a8-dd5a735a-b5eeb061-901d46fa.jpg\n']
s50734654_1,p15187487,s50734654,1,Findings,"There has been interval placement of a left-pectoral cardiac device with one lead terminating in the right ventricle. Lung volumes are low and there is a small amount of right middle lobe atelectasis. Otherwise, no significant interval change. Stable prominence of the cardiomediastinal silhouette, which may be secondary to slight apical lordotic technique and low lung volumes. Stable appearance of the hila and pleura. No focal consolidation, pleural effusion, pulmonary vascular congestion, or pneumothorax.","Stable prominence of the cardiomediastinal silhouette, which may be secondary to slight apical lordotic technique and low lung volumes.",Prominence,Cardiomediastinal,Stable,"['files/p15/p15187487/s50734654/834becd5-de7cc7de-4f498574-c769c7a2-c31ee980.jpg', 'files/p15/p15187487/s50734654/b478446e-3a6b9edb-b60dfd6a-d173894d-cc7f116d.jpg', 'files/p15/p15187487/s50734654/bdf52938-8cefb7d7-cfd86285-f8f1537b-7224f6fe.jpg']",
s50734654_1,p15187487,s50734654,1,Findings,"There has been interval placement of a left-pectoral cardiac device with one lead terminating in the right ventricle. Lung volumes are low and there is a small amount of right middle lobe atelectasis. Otherwise, no significant interval change. Stable prominence of the cardiomediastinal silhouette, which may be secondary to slight apical lordotic technique and low lung volumes. Stable appearance of the hila and pleura. No focal consolidation, pleural effusion, pulmonary vascular congestion, or pneumothorax.",Stable appearance of the hila and pleura.,Appearance,Hila and pleura,Stable,"['files/p15/p15187487/s50734654/834becd5-de7cc7de-4f498574-c769c7a2-c31ee980.jpg', 'files/p15/p15187487/s50734654/b478446e-3a6b9edb-b60dfd6a-d173894d-cc7f116d.jpg', 'files/p15/p15187487/s50734654/bdf52938-8cefb7d7-cfd86285-f8f1537b-7224f6fe.jpg']",
s50741129_34,p11888614,s50741129,34,Impression,"Nonspecific bibasilar opacities, right worse than left, which are concerning for pneumonia.","Nonspecific bibasilar opacities, right worse than left, which are concerning for pneumonia.",bibasilar opacities,right worse than left,Worse,['files/p11/p11888614/s50741129/c3a5cd3a-ef8d5ed2-e9185ad1-5ed385b0-b980a67e.jpg'],['files/p11/p11888614/s50703372/65a8e3b5-8552ea89-9bc2e215-fd42bed9-e469687f.jpg\n']
s50746880_38,p11888614,s50746880,38,Findings,"Since the prior study the endotracheal tube is been removed. Heterogeneous bilateral opacities predominantly at the lung bases, are essentially unchanged ___. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal.",Since the prior study the endotracheal tube is been removed.,endotracheal tube,,Resolve,['files/p11/p11888614/s50746880/73e67ffa-4125674a-1c921135-faea72ee-d3a60267.jpg'],['files/p11/p11888614/s50741129/c3a5cd3a-ef8d5ed2-e9185ad1-5ed385b0-b980a67e.jpg\n']
s50746880_38,p11888614,s50746880,38,Impression,"Unchanged bilateral parenchymal opacities since ___, concerning for multifocal pneumonia or aspiration. Consider opportunistic infection given the atypical appearance.","Unchanged bilateral parenchymal opacities since ___, concerning for multifocal pneumonia or aspiration. Consider opportunistic infection given the atypical appearance.",parenchymal opacities,bilateral,Stable,['files/p11/p11888614/s50746880/73e67ffa-4125674a-1c921135-faea72ee-d3a60267.jpg'],['files/p11/p11888614/s50741129/c3a5cd3a-ef8d5ed2-e9185ad1-5ed385b0-b980a67e.jpg\n']
s50746880_38,p11888614,s50746880,38,Findings,"Since the prior study the endotracheal tube is been removed. Heterogeneous bilateral opacities predominantly at the lung bases, are essentially unchanged ___. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal.","Heterogeneous bilateral opacities predominantly at the lung bases, are essentially unchanged ___.",opacities,bilateral lung bases,Stable,['files/p11/p11888614/s50746880/73e67ffa-4125674a-1c921135-faea72ee-d3a60267.jpg'],['files/p11/p11888614/s50741129/c3a5cd3a-ef8d5ed2-e9185ad1-5ed385b0-b980a67e.jpg\n']
s50750948_23,p17559288,s50750948,23,Impression,"AP chest compared to ___ through ___: Tiny right apical pneumothorax is slightly smaller today, with the apical visceral pleural line rising from the level of the third posterior rib to the second posterior interspace. The obliquely inclined right pleural tube is unchanged in position. There is no appreciable pleural effusion. Severe residual infiltrative pulmonary abnormality looks slightly improved compared to ___, probably residual of PCP infection and diffuse alveolar damage. Heart size is normal. Left PIC line ends in the mid SVC. Findings discussed by telephone with Dr. ___ at the time of dictation.","AP chest compared to ___ through ___: Tiny right apical pneumothorax is slightly smaller today, with the apical visceral pleural line rising from the level of the third posterior rib to the second posterior interspace.",pneumothorax,right apical,Better,['files/p17/p17559288/s50750948/55d65e1e-1812835f-30e06612-c15a1621-fddc8581.jpg'],
s50750948_23,p17559288,s50750948,23,Impression,"AP chest compared to ___ through ___: Tiny right apical pneumothorax is slightly smaller today, with the apical visceral pleural line rising from the level of the third posterior rib to the second posterior interspace. The obliquely inclined right pleural tube is unchanged in position. There is no appreciable pleural effusion. Severe residual infiltrative pulmonary abnormality looks slightly improved compared to ___, probably residual of PCP infection and diffuse alveolar damage. Heart size is normal. Left PIC line ends in the mid SVC. Findings discussed by telephone with Dr. ___ at the time of dictation.",The obliquely inclined right pleural tube is unchanged in position.,pleural tube,right,Stable,['files/p17/p17559288/s50750948/55d65e1e-1812835f-30e06612-c15a1621-fddc8581.jpg'],
s50750948_23,p17559288,s50750948,23,Impression,"AP chest compared to ___ through ___: Tiny right apical pneumothorax is slightly smaller today, with the apical visceral pleural line rising from the level of the third posterior rib to the second posterior interspace. The obliquely inclined right pleural tube is unchanged in position. There is no appreciable pleural effusion. Severe residual infiltrative pulmonary abnormality looks slightly improved compared to ___, probably residual of PCP infection and diffuse alveolar damage. Heart size is normal. Left PIC line ends in the mid SVC. Findings discussed by telephone with Dr. ___ at the time of dictation.","Severe residual infiltrative pulmonary abnormality looks slightly improved compared to ___, probably residual of PCP infection and diffuse alveolar damage.",infiltrative pulmonary abnormality,,Better,['files/p17/p17559288/s50750948/55d65e1e-1812835f-30e06612-c15a1621-fddc8581.jpg'],
s50752160_11,p17945610,s50752160,11,Impression,"The left-sided pacemaker and wires are unchanged in position. There is a persistent right middle lobe opacity, stable. There is also prominence of the pulmonary interstitial markings which have worsened. There are no pleural effusions or pneumothoraces. There is extensive thoracic aortic calcification. Heart size is enlarged.",The left-sided pacemaker and wires are unchanged in position.,Pacemaker and wires,Left-sided,Stable,"['files/p17/p17945610/s50752160/abc19309-ae3abcce-b79cc9e9-7b84b6a2-e61602d6.jpg', 'files/p17/p17945610/s50752160/ff867e1d-44fedef5-73b75a68-22afab50-565ca517.jpg']",
s50752160_11,p17945610,s50752160,11,Impression,"The left-sided pacemaker and wires are unchanged in position. There is a persistent right middle lobe opacity, stable. There is also prominence of the pulmonary interstitial markings which have worsened. There are no pleural effusions or pneumothoraces. There is extensive thoracic aortic calcification. Heart size is enlarged.","There is a persistent right middle lobe opacity, stable.",Opacity,Right middle lobe,Stable,"['files/p17/p17945610/s50752160/abc19309-ae3abcce-b79cc9e9-7b84b6a2-e61602d6.jpg', 'files/p17/p17945610/s50752160/ff867e1d-44fedef5-73b75a68-22afab50-565ca517.jpg']",
s50752160_11,p17945610,s50752160,11,Impression,"The left-sided pacemaker and wires are unchanged in position. There is a persistent right middle lobe opacity, stable. There is also prominence of the pulmonary interstitial markings which have worsened. There are no pleural effusions or pneumothoraces. There is extensive thoracic aortic calcification. Heart size is enlarged.",There is also prominence of the pulmonary interstitial markings which have worsened.,Markings,Pulmonary interstitial,Worse,"['files/p17/p17945610/s50752160/abc19309-ae3abcce-b79cc9e9-7b84b6a2-e61602d6.jpg', 'files/p17/p17945610/s50752160/ff867e1d-44fedef5-73b75a68-22afab50-565ca517.jpg']",
s50756406_4,p13565877,s50756406,4,Impression,No acute intrathoracic process. Unchanged bilateral calcified pleural plaques consistent with prior asbestos exposure.,Unchanged bilateral calcified pleural plaques consistent with prior asbestos exposure.,calcified pleural plaques,bilateral,Stable,"['files/p13/p13565877/s50756406/0314a6ea-9f693c4d-8a4f3f7c-443c0a6f-ee9467f0.jpg', 'files/p13/p13565877/s50756406/579f0de5-36fac16d-378b2a77-284ac0ff-35abdc14.jpg', 'files/p13/p13565877/s50756406/e49ba178-a7c83425-3d9c730c-7e693dba-8ad83e82.jpg']","['files/p13/p13565877/s50132992/f15ca291-081f6d47-5fe46ec7-03874ec4-a58b9780.jpg\n', 'files/p13/p13565877/s50132992/f635620c-c59587a0-ea69a0e8-2b68825f-8a5e281f.jpg\n']"
s50756406_4,p13565877,s50756406,4,Findings,"Multiple calcified pleural plaques are similar to prior studies suggesting prior asbestos exposure. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.",Multiple calcified pleural plaques are similar to prior studies suggesting prior asbestos exposure.,calcified pleural plaques,multiple,Stable,"['files/p13/p13565877/s50756406/0314a6ea-9f693c4d-8a4f3f7c-443c0a6f-ee9467f0.jpg', 'files/p13/p13565877/s50756406/579f0de5-36fac16d-378b2a77-284ac0ff-35abdc14.jpg', 'files/p13/p13565877/s50756406/e49ba178-a7c83425-3d9c730c-7e693dba-8ad83e82.jpg']","['files/p13/p13565877/s50132992/f15ca291-081f6d47-5fe46ec7-03874ec4-a58b9780.jpg\n', 'files/p13/p13565877/s50132992/f635620c-c59587a0-ea69a0e8-2b68825f-8a5e281f.jpg\n']"
s50758668_4,p17622916,s50758668,4,Findings,"AP single view of the chest has been obtained with patient in sitting upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. High-positioned diaphragms conceal major portion of cardiac silhouette, but significant cardiac enlargement is unlikely. The thoracic aorta is mildly widened and elongated but does not demonstrate any local contour abnormalities. The pulmonary vasculature is not congested. There exists bilateral plate thin atelectasis. There is no evidence of any new discrete pulmonary parenchymal infiltrate of pneumonic nature. Also, the lateral pleural sinuses are free, which excludes major pleural effusion. No pneumothorax identified in right apical area. A right internal jugular approach central venous line remains similar as on the preceding study.",A right internal jugular approach central venous line remains similar as on the preceding study.,central venous line,right internal jugular,Stable,['files/p17/p17622916/s50758668/cf1b8e9d-4f84cf87-e2281943-859fbd1a-ec648bdf.jpg'],
s50776361_6,p15793456,s50776361,6,Impression,"Compared to chest radiographs since ___, most recently ___ through ___. Patient has been extubated. New region of left perihilar opacification could be early pneumonia or the first manifestation of pulmonary edema since mild cardiomegaly has recurred and pulmonary vasculature mildly engorged. Radiographic follow-up advised. No appreciable pleural effusion or evidence of pneumothorax.",Patient has been extubated.,ET tube,,Resolve,"['files/p15/p15793456/s50776361/319af308-51ad7fad-89c3611c-c92198db-c17ace3a.jpg', 'files/p15/p15793456/s50776361/8a8be78a-d43d9b42-88872556-82809128-fd11d507.jpg']",['files/p15/p15793456/s50728268/aeaf352b-20abe2c1-7d09855e-8dcde264-c8dae3b5.jpg\n']
s50776361_6,p15793456,s50776361,6,Impression,"Compared to chest radiographs since ___, most recently ___ through ___. Patient has been extubated. New region of left perihilar opacification could be early pneumonia or the first manifestation of pulmonary edema since mild cardiomegaly has recurred and pulmonary vasculature mildly engorged. Radiographic follow-up advised. No appreciable pleural effusion or evidence of pneumothorax.",New region of left perihilar opacification could be early pneumonia or the first manifestation of pulmonary edema since mild cardiomegaly has recurred and pulmonary vasculature mildly engorged.,Opacification,Left perihilar,New,"['files/p15/p15793456/s50776361/319af308-51ad7fad-89c3611c-c92198db-c17ace3a.jpg', 'files/p15/p15793456/s50776361/8a8be78a-d43d9b42-88872556-82809128-fd11d507.jpg']",['files/p15/p15793456/s50728268/aeaf352b-20abe2c1-7d09855e-8dcde264-c8dae3b5.jpg\n']
s50794886_3,p13171410,s50794886,3,Findings,"AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of ___. The marked pulmonary congestive pattern including bilateral pulmonary edema seen on the preceding examination has improved markedly. Still pleural densities are present along the lateral walls of the chest, particularly on the left side. No new infiltrates are seen. No pneumothorax has developed. Status post sternotomy and bypass surgery as well as position of right internal jugular approach central venous line unchanged.",The marked pulmonary congestive pattern including bilateral pulmonary edema seen on the preceding examination has improved markedly.,pulmonary edema,bilaterally,Better,['files/p13/p13171410/s50794886/ed41d65f-590e0bfb-eb73d35c-3096e02f-e29daec8.jpg'],['files/p13/p13171410/s50557253/58597ddf-5c95d260-4911eef3-5907f696-f132c629.jpg\n']
s50794886_3,p13171410,s50794886,3,Impression,Some improvement of pulmonary edema. No new abnormalities.,Some improvement of pulmonary edema.,pulmonary edema,,Better,['files/p13/p13171410/s50794886/ed41d65f-590e0bfb-eb73d35c-3096e02f-e29daec8.jpg'],['files/p13/p13171410/s50557253/58597ddf-5c95d260-4911eef3-5907f696-f132c629.jpg\n']
s50814385_28,p13894716,s50814385,28,Findings,"A right internal jugular tunneled dialysis catheter is unchanged in position compared to the prior study. A right internal jugular vascular access catheter is also unchanged. In the interval since the prior study the tracheostomy has been removed in obtained for an endotracheal tube. The tip is positioned approximately 3.5 cm above the level the carina. There is a veil like opacity over the right lung likely representing a layering pleural effusion, this appears to have increased slightly in size compared to the prior study. Left lower lobe atelectasis persists. Mild to moderate pulmonary edema again noted. Moderate cardiomegaly. No pneumothorax seen.",In the interval since the prior study the tracheostomy has been removed in obtained for an endotracheal tube.,tracheostomy,,Resolve,['files/p13/p13894716/s50814385/20fd8602-76e94ccd-74b97075-b4acc96c-22816e41.jpg'],['files/p13/p13894716/s50731650/f524f43e-5a71f3ed-652266ed-dedcd67f-b062298b.jpg\n']
s50814385_28,p13894716,s50814385,28,Findings,"A right internal jugular tunneled dialysis catheter is unchanged in position compared to the prior study. A right internal jugular vascular access catheter is also unchanged. In the interval since the prior study the tracheostomy has been removed in obtained for an endotracheal tube. The tip is positioned approximately 3.5 cm above the level the carina. There is a veil like opacity over the right lung likely representing a layering pleural effusion, this appears to have increased slightly in size compared to the prior study. Left lower lobe atelectasis persists. Mild to moderate pulmonary edema again noted. Moderate cardiomegaly. No pneumothorax seen.","There is a veil like opacity over the right lung likely representing a layering pleural effusion, this appears to have increased slightly in size compared to the prior study.",pleural effusion,right lung,Worse,['files/p13/p13894716/s50814385/20fd8602-76e94ccd-74b97075-b4acc96c-22816e41.jpg'],['files/p13/p13894716/s50731650/f524f43e-5a71f3ed-652266ed-dedcd67f-b062298b.jpg\n']
s50814385_28,p13894716,s50814385,28,Findings,"A right internal jugular tunneled dialysis catheter is unchanged in position compared to the prior study. A right internal jugular vascular access catheter is also unchanged. In the interval since the prior study the tracheostomy has been removed in obtained for an endotracheal tube. The tip is positioned approximately 3.5 cm above the level the carina. There is a veil like opacity over the right lung likely representing a layering pleural effusion, this appears to have increased slightly in size compared to the prior study. Left lower lobe atelectasis persists. Mild to moderate pulmonary edema again noted. Moderate cardiomegaly. No pneumothorax seen.",Left lower lobe atelectasis persists.,atelectasis,Left lower lobe,Stable,['files/p13/p13894716/s50814385/20fd8602-76e94ccd-74b97075-b4acc96c-22816e41.jpg'],['files/p13/p13894716/s50731650/f524f43e-5a71f3ed-652266ed-dedcd67f-b062298b.jpg\n']
s50814385_28,p13894716,s50814385,28,Impression,Probable mild increase in the right-sided pleural effusion.,Probable mild increase in the right-sided pleural effusion.,pleural effusion,right-sided,Worse,['files/p13/p13894716/s50814385/20fd8602-76e94ccd-74b97075-b4acc96c-22816e41.jpg'],['files/p13/p13894716/s50731650/f524f43e-5a71f3ed-652266ed-dedcd67f-b062298b.jpg\n']
s50817664_7,p15911529,s50817664,7,Impression,Interval decrease in size of right pleural effusion which is now small. No acute cardiopulmonary process.,Interval decrease in size of right pleural effusion which is now small.,pleural effusion,right,Better,"['files/p15/p15911529/s50817664/18d4660e-6dd2d7c3-fe755086-42caa066-4c278a62.jpg', 'files/p15/p15911529/s50817664/b280f564-593c9a51-09521aea-53d9b9fd-0bd0ab38.jpg']","['files/p15/p15911529/s50329542/41811dc3-c03a8c6d-a316dd7f-5733949b-00331055.jpg\n', 'files/p15/p15911529/s50329542/5cd9a16f-bb23b3f4-472f8d63-0cb675ed-dce9d747.jpg\n']"
s50817664_7,p15911529,s50817664,7,Findings,Frontal lateral views of the chest. Compared to prior there has been decrease in size of the right pleural effusion which is now small and resolution of previously seen left effusion. The lungs are otherwise clear. Triple lead pacing device is again seen with its lead tips in stable position. Cardiomediastinal silhouette is unchanged. Osseous and soft tissue structures are unremarkable.,Cardiomediastinal silhouette is unchanged.,Cardiomediastinal silhouette,,Stable,"['files/p15/p15911529/s50817664/18d4660e-6dd2d7c3-fe755086-42caa066-4c278a62.jpg', 'files/p15/p15911529/s50817664/b280f564-593c9a51-09521aea-53d9b9fd-0bd0ab38.jpg']","['files/p15/p15911529/s50329542/41811dc3-c03a8c6d-a316dd7f-5733949b-00331055.jpg\n', 'files/p15/p15911529/s50329542/5cd9a16f-bb23b3f4-472f8d63-0cb675ed-dce9d747.jpg\n']"
s50817664_7,p15911529,s50817664,7,Findings,Frontal lateral views of the chest. Compared to prior there has been decrease in size of the right pleural effusion which is now small and resolution of previously seen left effusion. The lungs are otherwise clear. Triple lead pacing device is again seen with its lead tips in stable position. Cardiomediastinal silhouette is unchanged. Osseous and soft tissue structures are unremarkable.,Triple lead pacing device is again seen with its lead tips in stable position.,Triple lead pacing device,,Stable,"['files/p15/p15911529/s50817664/18d4660e-6dd2d7c3-fe755086-42caa066-4c278a62.jpg', 'files/p15/p15911529/s50817664/b280f564-593c9a51-09521aea-53d9b9fd-0bd0ab38.jpg']","['files/p15/p15911529/s50329542/41811dc3-c03a8c6d-a316dd7f-5733949b-00331055.jpg\n', 'files/p15/p15911529/s50329542/5cd9a16f-bb23b3f4-472f8d63-0cb675ed-dce9d747.jpg\n']"
s50817664_7,p15911529,s50817664,7,Findings,Frontal lateral views of the chest. Compared to prior there has been decrease in size of the right pleural effusion which is now small and resolution of previously seen left effusion. The lungs are otherwise clear. Triple lead pacing device is again seen with its lead tips in stable position. Cardiomediastinal silhouette is unchanged. Osseous and soft tissue structures are unremarkable.,Compared to prior there has been decrease in size of the right pleural effusion which is now small and resolution of previously seen left effusion.,pleural effusion,right,Better,"['files/p15/p15911529/s50817664/18d4660e-6dd2d7c3-fe755086-42caa066-4c278a62.jpg', 'files/p15/p15911529/s50817664/b280f564-593c9a51-09521aea-53d9b9fd-0bd0ab38.jpg']","['files/p15/p15911529/s50329542/41811dc3-c03a8c6d-a316dd7f-5733949b-00331055.jpg\n', 'files/p15/p15911529/s50329542/5cd9a16f-bb23b3f4-472f8d63-0cb675ed-dce9d747.jpg\n']"
s50817664_7,p15911529,s50817664,7,Findings,Frontal lateral views of the chest. Compared to prior there has been decrease in size of the right pleural effusion which is now small and resolution of previously seen left effusion. The lungs are otherwise clear. Triple lead pacing device is again seen with its lead tips in stable position. Cardiomediastinal silhouette is unchanged. Osseous and soft tissue structures are unremarkable.,Compared to prior there has been decrease in size of the right pleural effusion which is now small and resolution of previously seen left effusion.,pleural effusion,left,Resolve,"['files/p15/p15911529/s50817664/18d4660e-6dd2d7c3-fe755086-42caa066-4c278a62.jpg', 'files/p15/p15911529/s50817664/b280f564-593c9a51-09521aea-53d9b9fd-0bd0ab38.jpg']","['files/p15/p15911529/s50329542/41811dc3-c03a8c6d-a316dd7f-5733949b-00331055.jpg\n', 'files/p15/p15911529/s50329542/5cd9a16f-bb23b3f4-472f8d63-0cb675ed-dce9d747.jpg\n']"
s50825078_13,p13894716,s50825078,13,Findings,The tip of the endotracheal tube projects over the mid thoracic trachea. The gastric tube courses below the level the diaphragms but beyond the field of view of this radiograph. The tube right internal jugular central venous lines are unchanged in position. Please note the right costophrenic angle and right lateral hemithorax are not included on this x-ray. There are persistent bilateral layering pleural effusions with bibasilar atelectasis. No pneumothorax identified. The size the cardiomediastinal silhouette is enlarged but unchanged.,There are persistent bilateral layering pleural effusions with bibasilar atelectasis.,layering pleural effusions,Bilateral,Stable,['files/p13/p13894716/s50825078/0fd8eb66-17575650-50cd8c8c-11dcb1fe-a35ee055.jpg'],['files/p13/p13894716/s50814385/20fd8602-76e94ccd-74b97075-b4acc96c-22816e41.jpg\n']
s50825078_13,p13894716,s50825078,13,Findings,The tip of the endotracheal tube projects over the mid thoracic trachea. The gastric tube courses below the level the diaphragms but beyond the field of view of this radiograph. The tube right internal jugular central venous lines are unchanged in position. Please note the right costophrenic angle and right lateral hemithorax are not included on this x-ray. There are persistent bilateral layering pleural effusions with bibasilar atelectasis. No pneumothorax identified. The size the cardiomediastinal silhouette is enlarged but unchanged.,The size the cardiomediastinal silhouette is enlarged but unchanged.,enlargement,Cardiomediastinal silhouette,Stable,['files/p13/p13894716/s50825078/0fd8eb66-17575650-50cd8c8c-11dcb1fe-a35ee055.jpg'],['files/p13/p13894716/s50814385/20fd8602-76e94ccd-74b97075-b4acc96c-22816e41.jpg\n']
s50825078_13,p13894716,s50825078,13,Findings,The tip of the endotracheal tube projects over the mid thoracic trachea. The gastric tube courses below the level the diaphragms but beyond the field of view of this radiograph. The tube right internal jugular central venous lines are unchanged in position. Please note the right costophrenic angle and right lateral hemithorax are not included on this x-ray. There are persistent bilateral layering pleural effusions with bibasilar atelectasis. No pneumothorax identified. The size the cardiomediastinal silhouette is enlarged but unchanged.,There are persistent bilateral layering pleural effusions with bibasilar atelectasis.,atelectasis,Bibasilar,Stable,['files/p13/p13894716/s50825078/0fd8eb66-17575650-50cd8c8c-11dcb1fe-a35ee055.jpg'],['files/p13/p13894716/s50814385/20fd8602-76e94ccd-74b97075-b4acc96c-22816e41.jpg\n']
s50825078_13,p13894716,s50825078,13,Findings,The tip of the endotracheal tube projects over the mid thoracic trachea. The gastric tube courses below the level the diaphragms but beyond the field of view of this radiograph. The tube right internal jugular central venous lines are unchanged in position. Please note the right costophrenic angle and right lateral hemithorax are not included on this x-ray. There are persistent bilateral layering pleural effusions with bibasilar atelectasis. No pneumothorax identified. The size the cardiomediastinal silhouette is enlarged but unchanged.,The tube right internal jugular central venous lines are unchanged in position.,right internal jugular central venous lines,,Stable,['files/p13/p13894716/s50825078/0fd8eb66-17575650-50cd8c8c-11dcb1fe-a35ee055.jpg'],['files/p13/p13894716/s50814385/20fd8602-76e94ccd-74b97075-b4acc96c-22816e41.jpg\n']
s50825078_13,p13894716,s50825078,13,Impression,The right lateral aspect of the chest is not included on this radiograph. The visualized thorax demonstrates no significant interval change since the prior study.,The visualized thorax demonstrates no significant interval change since the prior study.,,Visualized thorax,Stable,['files/p13/p13894716/s50825078/0fd8eb66-17575650-50cd8c8c-11dcb1fe-a35ee055.jpg'],['files/p13/p13894716/s50814385/20fd8602-76e94ccd-74b97075-b4acc96c-22816e41.jpg\n']
s50825553_2,p16346354,s50825553,2,Findings,The lungs are hyperinflated. Blunting of the right lateral costophrenic angle is chronic and likely due to component pleural scarring. Superimposed trace effusions are also possible. Streaky left basilar opacities are likely atelectasis. There is mild pulmonary vascular congestion without overt edema. Cardiac enlargement is stable compared to prior. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.,Cardiac enlargement is stable compared to prior.,enlargement,cardiac,Stable,"['files/p16/p16346354/s50825553/35ab1e49-b049f284-ba901484-a52ba49e-053d2c10.jpg', 'files/p16/p16346354/s50825553/680b5549-8b23749a-6d908684-c364b8db-473d4e7e.jpg', 'files/p16/p16346354/s50825553/ce1b5d74-954f2a25-a1265c40-1c05ecf0-9d2a535f.jpg']",
s50829350_1,p19423061,s50829350,1,Findings,"PA and lateral views of the chest provided. Port-A-Cath over the right chest wall is again seen with catheter extending into the region of the mid SVC. In this patient with known pulmonary nodules better seen on the a recent CT exam, nodules are poorly visualized on radiograph. There is a small right pleural effusion which appears unchanged from the recent CT exam. No evidence of superimposed pneumonia or edema. Cardiomediastinal silhouette is stable. The imaged bony structures are intact.",Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p19/p19423061/s50829350/4ac43164-3a114bed-4f423e11-4ccf1fe2-6d812258.jpg', 'files/p19/p19423061/s50829350/641c0bab-e8835ec0-a9953bda-359a9381-a8bc717a.jpg', 'files/p19/p19423061/s50829350/98193ad7-dbc88094-a70d5ba9-b8efd531-1b352bbd.jpg']",
s50829350_1,p19423061,s50829350,1,Impression,1. No acute findings. 2. Small right pleural effusion stable from recent PET-CT. 3. Pulmonary nodules better assessed on recent PET-CT.,Small right pleural effusion stable from recent PET-CT.,pleural effusion,right,Stable,"['files/p19/p19423061/s50829350/4ac43164-3a114bed-4f423e11-4ccf1fe2-6d812258.jpg', 'files/p19/p19423061/s50829350/641c0bab-e8835ec0-a9953bda-359a9381-a8bc717a.jpg', 'files/p19/p19423061/s50829350/98193ad7-dbc88094-a70d5ba9-b8efd531-1b352bbd.jpg']",
s50829350_1,p19423061,s50829350,1,Findings,"PA and lateral views of the chest provided. Port-A-Cath over the right chest wall is again seen with catheter extending into the region of the mid SVC. In this patient with known pulmonary nodules better seen on the a recent CT exam, nodules are poorly visualized on radiograph. There is a small right pleural effusion which appears unchanged from the recent CT exam. No evidence of superimposed pneumonia or edema. Cardiomediastinal silhouette is stable. The imaged bony structures are intact.",There is a small right pleural effusion which appears unchanged from the recent CT exam.,pleural effusion,right,Stable,"['files/p19/p19423061/s50829350/4ac43164-3a114bed-4f423e11-4ccf1fe2-6d812258.jpg', 'files/p19/p19423061/s50829350/641c0bab-e8835ec0-a9953bda-359a9381-a8bc717a.jpg', 'files/p19/p19423061/s50829350/98193ad7-dbc88094-a70d5ba9-b8efd531-1b352bbd.jpg']",
s50829350_1,p19423061,s50829350,1,Findings,"PA and lateral views of the chest provided. Port-A-Cath over the right chest wall is again seen with catheter extending into the region of the mid SVC. In this patient with known pulmonary nodules better seen on the a recent CT exam, nodules are poorly visualized on radiograph. There is a small right pleural effusion which appears unchanged from the recent CT exam. No evidence of superimposed pneumonia or edema. Cardiomediastinal silhouette is stable. The imaged bony structures are intact.",Port-A-Cath over the right chest wall is again seen with catheter extending into the region of the mid SVC.,Port-A-Cath,right chest wall,Stable,"['files/p19/p19423061/s50829350/4ac43164-3a114bed-4f423e11-4ccf1fe2-6d812258.jpg', 'files/p19/p19423061/s50829350/641c0bab-e8835ec0-a9953bda-359a9381-a8bc717a.jpg', 'files/p19/p19423061/s50829350/98193ad7-dbc88094-a70d5ba9-b8efd531-1b352bbd.jpg']",
s50853877_21,p16033763,s50853877,21,Impression,"AP chest compared to ___ through ___: Small residual left pleural effusion or pleural thickening is unchanged since at least ___, now with only a single left drain in place at the base of the left hemithorax. Left lower lobe is largely consolidated or collapsed. Multiple pulmonary metastases are longstanding. The heart moderately enlarged, whether due to cardiomegaly alone or in combination with pericardial effusion has not changed for several days. The upper lobe pulmonary vasculature is engorged, but there is no pulmonary edema. Transvenous right ventricular pacer lead unchanged in longstanding position.",Transvenous right ventricular pacer lead unchanged in longstanding position.,Transvenous pacer lead,right ventricular,Stable,['files/p16/p16033763/s50853877/3568ad06-c4d7640e-57033b28-70d178fd-c2dd3c78.jpg'],['files/p16/p16033763/s50369062/0b9a1d90-0d4e09e2-e651a638-81738947-249b3e35.jpg\n']
s50853877_21,p16033763,s50853877,21,Impression,"AP chest compared to ___ through ___: Small residual left pleural effusion or pleural thickening is unchanged since at least ___, now with only a single left drain in place at the base of the left hemithorax. Left lower lobe is largely consolidated or collapsed. Multiple pulmonary metastases are longstanding. The heart moderately enlarged, whether due to cardiomegaly alone or in combination with pericardial effusion has not changed for several days. The upper lobe pulmonary vasculature is engorged, but there is no pulmonary edema. Transvenous right ventricular pacer lead unchanged in longstanding position.","The heart moderately enlarged, whether due to cardiomegaly alone or in combination with pericardial effusion has not changed for several days.",cardiomegaly or pericardial effusion,,Stable,['files/p16/p16033763/s50853877/3568ad06-c4d7640e-57033b28-70d178fd-c2dd3c78.jpg'],['files/p16/p16033763/s50369062/0b9a1d90-0d4e09e2-e651a638-81738947-249b3e35.jpg\n']
s50853877_21,p16033763,s50853877,21,Impression,"AP chest compared to ___ through ___: Small residual left pleural effusion or pleural thickening is unchanged since at least ___, now with only a single left drain in place at the base of the left hemithorax. Left lower lobe is largely consolidated or collapsed. Multiple pulmonary metastases are longstanding. The heart moderately enlarged, whether due to cardiomegaly alone or in combination with pericardial effusion has not changed for several days. The upper lobe pulmonary vasculature is engorged, but there is no pulmonary edema. Transvenous right ventricular pacer lead unchanged in longstanding position.","AP chest compared to ___ through ___: Small residual left pleural effusion or pleural thickening is unchanged since at least ___, now with only a single left drain in place at the base of the left hemithorax.",pleural effusion or pleural thickening,left,Stable,['files/p16/p16033763/s50853877/3568ad06-c4d7640e-57033b28-70d178fd-c2dd3c78.jpg'],['files/p16/p16033763/s50369062/0b9a1d90-0d4e09e2-e651a638-81738947-249b3e35.jpg\n']
s50871707_5,p13722528,s50871707,5,Impression,Heart size is top-normal is stable. Apical scarring right more than left as well as right lower lobe linear opacities are stable. No definitive evidence of new infectious process demonstrated on the current study with similar to known chronic findings seen. No pleural effusion or pneumothorax,Heart size is top-normal is stable.,Heart size,top-normal,Stable,"['files/p13/p13722528/s50871707/272020f3-d967ae16-e94054f8-ec07ed95-36c36640.jpg', 'files/p13/p13722528/s50871707/78ac2135-485cfc41-1418f7ab-074355ea-d5c44e50.jpg', 'files/p13/p13722528/s50871707/f74bcb32-9100c0a3-afef824e-a1485ea6-f990aa2a.jpg']",
s50871707_5,p13722528,s50871707,5,Impression,Heart size is top-normal is stable. Apical scarring right more than left as well as right lower lobe linear opacities are stable. No definitive evidence of new infectious process demonstrated on the current study with similar to known chronic findings seen. No pleural effusion or pneumothorax,Apical scarring right more than left as well as right lower lobe linear opacities are stable.,linear opacities,right lower lobe,Stable,"['files/p13/p13722528/s50871707/272020f3-d967ae16-e94054f8-ec07ed95-36c36640.jpg', 'files/p13/p13722528/s50871707/78ac2135-485cfc41-1418f7ab-074355ea-d5c44e50.jpg', 'files/p13/p13722528/s50871707/f74bcb32-9100c0a3-afef824e-a1485ea6-f990aa2a.jpg']",
s50871707_5,p13722528,s50871707,5,Impression,Heart size is top-normal is stable. Apical scarring right more than left as well as right lower lobe linear opacities are stable. No definitive evidence of new infectious process demonstrated on the current study with similar to known chronic findings seen. No pleural effusion or pneumothorax,Apical scarring right more than left as well as right lower lobe linear opacities are stable.,Apical scarring,right more than left,Stable,"['files/p13/p13722528/s50871707/272020f3-d967ae16-e94054f8-ec07ed95-36c36640.jpg', 'files/p13/p13722528/s50871707/78ac2135-485cfc41-1418f7ab-074355ea-d5c44e50.jpg', 'files/p13/p13722528/s50871707/f74bcb32-9100c0a3-afef824e-a1485ea6-f990aa2a.jpg']",
s50880103_24,p10337896,s50880103,24,Impression,"Findings on the chest CT ___ showed probable multi focal pneumonia, predominantly in the right lung, and mild interstitial edema. Edema improved between ___ and ___, and then opacification in the right lung increased again accompanied by increasing moderate right pleural effusion. The progression of these associated findings this suggested that the interval change was primarily due to cardiac decompensation. Today edema has worsened in both lungs, and the moderate right pleural effusion is larger, although the opacification in the left lower lung is heterogeneous enough to suggest concurrent pneumonia or large scale aspiration. . Mild cardiomegaly and chronic mediastinal widening are chronic.","Today edema has worsened in both lungs, and the moderate right pleural effusion is larger, although the opacification in the left lower lung is heterogeneous enough to suggest concurrent pneumonia or large scale aspiration.",edema,both lungs,Worse,['files/p10/p10337896/s50880103/e5cd4468-946415a5-4559575d-56536274-59b03c5d.jpg'],['files/p10/p10337896/s50519407/47dd9117-4908216e-6fa039c8-2d7a1454-74151fad.jpg\n']
s50880103_24,p10337896,s50880103,24,Impression,"Findings on the chest CT ___ showed probable multi focal pneumonia, predominantly in the right lung, and mild interstitial edema. Edema improved between ___ and ___, and then opacification in the right lung increased again accompanied by increasing moderate right pleural effusion. The progression of these associated findings this suggested that the interval change was primarily due to cardiac decompensation. Today edema has worsened in both lungs, and the moderate right pleural effusion is larger, although the opacification in the left lower lung is heterogeneous enough to suggest concurrent pneumonia or large scale aspiration. . Mild cardiomegaly and chronic mediastinal widening are chronic.","Today edema has worsened in both lungs, and the moderate right pleural effusion is larger, although the opacification in the left lower lung is heterogeneous enough to suggest concurrent pneumonia or large scale aspiration.",opacification,left lower lung,New,['files/p10/p10337896/s50880103/e5cd4468-946415a5-4559575d-56536274-59b03c5d.jpg'],['files/p10/p10337896/s50519407/47dd9117-4908216e-6fa039c8-2d7a1454-74151fad.jpg\n']
s50880103_24,p10337896,s50880103,24,Impression,"Findings on the chest CT ___ showed probable multi focal pneumonia, predominantly in the right lung, and mild interstitial edema. Edema improved between ___ and ___, and then opacification in the right lung increased again accompanied by increasing moderate right pleural effusion. The progression of these associated findings this suggested that the interval change was primarily due to cardiac decompensation. Today edema has worsened in both lungs, and the moderate right pleural effusion is larger, although the opacification in the left lower lung is heterogeneous enough to suggest concurrent pneumonia or large scale aspiration. . Mild cardiomegaly and chronic mediastinal widening are chronic.","Today edema has worsened in both lungs, and the moderate right pleural effusion is larger, although the opacification in the left lower lung is heterogeneous enough to suggest concurrent pneumonia or large scale aspiration.",pleural effusion,right,Worse,['files/p10/p10337896/s50880103/e5cd4468-946415a5-4559575d-56536274-59b03c5d.jpg'],['files/p10/p10337896/s50519407/47dd9117-4908216e-6fa039c8-2d7a1454-74151fad.jpg\n']
s50880103_24,p10337896,s50880103,24,Impression,"Findings on the chest CT ___ showed probable multi focal pneumonia, predominantly in the right lung, and mild interstitial edema. Edema improved between ___ and ___, and then opacification in the right lung increased again accompanied by increasing moderate right pleural effusion. The progression of these associated findings this suggested that the interval change was primarily due to cardiac decompensation. Today edema has worsened in both lungs, and the moderate right pleural effusion is larger, although the opacification in the left lower lung is heterogeneous enough to suggest concurrent pneumonia or large scale aspiration. . Mild cardiomegaly and chronic mediastinal widening are chronic.","Edema improved between ___ and ___, and then opacification in the right lung increased again accompanied by increasing moderate right pleural effusion.",pleural effusion,right,Worse,['files/p10/p10337896/s50880103/e5cd4468-946415a5-4559575d-56536274-59b03c5d.jpg'],['files/p10/p10337896/s50519407/47dd9117-4908216e-6fa039c8-2d7a1454-74151fad.jpg\n']
s50880103_24,p10337896,s50880103,24,Impression,"Findings on the chest CT ___ showed probable multi focal pneumonia, predominantly in the right lung, and mild interstitial edema. Edema improved between ___ and ___, and then opacification in the right lung increased again accompanied by increasing moderate right pleural effusion. The progression of these associated findings this suggested that the interval change was primarily due to cardiac decompensation. Today edema has worsened in both lungs, and the moderate right pleural effusion is larger, although the opacification in the left lower lung is heterogeneous enough to suggest concurrent pneumonia or large scale aspiration. . Mild cardiomegaly and chronic mediastinal widening are chronic.","Edema improved between ___ and ___, and then opacification in the right lung increased again accompanied by increasing moderate right pleural effusion.",opacification,right lung,Worse,['files/p10/p10337896/s50880103/e5cd4468-946415a5-4559575d-56536274-59b03c5d.jpg'],['files/p10/p10337896/s50519407/47dd9117-4908216e-6fa039c8-2d7a1454-74151fad.jpg\n']
s50880103_24,p10337896,s50880103,24,Impression,"Findings on the chest CT ___ showed probable multi focal pneumonia, predominantly in the right lung, and mild interstitial edema. Edema improved between ___ and ___, and then opacification in the right lung increased again accompanied by increasing moderate right pleural effusion. The progression of these associated findings this suggested that the interval change was primarily due to cardiac decompensation. Today edema has worsened in both lungs, and the moderate right pleural effusion is larger, although the opacification in the left lower lung is heterogeneous enough to suggest concurrent pneumonia or large scale aspiration. . Mild cardiomegaly and chronic mediastinal widening are chronic.","Edema improved between ___ and ___, and then opacification in the right lung increased again accompanied by increasing moderate right pleural effusion.",edema,,Better,['files/p10/p10337896/s50880103/e5cd4468-946415a5-4559575d-56536274-59b03c5d.jpg'],['files/p10/p10337896/s50519407/47dd9117-4908216e-6fa039c8-2d7a1454-74151fad.jpg\n']
s50892292_2,p14583397,s50892292,2,Findings,"AP and lateral views of the chest. Again, low lung volumes are noted. There is secondary crowding of the bronchovascular markings but no confluent consolidation The cardiomediastinal silhouette is stable. Eventration of the right hemidiaphragm again noted. Degenerative changes noted at the left shoulder.","Again, low lung volumes are noted.",low lung volumes,,Stable,"['files/p14/p14583397/s50892292/341c96bc-87783d40-8abc20ab-fa3645e4-b5f56f36.jpg', 'files/p14/p14583397/s50892292/ab122ca9-c693ab2c-cd9f74ef-04ecb782-231fdfe6.jpg', 'files/p14/p14583397/s50892292/d099acf0-536d3ccf-55bae878-94ed75d5-e0df8d76.jpg']",
s50892292_2,p14583397,s50892292,2,Findings,"AP and lateral views of the chest. Again, low lung volumes are noted. There is secondary crowding of the bronchovascular markings but no confluent consolidation The cardiomediastinal silhouette is stable. Eventration of the right hemidiaphragm again noted. Degenerative changes noted at the left shoulder.",Eventration of the right hemidiaphragm again noted.,eventration of the hemidiaphragm,right,Stable,"['files/p14/p14583397/s50892292/341c96bc-87783d40-8abc20ab-fa3645e4-b5f56f36.jpg', 'files/p14/p14583397/s50892292/ab122ca9-c693ab2c-cd9f74ef-04ecb782-231fdfe6.jpg', 'files/p14/p14583397/s50892292/d099acf0-536d3ccf-55bae878-94ed75d5-e0df8d76.jpg']",
s50892292_2,p14583397,s50892292,2,Findings,"AP and lateral views of the chest. Again, low lung volumes are noted. There is secondary crowding of the bronchovascular markings but no confluent consolidation The cardiomediastinal silhouette is stable. Eventration of the right hemidiaphragm again noted. Degenerative changes noted at the left shoulder.",The cardiomediastinal silhouette is stable.,cardiomediastinal silhouette,,Stable,"['files/p14/p14583397/s50892292/341c96bc-87783d40-8abc20ab-fa3645e4-b5f56f36.jpg', 'files/p14/p14583397/s50892292/ab122ca9-c693ab2c-cd9f74ef-04ecb782-231fdfe6.jpg', 'files/p14/p14583397/s50892292/d099acf0-536d3ccf-55bae878-94ed75d5-e0df8d76.jpg']",
s50901934_7,p10803114,s50901934,7,Findings,"Comparison to the most recent preceding radiograph, there is a slight reaccumulation of fluid in the right pleural space. Two chest tubes are noted in that space. A tiny apical pneumothorax is present. Right atelectasis is also present. The left lung is essentially clear. Cardiac size is normal.","Comparison to the most recent preceding radiograph, there is a slight reaccumulation of fluid in the right pleural space.",fluid,right pleural space,Worse,['files/p10/p10803114/s50901934/a239d4b6-5c88ad05-ed28dae6-22f93f18-4538a559.jpg'],['files/p10/p10803114/s50512608/49910657-1f377f22-5cc20631-adab4e1a-1debb4b0.jpg\n']
s50901945_0,p11952678,s50901945,0,Findings,"The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs are clear. Small anterior osteophytes are similar along the mid thoracic spine. One finding that is different since ___ is a small ossification interposed between the coracoid process of the left scapula and the nearby clavicle, which may be post-traumatic, but does not appear to represent an acute finding.",Small anterior osteophytes are similar along the mid thoracic spine.,Small anterior osteophytes,mid thoracic spine,Stable,"['files/p11/p11952678/s50901945/1e26851f-86034c0c-3c1b4167-5d391b8b-e57ddc3c.jpg', 'files/p11/p11952678/s50901945/a30106ce-242ee50e-4ce16bef-83e94bda-ce490f7d.jpg']",
s50907555_1,p19112585,s50907555,1,Impression,"There is a Swan-Ganz catheter with the distal lead tip in the main pulmonary artery. Endotracheal tube tip is 4.8 cm above the carina, appropriately sited. Mediastinal drains and chest tubes are seen. There is an intra-aortic balloon pump whose tip is low and could be advanced 3 cm for more optimal placement. There is a left retrocardiac opacity. There are no pneumothoraces. There is atelectasis at the lung bases. There is mild prominence of the pulmonary vascular markings.",Mediastinal drains and chest tubes are seen.,tubes,chest,New,['files/p19/p19112585/s50907555/98e92146-cf132a6d-d90a4651-242ac169-fea4e9f8.jpg'],['files/p19/p19112585/s50417837/e3bf86d4-2c188caf-80a8b447-d21fd5c8-83251226.jpg\n']
s50907555_1,p19112585,s50907555,1,Impression,"There is a Swan-Ganz catheter with the distal lead tip in the main pulmonary artery. Endotracheal tube tip is 4.8 cm above the carina, appropriately sited. Mediastinal drains and chest tubes are seen. There is an intra-aortic balloon pump whose tip is low and could be advanced 3 cm for more optimal placement. There is a left retrocardiac opacity. There are no pneumothoraces. There is atelectasis at the lung bases. There is mild prominence of the pulmonary vascular markings.",There is an intra-aortic balloon pump whose tip is low and could be advanced 3 cm for more optimal placement.,intra-aortic balloon pump,low,New,['files/p19/p19112585/s50907555/98e92146-cf132a6d-d90a4651-242ac169-fea4e9f8.jpg'],['files/p19/p19112585/s50417837/e3bf86d4-2c188caf-80a8b447-d21fd5c8-83251226.jpg\n']
s50907555_1,p19112585,s50907555,1,Impression,"There is a Swan-Ganz catheter with the distal lead tip in the main pulmonary artery. Endotracheal tube tip is 4.8 cm above the carina, appropriately sited. Mediastinal drains and chest tubes are seen. There is an intra-aortic balloon pump whose tip is low and could be advanced 3 cm for more optimal placement. There is a left retrocardiac opacity. There are no pneumothoraces. There is atelectasis at the lung bases. There is mild prominence of the pulmonary vascular markings.",There is a left retrocardiac opacity.,opacity,left retrocardiac,New,['files/p19/p19112585/s50907555/98e92146-cf132a6d-d90a4651-242ac169-fea4e9f8.jpg'],['files/p19/p19112585/s50417837/e3bf86d4-2c188caf-80a8b447-d21fd5c8-83251226.jpg\n']
s50907555_1,p19112585,s50907555,1,Impression,"There is a Swan-Ganz catheter with the distal lead tip in the main pulmonary artery. Endotracheal tube tip is 4.8 cm above the carina, appropriately sited. Mediastinal drains and chest tubes are seen. There is an intra-aortic balloon pump whose tip is low and could be advanced 3 cm for more optimal placement. There is a left retrocardiac opacity. There are no pneumothoraces. There is atelectasis at the lung bases. There is mild prominence of the pulmonary vascular markings.",There is a Swan-Ganz catheter with the distal lead tip in the main pulmonary artery.,Swan-Ganz catheter,main pulmonary artery,New,['files/p19/p19112585/s50907555/98e92146-cf132a6d-d90a4651-242ac169-fea4e9f8.jpg'],['files/p19/p19112585/s50417837/e3bf86d4-2c188caf-80a8b447-d21fd5c8-83251226.jpg\n']
s50907555_1,p19112585,s50907555,1,Impression,"There is a Swan-Ganz catheter with the distal lead tip in the main pulmonary artery. Endotracheal tube tip is 4.8 cm above the carina, appropriately sited. Mediastinal drains and chest tubes are seen. There is an intra-aortic balloon pump whose tip is low and could be advanced 3 cm for more optimal placement. There is a left retrocardiac opacity. There are no pneumothoraces. There is atelectasis at the lung bases. There is mild prominence of the pulmonary vascular markings.",There is atelectasis at the lung bases.,atelectasis,lung bases,New,['files/p19/p19112585/s50907555/98e92146-cf132a6d-d90a4651-242ac169-fea4e9f8.jpg'],['files/p19/p19112585/s50417837/e3bf86d4-2c188caf-80a8b447-d21fd5c8-83251226.jpg\n']
s50907555_1,p19112585,s50907555,1,Impression,"There is a Swan-Ganz catheter with the distal lead tip in the main pulmonary artery. Endotracheal tube tip is 4.8 cm above the carina, appropriately sited. Mediastinal drains and chest tubes are seen. There is an intra-aortic balloon pump whose tip is low and could be advanced 3 cm for more optimal placement. There is a left retrocardiac opacity. There are no pneumothoraces. There is atelectasis at the lung bases. There is mild prominence of the pulmonary vascular markings.",Mediastinal drains and chest tubes are seen.,drains,mediastinal,New,['files/p19/p19112585/s50907555/98e92146-cf132a6d-d90a4651-242ac169-fea4e9f8.jpg'],['files/p19/p19112585/s50417837/e3bf86d4-2c188caf-80a8b447-d21fd5c8-83251226.jpg\n']
s50907555_1,p19112585,s50907555,1,Impression,"There is a Swan-Ganz catheter with the distal lead tip in the main pulmonary artery. Endotracheal tube tip is 4.8 cm above the carina, appropriately sited. Mediastinal drains and chest tubes are seen. There is an intra-aortic balloon pump whose tip is low and could be advanced 3 cm for more optimal placement. There is a left retrocardiac opacity. There are no pneumothoraces. There is atelectasis at the lung bases. There is mild prominence of the pulmonary vascular markings.","Endotracheal tube tip is 4.8 cm above the carina, appropriately sited.",Endotracheal tube,above the carina,New,['files/p19/p19112585/s50907555/98e92146-cf132a6d-d90a4651-242ac169-fea4e9f8.jpg'],['files/p19/p19112585/s50417837/e3bf86d4-2c188caf-80a8b447-d21fd5c8-83251226.jpg\n']
s50907555_1,p19112585,s50907555,1,Impression,"There is a Swan-Ganz catheter with the distal lead tip in the main pulmonary artery. Endotracheal tube tip is 4.8 cm above the carina, appropriately sited. Mediastinal drains and chest tubes are seen. There is an intra-aortic balloon pump whose tip is low and could be advanced 3 cm for more optimal placement. There is a left retrocardiac opacity. There are no pneumothoraces. There is atelectasis at the lung bases. There is mild prominence of the pulmonary vascular markings.",There is mild prominence of the pulmonary vascular markings.,vascular markings,pulmonary,New,['files/p19/p19112585/s50907555/98e92146-cf132a6d-d90a4651-242ac169-fea4e9f8.jpg'],['files/p19/p19112585/s50417837/e3bf86d4-2c188caf-80a8b447-d21fd5c8-83251226.jpg\n']
s50930348_0,p15780880,s50930348,0,Findings,"Lung volumes are decreased compared to the prior study. The heart size is likely top normal, but is accentuated by low inspiratory volumes. There is crowding of the bronchovascular structures. Mild pulmonary vascular engorgement is present. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.",Lung volumes are decreased compared to the prior study.,Lung volumes,,Worse,['files/p15/p15780880/s50930348/0adba4e9-74bf6877-3500bd46-d395ecc6-75dcdc60.jpg'],
s50955531_3,p11619788,s50955531,3,Findings,"A right approach PICC terminates in the upper SVC, unchanged from prior. There is no pneumothorax. Linear opacities within the left lung base are likely due to subsegmental atelectasis. No confluent consolidation is identified. There is no pulmonary edema or pleural effusions. Cardiomediastinal and hilar contours are within normal limits.","A right approach PICC terminates in the upper SVC, unchanged from prior.",PICC,upper SVC,Stable,['files/p11/p11619788/s50955531/7252d03a-a20f7bb6-f72983bd-0b4f5591-98efee5e.jpg'],
s50955531_3,p11619788,s50955531,3,Impression,"Right PICC terminating in the upper SVC, unchanged from prior. No pneumothorax.","Right PICC terminating in the upper SVC, unchanged from prior.",PICC,upper SVC,Stable,['files/p11/p11619788/s50955531/7252d03a-a20f7bb6-f72983bd-0b4f5591-98efee5e.jpg'],
s50963033_8,p19932024,s50963033,8,Impression,"AS COMPARED TO THE PREVIOUS RADIOGRAPH, THE PATIENT HAS BEEN EXTUBATED AND THE NASOGASTRIC TUBE WAS REMOVED. THE RIGHT INTERNAL JUGULAR VEIN CATHETER AND THE SWAN-GANZ CATHETER ARE IN UNCHANGED POSITION. NEWLY APPEARED MASSIVE BILATERAL PARENCHYMAL OPACITIES, THE TIME COURSE OF THE CHANGES SUGGESTS PULMONARY EDEMA RATHER THAN PNEUMONIA, NOTABLY GIVEN THE PRESENCE ___ ___ B LINES AND OF A RETROCARDIAC ATELECTASIS. MODERATE CARDIOMEGALY PERSISTS. SHORT-TERM FOLLOWUP IS REQUIRED.",THE RIGHT INTERNAL JUGULAR VEIN CATHETER AND THE SWAN-GANZ CATHETER ARE IN UNCHANGED POSITION.,Swan-Ganz catheter,,Stable,['files/p19/p19932024/s50963033/fc325dc2-bf224206-062f3c9e-47aae515-4ef25cc0.jpg'],['files/p19/p19932024/s50370886/fc82e711-14ed01dc-ce2a326a-162251e4-aee54953.jpg\n']
s50963033_8,p19932024,s50963033,8,Impression,"AS COMPARED TO THE PREVIOUS RADIOGRAPH, THE PATIENT HAS BEEN EXTUBATED AND THE NASOGASTRIC TUBE WAS REMOVED. THE RIGHT INTERNAL JUGULAR VEIN CATHETER AND THE SWAN-GANZ CATHETER ARE IN UNCHANGED POSITION. NEWLY APPEARED MASSIVE BILATERAL PARENCHYMAL OPACITIES, THE TIME COURSE OF THE CHANGES SUGGESTS PULMONARY EDEMA RATHER THAN PNEUMONIA, NOTABLY GIVEN THE PRESENCE ___ ___ B LINES AND OF A RETROCARDIAC ATELECTASIS. MODERATE CARDIOMEGALY PERSISTS. SHORT-TERM FOLLOWUP IS REQUIRED.",MODERATE CARDIOMEGALY PERSISTS.,Moderate cardiomegaly,,Stable,['files/p19/p19932024/s50963033/fc325dc2-bf224206-062f3c9e-47aae515-4ef25cc0.jpg'],['files/p19/p19932024/s50370886/fc82e711-14ed01dc-ce2a326a-162251e4-aee54953.jpg\n']
s50963033_8,p19932024,s50963033,8,Impression,"AS COMPARED TO THE PREVIOUS RADIOGRAPH, THE PATIENT HAS BEEN EXTUBATED AND THE NASOGASTRIC TUBE WAS REMOVED. THE RIGHT INTERNAL JUGULAR VEIN CATHETER AND THE SWAN-GANZ CATHETER ARE IN UNCHANGED POSITION. NEWLY APPEARED MASSIVE BILATERAL PARENCHYMAL OPACITIES, THE TIME COURSE OF THE CHANGES SUGGESTS PULMONARY EDEMA RATHER THAN PNEUMONIA, NOTABLY GIVEN THE PRESENCE ___ ___ B LINES AND OF A RETROCARDIAC ATELECTASIS. MODERATE CARDIOMEGALY PERSISTS. SHORT-TERM FOLLOWUP IS REQUIRED.","NEWLY APPEARED MASSIVE BILATERAL PARENCHYMAL OPACITIES, THE TIME COURSE OF THE CHANGES SUGGESTS PULMONARY EDEMA RATHER THAN PNEUMONIA, NOTABLY GIVEN THE PRESENCE ___ ___ B LINES AND OF A RETROCARDIAC ATELECTASIS.",Parenchymal opacities,bilateral,New,['files/p19/p19932024/s50963033/fc325dc2-bf224206-062f3c9e-47aae515-4ef25cc0.jpg'],['files/p19/p19932024/s50370886/fc82e711-14ed01dc-ce2a326a-162251e4-aee54953.jpg\n']
s50963033_8,p19932024,s50963033,8,Impression,"AS COMPARED TO THE PREVIOUS RADIOGRAPH, THE PATIENT HAS BEEN EXTUBATED AND THE NASOGASTRIC TUBE WAS REMOVED. THE RIGHT INTERNAL JUGULAR VEIN CATHETER AND THE SWAN-GANZ CATHETER ARE IN UNCHANGED POSITION. NEWLY APPEARED MASSIVE BILATERAL PARENCHYMAL OPACITIES, THE TIME COURSE OF THE CHANGES SUGGESTS PULMONARY EDEMA RATHER THAN PNEUMONIA, NOTABLY GIVEN THE PRESENCE ___ ___ B LINES AND OF A RETROCARDIAC ATELECTASIS. MODERATE CARDIOMEGALY PERSISTS. SHORT-TERM FOLLOWUP IS REQUIRED.","AS COMPARED TO THE PREVIOUS RADIOGRAPH, THE PATIENT HAS BEEN EXTUBATED AND THE NASOGASTRIC TUBE WAS REMOVED.",Nasogastric tube,,Resolve,['files/p19/p19932024/s50963033/fc325dc2-bf224206-062f3c9e-47aae515-4ef25cc0.jpg'],['files/p19/p19932024/s50370886/fc82e711-14ed01dc-ce2a326a-162251e4-aee54953.jpg\n']
s50963033_8,p19932024,s50963033,8,Impression,"AS COMPARED TO THE PREVIOUS RADIOGRAPH, THE PATIENT HAS BEEN EXTUBATED AND THE NASOGASTRIC TUBE WAS REMOVED. THE RIGHT INTERNAL JUGULAR VEIN CATHETER AND THE SWAN-GANZ CATHETER ARE IN UNCHANGED POSITION. NEWLY APPEARED MASSIVE BILATERAL PARENCHYMAL OPACITIES, THE TIME COURSE OF THE CHANGES SUGGESTS PULMONARY EDEMA RATHER THAN PNEUMONIA, NOTABLY GIVEN THE PRESENCE ___ ___ B LINES AND OF A RETROCARDIAC ATELECTASIS. MODERATE CARDIOMEGALY PERSISTS. SHORT-TERM FOLLOWUP IS REQUIRED.",THE RIGHT INTERNAL JUGULAR VEIN CATHETER AND THE SWAN-GANZ CATHETER ARE IN UNCHANGED POSITION.,Right internal jugular vein catheter,,Stable,['files/p19/p19932024/s50963033/fc325dc2-bf224206-062f3c9e-47aae515-4ef25cc0.jpg'],['files/p19/p19932024/s50370886/fc82e711-14ed01dc-ce2a326a-162251e4-aee54953.jpg\n']
s50965626_1,p13381744,s50965626,1,Findings,"The right lung is clear without consolidation. The previously seen equivocal opacity was likely from superimposed normal vessels in the setting of low lung volumes. The left hilum remains mildly prominent due to patient's known tumor, but is much improved from the previous chest radiograph on ___. There is no pleural effusion or pneumothorax. The size of the cardiac silhouette is at the upper limits of normal and unchanged.","The left hilum remains mildly prominent due to patient's known tumor, but is much improved from the previous chest radiograph on ___.",prominence,left hilum,Better,['files/p13/p13381744/s50965626/1218f1df-fe7d26a5-3adb5b51-159f847a-a0b47f69.jpg'],"['files/p13/p13381744/s50880023/7b744edc-0340d515-d2f68a05-cfb53241-560899aa.jpg\n', 'files/p13/p13381744/s50880023/87758a0a-42502f4e-666f7d3f-b75e49a3-243738a3.jpg\n', 'files/p13/p13381744/s50880023/ce503ee9-43932a5f-76cf3fc3-77fc0303-686fb5c2.jpg\n']"
s50965626_1,p13381744,s50965626,1,Findings,"The right lung is clear without consolidation. The previously seen equivocal opacity was likely from superimposed normal vessels in the setting of low lung volumes. The left hilum remains mildly prominent due to patient's known tumor, but is much improved from the previous chest radiograph on ___. There is no pleural effusion or pneumothorax. The size of the cardiac silhouette is at the upper limits of normal and unchanged.",The size of the cardiac silhouette is at the upper limits of normal and unchanged.,size,cardiac silhouette,Stable,['files/p13/p13381744/s50965626/1218f1df-fe7d26a5-3adb5b51-159f847a-a0b47f69.jpg'],"['files/p13/p13381744/s50880023/7b744edc-0340d515-d2f68a05-cfb53241-560899aa.jpg\n', 'files/p13/p13381744/s50880023/87758a0a-42502f4e-666f7d3f-b75e49a3-243738a3.jpg\n', 'files/p13/p13381744/s50880023/ce503ee9-43932a5f-76cf3fc3-77fc0303-686fb5c2.jpg\n']"
s50971251_4,p15655633,s50971251,4,Impression,Heart size is within normal limits. There is elevation of the left hemidiaphragm. There is also atelectasis and increased bronchovascular markings at the left base which suggests bronchiectasis an was suggested on the prior study. There has been improved aeration of the right base with apparent resolution of the small pleural effusion. No pneumothoraces are identified. There are no signs for pulmonary edema.,There is also atelectasis and increased bronchovascular markings at the left base which suggests bronchiectasis an was suggested on the prior study.,bronchiectasis,left base,Stable,['files/p15/p15655633/s50971251/bb01346b-489ad7a1-de494939-c17e4691-af4f04af.jpg'],
s50971251_4,p15655633,s50971251,4,Impression,Heart size is within normal limits. There is elevation of the left hemidiaphragm. There is also atelectasis and increased bronchovascular markings at the left base which suggests bronchiectasis an was suggested on the prior study. There has been improved aeration of the right base with apparent resolution of the small pleural effusion. No pneumothoraces are identified. There are no signs for pulmonary edema.,There has been improved aeration of the right base with apparent resolution of the small pleural effusion.,pleural effusion,right base,Resolve,['files/p15/p15655633/s50971251/bb01346b-489ad7a1-de494939-c17e4691-af4f04af.jpg'],
s50971251_4,p15655633,s50971251,4,Impression,Heart size is within normal limits. There is elevation of the left hemidiaphragm. There is also atelectasis and increased bronchovascular markings at the left base which suggests bronchiectasis an was suggested on the prior study. There has been improved aeration of the right base with apparent resolution of the small pleural effusion. No pneumothoraces are identified. There are no signs for pulmonary edema.,There is also atelectasis and increased bronchovascular markings at the left base which suggests bronchiectasis an was suggested on the prior study.,atelectasis,left base,Stable,['files/p15/p15655633/s50971251/bb01346b-489ad7a1-de494939-c17e4691-af4f04af.jpg'],
s50974871_20,p15902493,s50974871,20,Impression,"AP chest compared to ___: The right hemidiaphragm became elevated between ___, even more pronounced today. Some of this could be due to subpulmonic pleural effusion but I would investigate either phrenic nerve palsy or complete right lower lobe and perhaps middle lobe collapse. Moderate cardiomegaly is stable with the mediastinum midline. A large cervicothoracic mass presumably a goiter displaces the trachea to the left. Left lung is clear. A left PIC line ends roughly at the origin of the SVC.","AP chest compared to ___: The right hemidiaphragm became elevated between ___, even more pronounced today. Some of this could be due to subpulmonic pleural effusion but I would investigate either phrenic nerve palsy or complete right lower lobe and perhaps middle lobe collapse. Moderate cardiomegaly is stable with the mediastinum midline. A large cervicothoracic mass presumably a goiter displaces the trachea to the left. Left lung is clear. A left PIC line ends roughly at the origin of the SVC.",elevation,right hemidiaphragm,Worse,['files/p15/p15902493/s50974871/9bc476e8-b785474e-426b2c50-084edab4-725c2fdb.jpg'],['files/p15/p15902493/s50591741/41cd0cf2-1993dfdd-7f6bf2e5-a1f49826-59bd4a84.jpg\n']
s50974871_20,p15902493,s50974871,20,Impression,"AP chest compared to ___: The right hemidiaphragm became elevated between ___, even more pronounced today. Some of this could be due to subpulmonic pleural effusion but I would investigate either phrenic nerve palsy or complete right lower lobe and perhaps middle lobe collapse. Moderate cardiomegaly is stable with the mediastinum midline. A large cervicothoracic mass presumably a goiter displaces the trachea to the left. Left lung is clear. A left PIC line ends roughly at the origin of the SVC.","AP chest compared to ___: The right hemidiaphragm became elevated between ___, even more pronounced today. Some of this could be due to subpulmonic pleural effusion but I would investigate either phrenic nerve palsy or complete right lower lobe and perhaps middle lobe collapse. Moderate cardiomegaly is stable with the mediastinum midline. A large cervicothoracic mass presumably a goiter displaces the trachea to the left. Left lung is clear. A left PIC line ends roughly at the origin of the SVC.",mass,cervicothoracic,New,['files/p15/p15902493/s50974871/9bc476e8-b785474e-426b2c50-084edab4-725c2fdb.jpg'],['files/p15/p15902493/s50591741/41cd0cf2-1993dfdd-7f6bf2e5-a1f49826-59bd4a84.jpg\n']
s50974871_20,p15902493,s50974871,20,Impression,"AP chest compared to ___: The right hemidiaphragm became elevated between ___, even more pronounced today. Some of this could be due to subpulmonic pleural effusion but I would investigate either phrenic nerve palsy or complete right lower lobe and perhaps middle lobe collapse. Moderate cardiomegaly is stable with the mediastinum midline. A large cervicothoracic mass presumably a goiter displaces the trachea to the left. Left lung is clear. A left PIC line ends roughly at the origin of the SVC.","AP chest compared to ___: The right hemidiaphragm became elevated between ___, even more pronounced today. Some of this could be due to subpulmonic pleural effusion but I would investigate either phrenic nerve palsy or complete right lower lobe and perhaps middle lobe collapse. Moderate cardiomegaly is stable with the mediastinum midline. A large cervicothoracic mass presumably a goiter displaces the trachea to the left. Left lung is clear. A left PIC line ends roughly at the origin of the SVC.",moderate cardiomegaly,cardiomegaly,Stable,['files/p15/p15902493/s50974871/9bc476e8-b785474e-426b2c50-084edab4-725c2fdb.jpg'],['files/p15/p15902493/s50591741/41cd0cf2-1993dfdd-7f6bf2e5-a1f49826-59bd4a84.jpg\n']
s50983069_3,p17933711,s50983069,3,Impression,"As compared to the previous radiograph, no relevant change is seen. Moderate cardiomegaly. No pulmonary edema. No pneumonia, no pleural effusions. Hemodialysis catheter in unchanged position.",Hemodialysis catheter in unchanged position.,Hemodialysis catheter,,Stable,"['files/p17/p17933711/s50983069/aa6c2272-b07edad4-dc4ba5c8-414527bc-6925ac57.jpg', 'files/p17/p17933711/s50983069/e2853399-c1e3f641-c37d1be0-d74e8a37-6e06740f.jpg']",
s50983069_3,p17933711,s50983069,3,Impression,"As compared to the previous radiograph, no relevant change is seen. Moderate cardiomegaly. No pulmonary edema. No pneumonia, no pleural effusions. Hemodialysis catheter in unchanged position.","As compared to the previous radiograph, no relevant change is seen.",Findings,,Stable,"['files/p17/p17933711/s50983069/aa6c2272-b07edad4-dc4ba5c8-414527bc-6925ac57.jpg', 'files/p17/p17933711/s50983069/e2853399-c1e3f641-c37d1be0-d74e8a37-6e06740f.jpg']",
s50986892_9,p11068484,s50986892,9,Findings,"Since ___, substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are increased with persistent bibasilar and retrocardiac atelectasis. Lung volumes remain low. Cardiomegaly is difficult to evaluate but also appears worse. No pneumothorax.","Since ___, substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are increased with persistent bibasilar and retrocardiac atelectasis.",atelectasis,bibasilar and retrocardiac,Stable,['files/p11/p11068484/s50986892/5baac073-ce7e3f3a-9ba21c8f-9237a435-845c26f6.jpg'],
s50986892_9,p11068484,s50986892,9,Findings,"Since ___, substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are increased with persistent bibasilar and retrocardiac atelectasis. Lung volumes remain low. Cardiomegaly is difficult to evaluate but also appears worse. No pneumothorax.",Lung volumes remain low.,volumes,lung,Stable,['files/p11/p11068484/s50986892/5baac073-ce7e3f3a-9ba21c8f-9237a435-845c26f6.jpg'],
s50986892_9,p11068484,s50986892,9,Impression,"Substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are also increased with persistent bibasilar retrocardiac atelectasis since ___","Substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are also increased with persistent bibasilar retrocardiac atelectasis since ___.",atelectasis,bibasilar and retrocardiac,Stable,['files/p11/p11068484/s50986892/5baac073-ce7e3f3a-9ba21c8f-9237a435-845c26f6.jpg'],
s50986892_9,p11068484,s50986892,9,Findings,"Since ___, substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are increased with persistent bibasilar and retrocardiac atelectasis. Lung volumes remain low. Cardiomegaly is difficult to evaluate but also appears worse. No pneumothorax.","Since ___, substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are increased with persistent bibasilar and retrocardiac atelectasis.",pleural effusions,bilateral,Worse,['files/p11/p11068484/s50986892/5baac073-ce7e3f3a-9ba21c8f-9237a435-845c26f6.jpg'],
s50986892_9,p11068484,s50986892,9,Findings,"Since ___, substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are increased with persistent bibasilar and retrocardiac atelectasis. Lung volumes remain low. Cardiomegaly is difficult to evaluate but also appears worse. No pneumothorax.","Since ___, substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are increased with persistent bibasilar and retrocardiac atelectasis.",pulmonary edema,bilateral,Worse,['files/p11/p11068484/s50986892/5baac073-ce7e3f3a-9ba21c8f-9237a435-845c26f6.jpg'],
s50986892_9,p11068484,s50986892,9,Impression,"Substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are also increased with persistent bibasilar retrocardiac atelectasis since ___","Substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are also increased with persistent bibasilar retrocardiac atelectasis since ___.",pulmonary edema,bilateral,Worse,['files/p11/p11068484/s50986892/5baac073-ce7e3f3a-9ba21c8f-9237a435-845c26f6.jpg'],
s50986892_9,p11068484,s50986892,9,Findings,"Since ___, substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are increased with persistent bibasilar and retrocardiac atelectasis. Lung volumes remain low. Cardiomegaly is difficult to evaluate but also appears worse. No pneumothorax.",Cardiomegaly is difficult to evaluate but also appears worse.,cardiomegaly,cardiac,Worse,['files/p11/p11068484/s50986892/5baac073-ce7e3f3a-9ba21c8f-9237a435-845c26f6.jpg'],
s50986892_9,p11068484,s50986892,9,Impression,"Substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are also increased with persistent bibasilar retrocardiac atelectasis since ___","Substantial pulmonary edema is increased, bilateral layering pleural effusions, right greater than left, are also increased with persistent bibasilar retrocardiac atelectasis since ___.",pleural effusions,bilateral,Worse,['files/p11/p11068484/s50986892/5baac073-ce7e3f3a-9ba21c8f-9237a435-845c26f6.jpg'],
s50986956_1,p19950864,s50986956,1,Findings,"The cardiac, mediastinal and hilar contours appears unchanged. There is no pleural effusion or pneumothorax. Parenchymal abnormalities appear unchanged and reflect emphysema with mild accompanying interstitial disease. Subpleural scarring and a small hyperdense nodules at the right lung apex appear unchanged. Scarring and bullous changes are also stable at the base of the left chest. The chest is hyperinflated. There has been no significant change.","The cardiac, mediastinal and hilar contours appears unchanged.",,"Cardiac, mediastinal, hilar contours",Stable,"['files/p19/p19950864/s50986956/6895d4bc-d096ea6d-b0c6fcba-6b5fe802-4ce2705e.jpg', 'files/p19/p19950864/s50986956/a8db31e4-f0fa9118-7b9e02ea-16072096-503550a0.jpg']",
s50986956_1,p19950864,s50986956,1,Findings,"The cardiac, mediastinal and hilar contours appears unchanged. There is no pleural effusion or pneumothorax. Parenchymal abnormalities appear unchanged and reflect emphysema with mild accompanying interstitial disease. Subpleural scarring and a small hyperdense nodules at the right lung apex appear unchanged. Scarring and bullous changes are also stable at the base of the left chest. The chest is hyperinflated. There has been no significant change.",Subpleural scarring and a small hyperdense nodules at the right lung apex appear unchanged.,Subpleural scarring and small hyperdense nodules,Right lung apex,Stable,"['files/p19/p19950864/s50986956/6895d4bc-d096ea6d-b0c6fcba-6b5fe802-4ce2705e.jpg', 'files/p19/p19950864/s50986956/a8db31e4-f0fa9118-7b9e02ea-16072096-503550a0.jpg']",
s50986956_1,p19950864,s50986956,1,Findings,"The cardiac, mediastinal and hilar contours appears unchanged. There is no pleural effusion or pneumothorax. Parenchymal abnormalities appear unchanged and reflect emphysema with mild accompanying interstitial disease. Subpleural scarring and a small hyperdense nodules at the right lung apex appear unchanged. Scarring and bullous changes are also stable at the base of the left chest. The chest is hyperinflated. There has been no significant change.",Parenchymal abnormalities appear unchanged and reflect emphysema with mild accompanying interstitial disease.,Emphysema with mild interstitial disease,Parenchymal,Stable,"['files/p19/p19950864/s50986956/6895d4bc-d096ea6d-b0c6fcba-6b5fe802-4ce2705e.jpg', 'files/p19/p19950864/s50986956/a8db31e4-f0fa9118-7b9e02ea-16072096-503550a0.jpg']",
s50986956_1,p19950864,s50986956,1,Findings,"The cardiac, mediastinal and hilar contours appears unchanged. There is no pleural effusion or pneumothorax. Parenchymal abnormalities appear unchanged and reflect emphysema with mild accompanying interstitial disease. Subpleural scarring and a small hyperdense nodules at the right lung apex appear unchanged. Scarring and bullous changes are also stable at the base of the left chest. The chest is hyperinflated. There has been no significant change.",Scarring and bullous changes are also stable at the base of the left chest.,Scarring and bullous changes,Base of the left chest,Stable,"['files/p19/p19950864/s50986956/6895d4bc-d096ea6d-b0c6fcba-6b5fe802-4ce2705e.jpg', 'files/p19/p19950864/s50986956/a8db31e4-f0fa9118-7b9e02ea-16072096-503550a0.jpg']",
s50987704_0,p17437534,s50987704,0,Impression,"No comparison. A minimal left-sided pneumothorax, previously visualized on the CT examination from ___, is not visible on the chest radiograph. Minimal atelectasis at the left lung basis. Normal size of the heart. No pneumonia, no pulmonary edema.","A minimal left-sided pneumothorax, previously visualized on the CT examination from ___, is not visible on the chest radiograph.",pneumothorax,left-sided,Resolve,['files/p17/p17437534/s50987704/560a1b2f-765df9cb-b8def580-05ad8ebd-d6edc6b3.jpg'],
s50995901_3,p11614040,s50995901,3,Findings,"In comparison with the study of ___, there has been some decrease in the still substantial left pleural effusion. There is a small pleural effusion on the right extending into the minor fissure. The pulmonary vascular congestion has essentially cleared. Bibasilar atelectatic changes are present. Port-A-Cath again extends to the cavoatrial junction or right atrium. The possibility of supervening pneumonia would be difficult to exclude in the appropriate clinical setting.",Port-A-Cath again extends to the cavoatrial junction or right atrium.,Port-A-Cath,,Stable,"['files/p11/p11614040/s50995901/51bf1504-fd68a1ec-7f7ca477-9736040f-4167a6f0.jpg', 'files/p11/p11614040/s50995901/a4e05e8d-f1cc5629-84b87ad8-9f4c0402-17e6f75e.jpg']",
s50995901_3,p11614040,s50995901,3,Findings,"In comparison with the study of ___, there has been some decrease in the still substantial left pleural effusion. There is a small pleural effusion on the right extending into the minor fissure. The pulmonary vascular congestion has essentially cleared. Bibasilar atelectatic changes are present. Port-A-Cath again extends to the cavoatrial junction or right atrium. The possibility of supervening pneumonia would be difficult to exclude in the appropriate clinical setting.","In comparison with the study of ___, there has been some decrease in the still substantial left pleural effusion.",pleural effusion,left,Better,"['files/p11/p11614040/s50995901/51bf1504-fd68a1ec-7f7ca477-9736040f-4167a6f0.jpg', 'files/p11/p11614040/s50995901/a4e05e8d-f1cc5629-84b87ad8-9f4c0402-17e6f75e.jpg']",
s50995901_3,p11614040,s50995901,3,Findings,"In comparison with the study of ___, there has been some decrease in the still substantial left pleural effusion. There is a small pleural effusion on the right extending into the minor fissure. The pulmonary vascular congestion has essentially cleared. Bibasilar atelectatic changes are present. Port-A-Cath again extends to the cavoatrial junction or right atrium. The possibility of supervening pneumonia would be difficult to exclude in the appropriate clinical setting.",The pulmonary vascular congestion has essentially cleared.,pulmonary vascular congestion,,Resolve,"['files/p11/p11614040/s50995901/51bf1504-fd68a1ec-7f7ca477-9736040f-4167a6f0.jpg', 'files/p11/p11614040/s50995901/a4e05e8d-f1cc5629-84b87ad8-9f4c0402-17e6f75e.jpg']",
s51003988_6,p11925631,s51003988,6,Findings,Improved aeration of the left lower lobe since ___ with residual bibasilar opacities likely atelectasis. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.,Improved aeration of the left lower lobe since ___ with residual bibasilar opacities likely atelectasis.,aeration,left lower lobe,Better,"['files/p11/p11925631/s51003988/09aa6fa5-3e35f33e-7725ffae-853bd99f-0f47eac6.jpg', 'files/p11/p11925631/s51003988/4b17550c-25e0500e-c7f5e522-75da40cb-c6e5c492.jpg']","['files/p11/p11925631/s50794292/25651b13-d572c28c-5e501292-b096b253-6d6fb63a.jpg\n', 'files/p11/p11925631/s50794292/547bf6d9-5959e8be-65d31255-e8e031b4-5a9af9e0.jpg\n']"
s51003988_6,p11925631,s51003988,6,Impression,Improving left lower lobe aeration with residual bibasilar atelectasis. Dr. ___ paged at 11:00 on ___ by Dr. ___ ___ request,Improving left lower lobe aeration with residual bibasilar atelectasis.,atelectasis,bibasilar,Stable,"['files/p11/p11925631/s51003988/09aa6fa5-3e35f33e-7725ffae-853bd99f-0f47eac6.jpg', 'files/p11/p11925631/s51003988/4b17550c-25e0500e-c7f5e522-75da40cb-c6e5c492.jpg']","['files/p11/p11925631/s50794292/25651b13-d572c28c-5e501292-b096b253-6d6fb63a.jpg\n', 'files/p11/p11925631/s50794292/547bf6d9-5959e8be-65d31255-e8e031b4-5a9af9e0.jpg\n']"
s51003988_6,p11925631,s51003988,6,Impression,Improving left lower lobe aeration with residual bibasilar atelectasis. Dr. ___ paged at 11:00 on ___ by Dr. ___ ___ request,Improving left lower lobe aeration with residual bibasilar atelectasis.,aeration,left lower lobe,Better,"['files/p11/p11925631/s51003988/09aa6fa5-3e35f33e-7725ffae-853bd99f-0f47eac6.jpg', 'files/p11/p11925631/s51003988/4b17550c-25e0500e-c7f5e522-75da40cb-c6e5c492.jpg']","['files/p11/p11925631/s50794292/25651b13-d572c28c-5e501292-b096b253-6d6fb63a.jpg\n', 'files/p11/p11925631/s50794292/547bf6d9-5959e8be-65d31255-e8e031b4-5a9af9e0.jpg\n']"
s51003988_6,p11925631,s51003988,6,Findings,Improved aeration of the left lower lobe since ___ with residual bibasilar opacities likely atelectasis. No pleural effusion or pneumothorax. Normal cardiomediastinal silhouette.,Improved aeration of the left lower lobe since ___ with residual bibasilar opacities likely atelectasis.,opacities,bibasilar,Stable,"['files/p11/p11925631/s51003988/09aa6fa5-3e35f33e-7725ffae-853bd99f-0f47eac6.jpg', 'files/p11/p11925631/s51003988/4b17550c-25e0500e-c7f5e522-75da40cb-c6e5c492.jpg']","['files/p11/p11925631/s50794292/25651b13-d572c28c-5e501292-b096b253-6d6fb63a.jpg\n', 'files/p11/p11925631/s50794292/547bf6d9-5959e8be-65d31255-e8e031b4-5a9af9e0.jpg\n']"
s51010496_0,p10075925,s51010496,0,Findings,"Mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema are new compared with the prior study. Mild cardiomegaly has increased compared with the immediate prior study. There is no pleural effusion, pneumothorax, or focal consolidation. The cardiomediastinal contour is stable The osseous structures and upper abdomen are unremarkable.",The cardiomediastinal contour is stable,cardiomediastinal contour,,Stable,"['files/p10/p10075925/s51010496/2d783c8a-492984b7-28aaf571-bfc30156-61ab26f6.jpg', 'files/p10/p10075925/s51010496/4cfccdcb-122eefe2-ccd1cbbd-c93635de-eda3823c.jpg']",
s51010496_0,p10075925,s51010496,0,Impression,New mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema and increased mild cardiomegaly. No focal consolidation.,New mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema and increased mild cardiomegaly.,cardiomegaly,,Worse,"['files/p10/p10075925/s51010496/2d783c8a-492984b7-28aaf571-bfc30156-61ab26f6.jpg', 'files/p10/p10075925/s51010496/4cfccdcb-122eefe2-ccd1cbbd-c93635de-eda3823c.jpg']",
s51010496_0,p10075925,s51010496,0,Findings,"Mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema are new compared with the prior study. Mild cardiomegaly has increased compared with the immediate prior study. There is no pleural effusion, pneumothorax, or focal consolidation. The cardiomediastinal contour is stable The osseous structures and upper abdomen are unremarkable.",Mild cardiomegaly has increased compared with the immediate prior study.,cardiomegaly,,Worse,"['files/p10/p10075925/s51010496/2d783c8a-492984b7-28aaf571-bfc30156-61ab26f6.jpg', 'files/p10/p10075925/s51010496/4cfccdcb-122eefe2-ccd1cbbd-c93635de-eda3823c.jpg']",
s51010496_0,p10075925,s51010496,0,Findings,"Mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema are new compared with the prior study. Mild cardiomegaly has increased compared with the immediate prior study. There is no pleural effusion, pneumothorax, or focal consolidation. The cardiomediastinal contour is stable The osseous structures and upper abdomen are unremarkable.",Mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema are new compared with the prior study.,interstitial pulmonary edema,,New,"['files/p10/p10075925/s51010496/2d783c8a-492984b7-28aaf571-bfc30156-61ab26f6.jpg', 'files/p10/p10075925/s51010496/4cfccdcb-122eefe2-ccd1cbbd-c93635de-eda3823c.jpg']",
s51010496_0,p10075925,s51010496,0,Impression,New mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema and increased mild cardiomegaly. No focal consolidation.,New mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema and increased mild cardiomegaly.,pulmonary vascular congestion,,New,"['files/p10/p10075925/s51010496/2d783c8a-492984b7-28aaf571-bfc30156-61ab26f6.jpg', 'files/p10/p10075925/s51010496/4cfccdcb-122eefe2-ccd1cbbd-c93635de-eda3823c.jpg']",
s51010496_0,p10075925,s51010496,0,Findings,"Mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema are new compared with the prior study. Mild cardiomegaly has increased compared with the immediate prior study. There is no pleural effusion, pneumothorax, or focal consolidation. The cardiomediastinal contour is stable The osseous structures and upper abdomen are unremarkable.",Mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema are new compared with the prior study.,pulmonary vascular congestion,,New,"['files/p10/p10075925/s51010496/2d783c8a-492984b7-28aaf571-bfc30156-61ab26f6.jpg', 'files/p10/p10075925/s51010496/4cfccdcb-122eefe2-ccd1cbbd-c93635de-eda3823c.jpg']",
s51010496_0,p10075925,s51010496,0,Impression,New mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema and increased mild cardiomegaly. No focal consolidation.,New mild pulmonary vascular congestion with mild to moderate interstitial pulmonary edema and increased mild cardiomegaly.,interstitial pulmonary edema,,New,"['files/p10/p10075925/s51010496/2d783c8a-492984b7-28aaf571-bfc30156-61ab26f6.jpg', 'files/p10/p10075925/s51010496/4cfccdcb-122eefe2-ccd1cbbd-c93635de-eda3823c.jpg']",
s51015335_10,p19358609,s51015335,10,Findings,Portable frontal radiograph of the chest demonstrates a consolidation in the left lower lobe which is slightly increased compared to the recent CT. Parenchymal opacification in the right lower lobe likely reflects aspiration. Diffusely abnormal background parenchymal changes are again seen. The bilateral pleural effusions have decreased in size. There is an unchanged rounded structure in the right costophrenic sinus which was masked by the pleural effusion on the prior CT exam. There is stable deformity of the left thoracic cage. No pneumothorax.,There is an unchanged rounded structure in the right costophrenic sinus which was masked by the pleural effusion on the prior CT exam.,rounded structure,right costophrenic sinus,Stable,['files/p19/p19358609/s51015335/d6578a26-c6384eff-9c8f4ab6-bfb13557-27002f4f.jpg'],"['files/p19/p19358609/s50685017/96f87f7a-986127ad-254bbe00-6092f98c-b455bf5e.jpg\n', 'files/p19/p19358609/s50685017/cd719187-aac4497a-487e9373-f862d5a4-63a1c6b1.jpg\n', 'files/p19/p19358609/s50685017/ce99e222-d9e46e7e-1597d8a2-8da6576e-39759136.jpg\n']"
s51015335_10,p19358609,s51015335,10,Findings,Portable frontal radiograph of the chest demonstrates a consolidation in the left lower lobe which is slightly increased compared to the recent CT. Parenchymal opacification in the right lower lobe likely reflects aspiration. Diffusely abnormal background parenchymal changes are again seen. The bilateral pleural effusions have decreased in size. There is an unchanged rounded structure in the right costophrenic sinus which was masked by the pleural effusion on the prior CT exam. There is stable deformity of the left thoracic cage. No pneumothorax.,The bilateral pleural effusions have decreased in size.,pleural effusions,bilateral,Better,['files/p19/p19358609/s51015335/d6578a26-c6384eff-9c8f4ab6-bfb13557-27002f4f.jpg'],"['files/p19/p19358609/s50685017/96f87f7a-986127ad-254bbe00-6092f98c-b455bf5e.jpg\n', 'files/p19/p19358609/s50685017/cd719187-aac4497a-487e9373-f862d5a4-63a1c6b1.jpg\n', 'files/p19/p19358609/s50685017/ce99e222-d9e46e7e-1597d8a2-8da6576e-39759136.jpg\n']"
s51015335_10,p19358609,s51015335,10,Findings,Portable frontal radiograph of the chest demonstrates a consolidation in the left lower lobe which is slightly increased compared to the recent CT. Parenchymal opacification in the right lower lobe likely reflects aspiration. Diffusely abnormal background parenchymal changes are again seen. The bilateral pleural effusions have decreased in size. There is an unchanged rounded structure in the right costophrenic sinus which was masked by the pleural effusion on the prior CT exam. There is stable deformity of the left thoracic cage. No pneumothorax.,Portable frontal radiograph of the chest demonstrates a consolidation in the left lower lobe which is slightly increased compared to the recent CT.,consolidation,left lower lobe,Worse,['files/p19/p19358609/s51015335/d6578a26-c6384eff-9c8f4ab6-bfb13557-27002f4f.jpg'],"['files/p19/p19358609/s50685017/96f87f7a-986127ad-254bbe00-6092f98c-b455bf5e.jpg\n', 'files/p19/p19358609/s50685017/cd719187-aac4497a-487e9373-f862d5a4-63a1c6b1.jpg\n', 'files/p19/p19358609/s50685017/ce99e222-d9e46e7e-1597d8a2-8da6576e-39759136.jpg\n']"
s51015335_10,p19358609,s51015335,10,Findings,Portable frontal radiograph of the chest demonstrates a consolidation in the left lower lobe which is slightly increased compared to the recent CT. Parenchymal opacification in the right lower lobe likely reflects aspiration. Diffusely abnormal background parenchymal changes are again seen. The bilateral pleural effusions have decreased in size. There is an unchanged rounded structure in the right costophrenic sinus which was masked by the pleural effusion on the prior CT exam. There is stable deformity of the left thoracic cage. No pneumothorax.,There is stable deformity of the left thoracic cage.,deformity,left thoracic cage,Stable,['files/p19/p19358609/s51015335/d6578a26-c6384eff-9c8f4ab6-bfb13557-27002f4f.jpg'],"['files/p19/p19358609/s50685017/96f87f7a-986127ad-254bbe00-6092f98c-b455bf5e.jpg\n', 'files/p19/p19358609/s50685017/cd719187-aac4497a-487e9373-f862d5a4-63a1c6b1.jpg\n', 'files/p19/p19358609/s50685017/ce99e222-d9e46e7e-1597d8a2-8da6576e-39759136.jpg\n']"
s51015335_10,p19358609,s51015335,10,Findings,Portable frontal radiograph of the chest demonstrates a consolidation in the left lower lobe which is slightly increased compared to the recent CT. Parenchymal opacification in the right lower lobe likely reflects aspiration. Diffusely abnormal background parenchymal changes are again seen. The bilateral pleural effusions have decreased in size. There is an unchanged rounded structure in the right costophrenic sinus which was masked by the pleural effusion on the prior CT exam. There is stable deformity of the left thoracic cage. No pneumothorax.,Diffusely abnormal background parenchymal changes are again seen.,abnormal background parenchymal changes,diffuse,Stable,['files/p19/p19358609/s51015335/d6578a26-c6384eff-9c8f4ab6-bfb13557-27002f4f.jpg'],"['files/p19/p19358609/s50685017/96f87f7a-986127ad-254bbe00-6092f98c-b455bf5e.jpg\n', 'files/p19/p19358609/s50685017/cd719187-aac4497a-487e9373-f862d5a4-63a1c6b1.jpg\n', 'files/p19/p19358609/s50685017/ce99e222-d9e46e7e-1597d8a2-8da6576e-39759136.jpg\n']"
s51017937_26,p11888614,s51017937,26,Findings,The lungs are well inflated and clear. No focal consolidations identified. The cardiomediastinal silhouette hilar contours are stable. There is no pleural effusion or pneumothorax.,The cardiomediastinal silhouette hilar contours are stable.,Hilar contours,Cardiomediastinal silhouette,Stable,"['files/p11/p11888614/s51017937/528871d5-6baf82c5-5fd7b922-bbc60517-26d6dc84.jpg', 'files/p11/p11888614/s51017937/82964865-d4efa996-8d0f5736-16793d59-ca381654.jpg', 'files/p11/p11888614/s51017937/da356d52-522f4027-87bf71f9-a9ee4996-ea735f4e.jpg']",['files/p11/p11888614/s50746880/73e67ffa-4125674a-1c921135-faea72ee-d3a60267.jpg\n']
s51020784_0,p17546877,s51020784,0,Impression,"1. Likely right scapular fracture. Occult rib fractures may also be present. 2. Low inspiratory volumes. Possible prominence of the right superior mediastinum - in this setting, the possibility of mediastinal hematoma would be difficult to exclude. 3. Probable increased interstitial markings, albeit likely accentuated by low lung volumes. Small right effusion may be present.",1. Likely right scapular fracture. Occult rib fractures may also be present.,fracture,right scapular,New,"['files/p17/p17546877/s51020784/5d078eef-0971db82-2db85307-67669d0a-8f1a2250.jpg', 'files/p17/p17546877/s51020784/cd34376c-decd987d-d1514628-9d557936-e98bcb18.jpg']",
s51020784_0,p17546877,s51020784,0,Impression,"1. Likely right scapular fracture. Occult rib fractures may also be present. 2. Low inspiratory volumes. Possible prominence of the right superior mediastinum - in this setting, the possibility of mediastinal hematoma would be difficult to exclude. 3. Probable increased interstitial markings, albeit likely accentuated by low lung volumes. Small right effusion may be present.","3. Probable increased interstitial markings, albeit likely accentuated by low lung volumes. Small right effusion may be present.",markings,interstitial,New,"['files/p17/p17546877/s51020784/5d078eef-0971db82-2db85307-67669d0a-8f1a2250.jpg', 'files/p17/p17546877/s51020784/cd34376c-decd987d-d1514628-9d557936-e98bcb18.jpg']",
s51020784_0,p17546877,s51020784,0,Impression,"1. Likely right scapular fracture. Occult rib fractures may also be present. 2. Low inspiratory volumes. Possible prominence of the right superior mediastinum - in this setting, the possibility of mediastinal hematoma would be difficult to exclude. 3. Probable increased interstitial markings, albeit likely accentuated by low lung volumes. Small right effusion may be present.","2. Low inspiratory volumes. Possible prominence of the right superior mediastinum - in this setting, the possibility of mediastinal hematoma would be difficult to exclude.",prominence,right superior mediastinum,New,"['files/p17/p17546877/s51020784/5d078eef-0971db82-2db85307-67669d0a-8f1a2250.jpg', 'files/p17/p17546877/s51020784/cd34376c-decd987d-d1514628-9d557936-e98bcb18.jpg']",
s51020784_0,p17546877,s51020784,0,Impression,"1. Likely right scapular fracture. Occult rib fractures may also be present. 2. Low inspiratory volumes. Possible prominence of the right superior mediastinum - in this setting, the possibility of mediastinal hematoma would be difficult to exclude. 3. Probable increased interstitial markings, albeit likely accentuated by low lung volumes. Small right effusion may be present.","2. Low inspiratory volumes. Possible prominence of the right superior mediastinum - in this setting, the possibility of mediastinal hematoma would be difficult to exclude.",hematoma,mediastinal,New,"['files/p17/p17546877/s51020784/5d078eef-0971db82-2db85307-67669d0a-8f1a2250.jpg', 'files/p17/p17546877/s51020784/cd34376c-decd987d-d1514628-9d557936-e98bcb18.jpg']",
s51020784_0,p17546877,s51020784,0,Impression,"1. Likely right scapular fracture. Occult rib fractures may also be present. 2. Low inspiratory volumes. Possible prominence of the right superior mediastinum - in this setting, the possibility of mediastinal hematoma would be difficult to exclude. 3. Probable increased interstitial markings, albeit likely accentuated by low lung volumes. Small right effusion may be present.",1. Likely right scapular fracture. Occult rib fractures may also be present.,fractures,rib,New,"['files/p17/p17546877/s51020784/5d078eef-0971db82-2db85307-67669d0a-8f1a2250.jpg', 'files/p17/p17546877/s51020784/cd34376c-decd987d-d1514628-9d557936-e98bcb18.jpg']",
s51020784_0,p17546877,s51020784,0,Impression,"1. Likely right scapular fracture. Occult rib fractures may also be present. 2. Low inspiratory volumes. Possible prominence of the right superior mediastinum - in this setting, the possibility of mediastinal hematoma would be difficult to exclude. 3. Probable increased interstitial markings, albeit likely accentuated by low lung volumes. Small right effusion may be present.","3. Probable increased interstitial markings, albeit likely accentuated by low lung volumes. Small right effusion may be present.",effusion,right,New,"['files/p17/p17546877/s51020784/5d078eef-0971db82-2db85307-67669d0a-8f1a2250.jpg', 'files/p17/p17546877/s51020784/cd34376c-decd987d-d1514628-9d557936-e98bcb18.jpg']",
s51022437_0,p10575262,s51022437,0,Findings,"The heart size is mildly enlarged, slightly increased compared to the prior exam. The mediastinal and hilar contours are unremarkable. There is mild pulmonary vascular congestion with trace amount of fluid tracking within the fissures. No large pleural effusion or focal consolidation is seen. There is no pneumothorax. No acute osseous abnormalities identified.","The heart size is mildly enlarged, slightly increased compared to the prior exam.",heart size,,Worse,"['files/p10/p10575262/s51022437/01f860b4-313df5f2-ef6df995-a3bff91e-0e53eadd.jpg', 'files/p10/p10575262/s51022437/f6aafba9-9cacdf7c-73268cf5-74b96292-7b81a593.jpg']",
s51039446_7,p17559288,s51039446,7,Impression,"AP chest compared to ___ through ___, 4:13 p.m.: Moderately severe widespread infiltrative pulmonary abnormality has improved. Heterogeneity in the right lower lobe may represent cavitation or a region of pneumonia. Pleural effusion is presumed, but not substantial. No pneumothorax. Heart size normal. ET tube and right jugular line in standard placements. Nasogastric tube would need to be advanced 15 cm to move all the side ports into the stomach. Dr. ___ was paged.","AP chest compared to ___ through ___, 4:13 p.m.: Moderately severe widespread infiltrative pulmonary abnormality has improved.",Infiltrative pulmonary abnormality,Widespread,Better,['files/p17/p17559288/s51039446/03f20727-d42b6bb8-d53cb13f-c3eb462e-fb257484.jpg'],['files/p17/p17559288/s50750948/55d65e1e-1812835f-30e06612-c15a1621-fddc8581.jpg\n']
s51053791_8,p13171410,s51053791,8,Findings,"Comparison with the earlier study of this date, there is no change. No evidence of acute cardiopulmonary disease. Monitoring and support devices remain in place following cardiac surgery. No evidence of substantial effusion.","Comparison with the earlier study of this date, there is no change.",,,Stable,['files/p13/p13171410/s51053791/08c57c30-cc28a132-c83ff0b6-eb8367f2-8c2eeb06.jpg'],['files/p13/p13171410/s50794886/ed41d65f-590e0bfb-eb73d35c-3096e02f-e29daec8.jpg\n']
s51053791_8,p13171410,s51053791,8,Findings,"Comparison with the earlier study of this date, there is no change. No evidence of acute cardiopulmonary disease. Monitoring and support devices remain in place following cardiac surgery. No evidence of substantial effusion.",Monitoring and support devices remain in place following cardiac surgery.,,,Stable,['files/p13/p13171410/s51053791/08c57c30-cc28a132-c83ff0b6-eb8367f2-8c2eeb06.jpg'],['files/p13/p13171410/s50794886/ed41d65f-590e0bfb-eb73d35c-3096e02f-e29daec8.jpg\n']
s51055127_1,p15693523,s51055127,1,Impression,Concern for developing right upper lobe and unchanged left lower lobe opacities concerning for multifocal infectious process.,Concern for developing right upper lobe and unchanged left lower lobe opacities concerning for multifocal infectious process.,opacity,left lower lobe,Stable,"['files/p15/p15693523/s51055127/a9ba6acb-5c5c7011-ee748574-29618645-8272ce9f.jpg', 'files/p15/p15693523/s51055127/ce085ac9-380a3af0-26189a25-67e34038-82954f13.jpg']",
s51062436_31,p13894716,s51062436,31,Impression,ET tube tip is 8.4 cm above the carinal. Right internal jugular line tip is at the level of mid SVC. Central venous line tip is at the level of lower SVC. Interval improvement in pulmonary edema is substantial with small bilateral pleural effusion is present.,Interval improvement in pulmonary edema is substantial with small bilateral pleural effusion is present.,pleural effusion,bilateral,New,['files/p13/p13894716/s51062436/5ba240af-dffc7803-22ba7344-9658b496-9e0ce127.jpg'],['files/p13/p13894716/s50825078/0fd8eb66-17575650-50cd8c8c-11dcb1fe-a35ee055.jpg\n']
s51062436_31,p13894716,s51062436,31,Impression,ET tube tip is 8.4 cm above the carinal. Right internal jugular line tip is at the level of mid SVC. Central venous line tip is at the level of lower SVC. Interval improvement in pulmonary edema is substantial with small bilateral pleural effusion is present.,Interval improvement in pulmonary edema is substantial with small bilateral pleural effusion is present.,pulmonary edema,,Better,['files/p13/p13894716/s51062436/5ba240af-dffc7803-22ba7344-9658b496-9e0ce127.jpg'],['files/p13/p13894716/s50825078/0fd8eb66-17575650-50cd8c8c-11dcb1fe-a35ee055.jpg\n']
s51076696_0,p18971051,s51076696,0,Findings,"The lungs remain hyperinflated. The cardiac and mediastinal silhouettes are stable with the aorta calcified and tortuous the cardiac silhouette mildly enlarged. There is aortic valve calcification. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen.",The cardiac and mediastinal silhouettes are stable with the aorta calcified and tortuous the cardiac silhouette mildly enlarged.,cardiac and mediastinal silhouettes,,Stable,"['files/p18/p18971051/s51076696/dcda9207-1934e86d-ee932544-116c6360-2c689e4d.jpg', 'files/p18/p18971051/s51076696/f9336862-6f5ba32d-3b88ebe0-2e1469ca-0e802f47.jpg']",
s51076696_0,p18971051,s51076696,0,Findings,"The lungs remain hyperinflated. The cardiac and mediastinal silhouettes are stable with the aorta calcified and tortuous the cardiac silhouette mildly enlarged. There is aortic valve calcification. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen.",The lungs remain hyperinflated.,hyperinflated lungs,,Stable,"['files/p18/p18971051/s51076696/dcda9207-1934e86d-ee932544-116c6360-2c689e4d.jpg', 'files/p18/p18971051/s51076696/f9336862-6f5ba32d-3b88ebe0-2e1469ca-0e802f47.jpg']",
s51076696_0,p18971051,s51076696,0,Impression,No acute cardiopulmonary process. No significant interval change.,No significant interval change.,,,Stable,"['files/p18/p18971051/s51076696/dcda9207-1934e86d-ee932544-116c6360-2c689e4d.jpg', 'files/p18/p18971051/s51076696/f9336862-6f5ba32d-3b88ebe0-2e1469ca-0e802f47.jpg']",
s51079737_4,p13453133,s51079737,4,Impression,"No significant change in bilateral pleural effusions, right greater than left.","No significant change in bilateral pleural effusions, right greater than left.",pleural effusions,"bilateral, right greater than left",Stable,"['files/p13/p13453133/s51079737/669d85b2-5453dc2b-a961b4a5-afa296a7-06a77cd8.jpg', 'files/p13/p13453133/s51079737/d07f3fa4-182c4d9d-459fd2ed-24c6b8be-2802c598.jpg']","['files/p13/p13453133/s50285647/448e62e9-12a35130-5cc19fc9-f7d8b729-5751bf9c.jpg\n', 'files/p13/p13453133/s50285647/eee409a3-a4d4b1f1-792bd53f-adbce257-55c2b13d.jpg\n']"
s51079737_4,p13453133,s51079737,4,Findings,"Lung volumes are low. Bibasilar atelectatic changes are stable. Bilateral pleural effusions, right greater than left, are unchanged since ___. There is no pneumothorax. The mediastinum and heart are within normal limits. No acute osseous abnormalities.","Bilateral pleural effusions, right greater than left, are unchanged since ___.",pleural effusions,"bilateral, right greater than left",Stable,"['files/p13/p13453133/s51079737/669d85b2-5453dc2b-a961b4a5-afa296a7-06a77cd8.jpg', 'files/p13/p13453133/s51079737/d07f3fa4-182c4d9d-459fd2ed-24c6b8be-2802c598.jpg']","['files/p13/p13453133/s50285647/448e62e9-12a35130-5cc19fc9-f7d8b729-5751bf9c.jpg\n', 'files/p13/p13453133/s50285647/eee409a3-a4d4b1f1-792bd53f-adbce257-55c2b13d.jpg\n']"
s51079737_4,p13453133,s51079737,4,Findings,"Lung volumes are low. Bibasilar atelectatic changes are stable. Bilateral pleural effusions, right greater than left, are unchanged since ___. There is no pneumothorax. The mediastinum and heart are within normal limits. No acute osseous abnormalities.",Bibasilar atelectatic changes are stable.,atelectatic changes,bibasilar,Stable,"['files/p13/p13453133/s51079737/669d85b2-5453dc2b-a961b4a5-afa296a7-06a77cd8.jpg', 'files/p13/p13453133/s51079737/d07f3fa4-182c4d9d-459fd2ed-24c6b8be-2802c598.jpg']","['files/p13/p13453133/s50285647/448e62e9-12a35130-5cc19fc9-f7d8b729-5751bf9c.jpg\n', 'files/p13/p13453133/s50285647/eee409a3-a4d4b1f1-792bd53f-adbce257-55c2b13d.jpg\n']"
s51104313_12,p19890030,s51104313,12,Impression,"In comparison with the study of ___, the Swan-Ganz catheter has been removed. Continued enlargement of the cardiac silhouette with worsening pulmonary edema. Little change in the degree of bilateral pleural effusions, more prominent on the left.",Continued enlargement of the cardiac silhouette with worsening pulmonary edema.,pulmonary edema,,Worse,['files/p19/p19890030/s51104313/59b03271-bcecfa84-7b2e92ae-e5846d6d-e977136a.jpg'],
s51104313_12,p19890030,s51104313,12,Impression,"In comparison with the study of ___, the Swan-Ganz catheter has been removed. Continued enlargement of the cardiac silhouette with worsening pulmonary edema. Little change in the degree of bilateral pleural effusions, more prominent on the left.","Little change in the degree of bilateral pleural effusions, more prominent on the left.",pleural effusions,bilateral,Stable,['files/p19/p19890030/s51104313/59b03271-bcecfa84-7b2e92ae-e5846d6d-e977136a.jpg'],
s51104313_12,p19890030,s51104313,12,Impression,"In comparison with the study of ___, the Swan-Ganz catheter has been removed. Continued enlargement of the cardiac silhouette with worsening pulmonary edema. Little change in the degree of bilateral pleural effusions, more prominent on the left.",Continued enlargement of the cardiac silhouette with worsening pulmonary edema.,cardiac silhouette,,Worse,['files/p19/p19890030/s51104313/59b03271-bcecfa84-7b2e92ae-e5846d6d-e977136a.jpg'],
s51104313_12,p19890030,s51104313,12,Impression,"In comparison with the study of ___, the Swan-Ganz catheter has been removed. Continued enlargement of the cardiac silhouette with worsening pulmonary edema. Little change in the degree of bilateral pleural effusions, more prominent on the left.","In comparison with the study of ___, the Swan-Ganz catheter has been removed.",Swan-Ganz catheter,,Resolve,['files/p19/p19890030/s51104313/59b03271-bcecfa84-7b2e92ae-e5846d6d-e977136a.jpg'],
s51107651_43,p11717909,s51107651,43,Impression,Comparison to ___. The endotracheal tube has been advanced by approximately 1 cm. The tip of the tube is now 5 cm above the carina. The pre-existing left retrocardiac and right perihilar parenchymal opacities are unchanged in extent and severity. No new parenchymal opacities. Unchanged alignment of the sternal wires. Normal size of the cardiac silhouette. No pneumothorax.,The endotracheal tube has been advanced by approximately 1 cm.,endotracheal tube,,Worse,['files/p11/p11717909/s51107651/2d2c3c7d-5f951cb0-24e5522b-c233da94-349dc006.jpg'],['files/p11/p11717909/s50703663/5dfe015d-040fa10d-c7519ab8-abd04b07-2013debb.jpg\n']
s51107651_43,p11717909,s51107651,43,Impression,Comparison to ___. The endotracheal tube has been advanced by approximately 1 cm. The tip of the tube is now 5 cm above the carina. The pre-existing left retrocardiac and right perihilar parenchymal opacities are unchanged in extent and severity. No new parenchymal opacities. Unchanged alignment of the sternal wires. Normal size of the cardiac silhouette. No pneumothorax.,Unchanged alignment of the sternal wires.,sternal wires,,Stable,['files/p11/p11717909/s51107651/2d2c3c7d-5f951cb0-24e5522b-c233da94-349dc006.jpg'],['files/p11/p11717909/s50703663/5dfe015d-040fa10d-c7519ab8-abd04b07-2013debb.jpg\n']
s51107651_43,p11717909,s51107651,43,Impression,Comparison to ___. The endotracheal tube has been advanced by approximately 1 cm. The tip of the tube is now 5 cm above the carina. The pre-existing left retrocardiac and right perihilar parenchymal opacities are unchanged in extent and severity. No new parenchymal opacities. Unchanged alignment of the sternal wires. Normal size of the cardiac silhouette. No pneumothorax.,The pre-existing left retrocardiac and right perihilar parenchymal opacities are unchanged in extent and severity.,parenchymal opacities,right perihilar,Stable,['files/p11/p11717909/s51107651/2d2c3c7d-5f951cb0-24e5522b-c233da94-349dc006.jpg'],['files/p11/p11717909/s50703663/5dfe015d-040fa10d-c7519ab8-abd04b07-2013debb.jpg\n']
s51107651_43,p11717909,s51107651,43,Impression,Comparison to ___. The endotracheal tube has been advanced by approximately 1 cm. The tip of the tube is now 5 cm above the carina. The pre-existing left retrocardiac and right perihilar parenchymal opacities are unchanged in extent and severity. No new parenchymal opacities. Unchanged alignment of the sternal wires. Normal size of the cardiac silhouette. No pneumothorax.,The pre-existing left retrocardiac and right perihilar parenchymal opacities are unchanged in extent and severity.,parenchymal opacities,left retrocardiac,Stable,['files/p11/p11717909/s51107651/2d2c3c7d-5f951cb0-24e5522b-c233da94-349dc006.jpg'],['files/p11/p11717909/s50703663/5dfe015d-040fa10d-c7519ab8-abd04b07-2013debb.jpg\n']
s51110401_82,p11717909,s51110401,82,Impression,Comparison to ___. The parenchymal opacities on the right are stable in extent and severity. No new parenchymal opacities. Low lung volumes. Mild cardiomegaly without pulmonary edema. Unchanged normal alignment of the sternal,Comparison to ___. The parenchymal opacities on the right are stable in extent and severity.,parenchymal opacities,right,Stable,['files/p11/p11717909/s51110401/bc5a307e-a37c05c6-a1ef1917-721c48d7-ebdd2788.jpg'],['files/p11/p11717909/s51107651/2d2c3c7d-5f951cb0-24e5522b-c233da94-349dc006.jpg\n']
s51110401_82,p11717909,s51110401,82,Impression,Comparison to ___. The parenchymal opacities on the right are stable in extent and severity. No new parenchymal opacities. Low lung volumes. Mild cardiomegaly without pulmonary edema. Unchanged normal alignment of the sternal,Unchanged normal alignment of the sternal,alignment of the sternal,,Stable,['files/p11/p11717909/s51110401/bc5a307e-a37c05c6-a1ef1917-721c48d7-ebdd2788.jpg'],['files/p11/p11717909/s51107651/2d2c3c7d-5f951cb0-24e5522b-c233da94-349dc006.jpg\n']
s51112760_11,p15902493,s51112760,11,Findings,"As compared to the previous radiograph, there is no relevant change. The bases of the right lung are minimally better ventilated than before. The monitoring and support devices are constant, constant size of the cardiac silhouette, constant appearance of the left lung.","The monitoring and support devices are constant, constant size of the cardiac silhouette, constant appearance of the left lung.",appearance,left lung,Stable,['files/p15/p15902493/s51112760/6e7ae597-2cce5608-801fc546-b49044de-8b5fb4c7.jpg'],['files/p15/p15902493/s50974871/9bc476e8-b785474e-426b2c50-084edab4-725c2fdb.jpg\n']
s51112760_11,p15902493,s51112760,11,Findings,"As compared to the previous radiograph, there is no relevant change. The bases of the right lung are minimally better ventilated than before. The monitoring and support devices are constant, constant size of the cardiac silhouette, constant appearance of the left lung.",The bases of the right lung are minimally better ventilated than before.,ventilation,bases of the right lung,Better,['files/p15/p15902493/s51112760/6e7ae597-2cce5608-801fc546-b49044de-8b5fb4c7.jpg'],['files/p15/p15902493/s50974871/9bc476e8-b785474e-426b2c50-084edab4-725c2fdb.jpg\n']
s51112760_11,p15902493,s51112760,11,Findings,"As compared to the previous radiograph, there is no relevant change. The bases of the right lung are minimally better ventilated than before. The monitoring and support devices are constant, constant size of the cardiac silhouette, constant appearance of the left lung.","The monitoring and support devices are constant, constant size of the cardiac silhouette, constant appearance of the left lung.",size,cardiac silhouette,Stable,['files/p15/p15902493/s51112760/6e7ae597-2cce5608-801fc546-b49044de-8b5fb4c7.jpg'],['files/p15/p15902493/s50974871/9bc476e8-b785474e-426b2c50-084edab4-725c2fdb.jpg\n']
s51113785_0,p16652812,s51113785,0,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Lower lung volumes are seen on the current exam. Calcified left basilar nodule and left pleural apical pleural-based scarring is again noted. Given lower lung volumes, the lungs are clear of focal consolidation or effusion. Cardiac silhouette is slightly enlarged but stable in configuration. Osseous structures are unchanged noting degenerative change at the shoulders bilaterally and intra-articular body within the left glenohumeral joint.",Calcified left basilar nodule and left pleural apical pleural-based scarring is again noted.,nodule,left basilar,Stable,"['files/p16/p16652812/s51113785/1adb0f14-f7049b06-787006f9-0cffb6fd-5a8ffe0f.jpg', 'files/p16/p16652812/s51113785/30aec0b1-60cfc839-0ad6a986-f37501cb-8ba027e3.jpg']",
s51113785_0,p16652812,s51113785,0,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Lower lung volumes are seen on the current exam. Calcified left basilar nodule and left pleural apical pleural-based scarring is again noted. Given lower lung volumes, the lungs are clear of focal consolidation or effusion. Cardiac silhouette is slightly enlarged but stable in configuration. Osseous structures are unchanged noting degenerative change at the shoulders bilaterally and intra-articular body within the left glenohumeral joint.",Osseous structures are unchanged noting degenerative change at the shoulders bilaterally and intra-articular body within the left glenohumeral joint.,intra-articular body,left glenohumeral joint,Stable,"['files/p16/p16652812/s51113785/1adb0f14-f7049b06-787006f9-0cffb6fd-5a8ffe0f.jpg', 'files/p16/p16652812/s51113785/30aec0b1-60cfc839-0ad6a986-f37501cb-8ba027e3.jpg']",
s51113785_0,p16652812,s51113785,0,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Lower lung volumes are seen on the current exam. Calcified left basilar nodule and left pleural apical pleural-based scarring is again noted. Given lower lung volumes, the lungs are clear of focal consolidation or effusion. Cardiac silhouette is slightly enlarged but stable in configuration. Osseous structures are unchanged noting degenerative change at the shoulders bilaterally and intra-articular body within the left glenohumeral joint.",Calcified left basilar nodule and left pleural apical pleural-based scarring is again noted.,pleural-based scarring,left pleural apical,Stable,"['files/p16/p16652812/s51113785/1adb0f14-f7049b06-787006f9-0cffb6fd-5a8ffe0f.jpg', 'files/p16/p16652812/s51113785/30aec0b1-60cfc839-0ad6a986-f37501cb-8ba027e3.jpg']",
s51113785_0,p16652812,s51113785,0,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Lower lung volumes are seen on the current exam. Calcified left basilar nodule and left pleural apical pleural-based scarring is again noted. Given lower lung volumes, the lungs are clear of focal consolidation or effusion. Cardiac silhouette is slightly enlarged but stable in configuration. Osseous structures are unchanged noting degenerative change at the shoulders bilaterally and intra-articular body within the left glenohumeral joint.",Osseous structures are unchanged noting degenerative change at the shoulders bilaterally and intra-articular body within the left glenohumeral joint.,degenerative change,shoulders bilaterally,Stable,"['files/p16/p16652812/s51113785/1adb0f14-f7049b06-787006f9-0cffb6fd-5a8ffe0f.jpg', 'files/p16/p16652812/s51113785/30aec0b1-60cfc839-0ad6a986-f37501cb-8ba027e3.jpg']",
s51113785_0,p16652812,s51113785,0,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Lower lung volumes are seen on the current exam. Calcified left basilar nodule and left pleural apical pleural-based scarring is again noted. Given lower lung volumes, the lungs are clear of focal consolidation or effusion. Cardiac silhouette is slightly enlarged but stable in configuration. Osseous structures are unchanged noting degenerative change at the shoulders bilaterally and intra-articular body within the left glenohumeral joint.",Cardiac silhouette is slightly enlarged but stable in configuration.,Cardiac silhouette enlargement,,Stable,"['files/p16/p16652812/s51113785/1adb0f14-f7049b06-787006f9-0cffb6fd-5a8ffe0f.jpg', 'files/p16/p16652812/s51113785/30aec0b1-60cfc839-0ad6a986-f37501cb-8ba027e3.jpg']",
s51116903_15,p19890030,s51116903,15,Impression,"In comparison with the study of ___, the monitoring and support devices have been removed with a right IJ sheath remaining in place. No evidence of pneumothorax. The cardiac silhouette is enlarged and there is evidence of retrocardiac opacification consistent with volume loss in the left lower lobe. Mild atelectatic changes are seen on the right and there is blunting of both costophrenic angles.","In comparison with the study of ___, the monitoring and support devices have been removed with a right IJ sheath remaining in place.",monitoring and support devices,,Resolve,['files/p19/p19890030/s51116903/f82ff9bb-9bbb3f96-d55b669c-6b737ab9-ec52275a.jpg'],['files/p19/p19890030/s51104313/59b03271-bcecfa84-7b2e92ae-e5846d6d-e977136a.jpg\n']
s51118033_1,p19598137,s51118033,1,Impression,"Comparison to ___. No relevant change. Moderate cardiomegaly. No pleural effusions. No pneumonia, no pulmonary edema. The course of the feeding tube is stable.",The course of the feeding tube is stable.,Feeding tube,Unknown,Stable,['files/p19/p19598137/s51118033/ea096f49-af1e650c-7f97b6e7-1a3d6813-f7276d49.jpg'],['files/p19/p19598137/s50422579/c5157006-1a73eeaf-efe1fd1c-7c18314b-7183f206.jpg\n']
s51119268_2,p13299965,s51119268,2,Findings,"PA and lateral views of the chest provided. Right paratracheal opacity likely represents prominent vascular structures and is unchanged from ___. No new focal consolidation, effusion or pneumothorax. The hilar contours are stable. Cardiac and mediastinal silhouettes are stable.",Right paratracheal opacity likely represents prominent vascular structures and is unchanged from ___.,opacity,Right paratracheal,Stable,"['files/p13/p13299965/s51119268/7992c68f-11f00489-37aaadc6-6aa3e5c1-f3546cfa.jpg', 'files/p13/p13299965/s51119268/a4e3640a-d1ed5982-b24f0c58-60e77e47-0256fe41.jpg']","['files/p13/p13299965/s50046465/58263114-6dffa53e-32047b1a-853e06a0-f5f099fb.jpg\n', 'files/p13/p13299965/s50046465/edc6ce1c-fc4f414b-85d4b348-397ef133-0cd52d48.jpg\n']"
s51119268_2,p13299965,s51119268,2,Findings,"PA and lateral views of the chest provided. Right paratracheal opacity likely represents prominent vascular structures and is unchanged from ___. No new focal consolidation, effusion or pneumothorax. The hilar contours are stable. Cardiac and mediastinal silhouettes are stable.",The hilar contours are stable.,contours,Hilar,Stable,"['files/p13/p13299965/s51119268/7992c68f-11f00489-37aaadc6-6aa3e5c1-f3546cfa.jpg', 'files/p13/p13299965/s51119268/a4e3640a-d1ed5982-b24f0c58-60e77e47-0256fe41.jpg']","['files/p13/p13299965/s50046465/58263114-6dffa53e-32047b1a-853e06a0-f5f099fb.jpg\n', 'files/p13/p13299965/s50046465/edc6ce1c-fc4f414b-85d4b348-397ef133-0cd52d48.jpg\n']"
s51119268_2,p13299965,s51119268,2,Findings,"PA and lateral views of the chest provided. Right paratracheal opacity likely represents prominent vascular structures and is unchanged from ___. No new focal consolidation, effusion or pneumothorax. The hilar contours are stable. Cardiac and mediastinal silhouettes are stable.",Cardiac and mediastinal silhouettes are stable.,silhouettes,Cardiac and mediastinal,Stable,"['files/p13/p13299965/s51119268/7992c68f-11f00489-37aaadc6-6aa3e5c1-f3546cfa.jpg', 'files/p13/p13299965/s51119268/a4e3640a-d1ed5982-b24f0c58-60e77e47-0256fe41.jpg']","['files/p13/p13299965/s50046465/58263114-6dffa53e-32047b1a-853e06a0-f5f099fb.jpg\n', 'files/p13/p13299965/s50046465/edc6ce1c-fc4f414b-85d4b348-397ef133-0cd52d48.jpg\n']"
s51122529_19,p15911529,s51122529,19,Impression,"As seen on the frontal view, there may have been some improvement in the component of right pleural effusion in the lower posterior chest, while the fissural components are slightly larger. PA and lateral views are recommended because they are more informative. The right basal pleural pigtail drainage catheter is unchanged in position. Right lung abnormality is relatively mild, probably basal atelectasis. Left lung is clear and there is no left pleural abnormality. Heart is moderately enlarged, chronically. Transvenous right atrial and biventricular pacer leads continuous from the left pectoral generator. No pneumothorax","As seen on the frontal view, there may have been some improvement in the component of right pleural effusion in the lower posterior chest, while the fissural components are slightly larger.",pleural effusion,fissural,Worse,['files/p15/p15911529/s51122529/0deb7ec1-84b1f3d7-f5ac9938-3054c9dd-3caf0634.jpg'],"['files/p15/p15911529/s50817664/18d4660e-6dd2d7c3-fe755086-42caa066-4c278a62.jpg\n', 'files/p15/p15911529/s50817664/b280f564-593c9a51-09521aea-53d9b9fd-0bd0ab38.jpg\n']"
s51122529_19,p15911529,s51122529,19,Impression,"As seen on the frontal view, there may have been some improvement in the component of right pleural effusion in the lower posterior chest, while the fissural components are slightly larger. PA and lateral views are recommended because they are more informative. The right basal pleural pigtail drainage catheter is unchanged in position. Right lung abnormality is relatively mild, probably basal atelectasis. Left lung is clear and there is no left pleural abnormality. Heart is moderately enlarged, chronically. Transvenous right atrial and biventricular pacer leads continuous from the left pectoral generator. No pneumothorax","As seen on the frontal view, there may have been some improvement in the component of right pleural effusion in the lower posterior chest, while the fissural components are slightly larger.",pleural effusion,right lower posterior chest,Better,['files/p15/p15911529/s51122529/0deb7ec1-84b1f3d7-f5ac9938-3054c9dd-3caf0634.jpg'],"['files/p15/p15911529/s50817664/18d4660e-6dd2d7c3-fe755086-42caa066-4c278a62.jpg\n', 'files/p15/p15911529/s50817664/b280f564-593c9a51-09521aea-53d9b9fd-0bd0ab38.jpg\n']"
s51122529_19,p15911529,s51122529,19,Impression,"As seen on the frontal view, there may have been some improvement in the component of right pleural effusion in the lower posterior chest, while the fissural components are slightly larger. PA and lateral views are recommended because they are more informative. The right basal pleural pigtail drainage catheter is unchanged in position. Right lung abnormality is relatively mild, probably basal atelectasis. Left lung is clear and there is no left pleural abnormality. Heart is moderately enlarged, chronically. Transvenous right atrial and biventricular pacer leads continuous from the left pectoral generator. No pneumothorax",The right basal pleural pigtail drainage catheter is unchanged in position.,pleural pigtail drainage catheter,right basal,Stable,['files/p15/p15911529/s51122529/0deb7ec1-84b1f3d7-f5ac9938-3054c9dd-3caf0634.jpg'],"['files/p15/p15911529/s50817664/18d4660e-6dd2d7c3-fe755086-42caa066-4c278a62.jpg\n', 'files/p15/p15911529/s50817664/b280f564-593c9a51-09521aea-53d9b9fd-0bd0ab38.jpg\n']"
s51127147_6,p11842519,s51127147,6,Findings,"The heart is enlarged and there is engorgement of the pulmonary vasculature as well as mild pulmonary edema. There is thickening of major fissure on the right, which may represent fissural fluid. Again seen are bilateral pleural effusions with atelectasis at the lung bases. There is no evidence of new focal consolidation. No pneumothorax is seen. Again seen is thoracic spinal fusion hardware, unchanged in appearance.","Again seen is thoracic spinal fusion hardware, unchanged in appearance.",spinal fusion hardware,thoracic,Stable,"['files/p11/p11842519/s51127147/167948ba-77fedd55-bc7926a8-bef575a4-e4ca7f9f.jpg', 'files/p11/p11842519/s51127147/8e8f8159-d51ace31-6b6c0592-fb393f9a-65ead50d.jpg']",
s51127147_6,p11842519,s51127147,6,Findings,"The heart is enlarged and there is engorgement of the pulmonary vasculature as well as mild pulmonary edema. There is thickening of major fissure on the right, which may represent fissural fluid. Again seen are bilateral pleural effusions with atelectasis at the lung bases. There is no evidence of new focal consolidation. No pneumothorax is seen. Again seen is thoracic spinal fusion hardware, unchanged in appearance.",Again seen are bilateral pleural effusions with atelectasis at the lung bases.,atelectasis,lung bases,Stable,"['files/p11/p11842519/s51127147/167948ba-77fedd55-bc7926a8-bef575a4-e4ca7f9f.jpg', 'files/p11/p11842519/s51127147/8e8f8159-d51ace31-6b6c0592-fb393f9a-65ead50d.jpg']",
s51127147_6,p11842519,s51127147,6,Findings,"The heart is enlarged and there is engorgement of the pulmonary vasculature as well as mild pulmonary edema. There is thickening of major fissure on the right, which may represent fissural fluid. Again seen are bilateral pleural effusions with atelectasis at the lung bases. There is no evidence of new focal consolidation. No pneumothorax is seen. Again seen is thoracic spinal fusion hardware, unchanged in appearance.",Again seen are bilateral pleural effusions with atelectasis at the lung bases.,pleural effusions,bilateral,Stable,"['files/p11/p11842519/s51127147/167948ba-77fedd55-bc7926a8-bef575a4-e4ca7f9f.jpg', 'files/p11/p11842519/s51127147/8e8f8159-d51ace31-6b6c0592-fb393f9a-65ead50d.jpg']",
s51149106_4,p17680905,s51149106,4,Impression,"Heart size is prominent and unchanged. There is a persistent right sided basilar pleural effusion. There is no pulmonary edema. There is some atelectasis at the left lung base, stable. There are no pneumothoraces.",Heart size is prominent and unchanged.,Size,Heart,Stable,"['files/p17/p17680905/s51149106/24df7669-ea39742f-423980e7-094b366d-8eea60d6.jpg', 'files/p17/p17680905/s51149106/e0355e24-3d8b8030-c4db843f-a7f08492-b9b58e2c.jpg']",
s51149106_4,p17680905,s51149106,4,Impression,"Heart size is prominent and unchanged. There is a persistent right sided basilar pleural effusion. There is no pulmonary edema. There is some atelectasis at the left lung base, stable. There are no pneumothoraces.",There is a persistent right sided basilar pleural effusion.,Pleural effusion,Right sided basilar,Worse,"['files/p17/p17680905/s51149106/24df7669-ea39742f-423980e7-094b366d-8eea60d6.jpg', 'files/p17/p17680905/s51149106/e0355e24-3d8b8030-c4db843f-a7f08492-b9b58e2c.jpg']",
s51149106_4,p17680905,s51149106,4,Impression,"Heart size is prominent and unchanged. There is a persistent right sided basilar pleural effusion. There is no pulmonary edema. There is some atelectasis at the left lung base, stable. There are no pneumothoraces.","There is some atelectasis at the left lung base, stable.",Atelectasis,Left lung base,Stable,"['files/p17/p17680905/s51149106/24df7669-ea39742f-423980e7-094b366d-8eea60d6.jpg', 'files/p17/p17680905/s51149106/e0355e24-3d8b8030-c4db843f-a7f08492-b9b58e2c.jpg']",
s51163175_10,p13171410,s51163175,10,Impression,1. Unchanged small right apical pneumothorax. 2. Resolution of left fissural loculation.,Unchanged small right apical pneumothorax.,pneumothorax,right apical,Stable,['files/p13/p13171410/s51163175/abbc56f7-3569a197-33b68a76-2649b730-79cbcd28.jpg'],['files/p13/p13171410/s51053791/08c57c30-cc28a132-c83ff0b6-eb8367f2-8c2eeb06.jpg\n']
s51163175_10,p13171410,s51163175,10,Findings,Small 8-mm right apical pneumothorax is unchanged in this patient who still has a right chest tube. Left fissural loculation has completely resolved. The right jugular line ends in upper atrium.,Small 8-mm right apical pneumothorax is unchanged in this patient who still has a right chest tube.,pneumothorax,right apical,Stable,['files/p13/p13171410/s51163175/abbc56f7-3569a197-33b68a76-2649b730-79cbcd28.jpg'],['files/p13/p13171410/s51053791/08c57c30-cc28a132-c83ff0b6-eb8367f2-8c2eeb06.jpg\n']
s51163175_10,p13171410,s51163175,10,Impression,1. Unchanged small right apical pneumothorax. 2. Resolution of left fissural loculation.,Resolution of left fissural loculation.,loculation,left fissural,Resolve,['files/p13/p13171410/s51163175/abbc56f7-3569a197-33b68a76-2649b730-79cbcd28.jpg'],['files/p13/p13171410/s51053791/08c57c30-cc28a132-c83ff0b6-eb8367f2-8c2eeb06.jpg\n']
s51163175_10,p13171410,s51163175,10,Findings,Small 8-mm right apical pneumothorax is unchanged in this patient who still has a right chest tube. Left fissural loculation has completely resolved. The right jugular line ends in upper atrium.,Left fissural loculation has completely resolved.,loculation,left fissural,Resolve,['files/p13/p13171410/s51163175/abbc56f7-3569a197-33b68a76-2649b730-79cbcd28.jpg'],['files/p13/p13171410/s51053791/08c57c30-cc28a132-c83ff0b6-eb8367f2-8c2eeb06.jpg\n']
s51164335_10,p11842519,s51164335,10,Impression,"In comparison with the study of ___, there is little change in the appearance of the cardiomediastinal silhouette and spinal hardware. The pulmonary vessels are less engorged, it consistent with improvement in pulmonary vascular status. Bibasilar atelectatic changes are again seen with probable small pleural effusions on both sides.","In comparison with the study of ___, there is little change in the appearance of the cardiomediastinal silhouette and spinal hardware.",hardware,spinal,Stable,"['files/p11/p11842519/s51164335/36997d16-4f0421af-656978c4-33b5be2d-4bd00de0.jpg', 'files/p11/p11842519/s51164335/7b10680c-26e6c5fc-a403cd66-97cf2e7d-6578aeff.jpg']","['files/p11/p11842519/s51127147/167948ba-77fedd55-bc7926a8-bef575a4-e4ca7f9f.jpg\n', 'files/p11/p11842519/s51127147/8e8f8159-d51ace31-6b6c0592-fb393f9a-65ead50d.jpg\n']"
s51164335_10,p11842519,s51164335,10,Impression,"In comparison with the study of ___, there is little change in the appearance of the cardiomediastinal silhouette and spinal hardware. The pulmonary vessels are less engorged, it consistent with improvement in pulmonary vascular status. Bibasilar atelectatic changes are again seen with probable small pleural effusions on both sides.","The pulmonary vessels are less engorged, it consistent with improvement in pulmonary vascular status.",vessels,pulmonary,Better,"['files/p11/p11842519/s51164335/36997d16-4f0421af-656978c4-33b5be2d-4bd00de0.jpg', 'files/p11/p11842519/s51164335/7b10680c-26e6c5fc-a403cd66-97cf2e7d-6578aeff.jpg']","['files/p11/p11842519/s51127147/167948ba-77fedd55-bc7926a8-bef575a4-e4ca7f9f.jpg\n', 'files/p11/p11842519/s51127147/8e8f8159-d51ace31-6b6c0592-fb393f9a-65ead50d.jpg\n']"
s51164335_10,p11842519,s51164335,10,Impression,"In comparison with the study of ___, there is little change in the appearance of the cardiomediastinal silhouette and spinal hardware. The pulmonary vessels are less engorged, it consistent with improvement in pulmonary vascular status. Bibasilar atelectatic changes are again seen with probable small pleural effusions on both sides.","In comparison with the study of ___, there is little change in the appearance of the cardiomediastinal silhouette and spinal hardware.",silhouette,cardiomediastinal silhouette,Stable,"['files/p11/p11842519/s51164335/36997d16-4f0421af-656978c4-33b5be2d-4bd00de0.jpg', 'files/p11/p11842519/s51164335/7b10680c-26e6c5fc-a403cd66-97cf2e7d-6578aeff.jpg']","['files/p11/p11842519/s51127147/167948ba-77fedd55-bc7926a8-bef575a4-e4ca7f9f.jpg\n', 'files/p11/p11842519/s51127147/8e8f8159-d51ace31-6b6c0592-fb393f9a-65ead50d.jpg\n']"
s51169502_12,p17055995,s51169502,12,Findings,"The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable allowing for differences in technique. There is fairly substantial retrocardiac opacification, although predominantly linear and streaky. Elsewhere, the lungs appear clear. There is no pleural effusion or pneumothorax.","The cardiac, mediastinal and hilar contours appear stable allowing for differences in technique.",contours,"cardiac, mediastinal and hilar",Stable,"['files/p17/p17055995/s51169502/17c32bbc-a11cc59d-e3beafe6-d339e5f3-fd85e41e.jpg', 'files/p17/p17055995/s51169502/fe3e3ba7-b7222cb7-bce60f53-58872f01-f8d40bcc.jpg']",['files/p17/p17055995/s50152901/55a0e030-4bb997bd-b5d19ede-c9996085-f874501a.jpg\n']
s51170210_7,p19254322,s51170210,7,Impression,"Pneumothorax unchanged, dense atelectasis left base.","Pneumothorax unchanged, dense atelectasis left base.",pneumothorax,,Stable,"['files/p19/p19254322/s51170210/02ca6bea-0af58abe-f89ff46e-ddd2fdf3-19789084.jpg', 'files/p19/p19254322/s51170210/48003dc6-c6038610-25596c4c-016c4acd-3d08f408.jpg']",
s51170210_7,p19254322,s51170210,7,Impression,"Pneumothorax unchanged, dense atelectasis left base.","Pneumothorax unchanged, dense atelectasis left base.",atelectasis,left base,Stable,"['files/p19/p19254322/s51170210/02ca6bea-0af58abe-f89ff46e-ddd2fdf3-19789084.jpg', 'files/p19/p19254322/s51170210/48003dc6-c6038610-25596c4c-016c4acd-3d08f408.jpg']",
s51170595_3,p14290919,s51170595,3,Impression,"There to prior chest radiographs since ___, most recently ___ and ___. Mild left lower lobe atelectasis and small left pleural effusion persists. Upper lungs clear. Normal postoperative cardiomediastinal silhouette. No pneumothorax.",Mild left lower lobe atelectasis and small left pleural effusion persists.,pleural effusion,left,Stable,"['files/p14/p14290919/s51170595/3da8fb2d-0e0a1796-4b98b571-78e0bad7-04a32511.jpg', 'files/p14/p14290919/s51170595/847c21bb-510fafaf-521bf5df-050341c5-f7275410.jpg']",
s51170595_3,p14290919,s51170595,3,Impression,"There to prior chest radiographs since ___, most recently ___ and ___. Mild left lower lobe atelectasis and small left pleural effusion persists. Upper lungs clear. Normal postoperative cardiomediastinal silhouette. No pneumothorax.",Mild left lower lobe atelectasis and small left pleural effusion persists.,atelectasis,left lower lobe,Stable,"['files/p14/p14290919/s51170595/3da8fb2d-0e0a1796-4b98b571-78e0bad7-04a32511.jpg', 'files/p14/p14290919/s51170595/847c21bb-510fafaf-521bf5df-050341c5-f7275410.jpg']",
s51178141_6,p10750092,s51178141,6,Impression,"AP chest compared to ___, 5:37 a.m. There is a new tracheostomy tube, turned to the left, tip facing the left tracheal wall. There is no pneumothorax or mediastinal widening. Small right pleural effusion is new. Heart size is normal. Thoracic aorta is tortuous, but not focally dilated. Right subclavian line ends low in the SVC.","There is a new tracheostomy tube, turned to the left, tip facing the left tracheal wall.",tracheostomy tube,tracheal,New,['files/p10/p10750092/s51178141/6a83b24c-67c3269a-c2c1b295-6bde13b8-b9bab43c.jpg'],
s51178141_6,p10750092,s51178141,6,Impression,"AP chest compared to ___, 5:37 a.m. There is a new tracheostomy tube, turned to the left, tip facing the left tracheal wall. There is no pneumothorax or mediastinal widening. Small right pleural effusion is new. Heart size is normal. Thoracic aorta is tortuous, but not focally dilated. Right subclavian line ends low in the SVC.",Small right pleural effusion is new.,pleural effusion,right,New,['files/p10/p10750092/s51178141/6a83b24c-67c3269a-c2c1b295-6bde13b8-b9bab43c.jpg'],
s51180958_0,p10003502,s51180958,0,Findings,"No evidence of consolidation to suggest pneumonia is seen. There is some retrocardiac atelectasis. A small left pleural effusion may be present. No pneumothorax is seen. No pulmonary edema. A right granuloma is unchanged. The heart is mildly enlarged, unchanged. There is tortuosity of the aorta.",A right granuloma is unchanged.,granuloma,right,Stable,"['files/p10/p10003502/s51180958/1fa79752-9ddaf5b5-2120ae82-9fec50d6-51f48d1f.jpg', 'files/p10/p10003502/s51180958/a8319f39-9eef5bb2-5bd95b97-9dd70b0f-02a846e3.jpg']",['files/p10/p10003502/s50084553/70d7e600-373c1311-929f5ff9-23ee3621-ff551ff9.jpg\n']
s51180958_0,p10003502,s51180958,0,Findings,"No evidence of consolidation to suggest pneumonia is seen. There is some retrocardiac atelectasis. A small left pleural effusion may be present. No pneumothorax is seen. No pulmonary edema. A right granuloma is unchanged. The heart is mildly enlarged, unchanged. There is tortuosity of the aorta.","The heart is mildly enlarged, unchanged.",mildly enlarged heart,,Stable,"['files/p10/p10003502/s51180958/1fa79752-9ddaf5b5-2120ae82-9fec50d6-51f48d1f.jpg', 'files/p10/p10003502/s51180958/a8319f39-9eef5bb2-5bd95b97-9dd70b0f-02a846e3.jpg']",['files/p10/p10003502/s50084553/70d7e600-373c1311-929f5ff9-23ee3621-ff551ff9.jpg\n']
s51182510_0,p17052080,s51182510,0,Findings,"Frontal and lateral views of the chest were obtained. Mild cardiomegaly is new since ___. There is calcification of the aortic knob. Increased interstitial lung markings are compatible with mild pulmonary edema. Patchy opacities at the lung bases may represent atelectasis, but infection cannot be excluded. Minimal costophrenic blunting on lateral view suggests small bilateral pleural effusions. There is no pneumothorax. Osseous structures are unremarkable. No radiopaque foreign bodies are seen.",Increased interstitial lung markings are compatible with mild pulmonary edema.,Lung markings,Interstitial,Worse,"['files/p17/p17052080/s51182510/830c370a-a1f80137-f014ce2f-875aac45-4ead0285.jpg', 'files/p17/p17052080/s51182510/f6903ec6-d68cd572-11a44700-84d1d724-3af57b2a.jpg']",
s51182510_0,p17052080,s51182510,0,Impression,1. Patchy bibasilar opacities may represent atelectasis but cannot exclude infection. 2. New mild cardiomegaly with mild pulmonary edema and small bilateral pleural effusion.,New mild cardiomegaly with mild pulmonary edema and small bilateral pleural effusion.,Pulmonary edema,Interstitial,Worse,"['files/p17/p17052080/s51182510/830c370a-a1f80137-f014ce2f-875aac45-4ead0285.jpg', 'files/p17/p17052080/s51182510/f6903ec6-d68cd572-11a44700-84d1d724-3af57b2a.jpg']",
s51182510_0,p17052080,s51182510,0,Impression,1. Patchy bibasilar opacities may represent atelectasis but cannot exclude infection. 2. New mild cardiomegaly with mild pulmonary edema and small bilateral pleural effusion.,New mild cardiomegaly with mild pulmonary edema and small bilateral pleural effusion.,Small bilateral pleural effusion,Costophrenic,New,"['files/p17/p17052080/s51182510/830c370a-a1f80137-f014ce2f-875aac45-4ead0285.jpg', 'files/p17/p17052080/s51182510/f6903ec6-d68cd572-11a44700-84d1d724-3af57b2a.jpg']",
s51182510_0,p17052080,s51182510,0,Findings,"Frontal and lateral views of the chest were obtained. Mild cardiomegaly is new since ___. There is calcification of the aortic knob. Increased interstitial lung markings are compatible with mild pulmonary edema. Patchy opacities at the lung bases may represent atelectasis, but infection cannot be excluded. Minimal costophrenic blunting on lateral view suggests small bilateral pleural effusions. There is no pneumothorax. Osseous structures are unremarkable. No radiopaque foreign bodies are seen.",Mild cardiomegaly is new since ___.,Mild cardiomegaly,,New,"['files/p17/p17052080/s51182510/830c370a-a1f80137-f014ce2f-875aac45-4ead0285.jpg', 'files/p17/p17052080/s51182510/f6903ec6-d68cd572-11a44700-84d1d724-3af57b2a.jpg']",
s51182510_0,p17052080,s51182510,0,Impression,1. Patchy bibasilar opacities may represent atelectasis but cannot exclude infection. 2. New mild cardiomegaly with mild pulmonary edema and small bilateral pleural effusion.,New mild cardiomegaly with mild pulmonary edema and small bilateral pleural effusion.,Mild cardiomegaly,,New,"['files/p17/p17052080/s51182510/830c370a-a1f80137-f014ce2f-875aac45-4ead0285.jpg', 'files/p17/p17052080/s51182510/f6903ec6-d68cd572-11a44700-84d1d724-3af57b2a.jpg']",
s51197801_1,p19109135,s51197801,1,Findings,The cardiomediastinal silhouette is normal. There is bronchovascular crowding in the left lower lobe consistent with atelectasis. Otherwise the lungs are clear. No pleural abnormalities. No pneumothorax. The visualized bones and soft tissues are normal. The new right port tip is in the right atrium.,The new right port tip is in the right atrium.,right port tip,right atrium,New,"['files/p19/p19109135/s51197801/20d9383c-3fa80c3c-94218c7f-15020bd1-e47ed769.jpg', 'files/p19/p19109135/s51197801/ae4d45fc-815b6cd8-d29c078f-ad849410-cbb8cf47.jpg']",
s51201285_4,p17933711,s51201285,4,Findings,Cardiomediastinal contours are stable with moderate cardiomegaly. The lungs are clear. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine,Cardiomediastinal contours are stable with moderate cardiomegaly.,Cardiomediastinal contours,,Stable,"['files/p17/p17933711/s51201285/27a25899-ff86a8aa-e4233c75-794e0118-c17d38ea.jpg', 'files/p17/p17933711/s51201285/82ca8995-dd37a31a-02d18a47-a0a6c734-0f8bb665.jpg']","['files/p17/p17933711/s50983069/aa6c2272-b07edad4-dc4ba5c8-414527bc-6925ac57.jpg\n', 'files/p17/p17933711/s50983069/e2853399-c1e3f641-c37d1be0-d74e8a37-6e06740f.jpg\n']"
s51202750_0,p18580594,s51202750,0,Findings,"Cardiomediastinal silhouette and hilar contours are normal. Again appreciated are innumerable bilateral nodular densities, better appreciated and evaluated on recent chest CTA. There is no evidence of vascular congestion and interstitial edema. There is no large pleural effusion or pneumothorax.","Again appreciated are innumerable bilateral nodular densities, better appreciated and evaluated on recent chest CTA.",nodular densities,bilateral,Stable,['files/p18/p18580594/s51202750/d9dbe791-88e5c7a0-dc34613c-5913966a-50de825a.jpg'],
s51209548_0,p19587538,s51209548,0,Findings,"Frontal and lateral chest radiographs demonstrate linear opacities at the bilateral bases, likely reflecting scar. Lung volumes are slightly decreased compared with ___ years prior. There is no significant effusion, or pneumothorax. The cardiac silhouette remains normal in size, the mediastinal contours are notable only for tortuosity of the aorta. Pulmonary vasculature is normal.","The cardiac silhouette remains normal in size, the mediastinal contours are notable only for tortuosity of the aorta.",Normal size,Cardiac silhouette,Stable,"['files/p19/p19587538/s51209548/b7960017-16d0bbad-e649c8e5-e9a4bd36-8409151f.jpg', 'files/p19/p19587538/s51209548/bbff4e3f-5c4c00dd-c356f902-530cb15d-9e6663a9.jpg']",
s51209889_9,p15911529,s51209889,9,Impression,Improving failure.,Improving failure.,failure,,Better,"['files/p15/p15911529/s51209889/d06dafbf-e8490fee-797a1c31-810d944e-b0943aea.jpg', 'files/p15/p15911529/s51209889/e28c7a89-1ca9c509-df37f40f-ff6c6493-8ed702ff.jpg']",['files/p15/p15911529/s51122529/0deb7ec1-84b1f3d7-f5ac9938-3054c9dd-3caf0634.jpg\n']
s51222003_12,p14482820,s51222003,12,Findings,"No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Subtle deformity projecting over the anterior right fourth rib rib may be artifactual however, correlate with site of pain for possible nondisplaced subacute rib fracture.",The cardiac and mediastinal silhouettes are stable.,Normal appearance,Cardiac and mediastinal silhouettes,Stable,"['files/p14/p14482820/s51222003/10848775-a37a1df3-15920443-b4c024fb-f364928e.jpg', 'files/p14/p14482820/s51222003/4b6ce9a4-dac125b5-896d3f40-992de147-21d01a2b.jpg']",
s51222490_0,p13055950,s51222490,0,Findings,"In comparison with study of ___, there is again substantial elevation of the left hemidiaphragmatic contour with mild atelectatic changes at the left base. No evidence of acute pneumonia or vascular congestion.","In comparison with study of ___, there is again substantial elevation of the left hemidiaphragmatic contour with mild atelectatic changes at the left base.",elevation,left hemidiaphragmatic contour,Stable,['files/p13/p13055950/s51222490/f2948447-484794a5-6fb5339c-38ea0630-f00b4d11.jpg'],
s51222490_0,p13055950,s51222490,0,Findings,"In comparison with study of ___, there is again substantial elevation of the left hemidiaphragmatic contour with mild atelectatic changes at the left base. No evidence of acute pneumonia or vascular congestion.","In comparison with study of ___, there is again substantial elevation of the left hemidiaphragmatic contour with mild atelectatic changes at the left base.",atelectatic changes,left base,Stable,['files/p13/p13055950/s51222490/f2948447-484794a5-6fb5339c-38ea0630-f00b4d11.jpg'],
s51233577_5,p17660889,s51233577,5,Impression,"AP chest compared to ___ through ___, 4:52 p.m.: A newly placed endotracheal tube ends at the thoracic inlet. Dual-channel right supraclavicular central venous dialysis catheter ends low in the SVC. Nasogastric tube passes into the stomach and out of view. No pneumothorax or pleural effusion. Moderate-to-severe enlargement of the cardiac silhouette is longstanding. Pulmonary edema which worsened from ___ to ___ has subsequently improved, but is mild and slightly worse compared to earlier in the day.","Pulmonary edema which worsened from ___ to ___ has subsequently improved, but is mild and slightly worse compared to earlier in the day.",Pulmonary edema,,Worse,['files/p17/p17660889/s51233577/dfef7b7e-62b05c07-d04db5b0-e12181ec-ab79f1d0.jpg'],['files/p17/p17660889/s50363438/bb6dd3b1-bf62aa24-b39fba26-f00d7c46-fe9658a3.jpg\n']
s51233577_5,p17660889,s51233577,5,Impression,"AP chest compared to ___ through ___, 4:52 p.m.: A newly placed endotracheal tube ends at the thoracic inlet. Dual-channel right supraclavicular central venous dialysis catheter ends low in the SVC. Nasogastric tube passes into the stomach and out of view. No pneumothorax or pleural effusion. Moderate-to-severe enlargement of the cardiac silhouette is longstanding. Pulmonary edema which worsened from ___ to ___ has subsequently improved, but is mild and slightly worse compared to earlier in the day.","AP chest compared to ___ through ___, 4:52 p.m.: A newly placed endotracheal tube ends at the thoracic inlet.",endotracheal tube,thoracic inlet,New,['files/p17/p17660889/s51233577/dfef7b7e-62b05c07-d04db5b0-e12181ec-ab79f1d0.jpg'],['files/p17/p17660889/s50363438/bb6dd3b1-bf62aa24-b39fba26-f00d7c46-fe9658a3.jpg\n']
s51234546_9,p17945610,s51234546,9,Impression,"PREVIOUS MODERATE RIGHT PLEURAL EFFUSION IS SMALLER. HETEROGENEOUS OPACIFICATION RIGHT LUNG LOOKS UNCHANGED SINCE ___, BUT MORE ABNORMAL THAN EARLIER IN THE DAY WHICH MAY BE DUE TO RECENT HEMOPTYSIS. LEFT LUNG IS GROSSLY CLEAR. MODERATE CARDIOMEGALY IS CHRONIC. ATRIOVENTRICULAR PACER LEADS IN STANDARD PLACEMENTS.",PREVIOUS MODERATE RIGHT PLEURAL EFFUSION IS SMALLER.,pleural effusion,right,Better,['files/p17/p17945610/s51234546/4f0b2afa-30cb00e2-18711010-d4bc3f13-84cc4f7a.jpg'],['files/p17/p17945610/s51154172/53aeee8a-c2f7a428-34ede058-f7d0aa79-183fc763.jpg\n']
s51234546_9,p17945610,s51234546,9,Impression,"PREVIOUS MODERATE RIGHT PLEURAL EFFUSION IS SMALLER. HETEROGENEOUS OPACIFICATION RIGHT LUNG LOOKS UNCHANGED SINCE ___, BUT MORE ABNORMAL THAN EARLIER IN THE DAY WHICH MAY BE DUE TO RECENT HEMOPTYSIS. LEFT LUNG IS GROSSLY CLEAR. MODERATE CARDIOMEGALY IS CHRONIC. ATRIOVENTRICULAR PACER LEADS IN STANDARD PLACEMENTS.","HETEROGENEOUS OPACIFICATION RIGHT LUNG LOOKS UNCHANGED SINCE ___, BUT MORE ABNORMAL THAN EARLIER IN THE DAY WHICH MAY BE DUE TO RECENT HEMOPTYSIS.",heterogeneous opacification,right lung,Stable,['files/p17/p17945610/s51234546/4f0b2afa-30cb00e2-18711010-d4bc3f13-84cc4f7a.jpg'],['files/p17/p17945610/s51154172/53aeee8a-c2f7a428-34ede058-f7d0aa79-183fc763.jpg\n']
s51235024_1,p13376876,s51235024,1,Findings,"In comparison with the study of ___, the patient has taken a somewhat better inspiration. No evidence of acute cardiopulmonary disease. Tip of the right subclavian catheter again is in the mid portion of the SVC.",Tip of the right subclavian catheter again is in the mid portion of the SVC.,right subclavian catheter,mid portion of the SVC,Stable,['files/p13/p13376876/s51235024/53f3ebc2-eccf07d6-246e623d-a4b102ff-79e5b202.jpg'],"['files/p13/p13376876/s51080370/42fa5a10-17856f17-da125a25-87062ee3-f9e4c296.jpg\n', 'files/p13/p13376876/s51080370/4cd0d1cd-237bafa6-1be083d0-17d9d30b-6af8d1b5.jpg\n']"
s51241123_2,p13306067,s51241123,2,Impression,Heart size and mediastinum are stable. Lungs are clear. There is no pneumothorax. The evidence of recent spinal surgery is present as surgical clips projecting over the mid spine.,Heart size and mediastinum are stable.,Heart size and mediastinum,,Stable,['files/p13/p13306067/s51241123/253a953d-7bebbd7b-cd68e5bc-7c48ae74-fb8a2ccd.jpg'],
s51242161_2,p19550692,s51242161,2,Findings,Left basal platelike atelectasis. Otherwise lungs are clear. No signs of pneumonia or edema. No effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.,Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p19/p19550692/s51242161/3525fe58-2ac660b2-9fe7511f-d9bc87f2-4e4514d4.jpg', 'files/p19/p19550692/s51242161/4a9c54a9-b2e611eb-c5682312-61c0f546-64baeb2f.jpg']",
s51258980_7,p17660889,s51258980,7,Impression,"The distal end of the right-sided hemodialysis catheter is partially looped, unchanged from prior radiographs from ___ and ___. Tip of endotracheal tube ends 6.5 cm above the carina and is appropriate. Patient is status post medial sternotomy with intact sternal sutures. Orogastric tube is seen to course below the diaphragm into the stomach, however, the distal end is beyond the radiograph view. Mild-to-moderate pulmonary edema, moderately enlarged heart, mediastinal and hilar contours are stable. Increased retrocardiac density reflecting left lower lung atelectasis is new. Mild right infrahilar atelectasis has minimally worsened.","Mild-to-moderate pulmonary edema, moderately enlarged heart, mediastinal and hilar contours are stable.",mediastinal and hilar contours,,Stable,['files/p17/p17660889/s51258980/5602b830-58232330-2bb725b9-3a407c98-3ace2a37.jpg'],['files/p17/p17660889/s51233577/dfef7b7e-62b05c07-d04db5b0-e12181ec-ab79f1d0.jpg\n']
s51258980_7,p17660889,s51258980,7,Impression,"The distal end of the right-sided hemodialysis catheter is partially looped, unchanged from prior radiographs from ___ and ___. Tip of endotracheal tube ends 6.5 cm above the carina and is appropriate. Patient is status post medial sternotomy with intact sternal sutures. Orogastric tube is seen to course below the diaphragm into the stomach, however, the distal end is beyond the radiograph view. Mild-to-moderate pulmonary edema, moderately enlarged heart, mediastinal and hilar contours are stable. Increased retrocardiac density reflecting left lower lung atelectasis is new. Mild right infrahilar atelectasis has minimally worsened.","Mild-to-moderate pulmonary edema, moderately enlarged heart, mediastinal and hilar contours are stable.",pulmonary edema,,Stable,['files/p17/p17660889/s51258980/5602b830-58232330-2bb725b9-3a407c98-3ace2a37.jpg'],['files/p17/p17660889/s51233577/dfef7b7e-62b05c07-d04db5b0-e12181ec-ab79f1d0.jpg\n']
s51258980_7,p17660889,s51258980,7,Impression,"The distal end of the right-sided hemodialysis catheter is partially looped, unchanged from prior radiographs from ___ and ___. Tip of endotracheal tube ends 6.5 cm above the carina and is appropriate. Patient is status post medial sternotomy with intact sternal sutures. Orogastric tube is seen to course below the diaphragm into the stomach, however, the distal end is beyond the radiograph view. Mild-to-moderate pulmonary edema, moderately enlarged heart, mediastinal and hilar contours are stable. Increased retrocardiac density reflecting left lower lung atelectasis is new. Mild right infrahilar atelectasis has minimally worsened.","The distal end of the right-sided hemodialysis catheter is partially looped, unchanged from prior radiographs from ___ and ___.",right-sided hemodialysis catheter,distal end,Stable,['files/p17/p17660889/s51258980/5602b830-58232330-2bb725b9-3a407c98-3ace2a37.jpg'],['files/p17/p17660889/s51233577/dfef7b7e-62b05c07-d04db5b0-e12181ec-ab79f1d0.jpg\n']
s51258980_7,p17660889,s51258980,7,Impression,"The distal end of the right-sided hemodialysis catheter is partially looped, unchanged from prior radiographs from ___ and ___. Tip of endotracheal tube ends 6.5 cm above the carina and is appropriate. Patient is status post medial sternotomy with intact sternal sutures. Orogastric tube is seen to course below the diaphragm into the stomach, however, the distal end is beyond the radiograph view. Mild-to-moderate pulmonary edema, moderately enlarged heart, mediastinal and hilar contours are stable. Increased retrocardiac density reflecting left lower lung atelectasis is new. Mild right infrahilar atelectasis has minimally worsened.",Increased retrocardiac density reflecting left lower lung atelectasis is new.,atelectasis,left lower lung,New,['files/p17/p17660889/s51258980/5602b830-58232330-2bb725b9-3a407c98-3ace2a37.jpg'],['files/p17/p17660889/s51233577/dfef7b7e-62b05c07-d04db5b0-e12181ec-ab79f1d0.jpg\n']
s51258980_7,p17660889,s51258980,7,Impression,"The distal end of the right-sided hemodialysis catheter is partially looped, unchanged from prior radiographs from ___ and ___. Tip of endotracheal tube ends 6.5 cm above the carina and is appropriate. Patient is status post medial sternotomy with intact sternal sutures. Orogastric tube is seen to course below the diaphragm into the stomach, however, the distal end is beyond the radiograph view. Mild-to-moderate pulmonary edema, moderately enlarged heart, mediastinal and hilar contours are stable. Increased retrocardiac density reflecting left lower lung atelectasis is new. Mild right infrahilar atelectasis has minimally worsened.",Mild right infrahilar atelectasis has minimally worsened.,atelectasis,right infrahilar,Worse,['files/p17/p17660889/s51258980/5602b830-58232330-2bb725b9-3a407c98-3ace2a37.jpg'],['files/p17/p17660889/s51233577/dfef7b7e-62b05c07-d04db5b0-e12181ec-ab79f1d0.jpg\n']
s51258980_7,p17660889,s51258980,7,Impression,"The distal end of the right-sided hemodialysis catheter is partially looped, unchanged from prior radiographs from ___ and ___. Tip of endotracheal tube ends 6.5 cm above the carina and is appropriate. Patient is status post medial sternotomy with intact sternal sutures. Orogastric tube is seen to course below the diaphragm into the stomach, however, the distal end is beyond the radiograph view. Mild-to-moderate pulmonary edema, moderately enlarged heart, mediastinal and hilar contours are stable. Increased retrocardiac density reflecting left lower lung atelectasis is new. Mild right infrahilar atelectasis has minimally worsened.","Mild-to-moderate pulmonary edema, moderately enlarged heart, mediastinal and hilar contours are stable.",heart enlargement,,Stable,['files/p17/p17660889/s51258980/5602b830-58232330-2bb725b9-3a407c98-3ace2a37.jpg'],['files/p17/p17660889/s51233577/dfef7b7e-62b05c07-d04db5b0-e12181ec-ab79f1d0.jpg\n']
s51263600_5,p19112585,s51263600,5,Impression,"In comparison with the study of ___, there is little change in the monitoring and support devices, which appear to be in good position. Continued enlargement of the cardiac silhouette with layering bilateral effusions, more prominent on the right, and bibasilar compressive atelectasis.","In comparison with the study of ___, there is little change in the monitoring and support devices, which appear to be in good position.",Monitoring and support devices,,Stable,['files/p19/p19112585/s51263600/2eb2c117-a495b0ea-466306d2-d1850d33-09918dc6.jpg'],['files/p19/p19112585/s50907555/98e92146-cf132a6d-d90a4651-242ac169-fea4e9f8.jpg\n']
s51278946_13,p16033763,s51278946,13,Impression,"1. Two left chest tubes and a single-lead left-sided pacer remain in place. There are multiple bilateral pulmonary nodules consistent with known metastases. In addition, there is more focal patchy opacity at the left base in the setting of an effusion, which may reflect compressive atelectasis, although superimposed pneumonia or aspiration should be considered as this appears to be worsening. Overall cardiac and mediastinal contours are stable. No pneumothorax appreciated.",Overall cardiac and mediastinal contours are stable.,,cardiac and mediastinal contours,Stable,['files/p16/p16033763/s51278946/883a73c4-7165e6cd-0d076fa5-7e573f4c-ab9a9523.jpg'],['files/p16/p16033763/s50853877/3568ad06-c4d7640e-57033b28-70d178fd-c2dd3c78.jpg\n']
s51278946_13,p16033763,s51278946,13,Impression,"1. Two left chest tubes and a single-lead left-sided pacer remain in place. There are multiple bilateral pulmonary nodules consistent with known metastases. In addition, there is more focal patchy opacity at the left base in the setting of an effusion, which may reflect compressive atelectasis, although superimposed pneumonia or aspiration should be considered as this appears to be worsening. Overall cardiac and mediastinal contours are stable. No pneumothorax appreciated.","In addition, there is more focal patchy opacity at the left base in the setting of an effusion, which may reflect compressive atelectasis, although superimposed pneumonia or aspiration should be considered as this appears to be worsening.",patchy opacity,left base,Worse,['files/p16/p16033763/s51278946/883a73c4-7165e6cd-0d076fa5-7e573f4c-ab9a9523.jpg'],['files/p16/p16033763/s50853877/3568ad06-c4d7640e-57033b28-70d178fd-c2dd3c78.jpg\n']
s51278946_13,p16033763,s51278946,13,Impression,"1. Two left chest tubes and a single-lead left-sided pacer remain in place. There are multiple bilateral pulmonary nodules consistent with known metastases. In addition, there is more focal patchy opacity at the left base in the setting of an effusion, which may reflect compressive atelectasis, although superimposed pneumonia or aspiration should be considered as this appears to be worsening. Overall cardiac and mediastinal contours are stable. No pneumothorax appreciated.",Two left chest tubes and a single-lead left-sided pacer remain in place.,chest tubes and pacer,left,Stable,['files/p16/p16033763/s51278946/883a73c4-7165e6cd-0d076fa5-7e573f4c-ab9a9523.jpg'],['files/p16/p16033763/s50853877/3568ad06-c4d7640e-57033b28-70d178fd-c2dd3c78.jpg\n']
s51310684_1,p17055995,s51310684,1,Findings,"Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. A 6-mm nodule in the right lower lung is unchanged since ___, compatible with a calcified granuloma. Cervical spinal hardware is incompletely evaluated on this study.","A 6-mm nodule in the right lower lung is unchanged since ___, compatible with a calcified granuloma.",nodule,right lower lung,Stable,"['files/p17/p17055995/s51310684/1fbaa97f-bf02c806-cdfb8891-8e156d0d-35b03261.jpg', 'files/p17/p17055995/s51310684/77cc407a-183efd69-41f0301c-20bdabc5-8e4e57c8.jpg', 'files/p17/p17055995/s51310684/97bec5d2-5c01a348-f531a2fb-9be980b0-a17ff648.jpg', 'files/p17/p17055995/s51310684/c13310e4-4d76ea1b-5387cec3-e71bbf20-d4e77909.jpg']","['files/p17/p17055995/s51169502/17c32bbc-a11cc59d-e3beafe6-d339e5f3-fd85e41e.jpg\n', 'files/p17/p17055995/s51169502/fe3e3ba7-b7222cb7-bce60f53-58872f01-f8d40bcc.jpg\n']"
s51322181_10,p15911529,s51322181,10,Impression,"AP chest compared to ___: Small right pleural effusion has decreased since ___. Moderate cardiomegaly is chronic. There is no pulmonary edema or pulmonary vascular congestion, or indication of left pleural effusion. Transvenous right atrial and ventricular pacer leads are unchanged in position, as far as one can tell from frontal view alone. No pneumothorax.","Transvenous right atrial and ventricular pacer leads are unchanged in position, as far as one can tell from frontal view alone.",pacer leads,right atrial and ventricular,Stable,['files/p15/p15911529/s51322181/93a34018-658089f0-17050a39-8b8e1b48-554f4cb7.jpg'],"['files/p15/p15911529/s51209889/d06dafbf-e8490fee-797a1c31-810d944e-b0943aea.jpg\n', 'files/p15/p15911529/s51209889/e28c7a89-1ca9c509-df37f40f-ff6c6493-8ed702ff.jpg\n']"
s51322181_10,p15911529,s51322181,10,Impression,"AP chest compared to ___: Small right pleural effusion has decreased since ___. Moderate cardiomegaly is chronic. There is no pulmonary edema or pulmonary vascular congestion, or indication of left pleural effusion. Transvenous right atrial and ventricular pacer leads are unchanged in position, as far as one can tell from frontal view alone. No pneumothorax.",Small right pleural effusion has decreased since ___,pleural effusion,right,Better,['files/p15/p15911529/s51322181/93a34018-658089f0-17050a39-8b8e1b48-554f4cb7.jpg'],"['files/p15/p15911529/s51209889/d06dafbf-e8490fee-797a1c31-810d944e-b0943aea.jpg\n', 'files/p15/p15911529/s51209889/e28c7a89-1ca9c509-df37f40f-ff6c6493-8ed702ff.jpg\n']"
s51326810_28,p11717909,s51326810,28,Impression,"As compared to the previous radiograph, the cardiac assist device is in unchanged position. The lung volumes have substantially expanded and the pre-existing left pleural effusion is almost completely resolved. If new nineth in the colon I PICC line on the left has been removed. The patient has received a left pectoral pacemaker with a single lead. The lead projects over the right ventricle. There is no evidence of pneumothorax.",The lung volumes have substantially expanded and the pre-existing left pleural effusion is almost completely resolved.,pleural effusion,left,Better,"['files/p11/p11717909/s51326810/0e57d7fa-d72f1f63-7bcdbeb8-fa322578-bb2d7372.jpg', 'files/p11/p11717909/s51326810/5fd8a518-4f42a2e8-6c946190-1901fd9e-b7fbcd08.jpg']",['files/p11/p11717909/s51110401/bc5a307e-a37c05c6-a1ef1917-721c48d7-ebdd2788.jpg\n']
s51326810_28,p11717909,s51326810,28,Impression,"As compared to the previous radiograph, the cardiac assist device is in unchanged position. The lung volumes have substantially expanded and the pre-existing left pleural effusion is almost completely resolved. If new nineth in the colon I PICC line on the left has been removed. The patient has received a left pectoral pacemaker with a single lead. The lead projects over the right ventricle. There is no evidence of pneumothorax.",If new nineth in the colon I PICC line on the left has been removed.,PICC line,left,Resolve,"['files/p11/p11717909/s51326810/0e57d7fa-d72f1f63-7bcdbeb8-fa322578-bb2d7372.jpg', 'files/p11/p11717909/s51326810/5fd8a518-4f42a2e8-6c946190-1901fd9e-b7fbcd08.jpg']",['files/p11/p11717909/s51110401/bc5a307e-a37c05c6-a1ef1917-721c48d7-ebdd2788.jpg\n']
s51334425_33,p13894716,s51334425,33,Findings,Large bilateral pleural effusions (right larger than left) shows interval increase in size. Suspected associated atelectasis. Transverse cardiomegaly. Dialysis catheter in situ at the cavoatrial junction. No new airspace consolidation.,Large bilateral pleural effusions (right larger than left) shows interval increase in size.,pleural effusion,left,Worse,"['files/p13/p13894716/s51334425/7a799fc7-10d013f4-f1c40969-4ce6ed6f-8f528025.jpg', 'files/p13/p13894716/s51334425/d6aabaed-583edc36-625b39fd-3dc3bdeb-4e46bb0b.jpg']",['files/p13/p13894716/s51062436/5ba240af-dffc7803-22ba7344-9658b496-9e0ce127.jpg\n']
s51334425_33,p13894716,s51334425,33,Impression,Worsening large bilateral pleural effusions with associated atelectasis. No new airspace consolidation.,Worsening large bilateral pleural effusions with associated atelectasis.,pleural effusions,bilateral,Worse,"['files/p13/p13894716/s51334425/7a799fc7-10d013f4-f1c40969-4ce6ed6f-8f528025.jpg', 'files/p13/p13894716/s51334425/d6aabaed-583edc36-625b39fd-3dc3bdeb-4e46bb0b.jpg']",['files/p13/p13894716/s51062436/5ba240af-dffc7803-22ba7344-9658b496-9e0ce127.jpg\n']
s51334425_33,p13894716,s51334425,33,Findings,Large bilateral pleural effusions (right larger than left) shows interval increase in size. Suspected associated atelectasis. Transverse cardiomegaly. Dialysis catheter in situ at the cavoatrial junction. No new airspace consolidation.,Large bilateral pleural effusions (right larger than left) shows interval increase in size.,pleural effusion,right,Worse,"['files/p13/p13894716/s51334425/7a799fc7-10d013f4-f1c40969-4ce6ed6f-8f528025.jpg', 'files/p13/p13894716/s51334425/d6aabaed-583edc36-625b39fd-3dc3bdeb-4e46bb0b.jpg']",['files/p13/p13894716/s51062436/5ba240af-dffc7803-22ba7344-9658b496-9e0ce127.jpg\n']
s51336149_1,p12184969,s51336149,1,Findings,"In comparison with study of ___, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. As on the previous study, there is mild hyperexpansion of the lungs, raising the possibility of some underlying chronic pulmonary disease.","In comparison with study of ___, there is no change or evidence of acute cardiopulmonary disease.",acute cardiopulmonary disease,,Stable,"['files/p12/p12184969/s51336149/1b370f82-b8a415a7-a70f0db0-bda921ae-1e8001be.jpg', 'files/p12/p12184969/s51336149/317e7630-52d0ab79-4239d66c-35065bf1-3202618a.jpg', 'files/p12/p12184969/s51336149/4f22a5c8-9c123a46-7ddaa379-f478d129-ebfe7617.jpg']",
s51336149_1,p12184969,s51336149,1,Findings,"In comparison with study of ___, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. As on the previous study, there is mild hyperexpansion of the lungs, raising the possibility of some underlying chronic pulmonary disease.","As on the previous study, there is mild hyperexpansion of the lungs, raising the possibility of some underlying chronic pulmonary disease.",mild hyperexpansion of the lungs,,Stable,"['files/p12/p12184969/s51336149/1b370f82-b8a415a7-a70f0db0-bda921ae-1e8001be.jpg', 'files/p12/p12184969/s51336149/317e7630-52d0ab79-4239d66c-35065bf1-3202618a.jpg', 'files/p12/p12184969/s51336149/4f22a5c8-9c123a46-7ddaa379-f478d129-ebfe7617.jpg']",
s51345024_93,p11717909,s51345024,93,Impression,"Heart size and mediastinum are stable. Lungs are well aerated. There is interval resolution of right pleural effusion, almost complete. The right middle lobe atelectasis is minimal. Effusion along the distal portion of the fissure my still being a present. No focal consolidation to suggest infectious process demonstrated.","There is interval resolution of right pleural effusion, almost complete.",pleural effusion,right,Resolve,"['files/p11/p11717909/s51345024/74ada62d-569c8df3-d20cc6c4-27858ab1-6bf22d69.jpg', 'files/p11/p11717909/s51345024/d891fbe7-d3417dbd-cd121094-32b33449-d1e3fee2.jpg']","['files/p11/p11717909/s51326810/0e57d7fa-d72f1f63-7bcdbeb8-fa322578-bb2d7372.jpg\n', 'files/p11/p11717909/s51326810/5fd8a518-4f42a2e8-6c946190-1901fd9e-b7fbcd08.jpg\n']"
s51345024_93,p11717909,s51345024,93,Impression,"Heart size and mediastinum are stable. Lungs are well aerated. There is interval resolution of right pleural effusion, almost complete. The right middle lobe atelectasis is minimal. Effusion along the distal portion of the fissure my still being a present. No focal consolidation to suggest infectious process demonstrated.",Heart size and mediastinum are stable.,Heart size and mediastinum,,Stable,"['files/p11/p11717909/s51345024/74ada62d-569c8df3-d20cc6c4-27858ab1-6bf22d69.jpg', 'files/p11/p11717909/s51345024/d891fbe7-d3417dbd-cd121094-32b33449-d1e3fee2.jpg']","['files/p11/p11717909/s51326810/0e57d7fa-d72f1f63-7bcdbeb8-fa322578-bb2d7372.jpg\n', 'files/p11/p11717909/s51326810/5fd8a518-4f42a2e8-6c946190-1901fd9e-b7fbcd08.jpg\n']"
s51351116_1,p10190940,s51351116,1,Findings,The left hemidiaphragm is elevated. Cardiomegaly is stable. There is bibasilar atelectasis. No pleural effusion or pneumothorax is seen. The left-sided port terminates at the distal SVC.,Cardiomegaly is stable.,Cardiomegaly,,Stable,"['files/p10/p10190940/s51351116/13490b6f-3eb75751-a191991b-e8f33cad-e423992c.jpg', 'files/p10/p10190940/s51351116/49f3fbfe-cb406005-e8999546-2f5f2217-cd346108.jpg', 'files/p10/p10190940/s51351116/f48effa0-ca35986f-95efd353-3ba4e8a2-3ec3c9ca.jpg']","['files/p10/p10190940/s50438069/2aafe5ea-12d26b26-972e16c4-ff3d0f9a-ae75d498.jpg\n', 'files/p10/p10190940/s50438069/707c7ae4-04900b82-789fd588-1d86b741-ec38124b.jpg\n']"
s51358209_21,p15911529,s51358209,21,Findings,The small right pleural effusion with adjacent compressive atelectasis is unchanged compared with the prior study of ___. A right-sided pigtail catheter is in unchanged position. There is no pneumothorax. The left chest wall biventricular pacemaker leads are in unchanged position. There may be a small left pleural effusion. There is stable moderate cardiomegaly.,The small right pleural effusion with adjacent compressive atelectasis is unchanged compared with the prior study of ___,pleural effusion,right,Stable,['files/p15/p15911529/s51358209/df8d7e2f-54c17397-730c6a12-e6f95950-a64b3f5d.jpg'],['files/p15/p15911529/s51322181/93a34018-658089f0-17050a39-8b8e1b48-554f4cb7.jpg\n']
s51358209_21,p15911529,s51358209,21,Findings,The small right pleural effusion with adjacent compressive atelectasis is unchanged compared with the prior study of ___. A right-sided pigtail catheter is in unchanged position. There is no pneumothorax. The left chest wall biventricular pacemaker leads are in unchanged position. There may be a small left pleural effusion. There is stable moderate cardiomegaly.,There is stable moderate cardiomegaly.,cardiomegaly,,Stable,['files/p15/p15911529/s51358209/df8d7e2f-54c17397-730c6a12-e6f95950-a64b3f5d.jpg'],['files/p15/p15911529/s51322181/93a34018-658089f0-17050a39-8b8e1b48-554f4cb7.jpg\n']
s51358209_21,p15911529,s51358209,21,Impression,Unchanged small right pleural effusion.,Unchanged small right pleural effusion.,pleural effusion,right,Stable,['files/p15/p15911529/s51358209/df8d7e2f-54c17397-730c6a12-e6f95950-a64b3f5d.jpg'],['files/p15/p15911529/s51322181/93a34018-658089f0-17050a39-8b8e1b48-554f4cb7.jpg\n']
s51358209_21,p15911529,s51358209,21,Findings,The small right pleural effusion with adjacent compressive atelectasis is unchanged compared with the prior study of ___. A right-sided pigtail catheter is in unchanged position. There is no pneumothorax. The left chest wall biventricular pacemaker leads are in unchanged position. There may be a small left pleural effusion. There is stable moderate cardiomegaly.,A right-sided pigtail catheter is in unchanged position.,pigtail catheter,right-sided,Stable,['files/p15/p15911529/s51358209/df8d7e2f-54c17397-730c6a12-e6f95950-a64b3f5d.jpg'],['files/p15/p15911529/s51322181/93a34018-658089f0-17050a39-8b8e1b48-554f4cb7.jpg\n']
s51358209_21,p15911529,s51358209,21,Findings,The small right pleural effusion with adjacent compressive atelectasis is unchanged compared with the prior study of ___. A right-sided pigtail catheter is in unchanged position. There is no pneumothorax. The left chest wall biventricular pacemaker leads are in unchanged position. There may be a small left pleural effusion. There is stable moderate cardiomegaly.,The small right pleural effusion with adjacent compressive atelectasis is unchanged compared with the prior study of ___,compressive atelectasis,right,Stable,['files/p15/p15911529/s51358209/df8d7e2f-54c17397-730c6a12-e6f95950-a64b3f5d.jpg'],['files/p15/p15911529/s51322181/93a34018-658089f0-17050a39-8b8e1b48-554f4cb7.jpg\n']
s51358209_21,p15911529,s51358209,21,Findings,The small right pleural effusion with adjacent compressive atelectasis is unchanged compared with the prior study of ___. A right-sided pigtail catheter is in unchanged position. There is no pneumothorax. The left chest wall biventricular pacemaker leads are in unchanged position. There may be a small left pleural effusion. There is stable moderate cardiomegaly.,The left chest wall biventricular pacemaker leads are in unchanged position.,biventricular pacemaker leads,left chest wall,Stable,['files/p15/p15911529/s51358209/df8d7e2f-54c17397-730c6a12-e6f95950-a64b3f5d.jpg'],['files/p15/p15911529/s51322181/93a34018-658089f0-17050a39-8b8e1b48-554f4cb7.jpg\n']
s51358230_2,p12669344,s51358230,2,Findings,The ET tube terminates in the mid trachea. A nasogastric tube terminates in the stomach. Mild pulmonary edema with small bilateral pleural effusions are unchanged. Moderate cardiomegaly despite the projection is also unchanged. There is no pneumothorax.,Moderate cardiomegaly despite the projection is also unchanged.,Cardiomegaly,,Stable,['files/p12/p12669344/s51358230/7b4211fe-def2de24-c6991efa-026a3d44-2e4082f8.jpg'],
s51358230_2,p12669344,s51358230,2,Impression,"Stable mild pulmonary edema, small bilateral pleural effusions, and moderate cardiomegaly.","Stable mild pulmonary edema, small bilateral pleural effusions, and moderate cardiomegaly.",Pulmonary edema,,Stable,['files/p12/p12669344/s51358230/7b4211fe-def2de24-c6991efa-026a3d44-2e4082f8.jpg'],
s51358230_2,p12669344,s51358230,2,Findings,The ET tube terminates in the mid trachea. A nasogastric tube terminates in the stomach. Mild pulmonary edema with small bilateral pleural effusions are unchanged. Moderate cardiomegaly despite the projection is also unchanged. There is no pneumothorax.,Mild pulmonary edema with small bilateral pleural effusions are unchanged.,Pleural effusions,bilateral,Stable,['files/p12/p12669344/s51358230/7b4211fe-def2de24-c6991efa-026a3d44-2e4082f8.jpg'],
s51358230_2,p12669344,s51358230,2,Impression,"Stable mild pulmonary edema, small bilateral pleural effusions, and moderate cardiomegaly.","Stable mild pulmonary edema, small bilateral pleural effusions, and moderate cardiomegaly.",Pleural effusions,bilateral,Stable,['files/p12/p12669344/s51358230/7b4211fe-def2de24-c6991efa-026a3d44-2e4082f8.jpg'],
s51358230_2,p12669344,s51358230,2,Impression,"Stable mild pulmonary edema, small bilateral pleural effusions, and moderate cardiomegaly.","Stable mild pulmonary edema, small bilateral pleural effusions, and moderate cardiomegaly.",Cardiomegaly,,Stable,['files/p12/p12669344/s51358230/7b4211fe-def2de24-c6991efa-026a3d44-2e4082f8.jpg'],
s51358230_2,p12669344,s51358230,2,Findings,The ET tube terminates in the mid trachea. A nasogastric tube terminates in the stomach. Mild pulmonary edema with small bilateral pleural effusions are unchanged. Moderate cardiomegaly despite the projection is also unchanged. There is no pneumothorax.,Mild pulmonary edema with small bilateral pleural effusions are unchanged.,Pulmonary edema,,Stable,['files/p12/p12669344/s51358230/7b4211fe-def2de24-c6991efa-026a3d44-2e4082f8.jpg'],
s51366910_11,p16033763,s51366910,11,Findings,"A left PleurX catheter and left chest tube project over the left hemithorax. Intracardiac device lead is unchanged ending in the right ventricle. Compared to the prior study, the left pleural effusion has significantly decreased, now small. There is a small right pleural effusion. Bilateral pulmonary nodules are unchanged. No appreciable pneumothorax is seen on this supine radiograph. Cardiac and mediastinal silhouettes are stable.",Cardiac and mediastinal silhouettes are stable.,,Cardiac and mediastinal silhouettes,Stable,['files/p16/p16033763/s51366910/17c3e7ba-8733dd0f-504a89f9-be30113e-57719df4.jpg'],['files/p16/p16033763/s51278946/883a73c4-7165e6cd-0d076fa5-7e573f4c-ab9a9523.jpg\n']
s51366910_11,p16033763,s51366910,11,Findings,"A left PleurX catheter and left chest tube project over the left hemithorax. Intracardiac device lead is unchanged ending in the right ventricle. Compared to the prior study, the left pleural effusion has significantly decreased, now small. There is a small right pleural effusion. Bilateral pulmonary nodules are unchanged. No appreciable pneumothorax is seen on this supine radiograph. Cardiac and mediastinal silhouettes are stable.",Bilateral pulmonary nodules are unchanged.,pulmonary nodules,bilateral,Stable,['files/p16/p16033763/s51366910/17c3e7ba-8733dd0f-504a89f9-be30113e-57719df4.jpg'],['files/p16/p16033763/s51278946/883a73c4-7165e6cd-0d076fa5-7e573f4c-ab9a9523.jpg\n']
s51366910_11,p16033763,s51366910,11,Findings,"A left PleurX catheter and left chest tube project over the left hemithorax. Intracardiac device lead is unchanged ending in the right ventricle. Compared to the prior study, the left pleural effusion has significantly decreased, now small. There is a small right pleural effusion. Bilateral pulmonary nodules are unchanged. No appreciable pneumothorax is seen on this supine radiograph. Cardiac and mediastinal silhouettes are stable.","Compared to the prior study, the left pleural effusion has significantly decreased, now small.",pleural effusion,left,Better,['files/p16/p16033763/s51366910/17c3e7ba-8733dd0f-504a89f9-be30113e-57719df4.jpg'],['files/p16/p16033763/s51278946/883a73c4-7165e6cd-0d076fa5-7e573f4c-ab9a9523.jpg\n']
s51366910_11,p16033763,s51366910,11,Findings,"A left PleurX catheter and left chest tube project over the left hemithorax. Intracardiac device lead is unchanged ending in the right ventricle. Compared to the prior study, the left pleural effusion has significantly decreased, now small. There is a small right pleural effusion. Bilateral pulmonary nodules are unchanged. No appreciable pneumothorax is seen on this supine radiograph. Cardiac and mediastinal silhouettes are stable.",Intracardiac device lead is unchanged ending in the right ventricle.,Intracardiac device lead,right ventricle,Stable,['files/p16/p16033763/s51366910/17c3e7ba-8733dd0f-504a89f9-be30113e-57719df4.jpg'],['files/p16/p16033763/s51278946/883a73c4-7165e6cd-0d076fa5-7e573f4c-ab9a9523.jpg\n']
s51385148_3,p15911529,s51385148,3,Findings,"Persistent cardiomegaly and upper zone vascular redistribution but no overt pulmonary edema. Moderate right pleural effusion has increased in size since the prior study and is accompanied by adjacent atelectasis. Small left pleural effusion is similar to the prior study, and a new area of linear atelectasis is present in the left mid lung.",Persistent cardiomegaly and upper zone vascular redistribution but no overt pulmonary edema.,Cardiomegaly,,Stable,['files/p15/p15911529/s51385148/d3649518-b1379ecd-2740eee0-1ed2da79-392e0086.jpg'],['files/p15/p15911529/s51358209/df8d7e2f-54c17397-730c6a12-e6f95950-a64b3f5d.jpg\n']
s51385148_3,p15911529,s51385148,3,Findings,"Persistent cardiomegaly and upper zone vascular redistribution but no overt pulmonary edema. Moderate right pleural effusion has increased in size since the prior study and is accompanied by adjacent atelectasis. Small left pleural effusion is similar to the prior study, and a new area of linear atelectasis is present in the left mid lung.",Moderate right pleural effusion has increased in size since the prior study and is accompanied by adjacent atelectasis.,Pleural effusion,right,Worse,['files/p15/p15911529/s51385148/d3649518-b1379ecd-2740eee0-1ed2da79-392e0086.jpg'],['files/p15/p15911529/s51358209/df8d7e2f-54c17397-730c6a12-e6f95950-a64b3f5d.jpg\n']
s51385148_3,p15911529,s51385148,3,Findings,"Persistent cardiomegaly and upper zone vascular redistribution but no overt pulmonary edema. Moderate right pleural effusion has increased in size since the prior study and is accompanied by adjacent atelectasis. Small left pleural effusion is similar to the prior study, and a new area of linear atelectasis is present in the left mid lung.","Small left pleural effusion is similar to the prior study, and a new area of linear atelectasis is present in the left mid lung.",Pleural effusion,left,Stable,['files/p15/p15911529/s51385148/d3649518-b1379ecd-2740eee0-1ed2da79-392e0086.jpg'],['files/p15/p15911529/s51358209/df8d7e2f-54c17397-730c6a12-e6f95950-a64b3f5d.jpg\n']
s51395345_8,p15902493,s51395345,8,Findings,"The patient is rotated to the left. The endotracheal tube sits just below the clavicular heads; the carina is not well seen, and while chest radiography is not ideal to assess for such, the trachea distal to the ET tube appears narrowed. The endogastric tube side port is well below the GE junction. The left-sided central line tip in the mid SVC. The heart size is within normal limits. Mediastinal contours again demonstrate calcified atherosclerotic disease at the aortic knob and a large mass approximately 8.5 x 6 cm in the coronal plane dominating the right upper mediastinum (better characterized on prior CT). Right middle lobe atelectasis is new. There is no large pleural effusion or pneumothorax.",Right middle lobe atelectasis is new.,atelectasis,right middle lobe,New,['files/p15/p15902493/s51395345/f73e6a43-f6ec9972-190a4db6-83b00895-bd737150.jpg'],['files/p15/p15902493/s51112760/6e7ae597-2cce5608-801fc546-b49044de-8b5fb4c7.jpg\n']
s51395345_8,p15902493,s51395345,8,Impression,1. Lines and tubes as described above. 2. Stable right upper mediastinal mass. 3. Right middle lobe atelectasis. 4. Question of narrowed trachea beyond the ET tube - CT may be considered is clinical concern for poor aeration exists.,Stable right upper mediastinal mass.,mass,right upper mediastinum,Stable,['files/p15/p15902493/s51395345/f73e6a43-f6ec9972-190a4db6-83b00895-bd737150.jpg'],['files/p15/p15902493/s51112760/6e7ae597-2cce5608-801fc546-b49044de-8b5fb4c7.jpg\n']
s51400794_3,p11662490,s51400794,3,Findings,"As compared to the previous radiograph, there is unchanged evidence of mild fluid overload. In addition, there is an area of increased opacity around the right hilus, further monitoring is required to exclude the presence of perihilar pneumonia. No pleural effusions. Borderline size of the cardiac silhouette. Minimal retrocardiac atelectasis.","In addition, there is an area of increased opacity around the right hilus, further monitoring is required to exclude the presence of perihilar pneumonia.",Opacity,Right hilus,Worse,['files/p11/p11662490/s51400794/127c8f18-778f317b-10bde8a4-fb02eba9-e1fcd511.jpg'],['files/p11/p11662490/s51038639/5a32886d-a4653f96-53ae3fbd-4903075b-320b865d.jpg\n']
s51400794_3,p11662490,s51400794,3,Findings,"As compared to the previous radiograph, there is unchanged evidence of mild fluid overload. In addition, there is an area of increased opacity around the right hilus, further monitoring is required to exclude the presence of perihilar pneumonia. No pleural effusions. Borderline size of the cardiac silhouette. Minimal retrocardiac atelectasis.","As compared to the previous radiograph, there is unchanged evidence of mild fluid overload.",Mild fluid overload,,Stable,['files/p11/p11662490/s51400794/127c8f18-778f317b-10bde8a4-fb02eba9-e1fcd511.jpg'],['files/p11/p11662490/s51038639/5a32886d-a4653f96-53ae3fbd-4903075b-320b865d.jpg\n']
s51409536_34,p11717909,s51409536,34,Findings,Cardiomediastinal contours are stable. Patient is status post heart transplant. The lungs are clear. There is no pneumothorax or pleural effusion. Sternal wires are aligned. Multiple clips in the mediastinum are noted.,Cardiomediastinal contours are stable.,Cardiomediastinal contours,,Stable,"['files/p11/p11717909/s51409536/140a02ce-ac87f493-972a58ba-dbd9c6cc-486706eb.jpg', 'files/p11/p11717909/s51409536/ea47c557-92fcaf75-13b7ed5c-c784b2b8-3d83111c.jpg']","['files/p11/p11717909/s51345024/74ada62d-569c8df3-d20cc6c4-27858ab1-6bf22d69.jpg\n', 'files/p11/p11717909/s51345024/d891fbe7-d3417dbd-cd121094-32b33449-d1e3fee2.jpg\n']"
s51424614_25,p13894716,s51424614,25,Impression,Comparison to ___. No relevant change is seen. The venous introduction sheet on the right has been removed. The other monitoring and support devices are stable. Extensive bilateral pleural effusions with subsequent areas of atelectasis. Moderate cardiomegaly. Mild to moderate pulmonary edema. No pneumothorax.,The venous introduction sheet on the right has been removed.,venous introduction sheet,right,Resolve,"['files/p13/p13894716/s51424614/32e45338-60decf52-cb6bda59-49f2a5c0-a17ad0bf.jpg', 'files/p13/p13894716/s51424614/f7bf88df-2734c8dd-dbe15ebe-58fa37e4-329b9d59.jpg']","['files/p13/p13894716/s51334425/7a799fc7-10d013f4-f1c40969-4ce6ed6f-8f528025.jpg\n', 'files/p13/p13894716/s51334425/d6aabaed-583edc36-625b39fd-3dc3bdeb-4e46bb0b.jpg\n']"
s51427132_92,p11717909,s51427132,92,Findings,"Sternotomy. Right IJ central line tip low SVC. Small right pleural effusion, similar. Stable right basilar, right perihilar opacities. Surgical clips. Shallow inspiration accentuates heart size. Mild elevation right hemidiaphragm, may in part be related to subpulmonic component of effusion, stable. No pneumothorax. .","Small right pleural effusion, similar.",pleural effusion,right,Stable,['files/p11/p11717909/s51427132/b51fb695-3cf77ffd-0401b042-c7378e82-eca5ceed.jpg'],"['files/p11/p11717909/s51409536/140a02ce-ac87f493-972a58ba-dbd9c6cc-486706eb.jpg\n', 'files/p11/p11717909/s51409536/ea47c557-92fcaf75-13b7ed5c-c784b2b8-3d83111c.jpg\n']"
s51427132_92,p11717909,s51427132,92,Findings,"Sternotomy. Right IJ central line tip low SVC. Small right pleural effusion, similar. Stable right basilar, right perihilar opacities. Surgical clips. Shallow inspiration accentuates heart size. Mild elevation right hemidiaphragm, may in part be related to subpulmonic component of effusion, stable. No pneumothorax. .","Stable right basilar, right perihilar opacities.",opacities,"right basilar, right perihilar",Stable,['files/p11/p11717909/s51427132/b51fb695-3cf77ffd-0401b042-c7378e82-eca5ceed.jpg'],"['files/p11/p11717909/s51409536/140a02ce-ac87f493-972a58ba-dbd9c6cc-486706eb.jpg\n', 'files/p11/p11717909/s51409536/ea47c557-92fcaf75-13b7ed5c-c784b2b8-3d83111c.jpg\n']"
s51427132_92,p11717909,s51427132,92,Findings,"Sternotomy. Right IJ central line tip low SVC. Small right pleural effusion, similar. Stable right basilar, right perihilar opacities. Surgical clips. Shallow inspiration accentuates heart size. Mild elevation right hemidiaphragm, may in part be related to subpulmonic component of effusion, stable. No pneumothorax. .","Mild elevation right hemidiaphragm, may in part be related to subpulmonic component of effusion, stable.",elevation,right hemidiaphragm,Stable,['files/p11/p11717909/s51427132/b51fb695-3cf77ffd-0401b042-c7378e82-eca5ceed.jpg'],"['files/p11/p11717909/s51409536/140a02ce-ac87f493-972a58ba-dbd9c6cc-486706eb.jpg\n', 'files/p11/p11717909/s51409536/ea47c557-92fcaf75-13b7ed5c-c784b2b8-3d83111c.jpg\n']"
s51438218_0,p10199765,s51438218,0,Findings,"Subtle patchy opacity along the left heart border on the frontal view, not substantiated on the lateral view, may be due to atelectasis/ scarring or epicardial fat pad, less likely consolidation. No focal consolidation seen elsewhere. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Hilar contours are stable. No overt pulmonary edema is seen. Chronic changes at the right acromioclavicular joint are not well assessed.",Hilar contours are stable.,Hilar contours,,Stable,"['files/p10/p10199765/s51438218/121773ed-56eae249-ca58c72b-26c66aae-88b837e5.jpg', 'files/p10/p10199765/s51438218/9203c21e-1b06abe0-e6fadf69-3d70d893-249f5a2b.jpg', 'files/p10/p10199765/s51438218/d389daad-dc012836-92c88796-2f212d75-88cdebf1.jpg']",
s51438218_0,p10199765,s51438218,0,Findings,"Subtle patchy opacity along the left heart border on the frontal view, not substantiated on the lateral view, may be due to atelectasis/ scarring or epicardial fat pad, less likely consolidation. No focal consolidation seen elsewhere. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Hilar contours are stable. No overt pulmonary edema is seen. Chronic changes at the right acromioclavicular joint are not well assessed.",Cardiac and mediastinal silhouettes are stable.,Cardiac and mediastinal silhouettes,,Stable,"['files/p10/p10199765/s51438218/121773ed-56eae249-ca58c72b-26c66aae-88b837e5.jpg', 'files/p10/p10199765/s51438218/9203c21e-1b06abe0-e6fadf69-3d70d893-249f5a2b.jpg', 'files/p10/p10199765/s51438218/d389daad-dc012836-92c88796-2f212d75-88cdebf1.jpg']",
s51439113_7,p16522757,s51439113,7,Impression,Right PICC line tip is at the level of lower SVC. Pigtail catheter is in place. Widespread parenchymal consolidations are unchanged. Overall the appearance is similar to previous examination except for interval distended of the stomach and progression of bowel distention.,Widespread parenchymal consolidations are unchanged.,parenchymal consolidations,Widespread,Stable,['files/p16/p16522757/s51439113/2b7c568e-b2ff5adb-34736dd0-23b45126-8693f1ec.jpg'],
s51452692_13,p18711952,s51452692,13,Findings,"The cardiac silhouette is enlarged with mild interstitial edema. Pulmonary artery is enlarged. Lung volumes are low, and there is a left retrocardiac opacity. A left axillary vascular stent is again noted.",A left axillary vascular stent is again noted.,vascular stent,left axillary,Stable,"['files/p18/p18711952/s51452692/089ab3b5-4b7f0a82-24c89f6a-d876a8f0-34b46929.jpg', 'files/p18/p18711952/s51452692/98460d00-834dcec0-77ec3b51-61149fa4-dfdbde10.jpg']","['files/p18/p18711952/s50263751/6a1dcdef-77f285f3-0dc88baa-e1241adf-0eba3f6b.jpg\n', 'files/p18/p18711952/s50263751/fd887488-95c00556-1dbb3798-7a3c05a2-0c60eacc.jpg\n']"
s51462743_1,p11309915,s51462743,1,Impression,"In comparison with the earlier study of this date, there has been placement of a nasogastric tube that extends into the lower body of the stomach with the side port distal to the esophagogastric junction. The remainder of the examination is unchanged, except for free gas beneath the hemidiaphragm related to the the recent abdominal procedure.","In comparison with the earlier study of this date, there has been placement of a nasogastric tube that extends into the lower body of the stomach with the side port distal to the esophagogastric junction.",nasogastric tube,lower body of the stomach,New,['files/p11/p11309915/s51462743/ca55481f-3895ec03-76a040b8-d0fbd6ec-bcac13eb.jpg'],
s51462743_1,p11309915,s51462743,1,Impression,"In comparison with the earlier study of this date, there has been placement of a nasogastric tube that extends into the lower body of the stomach with the side port distal to the esophagogastric junction. The remainder of the examination is unchanged, except for free gas beneath the hemidiaphragm related to the the recent abdominal procedure.","The remainder of the examination is unchanged, except for free gas beneath the hemidiaphragm related to the recent abdominal procedure.",,,Stable,['files/p11/p11309915/s51462743/ca55481f-3895ec03-76a040b8-d0fbd6ec-bcac13eb.jpg'],
s51469366_3,p13299965,s51469366,3,Findings,The lungs are moderately well inflated. No pleural effusion or pneumothorax. Heart size and mediastinal contour are unremarkable. Mild prominence of the right hila is unchanged since ___. Atherosclerotic calcifications of the aortic arch are noted. Limited assessment of the osseous structures are notable for multilevel degenerative changes of the thoracic spine.,Mild prominence of the right hila is unchanged since ___.,prominence,Right hila,Stable,"['files/p13/p13299965/s51469366/e5a5b5a2-a2996ae1-5bb987c1-eace885e-862db33c.jpg', 'files/p13/p13299965/s51469366/f1e70f28-5a6e30a4-7f2d7942-6753668e-d6f2ba56.jpg']","['files/p13/p13299965/s51119268/7992c68f-11f00489-37aaadc6-6aa3e5c1-f3546cfa.jpg\n', 'files/p13/p13299965/s51119268/a4e3640a-d1ed5982-b24f0c58-60e77e47-0256fe41.jpg\n']"
s51485705_4,p12906762,s51485705,4,Impression,"As compared to the previous radiograph, all monitoring and support devices, including the left chest tube, are in unchanged position. On today's image, there is no evidence for the presence of a left-sided pneumothorax. The appearance of the right lung apex and of the heart is constant.","As compared to the previous radiograph, all monitoring and support devices, including the left chest tube, are in unchanged position.","monitoring and support devices, including the left chest tube",,Stable,['files/p12/p12906762/s51485705/3a6d5658-ef16be63-d3d6c7b6-9da40249-74eb97ed.jpg'],
s51485705_4,p12906762,s51485705,4,Impression,"As compared to the previous radiograph, all monitoring and support devices, including the left chest tube, are in unchanged position. On today's image, there is no evidence for the presence of a left-sided pneumothorax. The appearance of the right lung apex and of the heart is constant.",The appearance of the right lung apex and of the heart is constant.,appearance,right lung apex,Stable,['files/p12/p12906762/s51485705/3a6d5658-ef16be63-d3d6c7b6-9da40249-74eb97ed.jpg'],
s51485705_4,p12906762,s51485705,4,Impression,"As compared to the previous radiograph, all monitoring and support devices, including the left chest tube, are in unchanged position. On today's image, there is no evidence for the presence of a left-sided pneumothorax. The appearance of the right lung apex and of the heart is constant.",The appearance of the right lung apex and of the heart is constant.,appearance,heart,Stable,['files/p12/p12906762/s51485705/3a6d5658-ef16be63-d3d6c7b6-9da40249-74eb97ed.jpg'],
s51507599_1,p10569231,s51507599,1,Findings,"Moderate enlargement of the cardiac silhouette persists. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.",Moderate enlargement of the cardiac silhouette persists.,Cardiac silhouette enlargement,,Stable,"['files/p10/p10569231/s51507599/08895756-28628f43-7bb6fa61-72737637-e90ef342.jpg', 'files/p10/p10569231/s51507599/3ef83336-7f67850f-4c481312-ec7c99d2-a874836a.jpg']",
s51507991_18,p16033763,s51507991,18,Findings,"Portable semi-upright radiograph of the chest demonstrates persistent small bilateral pleural effusions with adjacent atelectasis, not significantly changed from the prior study. Again seen are multiple bilateral pulmonary nodules, consistent with metastatic disease. The cardiomediastinal and hilar contours are unchanged. Two chest tubes project over the left hemithorax. Left-sided oral pacemaker is present with the leads in the appropriate position. There is no pneumothorax.","Portable semi-upright radiograph of the chest demonstrates persistent small bilateral pleural effusions with adjacent atelectasis, not significantly changed from the prior study.",pleural effusions with adjacent atelectasis,bilateral,Stable,['files/p16/p16033763/s51507991/ed31f48a-f429773b-c9704fad-15c7dc2f-1ad59b8f.jpg'],['files/p16/p16033763/s51366910/17c3e7ba-8733dd0f-504a89f9-be30113e-57719df4.jpg\n']
s51507991_18,p16033763,s51507991,18,Findings,"Portable semi-upright radiograph of the chest demonstrates persistent small bilateral pleural effusions with adjacent atelectasis, not significantly changed from the prior study. Again seen are multiple bilateral pulmonary nodules, consistent with metastatic disease. The cardiomediastinal and hilar contours are unchanged. Two chest tubes project over the left hemithorax. Left-sided oral pacemaker is present with the leads in the appropriate position. There is no pneumothorax.",The cardiomediastinal and hilar contours are unchanged.,cardiomediastinal and hilar contours,,Stable,['files/p16/p16033763/s51507991/ed31f48a-f429773b-c9704fad-15c7dc2f-1ad59b8f.jpg'],['files/p16/p16033763/s51366910/17c3e7ba-8733dd0f-504a89f9-be30113e-57719df4.jpg\n']
s51507991_18,p16033763,s51507991,18,Findings,"Portable semi-upright radiograph of the chest demonstrates persistent small bilateral pleural effusions with adjacent atelectasis, not significantly changed from the prior study. Again seen are multiple bilateral pulmonary nodules, consistent with metastatic disease. The cardiomediastinal and hilar contours are unchanged. Two chest tubes project over the left hemithorax. Left-sided oral pacemaker is present with the leads in the appropriate position. There is no pneumothorax.",There is no pneumothorax.,pneumothorax,,Resolve,['files/p16/p16033763/s51507991/ed31f48a-f429773b-c9704fad-15c7dc2f-1ad59b8f.jpg'],['files/p16/p16033763/s51366910/17c3e7ba-8733dd0f-504a89f9-be30113e-57719df4.jpg\n']
s51507991_18,p16033763,s51507991,18,Impression,Bilateral pleural effusions with adjacent atelectasis are not significantly changed from the prior study.,Bilateral pleural effusions with adjacent atelectasis are not significantly changed from the prior study.,pleural effusions with adjacent atelectasis,bilateral,Stable,['files/p16/p16033763/s51507991/ed31f48a-f429773b-c9704fad-15c7dc2f-1ad59b8f.jpg'],['files/p16/p16033763/s51366910/17c3e7ba-8733dd0f-504a89f9-be30113e-57719df4.jpg\n']
s51531649_3,p13736401,s51531649,3,Impression,"In comparison with the study of ___, there is little interval change. Postoperative changes are seen on the left with no evidence of pneumothorax. Bibasilar atelectatic changes are again seen with the right hemidiaphragm not as well visualized on the current study.",Bibasilar atelectatic changes are again seen with the right hemidiaphragm not as well visualized on the current study.,Atelectatic changes,Bibasilar,Stable,"['files/p13/p13736401/s51531649/96c0d4a5-051e3fc3-f672b6ff-77c9b55c-0d6ca4d4.jpg', 'files/p13/p13736401/s51531649/a8a6416c-6e771d64-63dced41-b9cd0570-74de6277.jpg']",['files/p13/p13736401/s50023807/ae55293e-607959ee-bf6ea683-731aaf2c-7974ce2c.jpg\n']
s51531649_3,p13736401,s51531649,3,Impression,"In comparison with the study of ___, there is little interval change. Postoperative changes are seen on the left with no evidence of pneumothorax. Bibasilar atelectatic changes are again seen with the right hemidiaphragm not as well visualized on the current study.","In comparison with the study of ___, there is little interval change.",,,Stable,"['files/p13/p13736401/s51531649/96c0d4a5-051e3fc3-f672b6ff-77c9b55c-0d6ca4d4.jpg', 'files/p13/p13736401/s51531649/a8a6416c-6e771d64-63dced41-b9cd0570-74de6277.jpg']",['files/p13/p13736401/s50023807/ae55293e-607959ee-bf6ea683-731aaf2c-7974ce2c.jpg\n']
s51537676_1,p15154281,s51537676,1,Findings,"Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. Low lung volumes somewhat limit evaluation, resulting in bronchovascular crowding and bibasilar atelectasis without focal consolidation. No pleural effusion or pneumothorax is seen. Marked degenerative changes of the thoracic spine are unchanged.",Marked degenerative changes of the thoracic spine are unchanged.,degenerative changes,thoracic spine,Stable,"['files/p15/p15154281/s51537676/29af772b-fbabdff5-554a46f0-db9dc9a0-df705b16.jpg', 'files/p15/p15154281/s51537676/405c64d9-2764c738-5d6c101d-4670fc09-119dbe6e.jpg']",
s51562372_8,p15911529,s51562372,8,Findings,"The patient is rotated to the left. There has been interval removal of a right-sided PICC. Left-sided pacer device is similar in position, with 3 leads seen. There is a moderate to large right pleural effusion with overlying atelectasis, underlying consolidation is difficult to exclude. No pleural effusion is seen on the left. The cardiac silhouette is enlarged. The aortic knob is calcified. There is mild pulmonary edema.","Left-sided pacer device is similar in position, with 3 leads seen.",pacer device,left-sided,Stable,"['files/p15/p15911529/s51562372/00e2018e-dac15125-72be8d6c-b6f1f0e6-feecb404.jpg', 'files/p15/p15911529/s51562372/afedd930-9d244c0b-0a2edbe6-2ceb376a-23bc266b.jpg']",['files/p15/p15911529/s51385148/d3649518-b1379ecd-2740eee0-1ed2da79-392e0086.jpg\n']
s51562372_8,p15911529,s51562372,8,Findings,"The patient is rotated to the left. There has been interval removal of a right-sided PICC. Left-sided pacer device is similar in position, with 3 leads seen. There is a moderate to large right pleural effusion with overlying atelectasis, underlying consolidation is difficult to exclude. No pleural effusion is seen on the left. The cardiac silhouette is enlarged. The aortic knob is calcified. There is mild pulmonary edema.",There has been interval removal of a right-sided PICC.,PICC,right-sided,Resolve,"['files/p15/p15911529/s51562372/00e2018e-dac15125-72be8d6c-b6f1f0e6-feecb404.jpg', 'files/p15/p15911529/s51562372/afedd930-9d244c0b-0a2edbe6-2ceb376a-23bc266b.jpg']",['files/p15/p15911529/s51385148/d3649518-b1379ecd-2740eee0-1ed2da79-392e0086.jpg\n']
s51571135_3,p19366448,s51571135,3,Impression,Interval worsening of vascular congestion. There is mild pulmonary edema.,Interval worsening of vascular congestion.,Vascular congestion,,Worse,['files/p19/p19366448/s51571135/da330caa-eaa7ebe9-4d1535ac-17f87653-e729c518.jpg'],['files/p19/p19366448/s50411452/da94e05c-941be1ba-f5996c0b-75dd288f-278d8503.jpg\n']
s51571135_3,p19366448,s51571135,3,Findings,There is interval worsening of pulmonary vascular congestion. There is mild pulmonary edema. The heart and mediastinal structures are unchanged. An endotracheal tube nasogastric tube and left internal jugular catheter remain in place. There are no concerning bone findings.,An endotracheal tube nasogastric tube and left internal jugular catheter remain in place.,"Endotracheal tube, nasogastric tube, left internal jugular catheter",,Stable,['files/p19/p19366448/s51571135/da330caa-eaa7ebe9-4d1535ac-17f87653-e729c518.jpg'],['files/p19/p19366448/s50411452/da94e05c-941be1ba-f5996c0b-75dd288f-278d8503.jpg\n']
s51571135_3,p19366448,s51571135,3,Findings,There is interval worsening of pulmonary vascular congestion. There is mild pulmonary edema. The heart and mediastinal structures are unchanged. An endotracheal tube nasogastric tube and left internal jugular catheter remain in place. There are no concerning bone findings.,There is interval worsening of pulmonary vascular congestion.,Pulmonary vascular congestion,,Worse,['files/p19/p19366448/s51571135/da330caa-eaa7ebe9-4d1535ac-17f87653-e729c518.jpg'],['files/p19/p19366448/s50411452/da94e05c-941be1ba-f5996c0b-75dd288f-278d8503.jpg\n']
s51571135_3,p19366448,s51571135,3,Findings,There is interval worsening of pulmonary vascular congestion. There is mild pulmonary edema. The heart and mediastinal structures are unchanged. An endotracheal tube nasogastric tube and left internal jugular catheter remain in place. There are no concerning bone findings.,The heart and mediastinal structures are unchanged.,Heart and mediastinal structures,,Stable,['files/p19/p19366448/s51571135/da330caa-eaa7ebe9-4d1535ac-17f87653-e729c518.jpg'],['files/p19/p19366448/s50411452/da94e05c-941be1ba-f5996c0b-75dd288f-278d8503.jpg\n']
s51581083_12,p11842519,s51581083,12,Impression,Comparison to ___. Minimal decrease in extent of the pre-existing right basal parenchymal opacities. Moderate cardiomegaly. Stable appearance of the vertebral fixation devices. A minimal right pleural effusion is unchanged in extent and severity.,Comparison to ___. Minimal decrease in extent of the pre-existing right basal parenchymal opacities.,parenchymal opacities,right basal,Better,['files/p11/p11842519/s51581083/e9977922-0c45547e-2c72b894-91042335-31f132ea.jpg'],"['files/p11/p11842519/s51164335/36997d16-4f0421af-656978c4-33b5be2d-4bd00de0.jpg\n', 'files/p11/p11842519/s51164335/7b10680c-26e6c5fc-a403cd66-97cf2e7d-6578aeff.jpg\n']"
s51581083_12,p11842519,s51581083,12,Impression,Comparison to ___. Minimal decrease in extent of the pre-existing right basal parenchymal opacities. Moderate cardiomegaly. Stable appearance of the vertebral fixation devices. A minimal right pleural effusion is unchanged in extent and severity.,Stable appearance of the vertebral fixation devices.,fixation devices,vertebral,Stable,['files/p11/p11842519/s51581083/e9977922-0c45547e-2c72b894-91042335-31f132ea.jpg'],"['files/p11/p11842519/s51164335/36997d16-4f0421af-656978c4-33b5be2d-4bd00de0.jpg\n', 'files/p11/p11842519/s51164335/7b10680c-26e6c5fc-a403cd66-97cf2e7d-6578aeff.jpg\n']"
s51581083_12,p11842519,s51581083,12,Impression,Comparison to ___. Minimal decrease in extent of the pre-existing right basal parenchymal opacities. Moderate cardiomegaly. Stable appearance of the vertebral fixation devices. A minimal right pleural effusion is unchanged in extent and severity.,A minimal right pleural effusion is unchanged in extent and severity.,pleural effusion,right,Stable,['files/p11/p11842519/s51581083/e9977922-0c45547e-2c72b894-91042335-31f132ea.jpg'],"['files/p11/p11842519/s51164335/36997d16-4f0421af-656978c4-33b5be2d-4bd00de0.jpg\n', 'files/p11/p11842519/s51164335/7b10680c-26e6c5fc-a403cd66-97cf2e7d-6578aeff.jpg\n']"
s51587887_13,p15793456,s51587887,13,Impression,"Focal left basilar lucency remains similar in appearance to the ___ examination. This likely represents bullae given known history of emphysema, though differentiation from focal pneumothorax remains difficult. The cardiac and mediastinal contours remain unchanged, and there is no mediastinal shift. There is no focal consolidation or pleural effusion. A left PICC terminates at the cavoatrial junction. The endotracheal tube terminates 5.0 cm above the carina.","The cardiac and mediastinal contours remain unchanged, and there is no mediastinal shift.",appearance,cardiac and mediastinal contours,Stable,['files/p15/p15793456/s51587887/c7318b14-8802035b-2b793a84-2206a58b-ff64d1a6.jpg'],"['files/p15/p15793456/s50776361/319af308-51ad7fad-89c3611c-c92198db-c17ace3a.jpg\n', 'files/p15/p15793456/s50776361/8a8be78a-d43d9b42-88872556-82809128-fd11d507.jpg\n']"
s51587887_13,p15793456,s51587887,13,Impression,"Focal left basilar lucency remains similar in appearance to the ___ examination. This likely represents bullae given known history of emphysema, though differentiation from focal pneumothorax remains difficult. The cardiac and mediastinal contours remain unchanged, and there is no mediastinal shift. There is no focal consolidation or pleural effusion. A left PICC terminates at the cavoatrial junction. The endotracheal tube terminates 5.0 cm above the carina.",Focal left basilar lucency remains similar in appearance to the ___ examination.,lucency,left basilar,Stable,['files/p15/p15793456/s51587887/c7318b14-8802035b-2b793a84-2206a58b-ff64d1a6.jpg'],"['files/p15/p15793456/s50776361/319af308-51ad7fad-89c3611c-c92198db-c17ace3a.jpg\n', 'files/p15/p15793456/s50776361/8a8be78a-d43d9b42-88872556-82809128-fd11d507.jpg\n']"
s51589952_1,p17257394,s51589952,1,Findings,"The heart size is top normal, slightly increased since the prior study, likely due slightly lower lung volumes and patient rotation. The lungs are clear aside from a small amount of left basilar atelectasis. Apparent right lower lobe nodular opacities are most likely due to vessels on end. No pleural effusion or pneumothorax; minimal left posterior pleural scarring is chronic. Hilar contours are within normal limits.","The heart size is top normal, slightly increased since the prior study, likely due slightly lower lung volumes and patient rotation.",Heart size,Top normal,Worse,"['files/p17/p17257394/s51589952/256d4a58-b4233463-d61ffb45-16099de5-b37ef7e6.jpg', 'files/p17/p17257394/s51589952/8e49dc4a-7e939e0c-5f132e57-0b646bd8-4a2d7a60.jpg']","['files/p17/p17257394/s51500297/620e390e-9859fe21-06a3d4f4-5234159a-3a7615ba.jpg\n', 'files/p17/p17257394/s51500297/f6238a46-332ae5d8-ea99fed8-fb2466b2-20299e40.jpg\n']"
s51595982_81,p11717909,s51595982,81,Findings,"Since the prior examination of ___, the lung volumes have improved. Heart is mildly enlarged. Heterogeneous linear opacities at the right base superimposed on the right hemidiaphragm probably represent residual atelectasis. There is no focal consolidation or pleural effusion. No pneumothorax.","Since the prior examination of ___, the lung volumes have improved.",lung volumes,,Better,"['files/p11/p11717909/s51595982/60067fbf-8ef267f1-ac1186d9-a3798e30-1932da74.jpg', 'files/p11/p11717909/s51595982/d7a84073-0d23e88e-5dbd44fd-4d8bee1f-5f53df8b.jpg']",['files/p11/p11717909/s51427132/b51fb695-3cf77ffd-0401b042-c7378e82-eca5ceed.jpg\n']
s51599066_0,p16033763,s51599066,0,Findings,"AP and lateral radiographs were acquired. There is a left-sided pacemaker with an associated right ventricular lead, appropriately positioned. The lungs are hyperexpanded and there is flattening of the hemidiaphragms with enlargement of the retrosternal airspace, consistent with chronic obstructive pulmonary disease. There is a right lower lung granuloma, as before. The lungs are otherwise clear. The heart size is top normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.","There is a right lower lung granuloma, as before.",granuloma,right lower lung,Stable,"['files/p16/p16033763/s51599066/09524e08-b43253ba-752c8e69-fc1908b0-54cbd712.jpg', 'files/p16/p16033763/s51599066/4969ed80-b6f01bb1-09bc5a19-c44bb4c5-70597525.jpg']",['files/p16/p16033763/s51507991/ed31f48a-f429773b-c9704fad-15c7dc2f-1ad59b8f.jpg\n']
s51611847_2,p14235184,s51611847,2,Findings,"Moderate cardiomegaly persists. The mediastinal and hilar contours are within normal limits. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Calcified granuloma in the left lower lobe is unchanged. There are no acute osseous abnormalities.",Calcified granuloma in the left lower lobe is unchanged.,calcified granuloma,left lower lobe,Stable,"['files/p14/p14235184/s51611847/22d4b5a3-c6744296-d4c6b985-335ebb8a-47b33809.jpg', 'files/p14/p14235184/s51611847/7d6fe30f-42aecf3a-84d0dded-03670447-9991474d.jpg']",
s51611847_2,p14235184,s51611847,2,Findings,"Moderate cardiomegaly persists. The mediastinal and hilar contours are within normal limits. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Calcified granuloma in the left lower lobe is unchanged. There are no acute osseous abnormalities.",Moderate cardiomegaly persists.,cardiomegaly,,Stable,"['files/p14/p14235184/s51611847/22d4b5a3-c6744296-d4c6b985-335ebb8a-47b33809.jpg', 'files/p14/p14235184/s51611847/7d6fe30f-42aecf3a-84d0dded-03670447-9991474d.jpg']",
s51617713_0,p16029766,s51617713,0,Findings,The heart size is top normal. The mediastinum is stable in appearance. There is redemonstration of the neoesophagus contour. There has been interval increase in bilateral pleural effusions compared to the most recent prior exam from ___. There is adjacent mild compressive atelectasis. There is no evidence of a pneumothorax. Post-sternotomy wires are unremarkable. Surgical rib fracture of the right 5th rib is again noted.,The mediastinum is stable in appearance.,,Mediastinum,Stable,"['files/p16/p16029766/s51617713/975cd86e-76624f2c-097c9cad-8cfc89f4-4b40cc85.jpg', 'files/p16/p16029766/s51617713/d49dc92f-565b6516-407f848c-fa3a8a55-e3089cdd.jpg']","['files/p16/p16029766/s50549933/022246f4-d8182172-f1188b43-fae2d2ca-0083fdb9.jpg\n', 'files/p16/p16029766/s50549933/1831d2b8-848d337c-e4d5a448-5a036213-fbc79403.jpg\n']"
s51617713_0,p16029766,s51617713,0,Findings,The heart size is top normal. The mediastinum is stable in appearance. There is redemonstration of the neoesophagus contour. There has been interval increase in bilateral pleural effusions compared to the most recent prior exam from ___. There is adjacent mild compressive atelectasis. There is no evidence of a pneumothorax. Post-sternotomy wires are unremarkable. Surgical rib fracture of the right 5th rib is again noted.,Surgical rib fracture of the right 5th rib is again noted.,Surgical rib fracture,Right 5th rib,Stable,"['files/p16/p16029766/s51617713/975cd86e-76624f2c-097c9cad-8cfc89f4-4b40cc85.jpg', 'files/p16/p16029766/s51617713/d49dc92f-565b6516-407f848c-fa3a8a55-e3089cdd.jpg']","['files/p16/p16029766/s50549933/022246f4-d8182172-f1188b43-fae2d2ca-0083fdb9.jpg\n', 'files/p16/p16029766/s50549933/1831d2b8-848d337c-e4d5a448-5a036213-fbc79403.jpg\n']"
s51617713_0,p16029766,s51617713,0,Findings,The heart size is top normal. The mediastinum is stable in appearance. There is redemonstration of the neoesophagus contour. There has been interval increase in bilateral pleural effusions compared to the most recent prior exam from ___. There is adjacent mild compressive atelectasis. There is no evidence of a pneumothorax. Post-sternotomy wires are unremarkable. Surgical rib fracture of the right 5th rib is again noted.,There has been interval increase in bilateral pleural effusions compared to the most recent prior exam from ___.,Pleural effusions,Bilateral,Worse,"['files/p16/p16029766/s51617713/975cd86e-76624f2c-097c9cad-8cfc89f4-4b40cc85.jpg', 'files/p16/p16029766/s51617713/d49dc92f-565b6516-407f848c-fa3a8a55-e3089cdd.jpg']","['files/p16/p16029766/s50549933/022246f4-d8182172-f1188b43-fae2d2ca-0083fdb9.jpg\n', 'files/p16/p16029766/s50549933/1831d2b8-848d337c-e4d5a448-5a036213-fbc79403.jpg\n']"
s51617713_0,p16029766,s51617713,0,Impression,"Slight interval increase in known bilateral pleural effusions, right greater than left. Compared to the prior exam from ___, there is adjacent mild compressive atelectasis; a superimposed infectious process cannot be excluded.","Slight interval increase in known bilateral pleural effusions, right greater than left.",Pleural effusions,Bilateral,Worse,"['files/p16/p16029766/s51617713/975cd86e-76624f2c-097c9cad-8cfc89f4-4b40cc85.jpg', 'files/p16/p16029766/s51617713/d49dc92f-565b6516-407f848c-fa3a8a55-e3089cdd.jpg']","['files/p16/p16029766/s50549933/022246f4-d8182172-f1188b43-fae2d2ca-0083fdb9.jpg\n', 'files/p16/p16029766/s50549933/1831d2b8-848d337c-e4d5a448-5a036213-fbc79403.jpg\n']"
s51619708_1,p13837849,s51619708,1,Impression,1. New middle and lower lung consolidation on the left side is consistent with pneumonia. 2. Mild cardiac congestion. This was discussed verbally with Dr. ___.,1. New middle and lower lung consolidation on the left side is consistent with pneumonia.,consolidation,left side middle and lower lung,New,['files/p13/p13837849/s51619708/69b9e772-540d070d-5e5e948f-cf7cbf37-020b9a69.jpg'],
s51619708_1,p13837849,s51619708,1,Findings,New left middle and lower lung opacities are concerning for pneumonia. There is also new mild cardiac congestion. Cardiac contour is mildly enlarged with tortuous aorta. There is no pleural effusion or pneumothorax.,There is also new mild cardiac congestion.,congestion,cardiac,New,['files/p13/p13837849/s51619708/69b9e772-540d070d-5e5e948f-cf7cbf37-020b9a69.jpg'],
s51619708_1,p13837849,s51619708,1,Findings,New left middle and lower lung opacities are concerning for pneumonia. There is also new mild cardiac congestion. Cardiac contour is mildly enlarged with tortuous aorta. There is no pleural effusion or pneumothorax.,New left middle and lower lung opacities are concerning for pneumonia.,opacities,left middle and lower lung,New,['files/p13/p13837849/s51619708/69b9e772-540d070d-5e5e948f-cf7cbf37-020b9a69.jpg'],
s51621842_7,p17945610,s51621842,7,Impression,"As compared to ___ radiograph, cardiac silhouette remains markedly enlarged. Right heart border and majority of right hemidiaphragm now obscured, likely due to worsening consolidation and or atelectasis in this region, accompanied by a small to moderate pleural effusion. Pulmonary vascular congestion is accompanied by resolving edema. No other relevant changes.","As compared to ___ radiograph, cardiac silhouette remains markedly enlarged.",cardiac silhouette enlargement,,Stable,['files/p17/p17945610/s51621842/3845e98f-500b7d8f-b2376aa8-3355c4fa-074d73d0.jpg'],['files/p17/p17945610/s51234546/4f0b2afa-30cb00e2-18711010-d4bc3f13-84cc4f7a.jpg\n']
s51621842_7,p17945610,s51621842,7,Impression,"As compared to ___ radiograph, cardiac silhouette remains markedly enlarged. Right heart border and majority of right hemidiaphragm now obscured, likely due to worsening consolidation and or atelectasis in this region, accompanied by a small to moderate pleural effusion. Pulmonary vascular congestion is accompanied by resolving edema. No other relevant changes.","Right heart border and majority of right hemidiaphragm now obscured, likely due to worsening consolidation and or atelectasis in this region, accompanied by a small to moderate pleural effusion.",atelectasis,right hemidiaphragm,Worse,['files/p17/p17945610/s51621842/3845e98f-500b7d8f-b2376aa8-3355c4fa-074d73d0.jpg'],['files/p17/p17945610/s51234546/4f0b2afa-30cb00e2-18711010-d4bc3f13-84cc4f7a.jpg\n']
s51621842_7,p17945610,s51621842,7,Impression,"As compared to ___ radiograph, cardiac silhouette remains markedly enlarged. Right heart border and majority of right hemidiaphragm now obscured, likely due to worsening consolidation and or atelectasis in this region, accompanied by a small to moderate pleural effusion. Pulmonary vascular congestion is accompanied by resolving edema. No other relevant changes.","Right heart border and majority of right hemidiaphragm now obscured, likely due to worsening consolidation and or atelectasis in this region, accompanied by a small to moderate pleural effusion.",consolidation,right hemidiaphragm,Worse,['files/p17/p17945610/s51621842/3845e98f-500b7d8f-b2376aa8-3355c4fa-074d73d0.jpg'],['files/p17/p17945610/s51234546/4f0b2afa-30cb00e2-18711010-d4bc3f13-84cc4f7a.jpg\n']
s51621842_7,p17945610,s51621842,7,Impression,"As compared to ___ radiograph, cardiac silhouette remains markedly enlarged. Right heart border and majority of right hemidiaphragm now obscured, likely due to worsening consolidation and or atelectasis in this region, accompanied by a small to moderate pleural effusion. Pulmonary vascular congestion is accompanied by resolving edema. No other relevant changes.",Pulmonary vascular congestion is accompanied by resolving edema.,edema,,Resolve,['files/p17/p17945610/s51621842/3845e98f-500b7d8f-b2376aa8-3355c4fa-074d73d0.jpg'],['files/p17/p17945610/s51234546/4f0b2afa-30cb00e2-18711010-d4bc3f13-84cc4f7a.jpg\n']
s51621842_7,p17945610,s51621842,7,Impression,"As compared to ___ radiograph, cardiac silhouette remains markedly enlarged. Right heart border and majority of right hemidiaphragm now obscured, likely due to worsening consolidation and or atelectasis in this region, accompanied by a small to moderate pleural effusion. Pulmonary vascular congestion is accompanied by resolving edema. No other relevant changes.","Right heart border and majority of right hemidiaphragm now obscured, likely due to worsening consolidation and or atelectasis in this region, accompanied by a small to moderate pleural effusion.",small to moderate pleural effusion,right hemidiaphragm,New,['files/p17/p17945610/s51621842/3845e98f-500b7d8f-b2376aa8-3355c4fa-074d73d0.jpg'],['files/p17/p17945610/s51234546/4f0b2afa-30cb00e2-18711010-d4bc3f13-84cc4f7a.jpg\n']
s51634516_7,p11307058,s51634516,7,Impression,"Persistent left lower lobe consolidation, compatible with infection. Small right pleural effusion.","Persistent left lower lobe consolidation, compatible with infection.",consolidation,left lower lobe,Stable,['files/p11/p11307058/s51634516/cd8b3583-06cd4871-e09025fe-a2a60b90-348e7521.jpg'],['files/p11/p11307058/s50677909/9f2507a2-f8ed6c9f-657277ba-664fb54d-c23684b6.jpg\n']
s51634516_7,p11307058,s51634516,7,Findings,"Compared with the most recent radiograph, left lower lobe opacity compatible with infection is grossly unchanged. There is minimal right basilar atelectasis. Lobulated contour abutting the aortic arch and projecting over the AP window is compatible with thoracic aortic aneurysm and prior dissection. Intact median sternotomy wires. No pneumothorax. Tiny, if any, right pleural effusion.",Lobulated contour abutting the aortic arch and projecting over the AP window is compatible with thoracic aortic aneurysm and prior dissection.,thoracic aortic aneurysm,aortic arch,Stable,['files/p11/p11307058/s51634516/cd8b3583-06cd4871-e09025fe-a2a60b90-348e7521.jpg'],['files/p11/p11307058/s50677909/9f2507a2-f8ed6c9f-657277ba-664fb54d-c23684b6.jpg\n']
s51634516_7,p11307058,s51634516,7,Findings,"Compared with the most recent radiograph, left lower lobe opacity compatible with infection is grossly unchanged. There is minimal right basilar atelectasis. Lobulated contour abutting the aortic arch and projecting over the AP window is compatible with thoracic aortic aneurysm and prior dissection. Intact median sternotomy wires. No pneumothorax. Tiny, if any, right pleural effusion.","Compared with the most recent radiograph, left lower lobe opacity compatible with infection is grossly unchanged.",opacity,left lower lobe,Stable,['files/p11/p11307058/s51634516/cd8b3583-06cd4871-e09025fe-a2a60b90-348e7521.jpg'],['files/p11/p11307058/s50677909/9f2507a2-f8ed6c9f-657277ba-664fb54d-c23684b6.jpg\n']
s51635143_0,p18088903,s51635143,0,Findings,"The inspiratory lung volumes remain low in comparison to the prior study. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The osseous structures are grossly unremarkable, although evaluation is limited secondary to body habitus.",The inspiratory lung volumes remain low in comparison to the prior study.,Lung volumes,Inspiratory,Stable,"['files/p18/p18088903/s51635143/355e43d2-bc7162e3-9c3436fc-e74a4192-f7389712.jpg', 'files/p18/p18088903/s51635143/4d0125e1-1cc299af-9d2fccd0-d04efd8a-8f0d7220.jpg']",
s51658352_3,p17096560,s51658352,3,Impression,"As compared to the previous radiograph, no relevant change is seen. Left pectoral Port-A-Cath. Moderate cardiomegaly with tortuosity of the thoracic aorta and slightly enlarged aortic knob. The lung parenchyma is unchanged in radiographic appearance. No pneumonia or other parenchymal opacities. No pleural effusions.",The lung parenchyma is unchanged in radiographic appearance.,appearance,lung parenchyma,Stable,"['files/p17/p17096560/s51658352/0615d7dd-3b5b225b-dfe7b687-a299a0e3-7dcfae33.jpg', 'files/p17/p17096560/s51658352/c6ff3b8e-07a7eb38-b89bf998-27af7b34-4c8df007.jpg']",['files/p17/p17096560/s50056854/92846817-78ec0a2e-50265c40-0e7cad3b-6d912f6e.jpg\n']
s51662547_2,p11662490,s51662547,2,Findings,The study is somewhat limited by motion. There is improved aeration at the lung bases with increasing consolidation of the right mid-lung. There is no pleural effusion or pneumothorax. Cardiac and mediastinal contours are normal.,There is improved aeration at the lung bases with increasing consolidation of the right mid-lung.,Aeration,Lung bases,Better,['files/p11/p11662490/s51662547/b9ea020d-fe39c08b-1e6f557d-405aa7cb-ce016ba2.jpg'],['files/p11/p11662490/s51400794/127c8f18-778f317b-10bde8a4-fb02eba9-e1fcd511.jpg\n']
s51662547_2,p11662490,s51662547,2,Findings,The study is somewhat limited by motion. There is improved aeration at the lung bases with increasing consolidation of the right mid-lung. There is no pleural effusion or pneumothorax. Cardiac and mediastinal contours are normal.,There is improved aeration at the lung bases with increasing consolidation of the right mid-lung.,Consolidation,Right mid-lung,Worse,['files/p11/p11662490/s51662547/b9ea020d-fe39c08b-1e6f557d-405aa7cb-ce016ba2.jpg'],['files/p11/p11662490/s51400794/127c8f18-778f317b-10bde8a4-fb02eba9-e1fcd511.jpg\n']
s51662547_2,p11662490,s51662547,2,Impression,Improved aeration of the lung bases with increasing consolidation in the right mid-lung. These findings would be atypical for aspiration.,Improved aeration of the lung bases with increasing consolidation in the right mid-lung.,Aeration,Lung bases,Better,['files/p11/p11662490/s51662547/b9ea020d-fe39c08b-1e6f557d-405aa7cb-ce016ba2.jpg'],['files/p11/p11662490/s51400794/127c8f18-778f317b-10bde8a4-fb02eba9-e1fcd511.jpg\n']
s51662547_2,p11662490,s51662547,2,Impression,Improved aeration of the lung bases with increasing consolidation in the right mid-lung. These findings would be atypical for aspiration.,Improved aeration of the lung bases with increasing consolidation in the right mid-lung.,Consolidation,Right mid-lung,Worse,['files/p11/p11662490/s51662547/b9ea020d-fe39c08b-1e6f557d-405aa7cb-ce016ba2.jpg'],['files/p11/p11662490/s51400794/127c8f18-778f317b-10bde8a4-fb02eba9-e1fcd511.jpg\n']
s51664703_70,p11717909,s51664703,70,Impression,"In comparison with the study of ___, the monitoring and support devices are stable. There is increased opacification at the right base with extension along the right lateral chest wall, consistent with worsening pleural effusion. The areas of atelectasis and multifocal opacities on the right may have slightly decreased. The left lung is essentially clear except for blunting of the costophrenic angle and mild retrocardiac atelectasis.",The areas of atelectasis and multifocal opacities on the right may have slightly decreased.,atelectasis,right,Better,['files/p11/p11717909/s51664703/fe9eaa7f-1b6e6971-5aae1fe2-1a9a732e-9a4f58e7.jpg'],"['files/p11/p11717909/s51595982/60067fbf-8ef267f1-ac1186d9-a3798e30-1932da74.jpg\n', 'files/p11/p11717909/s51595982/d7a84073-0d23e88e-5dbd44fd-4d8bee1f-5f53df8b.jpg\n']"
s51664703_70,p11717909,s51664703,70,Impression,"In comparison with the study of ___, the monitoring and support devices are stable. There is increased opacification at the right base with extension along the right lateral chest wall, consistent with worsening pleural effusion. The areas of atelectasis and multifocal opacities on the right may have slightly decreased. The left lung is essentially clear except for blunting of the costophrenic angle and mild retrocardiac atelectasis.","There is increased opacification at the right base with extension along the right lateral chest wall, consistent with worsening pleural effusion.",pleural effusion,"right base, right lateral chest wall",Worse,['files/p11/p11717909/s51664703/fe9eaa7f-1b6e6971-5aae1fe2-1a9a732e-9a4f58e7.jpg'],"['files/p11/p11717909/s51595982/60067fbf-8ef267f1-ac1186d9-a3798e30-1932da74.jpg\n', 'files/p11/p11717909/s51595982/d7a84073-0d23e88e-5dbd44fd-4d8bee1f-5f53df8b.jpg\n']"
s51664703_70,p11717909,s51664703,70,Impression,"In comparison with the study of ___, the monitoring and support devices are stable. There is increased opacification at the right base with extension along the right lateral chest wall, consistent with worsening pleural effusion. The areas of atelectasis and multifocal opacities on the right may have slightly decreased. The left lung is essentially clear except for blunting of the costophrenic angle and mild retrocardiac atelectasis.",The areas of atelectasis and multifocal opacities on the right may have slightly decreased.,multifocal opacities,right,Better,['files/p11/p11717909/s51664703/fe9eaa7f-1b6e6971-5aae1fe2-1a9a732e-9a4f58e7.jpg'],"['files/p11/p11717909/s51595982/60067fbf-8ef267f1-ac1186d9-a3798e30-1932da74.jpg\n', 'files/p11/p11717909/s51595982/d7a84073-0d23e88e-5dbd44fd-4d8bee1f-5f53df8b.jpg\n']"
s51677032_16,p19358609,s51677032,16,Findings,"Superimposed on chronic volume loss, parenchymal scarring, and pleural thickening in the left hemithorax, there is a persistent superimposed opacification in the left lung, which has worsened somewhat between over two days including increased volume loss. Findings in the right lung appear more chronic.","Superimposed on chronic volume loss, parenchymal scarring, and pleural thickening in the left hemithorax, there is a persistent superimposed opacification in the left lung, which has worsened somewhat between over two days including increased volume loss.",opacification,left lung,Worse,['files/p19/p19358609/s51677032/d13ad04b-c27e53cc-ff9b10b6-436d461b-1193ec8b.jpg'],['files/p19/p19358609/s51015335/d6578a26-c6384eff-9c8f4ab6-bfb13557-27002f4f.jpg\n']
s51677032_16,p19358609,s51677032,16,Impression,Worsening volume loss and opacification of the left lung suggesting pneumonia superimposed on chronic findings.,Worsening volume loss and opacification of the left lung suggesting pneumonia superimposed on chronic findings.,opacification,left lung,Worse,['files/p19/p19358609/s51677032/d13ad04b-c27e53cc-ff9b10b6-436d461b-1193ec8b.jpg'],['files/p19/p19358609/s51015335/d6578a26-c6384eff-9c8f4ab6-bfb13557-27002f4f.jpg\n']
s51687346_2,p19366448,s51687346,2,Impression,"In comparison with the earlier study of this date, the monitoring and support devices are essentially unchanged. Relatively low lung volumes with the cardiac silhouette at the upper limits of normal or mildly enlarged. Continued mild to moderate pulmonary vascular congestion with bibasilar atelectatic changes. In the appropriate clinical setting, it would be difficult to unequivocally exclude superimposed pneumonia, especially in the absence of a lateral view.","In comparison with the earlier study of this date, the monitoring and support devices are essentially unchanged.",Monitoring and support devices,,Stable,['files/p19/p19366448/s51687346/7edb8547-95df07ca-f8f9e9d2-6c7ffe4e-34a97b30.jpg'],['files/p19/p19366448/s51571135/da330caa-eaa7ebe9-4d1535ac-17f87653-e729c518.jpg\n']
s51695868_1,p15072866,s51695868,1,Impression,"PA and lateral chest compared to ___: Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery, unchanged since ___. There is no pulmonary edema currently.","PA and lateral chest compared to ___: Normal heart, lungs, hila, mediastinum and pleural surfaces aside from top normal diameter proximal left pulmonary artery, unchanged since ___.",pulmonary artery,proximal left,Stable,"['files/p15/p15072866/s51695868/0341bf89-7e233031-e63f5df5-6777a2fb-8098bf05.jpg', 'files/p15/p15072866/s51695868/2741bffe-f3889483-6a7b3fbb-a6f223c8-4c003bf5.jpg']","['files/p15/p15072866/s50137061/1e05ca1d-9916266c-c58cb1a6-0acf8d1c-bf213534.jpg\n', 'files/p15/p15072866/s50137061/f2a8d6d9-5425eaf4-1261d395-319e1538-edf854d9.jpg\n']"
s51697632_6,p11307058,s51697632,6,Findings,"There is new left lower lobe opacity compatible with infection. Elsewhere, lungs are clear. Lobulated contour abutting the aortic arch and projecting over the AP window on the frontal view is compatible with thoracic aortic aneurysm with prior dissection. No acute osseous abnormalities.",Lobulated contour abutting the aortic arch and projecting over the AP window on the frontal view is compatible with thoracic aortic aneurysm with prior dissection.,thoracic aortic aneurysm,aortic arch,Stable,"['files/p11/p11307058/s51697632/3f5dec1b-45644e70-ed34cbb0-1a80da55-77581541.jpg', 'files/p11/p11307058/s51697632/a39f20a8-d6fcb2c5-62904bb6-546afe49-0d7926bc.jpg']",['files/p11/p11307058/s51634516/cd8b3583-06cd4871-e09025fe-a2a60b90-348e7521.jpg\n']
s51697632_6,p11307058,s51697632,6,Impression,Left lower lobe consolidation compatible with pneumonia. Repeat after treatment suggested to document resolution. Stable appearance of the mediastinum with abnormal aortic contour as seen on multiple priors.,Stable appearance of the mediastinum with abnormal aortic contour as seen on multiple priors.,appearance,mediastinum,Stable,"['files/p11/p11307058/s51697632/3f5dec1b-45644e70-ed34cbb0-1a80da55-77581541.jpg', 'files/p11/p11307058/s51697632/a39f20a8-d6fcb2c5-62904bb6-546afe49-0d7926bc.jpg']",['files/p11/p11307058/s51634516/cd8b3583-06cd4871-e09025fe-a2a60b90-348e7521.jpg\n']
s51697632_6,p11307058,s51697632,6,Findings,"There is new left lower lobe opacity compatible with infection. Elsewhere, lungs are clear. Lobulated contour abutting the aortic arch and projecting over the AP window on the frontal view is compatible with thoracic aortic aneurysm with prior dissection. No acute osseous abnormalities.",There is new left lower lobe opacity compatible with infection.,opacity,left lower lobe,New,"['files/p11/p11307058/s51697632/3f5dec1b-45644e70-ed34cbb0-1a80da55-77581541.jpg', 'files/p11/p11307058/s51697632/a39f20a8-d6fcb2c5-62904bb6-546afe49-0d7926bc.jpg']",['files/p11/p11307058/s51634516/cd8b3583-06cd4871-e09025fe-a2a60b90-348e7521.jpg\n']
s51697632_6,p11307058,s51697632,6,Impression,Left lower lobe consolidation compatible with pneumonia. Repeat after treatment suggested to document resolution. Stable appearance of the mediastinum with abnormal aortic contour as seen on multiple priors.,Left lower lobe consolidation compatible with pneumonia. Repeat after treatment suggested to document resolution.,consolidation,left lower lobe,New,"['files/p11/p11307058/s51697632/3f5dec1b-45644e70-ed34cbb0-1a80da55-77581541.jpg', 'files/p11/p11307058/s51697632/a39f20a8-d6fcb2c5-62904bb6-546afe49-0d7926bc.jpg']",['files/p11/p11307058/s51634516/cd8b3583-06cd4871-e09025fe-a2a60b90-348e7521.jpg\n']
s51699028_1,p16596972,s51699028,1,Findings,"Eventration the right hemidiaphragm is unchanged. The left hemidiaphragm remains shallow since ___ suggesting pleural scarring. A small left pleural effusion is unchanged since ___. Right hilar, subcarinal mediastinal and possible left hilar lymphadenopathy is unchanged since ___. The cardiomediastinal silhouette is within normal limits. No pneumonia or pneumothorax.","Right hilar, subcarinal mediastinal and possible left hilar lymphadenopathy is unchanged since ___.",lymphadenopathy,"right hilar, subcarinal mediastinal and possible left hilar",Stable,"['files/p16/p16596972/s51699028/30c6c3cb-096d81f9-8a699d90-4b7b7ce4-843992b1.jpg', 'files/p16/p16596972/s51699028/784739df-bb737920-7abec083-2ff0c73f-6bea7f0e.jpg', 'files/p16/p16596972/s51699028/ab3169d7-9bd76104-b93bd14b-30260b06-c8a02491.jpg', 'files/p16/p16596972/s51699028/eb4c2fa1-018c3c01-a16cb8eb-e2fcefab-30b318bc.jpg']",
s51699028_1,p16596972,s51699028,1,Impression,1. Unchanged hilar and mediastinal lymphadenopathy. 2. Unchanged small left pleural effusion.,1. Unchanged hilar and mediastinal lymphadenopathy.,lymphadenopathy,hilar and mediastinal,Stable,"['files/p16/p16596972/s51699028/30c6c3cb-096d81f9-8a699d90-4b7b7ce4-843992b1.jpg', 'files/p16/p16596972/s51699028/784739df-bb737920-7abec083-2ff0c73f-6bea7f0e.jpg', 'files/p16/p16596972/s51699028/ab3169d7-9bd76104-b93bd14b-30260b06-c8a02491.jpg', 'files/p16/p16596972/s51699028/eb4c2fa1-018c3c01-a16cb8eb-e2fcefab-30b318bc.jpg']",
s51699028_1,p16596972,s51699028,1,Findings,"Eventration the right hemidiaphragm is unchanged. The left hemidiaphragm remains shallow since ___ suggesting pleural scarring. A small left pleural effusion is unchanged since ___. Right hilar, subcarinal mediastinal and possible left hilar lymphadenopathy is unchanged since ___. The cardiomediastinal silhouette is within normal limits. No pneumonia or pneumothorax.",The left hemidiaphragm remains shallow since ___ suggesting pleural scarring.,shallow,left hemidiaphragm,Stable,"['files/p16/p16596972/s51699028/30c6c3cb-096d81f9-8a699d90-4b7b7ce4-843992b1.jpg', 'files/p16/p16596972/s51699028/784739df-bb737920-7abec083-2ff0c73f-6bea7f0e.jpg', 'files/p16/p16596972/s51699028/ab3169d7-9bd76104-b93bd14b-30260b06-c8a02491.jpg', 'files/p16/p16596972/s51699028/eb4c2fa1-018c3c01-a16cb8eb-e2fcefab-30b318bc.jpg']",
s51699028_1,p16596972,s51699028,1,Findings,"Eventration the right hemidiaphragm is unchanged. The left hemidiaphragm remains shallow since ___ suggesting pleural scarring. A small left pleural effusion is unchanged since ___. Right hilar, subcarinal mediastinal and possible left hilar lymphadenopathy is unchanged since ___. The cardiomediastinal silhouette is within normal limits. No pneumonia or pneumothorax.",Eventration the right hemidiaphragm is unchanged.,Eventration,right hemidiaphragm,Stable,"['files/p16/p16596972/s51699028/30c6c3cb-096d81f9-8a699d90-4b7b7ce4-843992b1.jpg', 'files/p16/p16596972/s51699028/784739df-bb737920-7abec083-2ff0c73f-6bea7f0e.jpg', 'files/p16/p16596972/s51699028/ab3169d7-9bd76104-b93bd14b-30260b06-c8a02491.jpg', 'files/p16/p16596972/s51699028/eb4c2fa1-018c3c01-a16cb8eb-e2fcefab-30b318bc.jpg']",
s51699028_1,p16596972,s51699028,1,Impression,1. Unchanged hilar and mediastinal lymphadenopathy. 2. Unchanged small left pleural effusion.,2. Unchanged small left pleural effusion.,pleural effusion,left,Stable,"['files/p16/p16596972/s51699028/30c6c3cb-096d81f9-8a699d90-4b7b7ce4-843992b1.jpg', 'files/p16/p16596972/s51699028/784739df-bb737920-7abec083-2ff0c73f-6bea7f0e.jpg', 'files/p16/p16596972/s51699028/ab3169d7-9bd76104-b93bd14b-30260b06-c8a02491.jpg', 'files/p16/p16596972/s51699028/eb4c2fa1-018c3c01-a16cb8eb-e2fcefab-30b318bc.jpg']",
s51699028_1,p16596972,s51699028,1,Findings,"Eventration the right hemidiaphragm is unchanged. The left hemidiaphragm remains shallow since ___ suggesting pleural scarring. A small left pleural effusion is unchanged since ___. Right hilar, subcarinal mediastinal and possible left hilar lymphadenopathy is unchanged since ___. The cardiomediastinal silhouette is within normal limits. No pneumonia or pneumothorax.",A small left pleural effusion is unchanged since ___.,pleural effusion,left,Stable,"['files/p16/p16596972/s51699028/30c6c3cb-096d81f9-8a699d90-4b7b7ce4-843992b1.jpg', 'files/p16/p16596972/s51699028/784739df-bb737920-7abec083-2ff0c73f-6bea7f0e.jpg', 'files/p16/p16596972/s51699028/ab3169d7-9bd76104-b93bd14b-30260b06-c8a02491.jpg', 'files/p16/p16596972/s51699028/eb4c2fa1-018c3c01-a16cb8eb-e2fcefab-30b318bc.jpg']",
s51736713_7,p18711952,s51736713,7,Impression,"PA and lateral chest compared to ___ through ___: Small left pleural effusion, slightly smaller today than on ___. At least two left juxtahilar lung nodules are still visible. A right supraclavicular dual-channel hemodialysis catheter ends in the right atrium. Mild cardiomegaly stable. No pulmonary edema.","PA and lateral chest compared to ___ through ___: Small left pleural effusion, slightly smaller today than on ___.",pleural effusion,left,Better,"['files/p18/p18711952/s51736713/041c5d66-c1d936d3-b74ac99c-9a464440-ac79abff.jpg', 'files/p18/p18711952/s51736713/cf6a4352-a09fe502-cedb583d-cf8a12af-f09a5c62.jpg']","['files/p18/p18711952/s51452692/089ab3b5-4b7f0a82-24c89f6a-d876a8f0-34b46929.jpg\n', 'files/p18/p18711952/s51452692/98460d00-834dcec0-77ec3b51-61149fa4-dfdbde10.jpg\n']"
s51736713_7,p18711952,s51736713,7,Impression,"PA and lateral chest compared to ___ through ___: Small left pleural effusion, slightly smaller today than on ___. At least two left juxtahilar lung nodules are still visible. A right supraclavicular dual-channel hemodialysis catheter ends in the right atrium. Mild cardiomegaly stable. No pulmonary edema.",Mild cardiomegaly stable.,cardiomegaly,,Stable,"['files/p18/p18711952/s51736713/041c5d66-c1d936d3-b74ac99c-9a464440-ac79abff.jpg', 'files/p18/p18711952/s51736713/cf6a4352-a09fe502-cedb583d-cf8a12af-f09a5c62.jpg']","['files/p18/p18711952/s51452692/089ab3b5-4b7f0a82-24c89f6a-d876a8f0-34b46929.jpg\n', 'files/p18/p18711952/s51452692/98460d00-834dcec0-77ec3b51-61149fa4-dfdbde10.jpg\n']"
s51737323_7,p13571108,s51737323,7,Findings,Cardiac size is top normal. Moderate right and large left pleural effusions with associated passive atelectasis are unchanged from prior study. There is new mild vascular congestion. Right PICC is in the low SVC,Moderate right and large left pleural effusions with associated passive atelectasis are unchanged from prior study.,atelectasis,associated,Stable,"['files/p13/p13571108/s51737323/147372cb-a8b13f70-636a3d8e-c2c3672f-e6585376.jpg', 'files/p13/p13571108/s51737323/e5f491e8-7492e07c-44f7e6b7-01e90cc8-5242f410.jpg']","['files/p13/p13571108/s50920453/9461c88d-83a7702b-d089e66a-73f4da4a-768bc8e7.jpg\n', 'files/p13/p13571108/s50920453/b3d58529-d16ebe23-04b8237f-13bf09fb-69c9566f.jpg\n', 'files/p13/p13571108/s50920453/e9c7e41a-39669be4-ef06a00c-98608201-df448387.jpg\n']"
s51737323_7,p13571108,s51737323,7,Findings,Cardiac size is top normal. Moderate right and large left pleural effusions with associated passive atelectasis are unchanged from prior study. There is new mild vascular congestion. Right PICC is in the low SVC,Moderate right and large left pleural effusions with associated passive atelectasis are unchanged from prior study.,pleural effusions,left,Stable,"['files/p13/p13571108/s51737323/147372cb-a8b13f70-636a3d8e-c2c3672f-e6585376.jpg', 'files/p13/p13571108/s51737323/e5f491e8-7492e07c-44f7e6b7-01e90cc8-5242f410.jpg']","['files/p13/p13571108/s50920453/9461c88d-83a7702b-d089e66a-73f4da4a-768bc8e7.jpg\n', 'files/p13/p13571108/s50920453/b3d58529-d16ebe23-04b8237f-13bf09fb-69c9566f.jpg\n', 'files/p13/p13571108/s50920453/e9c7e41a-39669be4-ef06a00c-98608201-df448387.jpg\n']"
s51737323_7,p13571108,s51737323,7,Impression,New mild vascular congestion,New mild vascular congestion,vascular congestion,,New,"['files/p13/p13571108/s51737323/147372cb-a8b13f70-636a3d8e-c2c3672f-e6585376.jpg', 'files/p13/p13571108/s51737323/e5f491e8-7492e07c-44f7e6b7-01e90cc8-5242f410.jpg']","['files/p13/p13571108/s50920453/9461c88d-83a7702b-d089e66a-73f4da4a-768bc8e7.jpg\n', 'files/p13/p13571108/s50920453/b3d58529-d16ebe23-04b8237f-13bf09fb-69c9566f.jpg\n', 'files/p13/p13571108/s50920453/e9c7e41a-39669be4-ef06a00c-98608201-df448387.jpg\n']"
s51737323_7,p13571108,s51737323,7,Findings,Cardiac size is top normal. Moderate right and large left pleural effusions with associated passive atelectasis are unchanged from prior study. There is new mild vascular congestion. Right PICC is in the low SVC,There is new mild vascular congestion.,vascular congestion,,New,"['files/p13/p13571108/s51737323/147372cb-a8b13f70-636a3d8e-c2c3672f-e6585376.jpg', 'files/p13/p13571108/s51737323/e5f491e8-7492e07c-44f7e6b7-01e90cc8-5242f410.jpg']","['files/p13/p13571108/s50920453/9461c88d-83a7702b-d089e66a-73f4da4a-768bc8e7.jpg\n', 'files/p13/p13571108/s50920453/b3d58529-d16ebe23-04b8237f-13bf09fb-69c9566f.jpg\n', 'files/p13/p13571108/s50920453/e9c7e41a-39669be4-ef06a00c-98608201-df448387.jpg\n']"
s51737323_7,p13571108,s51737323,7,Findings,Cardiac size is top normal. Moderate right and large left pleural effusions with associated passive atelectasis are unchanged from prior study. There is new mild vascular congestion. Right PICC is in the low SVC,Moderate right and large left pleural effusions with associated passive atelectasis are unchanged from prior study.,pleural effusions,right,Stable,"['files/p13/p13571108/s51737323/147372cb-a8b13f70-636a3d8e-c2c3672f-e6585376.jpg', 'files/p13/p13571108/s51737323/e5f491e8-7492e07c-44f7e6b7-01e90cc8-5242f410.jpg']","['files/p13/p13571108/s50920453/9461c88d-83a7702b-d089e66a-73f4da4a-768bc8e7.jpg\n', 'files/p13/p13571108/s50920453/b3d58529-d16ebe23-04b8237f-13bf09fb-69c9566f.jpg\n', 'files/p13/p13571108/s50920453/e9c7e41a-39669be4-ef06a00c-98608201-df448387.jpg\n']"
s51747240_29,p15911529,s51747240,29,Impression,Substantial interval improvement in the loculated right pleural effusion has been demonstrated after readjustment of the pigtail catheter with no definitive loculation seen. Minimal amount of fissure all pleural effusion is still notable. Cardiomediastinal silhouette and position of the pacemaker leads is unchanged. Mild vascular congestion is present. There is no change in minimal right apical pneumothorax.,There is no change in minimal right apical pneumothorax.,pneumothorax,right apical,Stable,['files/p15/p15911529/s51747240/ef150859-52757bb3-74733e58-ff402137-15580586.jpg'],"['files/p15/p15911529/s51562372/00e2018e-dac15125-72be8d6c-b6f1f0e6-feecb404.jpg\n', 'files/p15/p15911529/s51562372/afedd930-9d244c0b-0a2edbe6-2ceb376a-23bc266b.jpg\n']"
s51747240_29,p15911529,s51747240,29,Impression,Substantial interval improvement in the loculated right pleural effusion has been demonstrated after readjustment of the pigtail catheter with no definitive loculation seen. Minimal amount of fissure all pleural effusion is still notable. Cardiomediastinal silhouette and position of the pacemaker leads is unchanged. Mild vascular congestion is present. There is no change in minimal right apical pneumothorax.,Cardiomediastinal silhouette and position of the pacemaker leads is unchanged.,silhouette and pacemaker leads,cardiomediastinal,Stable,['files/p15/p15911529/s51747240/ef150859-52757bb3-74733e58-ff402137-15580586.jpg'],"['files/p15/p15911529/s51562372/00e2018e-dac15125-72be8d6c-b6f1f0e6-feecb404.jpg\n', 'files/p15/p15911529/s51562372/afedd930-9d244c0b-0a2edbe6-2ceb376a-23bc266b.jpg\n']"
s51747240_29,p15911529,s51747240,29,Impression,Substantial interval improvement in the loculated right pleural effusion has been demonstrated after readjustment of the pigtail catheter with no definitive loculation seen. Minimal amount of fissure all pleural effusion is still notable. Cardiomediastinal silhouette and position of the pacemaker leads is unchanged. Mild vascular congestion is present. There is no change in minimal right apical pneumothorax.,Substantial interval improvement in the loculated right pleural effusion has been demonstrated after readjustment of the pigtail catheter with no definitive loculation seen.,effusion,right pleural,Better,['files/p15/p15911529/s51747240/ef150859-52757bb3-74733e58-ff402137-15580586.jpg'],"['files/p15/p15911529/s51562372/00e2018e-dac15125-72be8d6c-b6f1f0e6-feecb404.jpg\n', 'files/p15/p15911529/s51562372/afedd930-9d244c0b-0a2edbe6-2ceb376a-23bc266b.jpg\n']"
s51748246_11,p19358609,s51748246,11,Impression,Interval clearing of bibasilar consolidation compared to ___,Interval clearing of bibasilar consolidation compared to ___,consolidation,bibasilar,Stable,"['files/p19/p19358609/s51748246/d25bbe23-d111ed9c-d5ff0630-42378992-62fb128c.jpg', 'files/p19/p19358609/s51748246/eca38af0-486cb1f9-a049b2a7-9013ebc3-46eb8b84.jpg']",['files/p19/p19358609/s51677032/d13ad04b-c27e53cc-ff9b10b6-436d461b-1193ec8b.jpg\n']
s51748246_11,p19358609,s51748246,11,Findings,PA and lateral views of the chest show interval clearing in bilateral airspace consolidation with no increased size in spiculated common nodular pleural thickening at the right lung apex compared to ___. Marker of on Ill volume loss in the left hemithorax related to the patient's surgery for Pancoast tumor is a chronic finding and occludes upper rib resections. Bones are demineralized.,PA and lateral views of the chest show interval clearing in bilateral airspace consolidation with no increased size in spiculated common nodular pleural thickening at the right lung apex compared to ___.,spiculated common nodular pleural thickening,right lung apex,Stable,"['files/p19/p19358609/s51748246/d25bbe23-d111ed9c-d5ff0630-42378992-62fb128c.jpg', 'files/p19/p19358609/s51748246/eca38af0-486cb1f9-a049b2a7-9013ebc3-46eb8b84.jpg']",['files/p19/p19358609/s51677032/d13ad04b-c27e53cc-ff9b10b6-436d461b-1193ec8b.jpg\n']
s51749027_8,p13421580,s51749027,8,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position, except for the endotracheal tube that has been advanced by approximately 1 cm. The extent of the pleural effusion is constant. Atelectasis at both lung bases. Unchanged size of the cardiac silhouette.",The extent of the pleural effusion is constant.,pleural effusion,,Stable,['files/p13/p13421580/s51749027/c6fe33ff-7cbd847a-01c9e864-447ae08c-a3e2ac73.jpg'],['files/p13/p13421580/s50575681/4c20cd93-cbf30533-1459577c-278ce3b2-46750f47.jpg\n']
s51749027_8,p13421580,s51749027,8,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position, except for the endotracheal tube that has been advanced by approximately 1 cm. The extent of the pleural effusion is constant. Atelectasis at both lung bases. Unchanged size of the cardiac silhouette.",Unchanged size of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p13/p13421580/s51749027/c6fe33ff-7cbd847a-01c9e864-447ae08c-a3e2ac73.jpg'],['files/p13/p13421580/s50575681/4c20cd93-cbf30533-1459577c-278ce3b2-46750f47.jpg\n']
s51749027_8,p13421580,s51749027,8,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position, except for the endotracheal tube that has been advanced by approximately 1 cm. The extent of the pleural effusion is constant. Atelectasis at both lung bases. Unchanged size of the cardiac silhouette.","As compared to the previous radiograph, there is no relevant change.",,,Stable,['files/p13/p13421580/s51749027/c6fe33ff-7cbd847a-01c9e864-447ae08c-a3e2ac73.jpg'],['files/p13/p13421580/s50575681/4c20cd93-cbf30533-1459577c-278ce3b2-46750f47.jpg\n']
s51757784_17,p17559288,s51757784,17,Impression,"Right internal jugular line ends at upper SVC. OGT is seen to course below the diaphragm into the stomach, however the distal end is beyond the view of radiograph. Bilateral, diffuse, ground-glass opacities concerning for infection per clinical history are unchanged since ___. Heart size is normal. Mediastinal and hilar contours are normal. No pleural effusion.","Bilateral, diffuse, ground-glass opacities concerning for infection per clinical history are unchanged since ___.",ground-glass opacities,"bilateral, diffuse",Stable,['files/p17/p17559288/s51757784/f3f33b0e-fe7c9ba5-dad10964-bc8ce4a1-b74ebb51.jpg'],['files/p17/p17559288/s51039446/03f20727-d42b6bb8-d53cb13f-c3eb462e-fb257484.jpg\n']
s51763977_1,p19553042,s51763977,1,Findings,"Moderate cardiomegaly, mediastinal silhouette and hilar contours are unchanged from prior exam. There is persistent mild pulmonary edema and in this setting is difficult to discretely identify pneumonia. Bibasilar patchy opacities are relatively unchanged compared to prior exam. There is no pleural effusion or pneumothorax.","Moderate cardiomegaly, mediastinal silhouette and hilar contours are unchanged from prior exam.",Mediastinal silhouette,,Stable,"['files/p19/p19553042/s51763977/9878db3c-76b9d4df-5665d4e6-1cfd1b57-819c2daf.jpg', 'files/p19/p19553042/s51763977/cab91100-869be9c1-4ef96250-cdb5c05c-ae3b4929.jpg']",
s51763977_1,p19553042,s51763977,1,Findings,"Moderate cardiomegaly, mediastinal silhouette and hilar contours are unchanged from prior exam. There is persistent mild pulmonary edema and in this setting is difficult to discretely identify pneumonia. Bibasilar patchy opacities are relatively unchanged compared to prior exam. There is no pleural effusion or pneumothorax.","Moderate cardiomegaly, mediastinal silhouette and hilar contours are unchanged from prior exam.",Moderate cardiomegaly,,Stable,"['files/p19/p19553042/s51763977/9878db3c-76b9d4df-5665d4e6-1cfd1b57-819c2daf.jpg', 'files/p19/p19553042/s51763977/cab91100-869be9c1-4ef96250-cdb5c05c-ae3b4929.jpg']",
s51763977_1,p19553042,s51763977,1,Impression,Unchanged pulmonary edema with no change in appearance of bibasilar patchy opacities. Infection is not excluded given the correct clinical circumstance.,Unchanged pulmonary edema with no change in appearance of bibasilar patchy opacities.,Patchy opacities,bibasilar,Stable,"['files/p19/p19553042/s51763977/9878db3c-76b9d4df-5665d4e6-1cfd1b57-819c2daf.jpg', 'files/p19/p19553042/s51763977/cab91100-869be9c1-4ef96250-cdb5c05c-ae3b4929.jpg']",
s51763977_1,p19553042,s51763977,1,Findings,"Moderate cardiomegaly, mediastinal silhouette and hilar contours are unchanged from prior exam. There is persistent mild pulmonary edema and in this setting is difficult to discretely identify pneumonia. Bibasilar patchy opacities are relatively unchanged compared to prior exam. There is no pleural effusion or pneumothorax.","Moderate cardiomegaly, mediastinal silhouette and hilar contours are unchanged from prior exam.",Hilar contours,,Stable,"['files/p19/p19553042/s51763977/9878db3c-76b9d4df-5665d4e6-1cfd1b57-819c2daf.jpg', 'files/p19/p19553042/s51763977/cab91100-869be9c1-4ef96250-cdb5c05c-ae3b4929.jpg']",
s51763977_1,p19553042,s51763977,1,Findings,"Moderate cardiomegaly, mediastinal silhouette and hilar contours are unchanged from prior exam. There is persistent mild pulmonary edema and in this setting is difficult to discretely identify pneumonia. Bibasilar patchy opacities are relatively unchanged compared to prior exam. There is no pleural effusion or pneumothorax.",There is persistent mild pulmonary edema and in this setting is difficult to discretely identify pneumonia.,Mild pulmonary edema,,Stable,"['files/p19/p19553042/s51763977/9878db3c-76b9d4df-5665d4e6-1cfd1b57-819c2daf.jpg', 'files/p19/p19553042/s51763977/cab91100-869be9c1-4ef96250-cdb5c05c-ae3b4929.jpg']",
s51763977_1,p19553042,s51763977,1,Findings,"Moderate cardiomegaly, mediastinal silhouette and hilar contours are unchanged from prior exam. There is persistent mild pulmonary edema and in this setting is difficult to discretely identify pneumonia. Bibasilar patchy opacities are relatively unchanged compared to prior exam. There is no pleural effusion or pneumothorax.",Bibasilar patchy opacities are relatively unchanged compared to prior exam.,Patchy opacities,bibasilar,Stable,"['files/p19/p19553042/s51763977/9878db3c-76b9d4df-5665d4e6-1cfd1b57-819c2daf.jpg', 'files/p19/p19553042/s51763977/cab91100-869be9c1-4ef96250-cdb5c05c-ae3b4929.jpg']",
s51763977_1,p19553042,s51763977,1,Impression,Unchanged pulmonary edema with no change in appearance of bibasilar patchy opacities. Infection is not excluded given the correct clinical circumstance.,Unchanged pulmonary edema with no change in appearance of bibasilar patchy opacities.,Pulmonary edema,,Stable,"['files/p19/p19553042/s51763977/9878db3c-76b9d4df-5665d4e6-1cfd1b57-819c2daf.jpg', 'files/p19/p19553042/s51763977/cab91100-869be9c1-4ef96250-cdb5c05c-ae3b4929.jpg']",
s51766103_1,p15780880,s51766103,1,Findings,"As compared to the previous radiograph, the bilateral perihilar opacities have decreased in extent and severity. However, there is unchanged blunting of the left costophrenic sinus, potentially suggesting a small pleural effusion. Normal appearance of the cardiac silhouette, but more central pulmonary arteries are still slightly dilated. Unchanged monitoring and support devices.","As compared to the previous radiograph, the bilateral perihilar opacities have decreased in extent and severity.",opacities,bilateral perihilar,Better,['files/p15/p15780880/s51766103/5d8300fe-3a3aaed5-ec3f9f49-769dcb99-a7ffa174.jpg'],['files/p15/p15780880/s50930348/0adba4e9-74bf6877-3500bd46-d395ecc6-75dcdc60.jpg\n']
s51766103_1,p15780880,s51766103,1,Findings,"As compared to the previous radiograph, the bilateral perihilar opacities have decreased in extent and severity. However, there is unchanged blunting of the left costophrenic sinus, potentially suggesting a small pleural effusion. Normal appearance of the cardiac silhouette, but more central pulmonary arteries are still slightly dilated. Unchanged monitoring and support devices.",Unchanged monitoring and support devices.,monitoring and support devices,,Stable,['files/p15/p15780880/s51766103/5d8300fe-3a3aaed5-ec3f9f49-769dcb99-a7ffa174.jpg'],['files/p15/p15780880/s50930348/0adba4e9-74bf6877-3500bd46-d395ecc6-75dcdc60.jpg\n']
s51766103_1,p15780880,s51766103,1,Findings,"As compared to the previous radiograph, the bilateral perihilar opacities have decreased in extent and severity. However, there is unchanged blunting of the left costophrenic sinus, potentially suggesting a small pleural effusion. Normal appearance of the cardiac silhouette, but more central pulmonary arteries are still slightly dilated. Unchanged monitoring and support devices.","However, there is unchanged blunting of the left costophrenic sinus, potentially suggesting a small pleural effusion.",blunting,left costophrenic sinus,Stable,['files/p15/p15780880/s51766103/5d8300fe-3a3aaed5-ec3f9f49-769dcb99-a7ffa174.jpg'],['files/p15/p15780880/s50930348/0adba4e9-74bf6877-3500bd46-d395ecc6-75dcdc60.jpg\n']
s51769537_0,p18795271,s51769537,0,Findings,"Single AP upright portable view of the chest was obtained. There is persistent elevation of the right hemidiaphragm with overlying right base atelectasis. An enteric tube is seen, distal aspect terminating in the region of the gastroesophageal junction. Recommend advancement by several centimeters so that it is well within the stomach. There is no large pleural effusion or pneumothorax. The aortic knob is calcified. The cardiac silhouette is unremarkable.",There is persistent elevation of the right hemidiaphragm with overlying right base atelectasis.,elevation,right hemidiaphragm,Stable,['files/p18/p18795271/s51769537/01884108-3101cca3-0fe40d44-deb3e031-fe8bc647.jpg'],['files/p18/p18795271/s51515861/f1f1e890-138d12a5-79b715a3-cba88b1a-39949fcf.jpg\n']
s51769537_0,p18795271,s51769537,0,Findings,"Single AP upright portable view of the chest was obtained. There is persistent elevation of the right hemidiaphragm with overlying right base atelectasis. An enteric tube is seen, distal aspect terminating in the region of the gastroesophageal junction. Recommend advancement by several centimeters so that it is well within the stomach. There is no large pleural effusion or pneumothorax. The aortic knob is calcified. The cardiac silhouette is unremarkable.",There is persistent elevation of the right hemidiaphragm with overlying right base atelectasis.,atelectasis,right base,Stable,['files/p18/p18795271/s51769537/01884108-3101cca3-0fe40d44-deb3e031-fe8bc647.jpg'],['files/p18/p18795271/s51515861/f1f1e890-138d12a5-79b715a3-cba88b1a-39949fcf.jpg\n']
s51769537_0,p18795271,s51769537,0,Impression,"1. Elevation of the right hemidiaphragm which is increased as compared to the prior study with overlying basilar atelectasis. 2. Enteric tube terminates in the region of the gastroesophageal junction, recommend advancement so that it is well within the stomach.",1. Elevation of the right hemidiaphragm which is increased as compared to the prior study with overlying basilar atelectasis.,elevation,right hemidiaphragm,Worse,['files/p18/p18795271/s51769537/01884108-3101cca3-0fe40d44-deb3e031-fe8bc647.jpg'],['files/p18/p18795271/s51515861/f1f1e890-138d12a5-79b715a3-cba88b1a-39949fcf.jpg\n']
s51769537_0,p18795271,s51769537,0,Impression,"1. Elevation of the right hemidiaphragm which is increased as compared to the prior study with overlying basilar atelectasis. 2. Enteric tube terminates in the region of the gastroesophageal junction, recommend advancement so that it is well within the stomach.",1. Elevation of the right hemidiaphragm which is increased as compared to the prior study with overlying basilar atelectasis.,atelectasis,right base,Worse,['files/p18/p18795271/s51769537/01884108-3101cca3-0fe40d44-deb3e031-fe8bc647.jpg'],['files/p18/p18795271/s51515861/f1f1e890-138d12a5-79b715a3-cba88b1a-39949fcf.jpg\n']
s51770964_3,p16522757,s51770964,3,Impression,"Severe bibasilar consolidation, probably right lower lobe pneumonia and either left lower lobe pneumonia or left lower lobe collapse, unchanged since earlier on ___, but both increased substantially since ___. No pneumothorax following removal of the left pleural drainage catheter. Small left pleural effusion is likely. Heart size is normal. ET tube in standard placement. Nasogastric drainage tube ends in the upper portion of a nondistended stomach.","Severe bibasilar consolidation, probably right lower lobe pneumonia and either left lower lobe pneumonia or left lower lobe collapse, unchanged since earlier on ___, but both increased substantially since ___.",consolidation,bibasilar,Worse,['files/p16/p16522757/s51770964/6a67666e-673793de-b5a60dd5-e0289088-1d99231b.jpg'],['files/p16/p16522757/s51439113/2b7c568e-b2ff5adb-34736dd0-23b45126-8693f1ec.jpg\n']
s51770964_3,p16522757,s51770964,3,Impression,"Severe bibasilar consolidation, probably right lower lobe pneumonia and either left lower lobe pneumonia or left lower lobe collapse, unchanged since earlier on ___, but both increased substantially since ___. No pneumothorax following removal of the left pleural drainage catheter. Small left pleural effusion is likely. Heart size is normal. ET tube in standard placement. Nasogastric drainage tube ends in the upper portion of a nondistended stomach.",ET tube in standard placement.,ET tube,standard,Stable,['files/p16/p16522757/s51770964/6a67666e-673793de-b5a60dd5-e0289088-1d99231b.jpg'],['files/p16/p16522757/s51439113/2b7c568e-b2ff5adb-34736dd0-23b45126-8693f1ec.jpg\n']
s51770964_3,p16522757,s51770964,3,Impression,"Severe bibasilar consolidation, probably right lower lobe pneumonia and either left lower lobe pneumonia or left lower lobe collapse, unchanged since earlier on ___, but both increased substantially since ___. No pneumothorax following removal of the left pleural drainage catheter. Small left pleural effusion is likely. Heart size is normal. ET tube in standard placement. Nasogastric drainage tube ends in the upper portion of a nondistended stomach.",Small left pleural effusion is likely.,pleural effusion,left,New,['files/p16/p16522757/s51770964/6a67666e-673793de-b5a60dd5-e0289088-1d99231b.jpg'],['files/p16/p16522757/s51439113/2b7c568e-b2ff5adb-34736dd0-23b45126-8693f1ec.jpg\n']
s51770964_3,p16522757,s51770964,3,Impression,"Severe bibasilar consolidation, probably right lower lobe pneumonia and either left lower lobe pneumonia or left lower lobe collapse, unchanged since earlier on ___, but both increased substantially since ___. No pneumothorax following removal of the left pleural drainage catheter. Small left pleural effusion is likely. Heart size is normal. ET tube in standard placement. Nasogastric drainage tube ends in the upper portion of a nondistended stomach.",Nasogastric drainage tube ends in the upper portion of a nondistended stomach.,Nasogastric drainage tube,upper portion of a nondistended stomach,New,['files/p16/p16522757/s51770964/6a67666e-673793de-b5a60dd5-e0289088-1d99231b.jpg'],['files/p16/p16522757/s51439113/2b7c568e-b2ff5adb-34736dd0-23b45126-8693f1ec.jpg\n']
s51770964_3,p16522757,s51770964,3,Impression,"Severe bibasilar consolidation, probably right lower lobe pneumonia and either left lower lobe pneumonia or left lower lobe collapse, unchanged since earlier on ___, but both increased substantially since ___. No pneumothorax following removal of the left pleural drainage catheter. Small left pleural effusion is likely. Heart size is normal. ET tube in standard placement. Nasogastric drainage tube ends in the upper portion of a nondistended stomach.",No pneumothorax following removal of the left pleural drainage catheter.,pneumothorax,,Resolve,['files/p16/p16522757/s51770964/6a67666e-673793de-b5a60dd5-e0289088-1d99231b.jpg'],['files/p16/p16522757/s51439113/2b7c568e-b2ff5adb-34736dd0-23b45126-8693f1ec.jpg\n']
s51790690_22,p17559288,s51790690,22,Findings,"As compared to the previous radiograph, the extent of the known right apical pneumothorax is unchanged. No signs of tension. Correct position of the right chest tube. Unchanged monitoring and support devices. Unchanged extensive bilateral parenchymal opacity, caused by the known pneumocystis carinii pneumonia.","As compared to the previous radiograph, the extent of the known right apical pneumothorax is unchanged.",pneumothorax,right apical,Stable,['files/p17/p17559288/s51790690/f30ac310-feddb6e1-a0bf1a2c-4311961b-74a32eed.jpg'],['files/p17/p17559288/s51757784/f3f33b0e-fe7c9ba5-dad10964-bc8ce4a1-b74ebb51.jpg\n']
s51790690_22,p17559288,s51790690,22,Findings,"As compared to the previous radiograph, the extent of the known right apical pneumothorax is unchanged. No signs of tension. Correct position of the right chest tube. Unchanged monitoring and support devices. Unchanged extensive bilateral parenchymal opacity, caused by the known pneumocystis carinii pneumonia.","Unchanged extensive bilateral parenchymal opacity, caused by the known pneumocystis carinii pneumonia.",parenchymal opacity,bilateral,Stable,['files/p17/p17559288/s51790690/f30ac310-feddb6e1-a0bf1a2c-4311961b-74a32eed.jpg'],['files/p17/p17559288/s51757784/f3f33b0e-fe7c9ba5-dad10964-bc8ce4a1-b74ebb51.jpg\n']
s51796411_1,p13171410,s51796411,1,Findings,"In comparison with study of ___, there is increasing opacification bilaterally. This most likely represents a combination of multifocal pneumonia as well as elevated pulmonary venous pressure in this patient who has undergone a prior CABG procedure.","In comparison with study of ___, there is increasing opacification bilaterally.",opacification,bilaterally,Worse,['files/p13/p13171410/s51796411/57007272-9df31ade-7ab87e66-6edccc37-48b62a32.jpg'],['files/p13/p13171410/s51163175/abbc56f7-3569a197-33b68a76-2649b730-79cbcd28.jpg\n']
s51825039_9,p19112585,s51825039,9,Impression,"Interval intubation with the endotracheal tube having its tip approximately 3.5 cm above the carina. The feeding tube courses below the diaphragm with the tip not identified. The right internal jugular Swan-___ catheter continues to have its tip in the right pulmonary outflow tract. There are layering effusions, right greater than left, with associated bibasilar opacities suggestive of atelectasis. Increasing retrocardiac consolidation likely reflects left lower lobe collapse. There is stable bilateral diffuse airspace process suggestive of moderate pulmonary edema. No pneumothorax. Status post median sternotomy with stable cardiac enlargement.",Interval intubation with the endotracheal tube having its tip approximately 3.5 cm above the carina.,Endotracheal tube,Approximately 3.5 cm above the carina,New,['files/p19/p19112585/s51825039/ed33263a-e35f6636-9c2018a1-259dfa81-3022c5b4.jpg'],['files/p19/p19112585/s51263600/2eb2c117-a495b0ea-466306d2-d1850d33-09918dc6.jpg\n']
s51825039_9,p19112585,s51825039,9,Impression,"Interval intubation with the endotracheal tube having its tip approximately 3.5 cm above the carina. The feeding tube courses below the diaphragm with the tip not identified. The right internal jugular Swan-___ catheter continues to have its tip in the right pulmonary outflow tract. There are layering effusions, right greater than left, with associated bibasilar opacities suggestive of atelectasis. Increasing retrocardiac consolidation likely reflects left lower lobe collapse. There is stable bilateral diffuse airspace process suggestive of moderate pulmonary edema. No pneumothorax. Status post median sternotomy with stable cardiac enlargement.",The right internal jugular Swan-___ catheter continues to have its tip in the right pulmonary outflow tract.,Right internal jugular Swan catheter,,Stable,['files/p19/p19112585/s51825039/ed33263a-e35f6636-9c2018a1-259dfa81-3022c5b4.jpg'],['files/p19/p19112585/s51263600/2eb2c117-a495b0ea-466306d2-d1850d33-09918dc6.jpg\n']
s51825039_9,p19112585,s51825039,9,Impression,"Interval intubation with the endotracheal tube having its tip approximately 3.5 cm above the carina. The feeding tube courses below the diaphragm with the tip not identified. The right internal jugular Swan-___ catheter continues to have its tip in the right pulmonary outflow tract. There are layering effusions, right greater than left, with associated bibasilar opacities suggestive of atelectasis. Increasing retrocardiac consolidation likely reflects left lower lobe collapse. There is stable bilateral diffuse airspace process suggestive of moderate pulmonary edema. No pneumothorax. Status post median sternotomy with stable cardiac enlargement.",Increasing retrocardiac consolidation likely reflects left lower lobe collapse.,Consolidation,Retrocardiac,Worse,['files/p19/p19112585/s51825039/ed33263a-e35f6636-9c2018a1-259dfa81-3022c5b4.jpg'],['files/p19/p19112585/s51263600/2eb2c117-a495b0ea-466306d2-d1850d33-09918dc6.jpg\n']
s51825039_9,p19112585,s51825039,9,Impression,"Interval intubation with the endotracheal tube having its tip approximately 3.5 cm above the carina. The feeding tube courses below the diaphragm with the tip not identified. The right internal jugular Swan-___ catheter continues to have its tip in the right pulmonary outflow tract. There are layering effusions, right greater than left, with associated bibasilar opacities suggestive of atelectasis. Increasing retrocardiac consolidation likely reflects left lower lobe collapse. There is stable bilateral diffuse airspace process suggestive of moderate pulmonary edema. No pneumothorax. Status post median sternotomy with stable cardiac enlargement.",There is stable bilateral diffuse airspace process suggestive of moderate pulmonary edema.,Diffuse airspace process suggestive of moderate pulmonary edema,Bilateral,Stable,['files/p19/p19112585/s51825039/ed33263a-e35f6636-9c2018a1-259dfa81-3022c5b4.jpg'],['files/p19/p19112585/s51263600/2eb2c117-a495b0ea-466306d2-d1850d33-09918dc6.jpg\n']
s51825039_9,p19112585,s51825039,9,Impression,"Interval intubation with the endotracheal tube having its tip approximately 3.5 cm above the carina. The feeding tube courses below the diaphragm with the tip not identified. The right internal jugular Swan-___ catheter continues to have its tip in the right pulmonary outflow tract. There are layering effusions, right greater than left, with associated bibasilar opacities suggestive of atelectasis. Increasing retrocardiac consolidation likely reflects left lower lobe collapse. There is stable bilateral diffuse airspace process suggestive of moderate pulmonary edema. No pneumothorax. Status post median sternotomy with stable cardiac enlargement.",Status post median sternotomy with stable cardiac enlargement.,Cardiac enlargement,,Stable,['files/p19/p19112585/s51825039/ed33263a-e35f6636-9c2018a1-259dfa81-3022c5b4.jpg'],['files/p19/p19112585/s51263600/2eb2c117-a495b0ea-466306d2-d1850d33-09918dc6.jpg\n']
s51829071_0,p13453133,s51829071,0,Findings,"Interval placement of right-sided chest tube with apparent resolution of right pleural effusion but development of a small pneumothorax. Otherwise, no relevant short interval change since recent study performed earlier the same date. Please see recently dictated CT torso of ___ for more complete description of cardiothoracic findings, including a pericardial effusion.",Interval placement of right-sided chest tube with apparent resolution of right pleural effusion but development of a small pneumothorax.,pneumothorax,small,New,['files/p13/p13453133/s51829071/b01ddc40-b80fa234-3533e014-3b0fdf7b-e8c67c6c.jpg'],"['files/p13/p13453133/s51079737/669d85b2-5453dc2b-a961b4a5-afa296a7-06a77cd8.jpg\n', 'files/p13/p13453133/s51079737/d07f3fa4-182c4d9d-459fd2ed-24c6b8be-2802c598.jpg\n']"
s51829071_0,p13453133,s51829071,0,Findings,"Interval placement of right-sided chest tube with apparent resolution of right pleural effusion but development of a small pneumothorax. Otherwise, no relevant short interval change since recent study performed earlier the same date. Please see recently dictated CT torso of ___ for more complete description of cardiothoracic findings, including a pericardial effusion.",Interval placement of right-sided chest tube with apparent resolution of right pleural effusion but development of a small pneumothorax.,pleural effusion,right,Resolve,['files/p13/p13453133/s51829071/b01ddc40-b80fa234-3533e014-3b0fdf7b-e8c67c6c.jpg'],"['files/p13/p13453133/s51079737/669d85b2-5453dc2b-a961b4a5-afa296a7-06a77cd8.jpg\n', 'files/p13/p13453133/s51079737/d07f3fa4-182c4d9d-459fd2ed-24c6b8be-2802c598.jpg\n']"
s51840085_36,p11888614,s51840085,36,Findings,"Again seen are nonspecific bibasilar opacities, which have increased from ___. The apices of lungs are clear. There is no evidence of pulmonary edema, pleural effusion, or pneumothorax. Cardiomediastinal and hilar contours are unremarkable. No acute displaced rib fracture identified.","Again seen are nonspecific bibasilar opacities, which have increased from ___.",opacities,bibasilar,Worse,"['files/p11/p11888614/s51840085/7f7f9559-e0020fe2-d818feea-fe3dfc5a-6fe1fdf3.jpg', 'files/p11/p11888614/s51840085/849bcc13-403bf760-04323271-8223b6e7-a6c8e685.jpg']","['files/p11/p11888614/s51240157/25b1f581-32a8bccf-ddc5c8cd-f34d16a5-befd4bdc.jpg\n', 'files/p11/p11888614/s51240157/973d8700-4120b7b6-d9b4de64-42d4af18-999c914d.jpg\n']"
s51840085_36,p11888614,s51840085,36,Impression,"Nonspecific bibasilar opacities, right worse than left, are concerning for pneumonia. These appear progressed from ___.","Nonspecific bibasilar opacities, right worse than left, are concerning for pneumonia. These appear progressed from ___.",opacities,bibasilar,Worse,"['files/p11/p11888614/s51840085/7f7f9559-e0020fe2-d818feea-fe3dfc5a-6fe1fdf3.jpg', 'files/p11/p11888614/s51840085/849bcc13-403bf760-04323271-8223b6e7-a6c8e685.jpg']","['files/p11/p11888614/s51240157/25b1f581-32a8bccf-ddc5c8cd-f34d16a5-befd4bdc.jpg\n', 'files/p11/p11888614/s51240157/973d8700-4120b7b6-d9b4de64-42d4af18-999c914d.jpg\n']"
s51850136_14,p13894716,s51850136,14,Impression,Mild pulmonary edema is stable. Bilateral pleural effusions with adjacent atelectasis have improved. Cardiomegaly is accentuated by the low lung volumes. Right IJ catheter tip is in the upper SVC. ET tube is high above the clavicles and should be advanced for more standard position at least 3 cm. NG tube tip is out of view below the diaphragm.,Bilateral pleural effusions with adjacent atelectasis have improved.,atelectasis,Adjacent,Better,"['files/p13/p13894716/s51850136/01f26c74-75cf3e70-49244b91-f5e77ed8-b3935393.jpg', 'files/p13/p13894716/s51850136/3cdf934e-b0ece0aa-1c13aaf6-b9518f53-7e7eae10.jpg']","['files/p13/p13894716/s51424614/32e45338-60decf52-cb6bda59-49f2a5c0-a17ad0bf.jpg\n', 'files/p13/p13894716/s51424614/f7bf88df-2734c8dd-dbe15ebe-58fa37e4-329b9d59.jpg\n']"
s51850136_14,p13894716,s51850136,14,Impression,Mild pulmonary edema is stable. Bilateral pleural effusions with adjacent atelectasis have improved. Cardiomegaly is accentuated by the low lung volumes. Right IJ catheter tip is in the upper SVC. ET tube is high above the clavicles and should be advanced for more standard position at least 3 cm. NG tube tip is out of view below the diaphragm.,Bilateral pleural effusions with adjacent atelectasis have improved.,pleural effusions,Bilateral,Better,"['files/p13/p13894716/s51850136/01f26c74-75cf3e70-49244b91-f5e77ed8-b3935393.jpg', 'files/p13/p13894716/s51850136/3cdf934e-b0ece0aa-1c13aaf6-b9518f53-7e7eae10.jpg']","['files/p13/p13894716/s51424614/32e45338-60decf52-cb6bda59-49f2a5c0-a17ad0bf.jpg\n', 'files/p13/p13894716/s51424614/f7bf88df-2734c8dd-dbe15ebe-58fa37e4-329b9d59.jpg\n']"
s51850136_14,p13894716,s51850136,14,Impression,Mild pulmonary edema is stable. Bilateral pleural effusions with adjacent atelectasis have improved. Cardiomegaly is accentuated by the low lung volumes. Right IJ catheter tip is in the upper SVC. ET tube is high above the clavicles and should be advanced for more standard position at least 3 cm. NG tube tip is out of view below the diaphragm.,Mild pulmonary edema is stable.,mild pulmonary edema,,Stable,"['files/p13/p13894716/s51850136/01f26c74-75cf3e70-49244b91-f5e77ed8-b3935393.jpg', 'files/p13/p13894716/s51850136/3cdf934e-b0ece0aa-1c13aaf6-b9518f53-7e7eae10.jpg']","['files/p13/p13894716/s51424614/32e45338-60decf52-cb6bda59-49f2a5c0-a17ad0bf.jpg\n', 'files/p13/p13894716/s51424614/f7bf88df-2734c8dd-dbe15ebe-58fa37e4-329b9d59.jpg\n']"
s51853599_29,p11888614,s51853599,29,Impression,"In comparison with the study of ___, the monitoring and support devices are unchanged. The patient has taken a much poor inspiration. Continued enlargement of the cardiac silhouette with pulmonary edema with pleural effusions and compressive basilar atelectasis.","In comparison with the study of ___, the monitoring and support devices are unchanged.",,Monitoring and support devices,Stable,['files/p11/p11888614/s51853599/d761d23a-c91f3562-afa919b9-4296a1ca-18a90632.jpg'],"['files/p11/p11888614/s51840085/7f7f9559-e0020fe2-d818feea-fe3dfc5a-6fe1fdf3.jpg\n', 'files/p11/p11888614/s51840085/849bcc13-403bf760-04323271-8223b6e7-a6c8e685.jpg\n']"
s51858819_5,p16617702,s51858819,5,Impression,"AP chest compared to ___: Moderate left and small right pleural effusions have both increased. Pulmonary and mediastinal vasculature are mildly engorged. The partially obscured lower lobes are consolidated or partially atelectatic, but less well aerated today than on ___. Left PIC line can be traced as far as the low SVC, but the tip is obscured. The heart is top normal size, though increased compared to ___. No pneumothorax.","The heart is top normal size, though increased compared to ___.",heart size,,Worse,['files/p16/p16617702/s51858819/7524da00-43628bf8-818b42cf-2083bd53-a0229b69.jpg'],['files/p16/p16617702/s51255886/6361c6cb-2f5fe468-7fd88316-80a44c79-fbe11c02.jpg\n']
s51858819_5,p16617702,s51858819,5,Impression,"AP chest compared to ___: Moderate left and small right pleural effusions have both increased. Pulmonary and mediastinal vasculature are mildly engorged. The partially obscured lower lobes are consolidated or partially atelectatic, but less well aerated today than on ___. Left PIC line can be traced as far as the low SVC, but the tip is obscured. The heart is top normal size, though increased compared to ___. No pneumothorax.","The partially obscured lower lobes are consolidated or partially atelectatic, but less well aerated today than on ___.",consolidation or atelectasis,lower lobes,Worse,['files/p16/p16617702/s51858819/7524da00-43628bf8-818b42cf-2083bd53-a0229b69.jpg'],['files/p16/p16617702/s51255886/6361c6cb-2f5fe468-7fd88316-80a44c79-fbe11c02.jpg\n']
s51858819_5,p16617702,s51858819,5,Impression,"AP chest compared to ___: Moderate left and small right pleural effusions have both increased. Pulmonary and mediastinal vasculature are mildly engorged. The partially obscured lower lobes are consolidated or partially atelectatic, but less well aerated today than on ___. Left PIC line can be traced as far as the low SVC, but the tip is obscured. The heart is top normal size, though increased compared to ___. No pneumothorax.",Moderate left and small right pleural effusions have both increased.,pleural effusion,right,Worse,['files/p16/p16617702/s51858819/7524da00-43628bf8-818b42cf-2083bd53-a0229b69.jpg'],['files/p16/p16617702/s51255886/6361c6cb-2f5fe468-7fd88316-80a44c79-fbe11c02.jpg\n']
s51858819_5,p16617702,s51858819,5,Impression,"AP chest compared to ___: Moderate left and small right pleural effusions have both increased. Pulmonary and mediastinal vasculature are mildly engorged. The partially obscured lower lobes are consolidated or partially atelectatic, but less well aerated today than on ___. Left PIC line can be traced as far as the low SVC, but the tip is obscured. The heart is top normal size, though increased compared to ___. No pneumothorax.",Moderate left and small right pleural effusions have both increased.,pleural effusion,left,Worse,['files/p16/p16617702/s51858819/7524da00-43628bf8-818b42cf-2083bd53-a0229b69.jpg'],['files/p16/p16617702/s51255886/6361c6cb-2f5fe468-7fd88316-80a44c79-fbe11c02.jpg\n']
s51861010_5,p15793456,s51861010,5,Impression,"Compared to chest radiographs since ___, most recently ___ through ___ at 01:43. Heart size has returned to new chronic normal caliber. Right mediastinal shift persists despite interval clearance of transient right lower lobe consolidation, presumably atelectasis. It might be due to acute hyperinflation of the already dominant bullae in the left lung, particularly in the lower lobe. No pneumothorax or pleural effusion. ET tube in standard placement. Nasogastric drainage tube passes into the stomach and out of view.",Heart size has returned to new chronic normal caliber.,Heart size,,Stable,['files/p15/p15793456/s51861010/85fdecbd-e6066ee2-2b534974-6cf4108f-ea355efd.jpg'],['files/p15/p15793456/s51587887/c7318b14-8802035b-2b793a84-2206a58b-ff64d1a6.jpg\n']
s51861010_5,p15793456,s51861010,5,Impression,"Compared to chest radiographs since ___, most recently ___ through ___ at 01:43. Heart size has returned to new chronic normal caliber. Right mediastinal shift persists despite interval clearance of transient right lower lobe consolidation, presumably atelectasis. It might be due to acute hyperinflation of the already dominant bullae in the left lung, particularly in the lower lobe. No pneumothorax or pleural effusion. ET tube in standard placement. Nasogastric drainage tube passes into the stomach and out of view.","Right mediastinal shift persists despite interval clearance of transient right lower lobe consolidation, presumably atelectasis.",Mediastinal shift,Right,Stable,['files/p15/p15793456/s51861010/85fdecbd-e6066ee2-2b534974-6cf4108f-ea355efd.jpg'],['files/p15/p15793456/s51587887/c7318b14-8802035b-2b793a84-2206a58b-ff64d1a6.jpg\n']
s51878253_3,p16768418,s51878253,3,Impression,"No acute cardiopulmonary abnormality. Right PICC tip is in unchanged position, within the mid/lower SVC.","Right PICC tip is in unchanged position, within the mid/lower SVC.",Right PICC tip,mid/lower SVC,Stable,"['files/p16/p16768418/s51878253/5a40bc49-30c49ada-4ca68aa8-3d602352-d0e098b5.jpg', 'files/p16/p16768418/s51878253/894066e5-5d358d23-4a0565ac-ebb2bd92-c882bc27.jpg']",['files/p16/p16768418/s50484024/695acea4-7d4be71d-9243cd6c-c90f68cc-cf5d3a75.jpg\n']
s51878253_3,p16768418,s51878253,3,Findings,"Right PICC tip terminates in the mid/ lower SVC, unchanged. Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion, focal consolidation or pneumothorax is present. There are no acute osseous abnormalities.","Right PICC tip terminates in the mid/ lower SVC, unchanged.",Right PICC tip,mid/lower SVC,Stable,"['files/p16/p16768418/s51878253/5a40bc49-30c49ada-4ca68aa8-3d602352-d0e098b5.jpg', 'files/p16/p16768418/s51878253/894066e5-5d358d23-4a0565ac-ebb2bd92-c882bc27.jpg']",['files/p16/p16768418/s50484024/695acea4-7d4be71d-9243cd6c-c90f68cc-cf5d3a75.jpg\n']
s51882341_12,p14798972,s51882341,12,Findings,"Postoperative alterations of the mediastinum appear unchanged in this patient status post esophagectomy procedure. Indwelling lines and tubes are unchanged in position, and there is no evidence of a pneumothorax. Bibasilar atelectasis has worsened, particularly in the left retrocardiac region. Otherwise no relevant short interval change.",Postoperative alterations of the mediastinum appear unchanged in this patient status post esophagectomy procedure.,Postoperative alterations,mediastinum,Stable,['files/p14/p14798972/s51882341/da9bcd9f-310e0f89-ef56f5ed-330d4f9e-c7c83601.jpg'],"['files/p14/p14798972/s51217938/5c2bc160-a56ea402-02315775-00bb383c-8df68576.jpg\n', 'files/p14/p14798972/s51217938/e7e11d70-ad1261ad-0cd35368-cb80144c-969cfe02.jpg\n']"
s51882341_12,p14798972,s51882341,12,Findings,"Postoperative alterations of the mediastinum appear unchanged in this patient status post esophagectomy procedure. Indwelling lines and tubes are unchanged in position, and there is no evidence of a pneumothorax. Bibasilar atelectasis has worsened, particularly in the left retrocardiac region. Otherwise no relevant short interval change.","Bibasilar atelectasis has worsened, particularly in the left retrocardiac region.",Bibasilar atelectasis,left retrocardiac region,Worse,['files/p14/p14798972/s51882341/da9bcd9f-310e0f89-ef56f5ed-330d4f9e-c7c83601.jpg'],"['files/p14/p14798972/s51217938/5c2bc160-a56ea402-02315775-00bb383c-8df68576.jpg\n', 'files/p14/p14798972/s51217938/e7e11d70-ad1261ad-0cd35368-cb80144c-969cfe02.jpg\n']"
s51882341_12,p14798972,s51882341,12,Findings,"Postoperative alterations of the mediastinum appear unchanged in this patient status post esophagectomy procedure. Indwelling lines and tubes are unchanged in position, and there is no evidence of a pneumothorax. Bibasilar atelectasis has worsened, particularly in the left retrocardiac region. Otherwise no relevant short interval change.","Indwelling lines and tubes are unchanged in position, and there is no evidence of a pneumothorax.",Indwelling lines and tubes,position,Stable,['files/p14/p14798972/s51882341/da9bcd9f-310e0f89-ef56f5ed-330d4f9e-c7c83601.jpg'],"['files/p14/p14798972/s51217938/5c2bc160-a56ea402-02315775-00bb383c-8df68576.jpg\n', 'files/p14/p14798972/s51217938/e7e11d70-ad1261ad-0cd35368-cb80144c-969cfe02.jpg\n']"
s51890400_5,p16522757,s51890400,5,Impression,Right PICC line tip is at the level of mid SVC. Widespread consolidations are unchanged. The was interval planned placement of the left pigtail with subsequent decrease in the left pleural effusion. There is small left apical pneumothorax present. Note is made of substantially distended stomach. Right lower lobe consolidation is extensive and might potentially represent a combination of pneumonia with atelectasis. When compared to ___ a demonstrate substantial interval progression of the abnormalities. NG tube and ET tube are not present on the current study.,Widespread consolidations are unchanged.,consolidations,Widespread,Stable,['files/p16/p16522757/s51890400/abf84816-90b90529-a631cf93-9569c001-33ec9eaa.jpg'],['files/p16/p16522757/s51770964/6a67666e-673793de-b5a60dd5-e0289088-1d99231b.jpg\n']
s51890400_5,p16522757,s51890400,5,Impression,Right PICC line tip is at the level of mid SVC. Widespread consolidations are unchanged. The was interval planned placement of the left pigtail with subsequent decrease in the left pleural effusion. There is small left apical pneumothorax present. Note is made of substantially distended stomach. Right lower lobe consolidation is extensive and might potentially represent a combination of pneumonia with atelectasis. When compared to ___ a demonstrate substantial interval progression of the abnormalities. NG tube and ET tube are not present on the current study.,The was interval planned placement of the left pigtail with subsequent decrease in the left pleural effusion.,pleural effusion,Left,Better,['files/p16/p16522757/s51890400/abf84816-90b90529-a631cf93-9569c001-33ec9eaa.jpg'],['files/p16/p16522757/s51770964/6a67666e-673793de-b5a60dd5-e0289088-1d99231b.jpg\n']
s51890400_5,p16522757,s51890400,5,Impression,Right PICC line tip is at the level of mid SVC. Widespread consolidations are unchanged. The was interval planned placement of the left pigtail with subsequent decrease in the left pleural effusion. There is small left apical pneumothorax present. Note is made of substantially distended stomach. Right lower lobe consolidation is extensive and might potentially represent a combination of pneumonia with atelectasis. When compared to ___ a demonstrate substantial interval progression of the abnormalities. NG tube and ET tube are not present on the current study.,NG tube and ET tube are not present on the current study.,ET tube,,Resolve,['files/p16/p16522757/s51890400/abf84816-90b90529-a631cf93-9569c001-33ec9eaa.jpg'],['files/p16/p16522757/s51770964/6a67666e-673793de-b5a60dd5-e0289088-1d99231b.jpg\n']
s51890400_5,p16522757,s51890400,5,Impression,Right PICC line tip is at the level of mid SVC. Widespread consolidations are unchanged. The was interval planned placement of the left pigtail with subsequent decrease in the left pleural effusion. There is small left apical pneumothorax present. Note is made of substantially distended stomach. Right lower lobe consolidation is extensive and might potentially represent a combination of pneumonia with atelectasis. When compared to ___ a demonstrate substantial interval progression of the abnormalities. NG tube and ET tube are not present on the current study.,NG tube and ET tube are not present on the current study.,NG tube,,Resolve,['files/p16/p16522757/s51890400/abf84816-90b90529-a631cf93-9569c001-33ec9eaa.jpg'],['files/p16/p16522757/s51770964/6a67666e-673793de-b5a60dd5-e0289088-1d99231b.jpg\n']
s51891743_2,p13184933,s51891743,2,Findings,Interval improvement in mild bibasilar atelectasis. Small left-sided pleural effusion is new. There is a trace amount of fluid tracking in the right minor fissure. No evidence of pulmonary edema. The degree of cardiomegaly is slightly more than expected after surgery. Median sternotomy wires are intact.,Small left-sided pleural effusion is new.,Pleural effusion,Left-sided,New,"['files/p13/p13184933/s51891743/379b4718-fca565b4-9fc2566d-ecc473aa-00e09bdd.jpg', 'files/p13/p13184933/s51891743/b89d409f-f86c5bd7-887db0e3-8a997dbf-b16e1142.jpg']",
s51891743_2,p13184933,s51891743,2,Findings,Interval improvement in mild bibasilar atelectasis. Small left-sided pleural effusion is new. There is a trace amount of fluid tracking in the right minor fissure. No evidence of pulmonary edema. The degree of cardiomegaly is slightly more than expected after surgery. Median sternotomy wires are intact.,Interval improvement in mild bibasilar atelectasis.,Atelectasis,Bibasilar,Better,"['files/p13/p13184933/s51891743/379b4718-fca565b4-9fc2566d-ecc473aa-00e09bdd.jpg', 'files/p13/p13184933/s51891743/b89d409f-f86c5bd7-887db0e3-8a997dbf-b16e1142.jpg']",
s51891743_2,p13184933,s51891743,2,Findings,Interval improvement in mild bibasilar atelectasis. Small left-sided pleural effusion is new. There is a trace amount of fluid tracking in the right minor fissure. No evidence of pulmonary edema. The degree of cardiomegaly is slightly more than expected after surgery. Median sternotomy wires are intact.,The degree of cardiomegaly is slightly more than expected after surgery.,Cardiomegaly,,Worse,"['files/p13/p13184933/s51891743/379b4718-fca565b4-9fc2566d-ecc473aa-00e09bdd.jpg', 'files/p13/p13184933/s51891743/b89d409f-f86c5bd7-887db0e3-8a997dbf-b16e1142.jpg']",
s51891743_2,p13184933,s51891743,2,Impression,Slightly more than expected cardiomegaly after surgery. Follow-up radiographs are recommended. Small left pleural effusion is new.,Slightly more than expected cardiomegaly after surgery.,Cardiomegaly,,Worse,"['files/p13/p13184933/s51891743/379b4718-fca565b4-9fc2566d-ecc473aa-00e09bdd.jpg', 'files/p13/p13184933/s51891743/b89d409f-f86c5bd7-887db0e3-8a997dbf-b16e1142.jpg']",
s51891743_2,p13184933,s51891743,2,Impression,Slightly more than expected cardiomegaly after surgery. Follow-up radiographs are recommended. Small left pleural effusion is new.,Small left pleural effusion is new.,Pleural effusion,Left,New,"['files/p13/p13184933/s51891743/379b4718-fca565b4-9fc2566d-ecc473aa-00e09bdd.jpg', 'files/p13/p13184933/s51891743/b89d409f-f86c5bd7-887db0e3-8a997dbf-b16e1142.jpg']",
s51893215_3,p14583397,s51893215,3,Impression,New right internal jugular line ends at the cavoatrial junction. No pneumothorax.,New right internal jugular line ends at the cavoatrial junction.,internal jugular line,right,New,['files/p14/p14583397/s51893215/d3a1d9e4-94eb4b4c-537cbd71-da0ad8c6-d974a241.jpg'],"['files/p14/p14583397/s50892292/341c96bc-87783d40-8abc20ab-fa3645e4-b5f56f36.jpg\n', 'files/p14/p14583397/s50892292/ab122ca9-c693ab2c-cd9f74ef-04ecb782-231fdfe6.jpg\n', 'files/p14/p14583397/s50892292/d099acf0-536d3ccf-55bae878-94ed75d5-e0df8d76.jpg\n']"
s51893215_3,p14583397,s51893215,3,Findings,"A new right internal jugular line ends at the cavoatrial junction. The lung volumes remain low, which causes crowding of the bronchovascular structures. No pulmonary vascular congestion, pleural effusion or pneumothorax is identified. The heart size is top normal. Percieved widening of the mediastinum is likely due to technique.","The lung volumes remain low, which causes crowding of the bronchovascular structures.",low lung volumes,,Stable,['files/p14/p14583397/s51893215/d3a1d9e4-94eb4b4c-537cbd71-da0ad8c6-d974a241.jpg'],"['files/p14/p14583397/s50892292/341c96bc-87783d40-8abc20ab-fa3645e4-b5f56f36.jpg\n', 'files/p14/p14583397/s50892292/ab122ca9-c693ab2c-cd9f74ef-04ecb782-231fdfe6.jpg\n', 'files/p14/p14583397/s50892292/d099acf0-536d3ccf-55bae878-94ed75d5-e0df8d76.jpg\n']"
s51893215_3,p14583397,s51893215,3,Findings,"A new right internal jugular line ends at the cavoatrial junction. The lung volumes remain low, which causes crowding of the bronchovascular structures. No pulmonary vascular congestion, pleural effusion or pneumothorax is identified. The heart size is top normal. Percieved widening of the mediastinum is likely due to technique.",A new right internal jugular line ends at the cavoatrial junction.,internal jugular line,right,New,['files/p14/p14583397/s51893215/d3a1d9e4-94eb4b4c-537cbd71-da0ad8c6-d974a241.jpg'],"['files/p14/p14583397/s50892292/341c96bc-87783d40-8abc20ab-fa3645e4-b5f56f36.jpg\n', 'files/p14/p14583397/s50892292/ab122ca9-c693ab2c-cd9f74ef-04ecb782-231fdfe6.jpg\n', 'files/p14/p14583397/s50892292/d099acf0-536d3ccf-55bae878-94ed75d5-e0df8d76.jpg\n']"
s51901233_1,p13731472,s51901233,1,Findings,"Portable upright AP views. There are low lung volumes. Exam appears stable from prior. There is a subtle opacity in the right inferior cardiac margin, consistent with known epicardial fat pad. The lungs are otherwise clear. Cardiomediastinal silhouette is stable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.",Exam appears stable from prior.,,,Stable,['files/p13/p13731472/s51901233/7fb879bd-f49e00bd-91609953-bf71e17f-5a419295.jpg'],
s51901233_1,p13731472,s51901233,1,Findings,"Portable upright AP views. There are low lung volumes. Exam appears stable from prior. There is a subtle opacity in the right inferior cardiac margin, consistent with known epicardial fat pad. The lungs are otherwise clear. Cardiomediastinal silhouette is stable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.",Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,['files/p13/p13731472/s51901233/7fb879bd-f49e00bd-91609953-bf71e17f-5a419295.jpg'],
s51905928_1,p13184933,s51905928,1,Impression,Compared to chest radiographs ___ through ___. There is no pneumothorax and previous small left pleural effusion has decreased since ___ following removal of bilateral thoracostomy tubes. Mild cardiomegaly has increased mild to moderate bibasilar atelectasis is stable. There is no pulmonary edema.,There is no pneumothorax and previous small left pleural effusion has decreased since ___ following removal of bilateral thoracostomy tubes.,Pleural effusion,Left,Better,['files/p13/p13184933/s51905928/651c4169-94a729d0-c106e57b-c9c4864f-da822a8c.jpg'],"['files/p13/p13184933/s51891743/379b4718-fca565b4-9fc2566d-ecc473aa-00e09bdd.jpg\n', 'files/p13/p13184933/s51891743/b89d409f-f86c5bd7-887db0e3-8a997dbf-b16e1142.jpg\n']"
s51905928_1,p13184933,s51905928,1,Impression,Compared to chest radiographs ___ through ___. There is no pneumothorax and previous small left pleural effusion has decreased since ___ following removal of bilateral thoracostomy tubes. Mild cardiomegaly has increased mild to moderate bibasilar atelectasis is stable. There is no pulmonary edema.,Mild cardiomegaly has increased mild to moderate bibasilar atelectasis is stable.,Cardiomegaly,,Worse,['files/p13/p13184933/s51905928/651c4169-94a729d0-c106e57b-c9c4864f-da822a8c.jpg'],"['files/p13/p13184933/s51891743/379b4718-fca565b4-9fc2566d-ecc473aa-00e09bdd.jpg\n', 'files/p13/p13184933/s51891743/b89d409f-f86c5bd7-887db0e3-8a997dbf-b16e1142.jpg\n']"
s51908330_1,p18162895,s51908330,1,Findings,"PA and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. Calcified granuloma again seen at the right lung base. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. Pneumomediastinum identified on prior chest CT is not definitively identified by this chest x-ray. There is no subcutaneous gas identified in the neck. There is no free intraperitoneal air. Osseous structures are unremarkable.",Calcified granuloma again seen at the right lung base.,Calcified granuloma,right lung base,Stable,"['files/p18/p18162895/s51908330/5d5a7606-5db82e01-30ed2d70-68cf2b3e-01014d34.jpg', 'files/p18/p18162895/s51908330/f0e6ae67-f29f6b22-401dbf2c-393e1029-2691d372.jpg']",
s51908330_1,p18162895,s51908330,1,Impression,Known pneumomediastinum identified on chest CT from one day prior is not clearly identified by this plain film.,Known pneumomediastinum identified on chest CT from one day prior is not clearly identified by this plain film.,Pneumomediastinum,,Resolve,"['files/p18/p18162895/s51908330/5d5a7606-5db82e01-30ed2d70-68cf2b3e-01014d34.jpg', 'files/p18/p18162895/s51908330/f0e6ae67-f29f6b22-401dbf2c-393e1029-2691d372.jpg']",
s51908330_1,p18162895,s51908330,1,Findings,"PA and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pulmonary vascular congestion. Calcified granuloma again seen at the right lung base. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. Pneumomediastinum identified on prior chest CT is not definitively identified by this chest x-ray. There is no subcutaneous gas identified in the neck. There is no free intraperitoneal air. Osseous structures are unremarkable.",Pneumomediastinum identified on prior chest CT is not definitively identified by this chest x-ray.,Pneumomediastinum,,Resolve,"['files/p18/p18162895/s51908330/5d5a7606-5db82e01-30ed2d70-68cf2b3e-01014d34.jpg', 'files/p18/p18162895/s51908330/f0e6ae67-f29f6b22-401dbf2c-393e1029-2691d372.jpg']",
s51910000_18,p17559288,s51910000,18,Impression,Right internal jugular central line continues to have its tip in the mid SVC. A feeding tube is seen coursing below the diaphragm with the tip not identified. There continues to be bilateral airspace disease with more focal patchy areas in the left mid and the right mid and lower lung consistent with a diffuse pneumonia in this immunocompromised patient. No pleural effusions. No evidence of pneumothorax.,Right internal jugular central line continues to have its tip in the mid SVC.,Right internal jugular central line,mid SVC,Stable,['files/p17/p17559288/s51910000/888f3658-e541329c-5c12b9b9-10185f6d-11f0cd6c.jpg'],['files/p17/p17559288/s51790690/f30ac310-feddb6e1-a0bf1a2c-4311961b-74a32eed.jpg\n']
s51910000_18,p17559288,s51910000,18,Impression,Right internal jugular central line continues to have its tip in the mid SVC. A feeding tube is seen coursing below the diaphragm with the tip not identified. There continues to be bilateral airspace disease with more focal patchy areas in the left mid and the right mid and lower lung consistent with a diffuse pneumonia in this immunocompromised patient. No pleural effusions. No evidence of pneumothorax.,There continues to be bilateral airspace disease with more focal patchy areas in the left mid and the right mid and lower lung consistent with a diffuse pneumonia in this immunocompromised patient.,airspace disease,"bilateral, left mid, right mid and lower lung",Stable,['files/p17/p17559288/s51910000/888f3658-e541329c-5c12b9b9-10185f6d-11f0cd6c.jpg'],['files/p17/p17559288/s51790690/f30ac310-feddb6e1-a0bf1a2c-4311961b-74a32eed.jpg\n']
s51935226_13,p18057037,s51935226,13,Findings,"AP and lateral chest radiographs. Lung volumes remain low with right basilar atelectasis, similar to recent radiographs. The main pulmonary artery remains markedly enlarged. Small bilateral pleural effusions are similar to CTA chest of ___. There is no pneumothorax. Moderate cardiomegaly is stable. Surgical clips are noted in the upper abdomen.","Lung volumes remain low with right basilar atelectasis, similar to recent radiographs.",atelectasis,right basilar,Stable,"['files/p18/p18057037/s51935226/57ae3cb1-97ee6261-ad57fd24-2fdfb967-9f57b03e.jpg', 'files/p18/p18057037/s51935226/d7e76bf7-a2164a84-93ac8bab-30112b43-10fce823.jpg']","['files/p18/p18057037/s50572999/1b963d3e-0bf48d72-cbaf1a14-ed74724c-b8534d5a.jpg\n', 'files/p18/p18057037/s50572999/5139b8e5-f1349775-39057827-046ed642-60133e35.jpg\n']"
s51935226_13,p18057037,s51935226,13,Findings,"AP and lateral chest radiographs. Lung volumes remain low with right basilar atelectasis, similar to recent radiographs. The main pulmonary artery remains markedly enlarged. Small bilateral pleural effusions are similar to CTA chest of ___. There is no pneumothorax. Moderate cardiomegaly is stable. Surgical clips are noted in the upper abdomen.",The main pulmonary artery remains markedly enlarged.,main pulmonary artery,,Stable,"['files/p18/p18057037/s51935226/57ae3cb1-97ee6261-ad57fd24-2fdfb967-9f57b03e.jpg', 'files/p18/p18057037/s51935226/d7e76bf7-a2164a84-93ac8bab-30112b43-10fce823.jpg']","['files/p18/p18057037/s50572999/1b963d3e-0bf48d72-cbaf1a14-ed74724c-b8534d5a.jpg\n', 'files/p18/p18057037/s50572999/5139b8e5-f1349775-39057827-046ed642-60133e35.jpg\n']"
s51935226_13,p18057037,s51935226,13,Findings,"AP and lateral chest radiographs. Lung volumes remain low with right basilar atelectasis, similar to recent radiographs. The main pulmonary artery remains markedly enlarged. Small bilateral pleural effusions are similar to CTA chest of ___. There is no pneumothorax. Moderate cardiomegaly is stable. Surgical clips are noted in the upper abdomen.",Moderate cardiomegaly is stable.,cardiomegaly,,Stable,"['files/p18/p18057037/s51935226/57ae3cb1-97ee6261-ad57fd24-2fdfb967-9f57b03e.jpg', 'files/p18/p18057037/s51935226/d7e76bf7-a2164a84-93ac8bab-30112b43-10fce823.jpg']","['files/p18/p18057037/s50572999/1b963d3e-0bf48d72-cbaf1a14-ed74724c-b8534d5a.jpg\n', 'files/p18/p18057037/s50572999/5139b8e5-f1349775-39057827-046ed642-60133e35.jpg\n']"
s51935226_13,p18057037,s51935226,13,Findings,"AP and lateral chest radiographs. Lung volumes remain low with right basilar atelectasis, similar to recent radiographs. The main pulmonary artery remains markedly enlarged. Small bilateral pleural effusions are similar to CTA chest of ___. There is no pneumothorax. Moderate cardiomegaly is stable. Surgical clips are noted in the upper abdomen.",Small bilateral pleural effusions are similar to CTA chest of ___.,pleural effusions,bilateral,Stable,"['files/p18/p18057037/s51935226/57ae3cb1-97ee6261-ad57fd24-2fdfb967-9f57b03e.jpg', 'files/p18/p18057037/s51935226/d7e76bf7-a2164a84-93ac8bab-30112b43-10fce823.jpg']","['files/p18/p18057037/s50572999/1b963d3e-0bf48d72-cbaf1a14-ed74724c-b8534d5a.jpg\n', 'files/p18/p18057037/s50572999/5139b8e5-f1349775-39057827-046ed642-60133e35.jpg\n']"
s51937974_0,p15456033,s51937974,0,Findings,"Heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Scarring within the lung apices is unchanged. No focal consolidation, pleural effusion or pneumothorax is present. Mild degenerative changes are again noted in the imaged thoracic spine.",Scarring within the lung apices is unchanged.,Scarring,lung apices,Stable,"['files/p15/p15456033/s51937974/8219e4f1-2f72e956-229a4257-3824daa6-56b96e5d.jpg', 'files/p15/p15456033/s51937974/ccbd2311-fc323e32-01acc861-6baf59d1-7fac2f5b.jpg']",
s51937974_0,p15456033,s51937974,0,Findings,"Heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Scarring within the lung apices is unchanged. No focal consolidation, pleural effusion or pneumothorax is present. Mild degenerative changes are again noted in the imaged thoracic spine.",Mild degenerative changes are again noted in the imaged thoracic spine.,Degenerative changes,thoracic spine,Worse,"['files/p15/p15456033/s51937974/8219e4f1-2f72e956-229a4257-3824daa6-56b96e5d.jpg', 'files/p15/p15456033/s51937974/ccbd2311-fc323e32-01acc861-6baf59d1-7fac2f5b.jpg']",
s51940572_24,p18057037,s51940572,24,Impression,1. New CHF with interstitial and probable early alveolar edema. 2. Bibasilar collapse and/or consolidation and small left effusion similar to the ___ radiograph.,2. Bibasilar collapse and/or consolidation and small left effusion similar to the ___ radiograph.,collapse and/or consolidation,bibasilar,Stable,['files/p18/p18057037/s51940572/7aba81f6-645a2f48-7aa04bfb-489d2880-2f72270c.jpg'],"['files/p18/p18057037/s51935226/57ae3cb1-97ee6261-ad57fd24-2fdfb967-9f57b03e.jpg\n', 'files/p18/p18057037/s51935226/d7e76bf7-a2164a84-93ac8bab-30112b43-10fce823.jpg\n']"
s51940572_24,p18057037,s51940572,24,Impression,1. New CHF with interstitial and probable early alveolar edema. 2. Bibasilar collapse and/or consolidation and small left effusion similar to the ___ radiograph.,2. Bibasilar collapse and/or consolidation and small left effusion similar to the ___ radiograph.,effusion,left,Stable,['files/p18/p18057037/s51940572/7aba81f6-645a2f48-7aa04bfb-489d2880-2f72270c.jpg'],"['files/p18/p18057037/s51935226/57ae3cb1-97ee6261-ad57fd24-2fdfb967-9f57b03e.jpg\n', 'files/p18/p18057037/s51935226/d7e76bf7-a2164a84-93ac8bab-30112b43-10fce823.jpg\n']"
s51940572_24,p18057037,s51940572,24,Impression,1. New CHF with interstitial and probable early alveolar edema. 2. Bibasilar collapse and/or consolidation and small left effusion similar to the ___ radiograph.,1. New CHF with interstitial and probable early alveolar edema.,CHF with interstitial and probable early alveolar edema,,New,['files/p18/p18057037/s51940572/7aba81f6-645a2f48-7aa04bfb-489d2880-2f72270c.jpg'],"['files/p18/p18057037/s51935226/57ae3cb1-97ee6261-ad57fd24-2fdfb967-9f57b03e.jpg\n', 'files/p18/p18057037/s51935226/d7e76bf7-a2164a84-93ac8bab-30112b43-10fce823.jpg\n']"
s51942946_1,p11134683,s51942946,1,Findings,No focal consolidation is seen. Biapical pleural thickening is noted. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is calcified and tortuous. Old posterior lateral left ninth rib fracture was better seen on prior x-ray.,Old posterior lateral left ninth rib fracture was better seen on prior x-ray.,fracture,posterior lateral left ninth rib,Better,['files/p11/p11134683/s51942946/30e1c508-1a2ca634-02f30afb-06fc43a9-d7eac519.jpg'],
s51958471_2,p17971994,s51958471,2,Impression,No acute intrathoracic process. Faint nodules throughout the lungs are better seen on concurrent CTA chest.,Faint nodules throughout the lungs are better seen on concurrent CTA chest.,nodules,throughout,Better,"['files/p17/p17971994/s51958471/1164d62f-9e4a6099-a99a9a12-017229ad-7b6f71b5.jpg', 'files/p17/p17971994/s51958471/7aebfaa7-d5a1f4ed-24dfd06b-e5e86c5c-5850e00f.jpg']","['files/p17/p17971994/s51622821/1df7311e-0604deb0-5cf21129-d9d6af6a-dac5004d.jpg\n', 'files/p17/p17971994/s51622821/6660e8d2-6381a94a-843d96da-11713488-59a660eb.jpg\n']"
s51966317_0,p10817099,s51966317,0,Findings,Interval extubation. Cardiomediastinal contours are within normal limits and without change. Improved aeration at the lung bases with residual subsegmental atelectasis at the left lung base.,Improved aeration at the lung bases with residual subsegmental atelectasis at the left lung base.,aeration,lung bases,Better,['files/p10/p10817099/s51966317/0f2ba928-9c1965d7-afbe3c98-6b530f76-f000ae54.jpg'],
s51966317_0,p10817099,s51966317,0,Impression,Improving aeration at lung bases with residual left lower lobe subsegmental atelectasis.,Improving aeration at lung bases with residual left lower lobe subsegmental atelectasis.,subsegmental atelectasis,left lower lobe,Stable,['files/p10/p10817099/s51966317/0f2ba928-9c1965d7-afbe3c98-6b530f76-f000ae54.jpg'],
s51966317_0,p10817099,s51966317,0,Findings,Interval extubation. Cardiomediastinal contours are within normal limits and without change. Improved aeration at the lung bases with residual subsegmental atelectasis at the left lung base.,Interval extubation.,extubation,,Resolve,['files/p10/p10817099/s51966317/0f2ba928-9c1965d7-afbe3c98-6b530f76-f000ae54.jpg'],
s51966317_0,p10817099,s51966317,0,Findings,Interval extubation. Cardiomediastinal contours are within normal limits and without change. Improved aeration at the lung bases with residual subsegmental atelectasis at the left lung base.,Cardiomediastinal contours are within normal limits and without change.,Cardiomediastinal contours,,Stable,['files/p10/p10817099/s51966317/0f2ba928-9c1965d7-afbe3c98-6b530f76-f000ae54.jpg'],
s51966317_0,p10817099,s51966317,0,Findings,Interval extubation. Cardiomediastinal contours are within normal limits and without change. Improved aeration at the lung bases with residual subsegmental atelectasis at the left lung base.,Improved aeration at the lung bases with residual subsegmental atelectasis at the left lung base.,subsegmental atelectasis,left lung base,Stable,['files/p10/p10817099/s51966317/0f2ba928-9c1965d7-afbe3c98-6b530f76-f000ae54.jpg'],
s51966317_0,p10817099,s51966317,0,Impression,Improving aeration at lung bases with residual left lower lobe subsegmental atelectasis.,Improving aeration at lung bases with residual left lower lobe subsegmental atelectasis.,aeration,lung bases,Better,['files/p10/p10817099/s51966317/0f2ba928-9c1965d7-afbe3c98-6b530f76-f000ae54.jpg'],
s51969259_12,p13171410,s51969259,12,Impression,"As compared to the previous radiograph, the right internal jugular vein catheter has been removed. The small right pneumothorax is no longer visible. Neither the frontal nor the lateral radiograph show evidence of pleural effusions. Unchanged clips and sternal wires of the CABG. No pneumonia, no pulmonary edema. Normal size of the cardiac silhouette.",The small right pneumothorax is no longer visible.,pneumothorax,right,Resolve,"['files/p13/p13171410/s51969259/3077d18e-520b03ab-15ec5dd1-21c42a96-58bb1a22.jpg', 'files/p13/p13171410/s51969259/5710ff39-a6f932de-1547e689-b3864d9b-a9179f5b.jpg', 'files/p13/p13171410/s51969259/89b566cc-1497f0e2-d17c897d-8795930b-8e51bfdd.jpg']",['files/p13/p13171410/s51796411/57007272-9df31ade-7ab87e66-6edccc37-48b62a32.jpg\n']
s51969259_12,p13171410,s51969259,12,Impression,"As compared to the previous radiograph, the right internal jugular vein catheter has been removed. The small right pneumothorax is no longer visible. Neither the frontal nor the lateral radiograph show evidence of pleural effusions. Unchanged clips and sternal wires of the CABG. No pneumonia, no pulmonary edema. Normal size of the cardiac silhouette.",Unchanged clips and sternal wires of the CABG.,clips and sternal wires of the CABG,,Stable,"['files/p13/p13171410/s51969259/3077d18e-520b03ab-15ec5dd1-21c42a96-58bb1a22.jpg', 'files/p13/p13171410/s51969259/5710ff39-a6f932de-1547e689-b3864d9b-a9179f5b.jpg', 'files/p13/p13171410/s51969259/89b566cc-1497f0e2-d17c897d-8795930b-8e51bfdd.jpg']",['files/p13/p13171410/s51796411/57007272-9df31ade-7ab87e66-6edccc37-48b62a32.jpg\n']
s51969259_12,p13171410,s51969259,12,Impression,"As compared to the previous radiograph, the right internal jugular vein catheter has been removed. The small right pneumothorax is no longer visible. Neither the frontal nor the lateral radiograph show evidence of pleural effusions. Unchanged clips and sternal wires of the CABG. No pneumonia, no pulmonary edema. Normal size of the cardiac silhouette.","As compared to the previous radiograph, the right internal jugular vein catheter has been removed.",catheter,right internal jugular vein,Resolve,"['files/p13/p13171410/s51969259/3077d18e-520b03ab-15ec5dd1-21c42a96-58bb1a22.jpg', 'files/p13/p13171410/s51969259/5710ff39-a6f932de-1547e689-b3864d9b-a9179f5b.jpg', 'files/p13/p13171410/s51969259/89b566cc-1497f0e2-d17c897d-8795930b-8e51bfdd.jpg']",['files/p13/p13171410/s51796411/57007272-9df31ade-7ab87e66-6edccc37-48b62a32.jpg\n']
s51977643_59,p11717909,s51977643,59,Impression,"The endotracheal tube, nasogastric tube and right central line are unchanged. There is persistent density both bases more pronounced on the right than the left. There has been slight improvement in aeration as compared to the earlier study. There is no pneumothorax or CHF.",There has been slight improvement in aeration as compared to the earlier study.,aeration,,Better,['files/p11/p11717909/s51977643/5cb341c8-aa49422d-40f3789c-39d15032-f20400d3.jpg'],['files/p11/p11717909/s51664703/fe9eaa7f-1b6e6971-5aae1fe2-1a9a732e-9a4f58e7.jpg\n']
s51977643_59,p11717909,s51977643,59,Impression,"The endotracheal tube, nasogastric tube and right central line are unchanged. There is persistent density both bases more pronounced on the right than the left. There has been slight improvement in aeration as compared to the earlier study. There is no pneumothorax or CHF.",There is persistent density both bases more pronounced on the right than the left.,density,"both bases, more pronounced on the right than the left",Worse,['files/p11/p11717909/s51977643/5cb341c8-aa49422d-40f3789c-39d15032-f20400d3.jpg'],['files/p11/p11717909/s51664703/fe9eaa7f-1b6e6971-5aae1fe2-1a9a732e-9a4f58e7.jpg\n']
s51977643_59,p11717909,s51977643,59,Impression,"The endotracheal tube, nasogastric tube and right central line are unchanged. There is persistent density both bases more pronounced on the right than the left. There has been slight improvement in aeration as compared to the earlier study. There is no pneumothorax or CHF.","The endotracheal tube, nasogastric tube and right central line are unchanged.","endotracheal tube, nasogastric tube, right central line",,Stable,['files/p11/p11717909/s51977643/5cb341c8-aa49422d-40f3789c-39d15032-f20400d3.jpg'],['files/p11/p11717909/s51664703/fe9eaa7f-1b6e6971-5aae1fe2-1a9a732e-9a4f58e7.jpg\n']
s51982061_2,p12641488,s51982061,2,Findings,The NG tube tip is in the stomach. The. Left tube is been removed. There is volume loss at both bases. There is no focal infiltrate.,The. Left tube is been removed.,Tube,Left,Resolve,['files/p12/p12641488/s51982061/76c189dd-c9cae85a-af7009fe-25471b3e-172f291c.jpg'],['files/p12/p12641488/s51383617/c211b75b-8161910e-f2e25176-8b940c43-41776603.jpg\n']
s51991869_2,p16319384,s51991869,2,Findings,"PA and lateral views of the chest. Moderate cardiomegaly is unchanged. Calcification in the aortic knob is unchanged. Compared to study of ___, the pulmonary edema has resolved. There is no focal consolidation or pleural effusion or pneumothorax. There is mild scarring at the apices.","Compared to study of ___, the pulmonary edema has resolved.",pulmonary edema,,Resolve,"['files/p16/p16319384/s51991869/04f641c1-61030285-70b766ad-7189c11b-64101452.jpg', 'files/p16/p16319384/s51991869/374b061d-8ac364d9-175a127c-5c6cff5a-98e8a57c.jpg']",
s51991869_2,p16319384,s51991869,2,Findings,"PA and lateral views of the chest. Moderate cardiomegaly is unchanged. Calcification in the aortic knob is unchanged. Compared to study of ___, the pulmonary edema has resolved. There is no focal consolidation or pleural effusion or pneumothorax. There is mild scarring at the apices.",Calcification in the aortic knob is unchanged.,calcification,aortic knob,Stable,"['files/p16/p16319384/s51991869/04f641c1-61030285-70b766ad-7189c11b-64101452.jpg', 'files/p16/p16319384/s51991869/374b061d-8ac364d9-175a127c-5c6cff5a-98e8a57c.jpg']",
s51991869_2,p16319384,s51991869,2,Findings,"PA and lateral views of the chest. Moderate cardiomegaly is unchanged. Calcification in the aortic knob is unchanged. Compared to study of ___, the pulmonary edema has resolved. There is no focal consolidation or pleural effusion or pneumothorax. There is mild scarring at the apices.",Moderate cardiomegaly is unchanged.,moderate cardiomegaly,,Stable,"['files/p16/p16319384/s51991869/04f641c1-61030285-70b766ad-7189c11b-64101452.jpg', 'files/p16/p16319384/s51991869/374b061d-8ac364d9-175a127c-5c6cff5a-98e8a57c.jpg']",
s51992242_2,p13740705,s51992242,2,Findings,The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.,The cardiac and mediastinal silhouettes are stable.,cardiac and mediastinal silhouettes,,Stable,"['files/p13/p13740705/s51992242/38c6b526-4a53ddea-3c236e8b-2761544c-90f1c42b.jpg', 'files/p13/p13740705/s51992242/3c9f4e63-ab782964-b76f1cfd-0ab67396-c2575a4b.jpg']",
s51995292_6,p19112585,s51995292,6,Impression,Comparison to ___. The aortic balloon pump was removed. Newly placed. Feeding tube shows a normal course. The tip is not visualized on the image. No relevant change in appearance of the cardiac silhouette and the lung parenchyma.,No relevant change in appearance of the cardiac silhouette and the lung parenchyma.,Lung parenchyma,,Stable,['files/p19/p19112585/s51995292/5cc68f09-82923919-b78e0dc5-7b2ffc0a-64b53314.jpg'],['files/p19/p19112585/s51825039/ed33263a-e35f6636-9c2018a1-259dfa81-3022c5b4.jpg\n']
s51995292_6,p19112585,s51995292,6,Impression,Comparison to ___. The aortic balloon pump was removed. Newly placed. Feeding tube shows a normal course. The tip is not visualized on the image. No relevant change in appearance of the cardiac silhouette and the lung parenchyma.,No relevant change in appearance of the cardiac silhouette and the lung parenchyma.,Cardiac silhouette,,Stable,['files/p19/p19112585/s51995292/5cc68f09-82923919-b78e0dc5-7b2ffc0a-64b53314.jpg'],['files/p19/p19112585/s51825039/ed33263a-e35f6636-9c2018a1-259dfa81-3022c5b4.jpg\n']
s51995292_6,p19112585,s51995292,6,Impression,Comparison to ___. The aortic balloon pump was removed. Newly placed. Feeding tube shows a normal course. The tip is not visualized on the image. No relevant change in appearance of the cardiac silhouette and the lung parenchyma.,Comparison to ___. The aortic balloon pump was removed. Newly placed.,Aortic balloon pump,,Resolve,['files/p19/p19112585/s51995292/5cc68f09-82923919-b78e0dc5-7b2ffc0a-64b53314.jpg'],['files/p19/p19112585/s51825039/ed33263a-e35f6636-9c2018a1-259dfa81-3022c5b4.jpg\n']
s52019235_11,p18711952,s52019235,11,Impression,"In comparison with the study of ___, the the elevated pulmonary venous pressure is no longer appreciated. There is continued small left effusion with basilar atelectatic changes. No definite acute focal pneumonia.","In comparison with the study of ___, the elevated pulmonary venous pressure is no longer appreciated.",elevated pressure,pulmonary venous,Resolve,"['files/p18/p18711952/s52019235/154cbc44-fce9b261-ef06108f-7f440e1b-21f8f0be.jpg', 'files/p18/p18711952/s52019235/a6eaf07c-7d11c9e6-cbf92b96-72eb5709-8e9f4163.jpg']","['files/p18/p18711952/s51736713/041c5d66-c1d936d3-b74ac99c-9a464440-ac79abff.jpg\n', 'files/p18/p18711952/s51736713/cf6a4352-a09fe502-cedb583d-cf8a12af-f09a5c62.jpg\n']"
s52052474_17,p11717909,s52052474,17,Impression,"In comparison with the earlier study of this date, there is little changed. Continued substantial enlargement of the cardiac silhouette with obscuration of the left hemidiaphragm consistent with substantial volume loss in the left lower lobe. The right lung is clear and there is no evidence of pulmonary vascular congestion.","In comparison with the earlier study of this date, there is little changed.",,,Stable,['files/p11/p11717909/s52052474/fe2ff38c-680b5099-89541975-822dfa10-235feb53.jpg'],['files/p11/p11717909/s51977643/5cb341c8-aa49422d-40f3789c-39d15032-f20400d3.jpg\n']
s52062026_3,p14235841,s52062026,3,Impression,"In comparison with the study of mid ___, there is little change and no evidence of acute cardiopulmonary disease. Given the limitations of plain radiography, there is no evidence of parenchymal or skeletal metastases.","In comparison with the study of mid ___, there is little change and no evidence of acute cardiopulmonary disease.",Cardiopulmonary disease,,Stable,"['files/p14/p14235841/s52062026/5ac49145-ffa1cea3-aaa249a8-6cbf1be7-d97a5540.jpg', 'files/p14/p14235841/s52062026/eb4d38d4-5a42a2ac-f3c8a44d-e78fe3d8-20354de3.jpg']","['files/p14/p14235841/s51533854/1a3390a0-64016e72-4260680e-c7cdaeea-88505616.jpg\n', 'files/p14/p14235841/s51533854/5908d07a-1a8c8602-444efbb2-1fdd7481-5810665b.jpg\n']"
s52063223_10,p14482820,s52063223,10,Impression,"1. A focal opacity is seen in the left mid-lung which, given clinical concerns, could represent a pneumonia. 2. Mild pulmonary vascular congestion with small bilateral pleural effusions and mild bibasilar atelectasis is new since ___.",2. Mild pulmonary vascular congestion with small bilateral pleural effusions and mild bibasilar atelectasis is new since ___.,"Mild pulmonary vascular congestion, small bilateral pleural effusions, mild bibasilar atelectasis",Lungs and Pleura,New,['files/p14/p14482820/s52063223/86ab6668-1230eeac-ba4ca749-b4cf6c76-9bbae0dd.jpg'],"['files/p14/p14482820/s51222003/10848775-a37a1df3-15920443-b4c024fb-f364928e.jpg\n', 'files/p14/p14482820/s51222003/4b6ce9a4-dac125b5-896d3f40-992de147-21d01a2b.jpg\n']"
s52063223_10,p14482820,s52063223,10,Findings,"Since ___, mild pulmonary congestion with small bilateral pleural effusions and mild bibasilar atelectasis is appreciated. A focal opacity is seen in the left mid-lung which, given clinical concerns, could represent a pneumonia. Lung volumes remain low. Heart size is unchanged. No pneumothorax.",Heart size is unchanged.,Mild cardiomegaly,Heart size,Stable,['files/p14/p14482820/s52063223/86ab6668-1230eeac-ba4ca749-b4cf6c76-9bbae0dd.jpg'],"['files/p14/p14482820/s51222003/10848775-a37a1df3-15920443-b4c024fb-f364928e.jpg\n', 'files/p14/p14482820/s51222003/4b6ce9a4-dac125b5-896d3f40-992de147-21d01a2b.jpg\n']"
s52063223_10,p14482820,s52063223,10,Findings,"Since ___, mild pulmonary congestion with small bilateral pleural effusions and mild bibasilar atelectasis is appreciated. A focal opacity is seen in the left mid-lung which, given clinical concerns, could represent a pneumonia. Lung volumes remain low. Heart size is unchanged. No pneumothorax.",Lung volumes remain low.,Low lung volumes,Lung volumes,Stable,['files/p14/p14482820/s52063223/86ab6668-1230eeac-ba4ca749-b4cf6c76-9bbae0dd.jpg'],"['files/p14/p14482820/s51222003/10848775-a37a1df3-15920443-b4c024fb-f364928e.jpg\n', 'files/p14/p14482820/s51222003/4b6ce9a4-dac125b5-896d3f40-992de147-21d01a2b.jpg\n']"
s52070310_4,p19598137,s52070310,4,Findings,"There is a small amount of pneumoperitoneum below the left hemidiaphragm, which may be expected considering the recent percutaneous G-tube placement. There is persistent mild pulmonary edema. The small bilateral pleural effusions are unchanged in size. There are no new focal consolidations. The cardiomediastinal silhouette is stable. There is no pneumothorax.",There is persistent mild pulmonary edema.,Mild pulmonary edema,Unknown,Stable,['files/p19/p19598137/s52070310/6f9b4419-458e6f28-c82d6907-73e32753-6c0c1e05.jpg'],['files/p19/p19598137/s51118033/ea096f49-af1e650c-7f97b6e7-1a3d6813-f7276d49.jpg\n']
s52070310_4,p19598137,s52070310,4,Findings,"There is a small amount of pneumoperitoneum below the left hemidiaphragm, which may be expected considering the recent percutaneous G-tube placement. There is persistent mild pulmonary edema. The small bilateral pleural effusions are unchanged in size. There are no new focal consolidations. The cardiomediastinal silhouette is stable. There is no pneumothorax.",The cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,Unknown,Stable,['files/p19/p19598137/s52070310/6f9b4419-458e6f28-c82d6907-73e32753-6c0c1e05.jpg'],['files/p19/p19598137/s51118033/ea096f49-af1e650c-7f97b6e7-1a3d6813-f7276d49.jpg\n']
s52070310_4,p19598137,s52070310,4,Impression,"1. Small amount of pneumoperitoneum, which may be expected with the recent percutaneous G-tube placement. 2. Persistent mild pulmonary edema. 3. Small bilateral pleural effusions.",2. Persistent mild pulmonary edema.,Mild pulmonary edema,Unknown,Stable,['files/p19/p19598137/s52070310/6f9b4419-458e6f28-c82d6907-73e32753-6c0c1e05.jpg'],['files/p19/p19598137/s51118033/ea096f49-af1e650c-7f97b6e7-1a3d6813-f7276d49.jpg\n']
s52070310_4,p19598137,s52070310,4,Findings,"There is a small amount of pneumoperitoneum below the left hemidiaphragm, which may be expected considering the recent percutaneous G-tube placement. There is persistent mild pulmonary edema. The small bilateral pleural effusions are unchanged in size. There are no new focal consolidations. The cardiomediastinal silhouette is stable. There is no pneumothorax.",The small bilateral pleural effusions are unchanged in size.,Pleural effusions,Bilateral,Stable,['files/p19/p19598137/s52070310/6f9b4419-458e6f28-c82d6907-73e32753-6c0c1e05.jpg'],['files/p19/p19598137/s51118033/ea096f49-af1e650c-7f97b6e7-1a3d6813-f7276d49.jpg\n']
s52076228_2,p16821122,s52076228,2,Findings,"The cardiomediastinal silhouettes are stable allowing for differences due to a suboptimal inspiratory effort. There is a tortuous thoracic aorta, as on prior exam. The hila are within normal limits. There is evidence of prior right rotator cuff repair. Slightly increased opacity projecting over the right mid lung on AP view likely represents crowding of normal structures. Otherwise the lungs are clear. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.",The cardiomediastinal silhouettes are stable allowing for differences due to a suboptimal inspiratory effort.,cardiomediastinal silhouettes,,Stable,"['files/p16/p16821122/s52076228/85c5cc51-4ca751d2-53b3b8f7-9e94a4ac-b1203644.jpg', 'files/p16/p16821122/s52076228/e230a3a1-23446c9b-9196940b-ffe3a2de-5591ac72.jpg']","['files/p16/p16821122/s51675967/310e8148-a425915b-b9da63cf-3e0bacc3-14ca5967.jpg\n', 'files/p16/p16821122/s51675967/d8215900-2a751f2f-0b74c0f8-0d436922-94f8738d.jpg\n']"
s52076228_2,p16821122,s52076228,2,Findings,"The cardiomediastinal silhouettes are stable allowing for differences due to a suboptimal inspiratory effort. There is a tortuous thoracic aorta, as on prior exam. The hila are within normal limits. There is evidence of prior right rotator cuff repair. Slightly increased opacity projecting over the right mid lung on AP view likely represents crowding of normal structures. Otherwise the lungs are clear. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.","There is a tortuous thoracic aorta, as on prior exam.",aorta,thoracic,Stable,"['files/p16/p16821122/s52076228/85c5cc51-4ca751d2-53b3b8f7-9e94a4ac-b1203644.jpg', 'files/p16/p16821122/s52076228/e230a3a1-23446c9b-9196940b-ffe3a2de-5591ac72.jpg']","['files/p16/p16821122/s51675967/310e8148-a425915b-b9da63cf-3e0bacc3-14ca5967.jpg\n', 'files/p16/p16821122/s51675967/d8215900-2a751f2f-0b74c0f8-0d436922-94f8738d.jpg\n']"
s52076228_2,p16821122,s52076228,2,Findings,"The cardiomediastinal silhouettes are stable allowing for differences due to a suboptimal inspiratory effort. There is a tortuous thoracic aorta, as on prior exam. The hila are within normal limits. There is evidence of prior right rotator cuff repair. Slightly increased opacity projecting over the right mid lung on AP view likely represents crowding of normal structures. Otherwise the lungs are clear. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.",Slightly increased opacity projecting over the right mid lung on AP view likely represents crowding of normal structures.,opacity,right mid lung,Worse,"['files/p16/p16821122/s52076228/85c5cc51-4ca751d2-53b3b8f7-9e94a4ac-b1203644.jpg', 'files/p16/p16821122/s52076228/e230a3a1-23446c9b-9196940b-ffe3a2de-5591ac72.jpg']","['files/p16/p16821122/s51675967/310e8148-a425915b-b9da63cf-3e0bacc3-14ca5967.jpg\n', 'files/p16/p16821122/s51675967/d8215900-2a751f2f-0b74c0f8-0d436922-94f8738d.jpg\n']"
s52078228_0,p15585360,s52078228,0,Findings,No focal consolidation is seen. Small pulmonary nodules reported on prior chest CT from ___ were better assessed on that more sensitive study and follow-up recommendation per that study remains. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.,The cardiac and mediastinal silhouettes are stable.,Cardiac and mediastinal silhouettes,,Stable,"['files/p15/p15585360/s52078228/04d4bb7c-3e524bc2-dddbd274-58c7a633-e72d0a37.jpg', 'files/p15/p15585360/s52078228/cdbb816d-5149649c-ae5f5de6-9c97c843-aeb02508.jpg']",
s52078228_0,p15585360,s52078228,0,Impression,No acute cardiopulmonary process. No focal consolidation to suggest pneumonia. Small pulmonary nodules reported on prior chest CT from ___ were better assessed on that more sensitive study and follow-up recommendation per that study remains.,Small pulmonary nodules reported on prior chest CT from ___ were better assessed on that more sensitive study and follow-up recommendation per that study remains.,Small pulmonary nodules,,Better,"['files/p15/p15585360/s52078228/04d4bb7c-3e524bc2-dddbd274-58c7a633-e72d0a37.jpg', 'files/p15/p15585360/s52078228/cdbb816d-5149649c-ae5f5de6-9c97c843-aeb02508.jpg']",
s52078228_0,p15585360,s52078228,0,Findings,No focal consolidation is seen. Small pulmonary nodules reported on prior chest CT from ___ were better assessed on that more sensitive study and follow-up recommendation per that study remains. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.,Small pulmonary nodules reported on prior chest CT from ___ were better assessed on that more sensitive study and follow-up recommendation per that study remains.,Small pulmonary nodules,,Better,"['files/p15/p15585360/s52078228/04d4bb7c-3e524bc2-dddbd274-58c7a633-e72d0a37.jpg', 'files/p15/p15585360/s52078228/cdbb816d-5149649c-ae5f5de6-9c97c843-aeb02508.jpg']",
s52093968_1,p15167936,s52093968,1,Impression,"In comparison with the study of ___, allowing for the PA and lateral projections, the right mediastinal border of the heart is slightly less prominent. No evidence of acute focal pneumonia or vascular congestion.There is loss of height of several vertebral bodies in the thoracic region, not appreciated on the most recent available study in ___.","There is loss of height of several vertebral bodies in the thoracic region, not appreciated on the most recent available study in ___.",loss of height of vertebral bodies,thoracic region,New,"['files/p15/p15167936/s52093968/3d94f5e0-24d15a0d-03dfa926-7bab6be7-90cc1c34.jpg', 'files/p15/p15167936/s52093968/de407a93-6c22805f-d6794e2e-886fa9b0-bdf28c9c.jpg']",
s52093968_1,p15167936,s52093968,1,Impression,"In comparison with the study of ___, allowing for the PA and lateral projections, the right mediastinal border of the heart is slightly less prominent. No evidence of acute focal pneumonia or vascular congestion.There is loss of height of several vertebral bodies in the thoracic region, not appreciated on the most recent available study in ___.","In comparison with the study of ___, allowing for the PA and lateral projections, the right mediastinal border of the heart is slightly less prominent.",prominence,right mediastinal border,Better,"['files/p15/p15167936/s52093968/3d94f5e0-24d15a0d-03dfa926-7bab6be7-90cc1c34.jpg', 'files/p15/p15167936/s52093968/de407a93-6c22805f-d6794e2e-886fa9b0-bdf28c9c.jpg']",
s52122560_5,p17945610,s52122560,5,Findings,"The ETT is in standard position. The right pigtail catheter also appears intact and unchanged in position projecting over the right aspect of the mediastinum in the lower hemithorax. The enteric tube crosses the midline and the is tip is not seen. The stomach is nondistended. Bilateral pulmonary edema has markedly improved since ___ and minimally improved since ___, now mild in severity. Persistent focal right upper lobe opacity could represent concurrent pneumonia. Hazy opacification blunting of the left costophrenic angle is overall similar and suggest persistent small left pleural effusion. No definite right pleural effusion. Mild to moderate cardiomegaly persists and is unchanged. The mediastinum is not widened. No pneumothorax. Aortic knob calcifications are re- demonstrated. Dextroconvex scoliosis of the thoracic spine is unchanged.",Dextroconvex scoliosis of the thoracic spine is unchanged.,dextroconvex scoliosis,thoracic spine,Stable,['files/p17/p17945610/s52122560/889de77f-1402d0bf-fd2d2420-a6980f4b-09ae6ed7.jpg'],['files/p17/p17945610/s51939978/a9415ba1-3d12f1ec-964b6738-a9e76fa5-30aca88b.jpg\n']
s52122560_5,p17945610,s52122560,5,Impression,"Improving, now mild, pulmonary edema with persistent right upper lobe opacity which could represent concurrent pneumonia.","Improving, now mild, pulmonary edema with persistent right upper lobe opacity which could represent concurrent pneumonia.",pulmonary edema,Bilateral,Better,['files/p17/p17945610/s52122560/889de77f-1402d0bf-fd2d2420-a6980f4b-09ae6ed7.jpg'],['files/p17/p17945610/s51939978/a9415ba1-3d12f1ec-964b6738-a9e76fa5-30aca88b.jpg\n']
s52122560_5,p17945610,s52122560,5,Findings,"The ETT is in standard position. The right pigtail catheter also appears intact and unchanged in position projecting over the right aspect of the mediastinum in the lower hemithorax. The enteric tube crosses the midline and the is tip is not seen. The stomach is nondistended. Bilateral pulmonary edema has markedly improved since ___ and minimally improved since ___, now mild in severity. Persistent focal right upper lobe opacity could represent concurrent pneumonia. Hazy opacification blunting of the left costophrenic angle is overall similar and suggest persistent small left pleural effusion. No definite right pleural effusion. Mild to moderate cardiomegaly persists and is unchanged. The mediastinum is not widened. No pneumothorax. Aortic knob calcifications are re- demonstrated. Dextroconvex scoliosis of the thoracic spine is unchanged.",Mild to moderate cardiomegaly persists and is unchanged.,cardiomegaly,,Stable,['files/p17/p17945610/s52122560/889de77f-1402d0bf-fd2d2420-a6980f4b-09ae6ed7.jpg'],['files/p17/p17945610/s51939978/a9415ba1-3d12f1ec-964b6738-a9e76fa5-30aca88b.jpg\n']
s52122560_5,p17945610,s52122560,5,Findings,"The ETT is in standard position. The right pigtail catheter also appears intact and unchanged in position projecting over the right aspect of the mediastinum in the lower hemithorax. The enteric tube crosses the midline and the is tip is not seen. The stomach is nondistended. Bilateral pulmonary edema has markedly improved since ___ and minimally improved since ___, now mild in severity. Persistent focal right upper lobe opacity could represent concurrent pneumonia. Hazy opacification blunting of the left costophrenic angle is overall similar and suggest persistent small left pleural effusion. No definite right pleural effusion. Mild to moderate cardiomegaly persists and is unchanged. The mediastinum is not widened. No pneumothorax. Aortic knob calcifications are re- demonstrated. Dextroconvex scoliosis of the thoracic spine is unchanged.",The right pigtail catheter also appears intact and unchanged in position projecting over the right aspect of the mediastinum in the lower hemithorax.,right pigtail catheter,right aspect of the mediastinum in the lower hemithorax,Stable,['files/p17/p17945610/s52122560/889de77f-1402d0bf-fd2d2420-a6980f4b-09ae6ed7.jpg'],['files/p17/p17945610/s51939978/a9415ba1-3d12f1ec-964b6738-a9e76fa5-30aca88b.jpg\n']
s52122560_5,p17945610,s52122560,5,Findings,"The ETT is in standard position. The right pigtail catheter also appears intact and unchanged in position projecting over the right aspect of the mediastinum in the lower hemithorax. The enteric tube crosses the midline and the is tip is not seen. The stomach is nondistended. Bilateral pulmonary edema has markedly improved since ___ and minimally improved since ___, now mild in severity. Persistent focal right upper lobe opacity could represent concurrent pneumonia. Hazy opacification blunting of the left costophrenic angle is overall similar and suggest persistent small left pleural effusion. No definite right pleural effusion. Mild to moderate cardiomegaly persists and is unchanged. The mediastinum is not widened. No pneumothorax. Aortic knob calcifications are re- demonstrated. Dextroconvex scoliosis of the thoracic spine is unchanged.",Hazy opacification blunting of the left costophrenic angle is overall similar and suggest persistent small left pleural effusion.,small left pleural effusion,left costophrenic angle,Stable,['files/p17/p17945610/s52122560/889de77f-1402d0bf-fd2d2420-a6980f4b-09ae6ed7.jpg'],['files/p17/p17945610/s51939978/a9415ba1-3d12f1ec-964b6738-a9e76fa5-30aca88b.jpg\n']
s52122560_5,p17945610,s52122560,5,Findings,"The ETT is in standard position. The right pigtail catheter also appears intact and unchanged in position projecting over the right aspect of the mediastinum in the lower hemithorax. The enteric tube crosses the midline and the is tip is not seen. The stomach is nondistended. Bilateral pulmonary edema has markedly improved since ___ and minimally improved since ___, now mild in severity. Persistent focal right upper lobe opacity could represent concurrent pneumonia. Hazy opacification blunting of the left costophrenic angle is overall similar and suggest persistent small left pleural effusion. No definite right pleural effusion. Mild to moderate cardiomegaly persists and is unchanged. The mediastinum is not widened. No pneumothorax. Aortic knob calcifications are re- demonstrated. Dextroconvex scoliosis of the thoracic spine is unchanged.",Persistent focal right upper lobe opacity could represent concurrent pneumonia.,opacity,right upper lobe,Stable,['files/p17/p17945610/s52122560/889de77f-1402d0bf-fd2d2420-a6980f4b-09ae6ed7.jpg'],['files/p17/p17945610/s51939978/a9415ba1-3d12f1ec-964b6738-a9e76fa5-30aca88b.jpg\n']
s52122560_5,p17945610,s52122560,5,Impression,"Improving, now mild, pulmonary edema with persistent right upper lobe opacity which could represent concurrent pneumonia.","Improving, now mild, pulmonary edema with persistent right upper lobe opacity which could represent concurrent pneumonia.",opacity,right upper lobe,Stable,['files/p17/p17945610/s52122560/889de77f-1402d0bf-fd2d2420-a6980f4b-09ae6ed7.jpg'],['files/p17/p17945610/s51939978/a9415ba1-3d12f1ec-964b6738-a9e76fa5-30aca88b.jpg\n']
s52122560_5,p17945610,s52122560,5,Findings,"The ETT is in standard position. The right pigtail catheter also appears intact and unchanged in position projecting over the right aspect of the mediastinum in the lower hemithorax. The enteric tube crosses the midline and the is tip is not seen. The stomach is nondistended. Bilateral pulmonary edema has markedly improved since ___ and minimally improved since ___, now mild in severity. Persistent focal right upper lobe opacity could represent concurrent pneumonia. Hazy opacification blunting of the left costophrenic angle is overall similar and suggest persistent small left pleural effusion. No definite right pleural effusion. Mild to moderate cardiomegaly persists and is unchanged. The mediastinum is not widened. No pneumothorax. Aortic knob calcifications are re- demonstrated. Dextroconvex scoliosis of the thoracic spine is unchanged.",Aortic knob calcifications are re- demonstrated.,calcifications,aortic knob,Stable,['files/p17/p17945610/s52122560/889de77f-1402d0bf-fd2d2420-a6980f4b-09ae6ed7.jpg'],['files/p17/p17945610/s51939978/a9415ba1-3d12f1ec-964b6738-a9e76fa5-30aca88b.jpg\n']
s52122560_5,p17945610,s52122560,5,Findings,"The ETT is in standard position. The right pigtail catheter also appears intact and unchanged in position projecting over the right aspect of the mediastinum in the lower hemithorax. The enteric tube crosses the midline and the is tip is not seen. The stomach is nondistended. Bilateral pulmonary edema has markedly improved since ___ and minimally improved since ___, now mild in severity. Persistent focal right upper lobe opacity could represent concurrent pneumonia. Hazy opacification blunting of the left costophrenic angle is overall similar and suggest persistent small left pleural effusion. No definite right pleural effusion. Mild to moderate cardiomegaly persists and is unchanged. The mediastinum is not widened. No pneumothorax. Aortic knob calcifications are re- demonstrated. Dextroconvex scoliosis of the thoracic spine is unchanged.","Bilateral pulmonary edema has markedly improved since ___ and minimally improved since ___, now mild in severity.",pulmonary edema,Bilateral,Better,['files/p17/p17945610/s52122560/889de77f-1402d0bf-fd2d2420-a6980f4b-09ae6ed7.jpg'],['files/p17/p17945610/s51939978/a9415ba1-3d12f1ec-964b6738-a9e76fa5-30aca88b.jpg\n']
s52126280_2,p12906762,s52126280,2,Impression,"No relevant change as compared to the previous radiograph, the fibrotic and potentially cavitary changes in the right and left lung apex are of similar appearance. No new focal parenchymal opacities. Normal size of the cardiac silhouette. No pleural effusions. No pulmonary edema. The monitoring and support devices are constant.",The monitoring and support devices are constant.,monitoring and support devices,,Stable,['files/p12/p12906762/s52126280/699a2526-5b07de66-ef9bc72a-8995b427-76074026.jpg'],['files/p12/p12906762/s51923417/ec551da7-a02ee2e5-7d9d36c0-ec4ed8c9-d6dee4e5.jpg\n']
s52126280_2,p12906762,s52126280,2,Impression,"No relevant change as compared to the previous radiograph, the fibrotic and potentially cavitary changes in the right and left lung apex are of similar appearance. No new focal parenchymal opacities. Normal size of the cardiac silhouette. No pleural effusions. No pulmonary edema. The monitoring and support devices are constant.","No relevant change as compared to the previous radiograph, the fibrotic and potentially cavitary changes in the right and left lung apex are of similar appearance.",fibrotic and potentially cavitary changes,right and left lung apex,Stable,['files/p12/p12906762/s52126280/699a2526-5b07de66-ef9bc72a-8995b427-76074026.jpg'],['files/p12/p12906762/s51923417/ec551da7-a02ee2e5-7d9d36c0-ec4ed8c9-d6dee4e5.jpg\n']
s52127446_53,p11717909,s52127446,53,Impression,"As compared to ___, widespread areas of airspace consolidation have slightly improved and continue to involve the right lung to a greater degree than the left. Moderate right and small left pleural effusions are again demonstrated, and no pneumothorax detected.","As compared to ___, widespread areas of airspace consolidation have slightly improved and continue to involve the right lung to a greater degree than the left.",airspace consolidation,widespread,Better,['files/p11/p11717909/s52127446/65ef31a2-e080f853-c5c75be5-2246e4e8-105fffb1.jpg'],['files/p11/p11717909/s52052474/fe2ff38c-680b5099-89541975-822dfa10-235feb53.jpg\n']
s52139824_0,p10308375,s52139824,0,Findings,,The heart remains enlarged.,Enlarged heart,,Stable,['files/p10/p10308375/s52139824/53f5b331-b246e0f1-f7e1d461-eb3139a0-caf707e0.jpg'],
s52139824_0,p10308375,s52139824,0,Findings,,"There is also an asymmetric airspace process involving the left apex, which likely is not significantly changed dating all the way back to ___ and therefore would favor a benign process.",asymmetric airspace process,left apex,Stable,['files/p10/p10308375/s52139824/53f5b331-b246e0f1-f7e1d461-eb3139a0-caf707e0.jpg'],
s52139824_0,p10308375,s52139824,0,Findings,,Mediastinal contours are stable.,Mediastinal contours,,Stable,['files/p10/p10308375/s52139824/53f5b331-b246e0f1-f7e1d461-eb3139a0-caf707e0.jpg'],
s52152687_3,p18711952,s52152687,3,Findings,Frontal and lateral radiographs of the chest. The moderate right pleural effusion is unchanged with associated atelectasis. There is interval improvement in pulmonary edema. Stable mildly enlarged cardiac silhouette. No right pleural effusion. No pneumothorax.,The moderate right pleural effusion is unchanged with associated atelectasis.,pleural effusion,right,Stable,"['files/p18/p18711952/s52152687/7f7bf68e-6d6ce67a-f6531a2b-edaf79cd-8825f540.jpg', 'files/p18/p18711952/s52152687/cdc9c3fc-2c1de092-1ff45e6d-12accd18-918c173c.jpg']","['files/p18/p18711952/s52019235/154cbc44-fce9b261-ef06108f-7f440e1b-21f8f0be.jpg\n', 'files/p18/p18711952/s52019235/a6eaf07c-7d11c9e6-cbf92b96-72eb5709-8e9f4163.jpg\n']"
s52152687_3,p18711952,s52152687,3,Findings,Frontal and lateral radiographs of the chest. The moderate right pleural effusion is unchanged with associated atelectasis. There is interval improvement in pulmonary edema. Stable mildly enlarged cardiac silhouette. No right pleural effusion. No pneumothorax.,Stable mildly enlarged cardiac silhouette.,cardiac silhouette,,Stable,"['files/p18/p18711952/s52152687/7f7bf68e-6d6ce67a-f6531a2b-edaf79cd-8825f540.jpg', 'files/p18/p18711952/s52152687/cdc9c3fc-2c1de092-1ff45e6d-12accd18-918c173c.jpg']","['files/p18/p18711952/s52019235/154cbc44-fce9b261-ef06108f-7f440e1b-21f8f0be.jpg\n', 'files/p18/p18711952/s52019235/a6eaf07c-7d11c9e6-cbf92b96-72eb5709-8e9f4163.jpg\n']"
s52152687_3,p18711952,s52152687,3,Impression,Persistent moderate right pleural effusion with associated atelectasis and resolving pneumonia. Improved pulmonary edema.,Persistent moderate right pleural effusion with associated atelectasis and resolving pneumonia.,pleural effusion,right,Stable,"['files/p18/p18711952/s52152687/7f7bf68e-6d6ce67a-f6531a2b-edaf79cd-8825f540.jpg', 'files/p18/p18711952/s52152687/cdc9c3fc-2c1de092-1ff45e6d-12accd18-918c173c.jpg']","['files/p18/p18711952/s52019235/154cbc44-fce9b261-ef06108f-7f440e1b-21f8f0be.jpg\n', 'files/p18/p18711952/s52019235/a6eaf07c-7d11c9e6-cbf92b96-72eb5709-8e9f4163.jpg\n']"
s52152687_3,p18711952,s52152687,3,Findings,Frontal and lateral radiographs of the chest. The moderate right pleural effusion is unchanged with associated atelectasis. There is interval improvement in pulmonary edema. Stable mildly enlarged cardiac silhouette. No right pleural effusion. No pneumothorax.,There is interval improvement in pulmonary edema.,pulmonary edema,,Better,"['files/p18/p18711952/s52152687/7f7bf68e-6d6ce67a-f6531a2b-edaf79cd-8825f540.jpg', 'files/p18/p18711952/s52152687/cdc9c3fc-2c1de092-1ff45e6d-12accd18-918c173c.jpg']","['files/p18/p18711952/s52019235/154cbc44-fce9b261-ef06108f-7f440e1b-21f8f0be.jpg\n', 'files/p18/p18711952/s52019235/a6eaf07c-7d11c9e6-cbf92b96-72eb5709-8e9f4163.jpg\n']"
s52152687_3,p18711952,s52152687,3,Impression,Persistent moderate right pleural effusion with associated atelectasis and resolving pneumonia. Improved pulmonary edema.,Improved pulmonary edema.,pulmonary edema,,Better,"['files/p18/p18711952/s52152687/7f7bf68e-6d6ce67a-f6531a2b-edaf79cd-8825f540.jpg', 'files/p18/p18711952/s52152687/cdc9c3fc-2c1de092-1ff45e6d-12accd18-918c173c.jpg']","['files/p18/p18711952/s52019235/154cbc44-fce9b261-ef06108f-7f440e1b-21f8f0be.jpg\n', 'files/p18/p18711952/s52019235/a6eaf07c-7d11c9e6-cbf92b96-72eb5709-8e9f4163.jpg\n']"
s52153858_13,p11932181,s52153858,13,Findings,"Frontal and lateral views of the chest were obtained. The patient is status post left upper lobectomy with significant volume loss again seen on the left with suggestion of interval increase in volume loss as compared to the prior study. No definite pleural effusion is seen. In the visualized left lower lung field, there is a patchy opacity likely present on the prior study and most likely relates to underlying volume loss, although a superimposed infection is not entirely excluded. The right lung is clear. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are grossly stable. Surgical clips in the upper quadrant are from presumed prior cholecystectomy.",Cardiac and mediastinal silhouettes are grossly stable.,silhouettes,cardiac and mediastinal,Stable,"['files/p11/p11932181/s52153858/6fafcd8d-67ac12fa-a3ce56a6-3557b61f-1fa1d58a.jpg', 'files/p11/p11932181/s52153858/d593896e-25d268b0-0a8ededc-4a4c401c-c72b8357.jpg']",['files/p11/p11932181/s51819903/01064b50-d0d421d9-6fad1834-798ed6d8-d2ef01ac.jpg\n']
s52153858_13,p11932181,s52153858,13,Impression,Status post left upper lobectomy with left-sided volume loss which is increased as compared to the prior study.,Status post left upper lobectomy with left-sided volume loss which is increased as compared to the prior study.,volume loss,left-sided,Worse,"['files/p11/p11932181/s52153858/6fafcd8d-67ac12fa-a3ce56a6-3557b61f-1fa1d58a.jpg', 'files/p11/p11932181/s52153858/d593896e-25d268b0-0a8ededc-4a4c401c-c72b8357.jpg']",['files/p11/p11932181/s51819903/01064b50-d0d421d9-6fad1834-798ed6d8-d2ef01ac.jpg\n']
s52153858_13,p11932181,s52153858,13,Findings,"Frontal and lateral views of the chest were obtained. The patient is status post left upper lobectomy with significant volume loss again seen on the left with suggestion of interval increase in volume loss as compared to the prior study. No definite pleural effusion is seen. In the visualized left lower lung field, there is a patchy opacity likely present on the prior study and most likely relates to underlying volume loss, although a superimposed infection is not entirely excluded. The right lung is clear. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are grossly stable. Surgical clips in the upper quadrant are from presumed prior cholecystectomy.","In the visualized left lower lung field, there is a patchy opacity likely present on the prior study and most likely relates to underlying volume loss, although a superimposed infection is not entirely excluded.",patchy opacity,left lower lung field,Stable,"['files/p11/p11932181/s52153858/6fafcd8d-67ac12fa-a3ce56a6-3557b61f-1fa1d58a.jpg', 'files/p11/p11932181/s52153858/d593896e-25d268b0-0a8ededc-4a4c401c-c72b8357.jpg']",['files/p11/p11932181/s51819903/01064b50-d0d421d9-6fad1834-798ed6d8-d2ef01ac.jpg\n']
s52153858_13,p11932181,s52153858,13,Findings,"Frontal and lateral views of the chest were obtained. The patient is status post left upper lobectomy with significant volume loss again seen on the left with suggestion of interval increase in volume loss as compared to the prior study. No definite pleural effusion is seen. In the visualized left lower lung field, there is a patchy opacity likely present on the prior study and most likely relates to underlying volume loss, although a superimposed infection is not entirely excluded. The right lung is clear. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are grossly stable. Surgical clips in the upper quadrant are from presumed prior cholecystectomy.",The patient is status post left upper lobectomy with significant volume loss again seen on the left with suggestion of interval increase in volume loss as compared to the prior study.,volume loss,left,Worse,"['files/p11/p11932181/s52153858/6fafcd8d-67ac12fa-a3ce56a6-3557b61f-1fa1d58a.jpg', 'files/p11/p11932181/s52153858/d593896e-25d268b0-0a8ededc-4a4c401c-c72b8357.jpg']",['files/p11/p11932181/s51819903/01064b50-d0d421d9-6fad1834-798ed6d8-d2ef01ac.jpg\n']
s52167064_5,p12056668,s52167064,5,Findings,Portable chest radiograph demonstrates slightly increased large bilateral pleural effusions. Evaluation of the cardiomediastinal and hilar silhouettes is very limited due to pleural effusions but appears grossly unchanged. No focal opacification concerning for pneumonia identified.,Portable chest radiograph demonstrates slightly increased large bilateral pleural effusions.,pleural effusions,bilateral,Worse,['files/p12/p12056668/s52167064/052e448b-2164ba7d-2a1a5625-94f5bdc2-34f732ab.jpg'],['files/p12/p12056668/s50674125/e63e4411-eb57a2b9-50bb9ef0-8f980310-c7fd6f0f.jpg\n']
s52167064_5,p12056668,s52167064,5,Impression,Slight increase in large bilateral pleural effusions.,Slight increase in large bilateral pleural effusions.,pleural effusions,bilateral,Worse,['files/p12/p12056668/s52167064/052e448b-2164ba7d-2a1a5625-94f5bdc2-34f732ab.jpg'],['files/p12/p12056668/s50674125/e63e4411-eb57a2b9-50bb9ef0-8f980310-c7fd6f0f.jpg\n']
s52167064_5,p12056668,s52167064,5,Findings,Portable chest radiograph demonstrates slightly increased large bilateral pleural effusions. Evaluation of the cardiomediastinal and hilar silhouettes is very limited due to pleural effusions but appears grossly unchanged. No focal opacification concerning for pneumonia identified.,Evaluation of the cardiomediastinal and hilar silhouettes is very limited due to pleural effusions but appears grossly unchanged.,,cardiomediastinal and hilar silhouettes,Stable,['files/p12/p12056668/s52167064/052e448b-2164ba7d-2a1a5625-94f5bdc2-34f732ab.jpg'],['files/p12/p12056668/s50674125/e63e4411-eb57a2b9-50bb9ef0-8f980310-c7fd6f0f.jpg\n']
s52177147_19,p17559288,s52177147,19,Findings,"Since the prior examination, there are low lung volumes. Even accounting for decreased lung volumes, there is increased diffuse opacification, more prominent within the lower lobes, compatible with worsening disease. An enteric feeding tube is demonstrated coursing below the diaphragm. There is no evidence of pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable. Pulmonary vascularity is not increased.",The cardiomediastinal and hilar contours are stable.,cardiomediastinal and hilar contours,,Stable,['files/p17/p17559288/s52177147/2365d0ef-d1cafbfe-24afa38d-5390baed-46e9e9ef.jpg'],['files/p17/p17559288/s51910000/888f3658-e541329c-5c12b9b9-10185f6d-11f0cd6c.jpg\n']
s52177147_19,p17559288,s52177147,19,Impression,Increasing diffuse opacification compatible with continued progression of disease. No evidence of pneumothorax.,Increasing diffuse opacification compatible with continued progression of disease.,diffuse opacification,,Worse,['files/p17/p17559288/s52177147/2365d0ef-d1cafbfe-24afa38d-5390baed-46e9e9ef.jpg'],['files/p17/p17559288/s51910000/888f3658-e541329c-5c12b9b9-10185f6d-11f0cd6c.jpg\n']
s52177147_19,p17559288,s52177147,19,Findings,"Since the prior examination, there are low lung volumes. Even accounting for decreased lung volumes, there is increased diffuse opacification, more prominent within the lower lobes, compatible with worsening disease. An enteric feeding tube is demonstrated coursing below the diaphragm. There is no evidence of pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable. Pulmonary vascularity is not increased.","Even accounting for decreased lung volumes, there is increased diffuse opacification, more prominent within the lower lobes, compatible with worsening disease.",diffuse opacification,lower lobes,Worse,['files/p17/p17559288/s52177147/2365d0ef-d1cafbfe-24afa38d-5390baed-46e9e9ef.jpg'],['files/p17/p17559288/s51910000/888f3658-e541329c-5c12b9b9-10185f6d-11f0cd6c.jpg\n']
s52177147_19,p17559288,s52177147,19,Findings,"Since the prior examination, there are low lung volumes. Even accounting for decreased lung volumes, there is increased diffuse opacification, more prominent within the lower lobes, compatible with worsening disease. An enteric feeding tube is demonstrated coursing below the diaphragm. There is no evidence of pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable. Pulmonary vascularity is not increased.","Since the prior examination, there are low lung volumes.",low lung volumes,,Worse,['files/p17/p17559288/s52177147/2365d0ef-d1cafbfe-24afa38d-5390baed-46e9e9ef.jpg'],['files/p17/p17559288/s51910000/888f3658-e541329c-5c12b9b9-10185f6d-11f0cd6c.jpg\n']
s52178631_0,p12749849,s52178631,0,Findings,"PA and lateral views of the chest were obtained. Dual-lead pacer is unchanged with proximal lead in the expected location of the right atrium and distal lead in the expected location of the right ventricle. No focal consolidation, large effusion or pneumothorax. There is mild vascular redistribution which is likely suggestive of mild pulmonary vascular congestion. No frank pulmonary edema. Cardiomediastinal silhouette is stable. Bony structures appear intact.",Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p12/p12749849/s52178631/48137c2d-eb569f44-d59a0735-091e53b4-ea6f8a26.jpg', 'files/p12/p12749849/s52178631/78ec02f5-f3419d1a-1733282f-87d9ca09-ae2c9564.jpg', 'files/p12/p12749849/s52178631/e8a8fe6e-ba33113b-b7244463-6d8269c8-401aab79.jpg']",
s52178631_0,p12749849,s52178631,0,Findings,"PA and lateral views of the chest were obtained. Dual-lead pacer is unchanged with proximal lead in the expected location of the right atrium and distal lead in the expected location of the right ventricle. No focal consolidation, large effusion or pneumothorax. There is mild vascular redistribution which is likely suggestive of mild pulmonary vascular congestion. No frank pulmonary edema. Cardiomediastinal silhouette is stable. Bony structures appear intact.",Dual-lead pacer is unchanged with proximal lead in the expected location of the right atrium and distal lead in the expected location of the right ventricle.,Dual-lead pacer,proximal lead in the right atrium and distal lead in the right ventricle,Stable,"['files/p12/p12749849/s52178631/48137c2d-eb569f44-d59a0735-091e53b4-ea6f8a26.jpg', 'files/p12/p12749849/s52178631/78ec02f5-f3419d1a-1733282f-87d9ca09-ae2c9564.jpg', 'files/p12/p12749849/s52178631/e8a8fe6e-ba33113b-b7244463-6d8269c8-401aab79.jpg']",
s52206316_10,p17660889,s52206316,10,Findings,The endotracheal tube tip is 4.1 cm above the carina. A left internal jugular approach catheter tip terminates within the lower SVC. A large-bore venous catheter via right internal jugular approach is in stable position curving into the azygous. A Dobbhoff feeding is demonstrated within the stomach. Diffuse severe pulmonary edema is worsened since the prior examination. There is bibasilar atelectasis. There are no pleural effusions or pneumothorax.,A large-bore venous catheter via right internal jugular approach is in stable position curving into the azygous.,large-bore venous catheter,right internal jugular,Stable,['files/p17/p17660889/s52206316/c5e117fa-2d2eb000-fb83fe99-ba779346-4bafd663.jpg'],['files/p17/p17660889/s51258980/5602b830-58232330-2bb725b9-3a407c98-3ace2a37.jpg\n']
s52206316_10,p17660889,s52206316,10,Impression,"Mild interval worsening of now severe interstitial pulmonary edema. Otherwise, stable standard positions of hardware.","Otherwise, stable standard positions of hardware.",positions of hardware,Standard,Stable,['files/p17/p17660889/s52206316/c5e117fa-2d2eb000-fb83fe99-ba779346-4bafd663.jpg'],['files/p17/p17660889/s51258980/5602b830-58232330-2bb725b9-3a407c98-3ace2a37.jpg\n']
s52206316_10,p17660889,s52206316,10,Findings,The endotracheal tube tip is 4.1 cm above the carina. A left internal jugular approach catheter tip terminates within the lower SVC. A large-bore venous catheter via right internal jugular approach is in stable position curving into the azygous. A Dobbhoff feeding is demonstrated within the stomach. Diffuse severe pulmonary edema is worsened since the prior examination. There is bibasilar atelectasis. There are no pleural effusions or pneumothorax.,Diffuse severe pulmonary edema is worsened since the prior examination.,severe pulmonary edema,Diffuse,Worse,['files/p17/p17660889/s52206316/c5e117fa-2d2eb000-fb83fe99-ba779346-4bafd663.jpg'],['files/p17/p17660889/s51258980/5602b830-58232330-2bb725b9-3a407c98-3ace2a37.jpg\n']
s52206316_10,p17660889,s52206316,10,Impression,"Mild interval worsening of now severe interstitial pulmonary edema. Otherwise, stable standard positions of hardware.",Mild interval worsening of now severe interstitial pulmonary edema.,pulmonary edema,Interstitial,Worse,['files/p17/p17660889/s52206316/c5e117fa-2d2eb000-fb83fe99-ba779346-4bafd663.jpg'],['files/p17/p17660889/s51258980/5602b830-58232330-2bb725b9-3a407c98-3ace2a37.jpg\n']
s52221435_32,p13894716,s52221435,32,Impression,"In comparison with the study of ___, there is now a tracheostomy tube instead of the endotracheal tube. Other monitoring and support devices are unchanged. Continued enlargement of the cardiac silhouette with little change in the degree of pulmonary edema and layering bilateral pleural effusions with compressive basilar atelectasis.","In comparison with the study of ___, there is now a tracheostomy tube instead of the endotracheal tube.",tracheostomy tube,,New,"['files/p13/p13894716/s52221435/0d5c7134-11a89847-9dde852c-ebe57412-85ba6640.jpg', 'files/p13/p13894716/s52221435/12e268f0-0d236069-78811721-d730d468-45aa2598.jpg', 'files/p13/p13894716/s52221435/5745d50f-5a13ef8b-80e11e39-07d87a78-f996a6a2.jpg', 'files/p13/p13894716/s52221435/ee9ef4b3-71184595-eb3b6ec8-8f9f5577-3ab80ed8.jpg']","['files/p13/p13894716/s51850136/01f26c74-75cf3e70-49244b91-f5e77ed8-b3935393.jpg\n', 'files/p13/p13894716/s51850136/3cdf934e-b0ece0aa-1c13aaf6-b9518f53-7e7eae10.jpg\n']"
s52221435_32,p13894716,s52221435,32,Impression,"In comparison with the study of ___, there is now a tracheostomy tube instead of the endotracheal tube. Other monitoring and support devices are unchanged. Continued enlargement of the cardiac silhouette with little change in the degree of pulmonary edema and layering bilateral pleural effusions with compressive basilar atelectasis.",Continued enlargement of the cardiac silhouette with little change in the degree of pulmonary edema and layering bilateral pleural effusions with compressive basilar atelectasis.,pulmonary edema,,Stable,"['files/p13/p13894716/s52221435/0d5c7134-11a89847-9dde852c-ebe57412-85ba6640.jpg', 'files/p13/p13894716/s52221435/12e268f0-0d236069-78811721-d730d468-45aa2598.jpg', 'files/p13/p13894716/s52221435/5745d50f-5a13ef8b-80e11e39-07d87a78-f996a6a2.jpg', 'files/p13/p13894716/s52221435/ee9ef4b3-71184595-eb3b6ec8-8f9f5577-3ab80ed8.jpg']","['files/p13/p13894716/s51850136/01f26c74-75cf3e70-49244b91-f5e77ed8-b3935393.jpg\n', 'files/p13/p13894716/s51850136/3cdf934e-b0ece0aa-1c13aaf6-b9518f53-7e7eae10.jpg\n']"
s52221435_32,p13894716,s52221435,32,Impression,"In comparison with the study of ___, there is now a tracheostomy tube instead of the endotracheal tube. Other monitoring and support devices are unchanged. Continued enlargement of the cardiac silhouette with little change in the degree of pulmonary edema and layering bilateral pleural effusions with compressive basilar atelectasis.",Other monitoring and support devices are unchanged.,monitoring and support devices,,Stable,"['files/p13/p13894716/s52221435/0d5c7134-11a89847-9dde852c-ebe57412-85ba6640.jpg', 'files/p13/p13894716/s52221435/12e268f0-0d236069-78811721-d730d468-45aa2598.jpg', 'files/p13/p13894716/s52221435/5745d50f-5a13ef8b-80e11e39-07d87a78-f996a6a2.jpg', 'files/p13/p13894716/s52221435/ee9ef4b3-71184595-eb3b6ec8-8f9f5577-3ab80ed8.jpg']","['files/p13/p13894716/s51850136/01f26c74-75cf3e70-49244b91-f5e77ed8-b3935393.jpg\n', 'files/p13/p13894716/s51850136/3cdf934e-b0ece0aa-1c13aaf6-b9518f53-7e7eae10.jpg\n']"
s52221435_32,p13894716,s52221435,32,Impression,"In comparison with the study of ___, there is now a tracheostomy tube instead of the endotracheal tube. Other monitoring and support devices are unchanged. Continued enlargement of the cardiac silhouette with little change in the degree of pulmonary edema and layering bilateral pleural effusions with compressive basilar atelectasis.",Continued enlargement of the cardiac silhouette with little change in the degree of pulmonary edema and layering bilateral pleural effusions with compressive basilar atelectasis.,cardiac silhouette,,Stable,"['files/p13/p13894716/s52221435/0d5c7134-11a89847-9dde852c-ebe57412-85ba6640.jpg', 'files/p13/p13894716/s52221435/12e268f0-0d236069-78811721-d730d468-45aa2598.jpg', 'files/p13/p13894716/s52221435/5745d50f-5a13ef8b-80e11e39-07d87a78-f996a6a2.jpg', 'files/p13/p13894716/s52221435/ee9ef4b3-71184595-eb3b6ec8-8f9f5577-3ab80ed8.jpg']","['files/p13/p13894716/s51850136/01f26c74-75cf3e70-49244b91-f5e77ed8-b3935393.jpg\n', 'files/p13/p13894716/s51850136/3cdf934e-b0ece0aa-1c13aaf6-b9518f53-7e7eae10.jpg\n']"
s52221435_32,p13894716,s52221435,32,Impression,"In comparison with the study of ___, there is now a tracheostomy tube instead of the endotracheal tube. Other monitoring and support devices are unchanged. Continued enlargement of the cardiac silhouette with little change in the degree of pulmonary edema and layering bilateral pleural effusions with compressive basilar atelectasis.",Continued enlargement of the cardiac silhouette with little change in the degree of pulmonary edema and layering bilateral pleural effusions with compressive basilar atelectasis.,atelectasis,basilar,Stable,"['files/p13/p13894716/s52221435/0d5c7134-11a89847-9dde852c-ebe57412-85ba6640.jpg', 'files/p13/p13894716/s52221435/12e268f0-0d236069-78811721-d730d468-45aa2598.jpg', 'files/p13/p13894716/s52221435/5745d50f-5a13ef8b-80e11e39-07d87a78-f996a6a2.jpg', 'files/p13/p13894716/s52221435/ee9ef4b3-71184595-eb3b6ec8-8f9f5577-3ab80ed8.jpg']","['files/p13/p13894716/s51850136/01f26c74-75cf3e70-49244b91-f5e77ed8-b3935393.jpg\n', 'files/p13/p13894716/s51850136/3cdf934e-b0ece0aa-1c13aaf6-b9518f53-7e7eae10.jpg\n']"
s52221435_32,p13894716,s52221435,32,Impression,"In comparison with the study of ___, there is now a tracheostomy tube instead of the endotracheal tube. Other monitoring and support devices are unchanged. Continued enlargement of the cardiac silhouette with little change in the degree of pulmonary edema and layering bilateral pleural effusions with compressive basilar atelectasis.",Continued enlargement of the cardiac silhouette with little change in the degree of pulmonary edema and layering bilateral pleural effusions with compressive basilar atelectasis.,pleural effusions,bilateral,Stable,"['files/p13/p13894716/s52221435/0d5c7134-11a89847-9dde852c-ebe57412-85ba6640.jpg', 'files/p13/p13894716/s52221435/12e268f0-0d236069-78811721-d730d468-45aa2598.jpg', 'files/p13/p13894716/s52221435/5745d50f-5a13ef8b-80e11e39-07d87a78-f996a6a2.jpg', 'files/p13/p13894716/s52221435/ee9ef4b3-71184595-eb3b6ec8-8f9f5577-3ab80ed8.jpg']","['files/p13/p13894716/s51850136/01f26c74-75cf3e70-49244b91-f5e77ed8-b3935393.jpg\n', 'files/p13/p13894716/s51850136/3cdf934e-b0ece0aa-1c13aaf6-b9518f53-7e7eae10.jpg\n']"
s52243706_4,p10773739,s52243706,4,Impression,The left upper chest tube is been removed. The lower chest tube is still in place. There is interval improved appearance of the lungs with decreased effusions bilaterally. There continues to be volume loss/ infiltrate in the left lower lung and a layering left effusion.,The left upper chest tube is been removed.,chest tube,left upper,Resolve,"['files/p10/p10773739/s52243706/03a0e671-6ed112db-cd729147-e75e4c14-8b10b571.jpg', 'files/p10/p10773739/s52243706/27301340-4a2d61c1-9754659f-1f32a3ba-c517d70f.jpg', 'files/p10/p10773739/s52243706/63542f63-17f22a5a-775a8466-1ba3c944-df2167f2.jpg']","['files/p10/p10773739/s50392431/12c35222-67523ce4-b206cd0f-7ae4b5c5-cffd8b0f.jpg\n', 'files/p10/p10773739/s50392431/71567b61-e39a229b-3e60f82f-73c88327-5339c006.jpg\n']"
s52243706_4,p10773739,s52243706,4,Impression,The left upper chest tube is been removed. The lower chest tube is still in place. There is interval improved appearance of the lungs with decreased effusions bilaterally. There continues to be volume loss/ infiltrate in the left lower lung and a layering left effusion.,There is interval improved appearance of the lungs with decreased effusions bilaterally.,effusions,bilaterally,Better,"['files/p10/p10773739/s52243706/03a0e671-6ed112db-cd729147-e75e4c14-8b10b571.jpg', 'files/p10/p10773739/s52243706/27301340-4a2d61c1-9754659f-1f32a3ba-c517d70f.jpg', 'files/p10/p10773739/s52243706/63542f63-17f22a5a-775a8466-1ba3c944-df2167f2.jpg']","['files/p10/p10773739/s50392431/12c35222-67523ce4-b206cd0f-7ae4b5c5-cffd8b0f.jpg\n', 'files/p10/p10773739/s50392431/71567b61-e39a229b-3e60f82f-73c88327-5339c006.jpg\n']"
s52243706_4,p10773739,s52243706,4,Impression,The left upper chest tube is been removed. The lower chest tube is still in place. There is interval improved appearance of the lungs with decreased effusions bilaterally. There continues to be volume loss/ infiltrate in the left lower lung and a layering left effusion.,There continues to be volume loss/ infiltrate in the left lower lung and a layering left effusion.,volume loss/infiltrate,left lower lung,Stable,"['files/p10/p10773739/s52243706/03a0e671-6ed112db-cd729147-e75e4c14-8b10b571.jpg', 'files/p10/p10773739/s52243706/27301340-4a2d61c1-9754659f-1f32a3ba-c517d70f.jpg', 'files/p10/p10773739/s52243706/63542f63-17f22a5a-775a8466-1ba3c944-df2167f2.jpg']","['files/p10/p10773739/s50392431/12c35222-67523ce4-b206cd0f-7ae4b5c5-cffd8b0f.jpg\n', 'files/p10/p10773739/s50392431/71567b61-e39a229b-3e60f82f-73c88327-5339c006.jpg\n']"
s52243706_4,p10773739,s52243706,4,Impression,The left upper chest tube is been removed. The lower chest tube is still in place. There is interval improved appearance of the lungs with decreased effusions bilaterally. There continues to be volume loss/ infiltrate in the left lower lung and a layering left effusion.,There continues to be volume loss/ infiltrate in the left lower lung and a layering left effusion.,effusion,left,Stable,"['files/p10/p10773739/s52243706/03a0e671-6ed112db-cd729147-e75e4c14-8b10b571.jpg', 'files/p10/p10773739/s52243706/27301340-4a2d61c1-9754659f-1f32a3ba-c517d70f.jpg', 'files/p10/p10773739/s52243706/63542f63-17f22a5a-775a8466-1ba3c944-df2167f2.jpg']","['files/p10/p10773739/s50392431/12c35222-67523ce4-b206cd0f-7ae4b5c5-cffd8b0f.jpg\n', 'files/p10/p10773739/s50392431/71567b61-e39a229b-3e60f82f-73c88327-5339c006.jpg\n']"
s52244987_18,p18057037,s52244987,18,Findings,"Frontal and lateral views of the chest. The cardiac and mediastinal silhouettes are stable. Prominence of the interstitial markings as well as bilateral patchy airspace opacities consistent with pulmonary edema which is new since ___. Moderate, left greater than right, pleural effusions are unchanged. No pneumothorax is identified. There are surgical clips in the left upper abdomen. There is eventration of the right hemidiaphragm.",The cardiac and mediastinal silhouettes are stable.,silhouettes,cardiac and mediastinal,Stable,"['files/p18/p18057037/s52244987/57949fd6-88aba5c8-27f26572-80587301-346f13c9.jpg', 'files/p18/p18057037/s52244987/9d33ba30-3b746ce7-bf969585-85fde961-8967f38c.jpg']",['files/p18/p18057037/s51940572/7aba81f6-645a2f48-7aa04bfb-489d2880-2f72270c.jpg\n']
s52244987_18,p18057037,s52244987,18,Findings,"Frontal and lateral views of the chest. The cardiac and mediastinal silhouettes are stable. Prominence of the interstitial markings as well as bilateral patchy airspace opacities consistent with pulmonary edema which is new since ___. Moderate, left greater than right, pleural effusions are unchanged. No pneumothorax is identified. There are surgical clips in the left upper abdomen. There is eventration of the right hemidiaphragm.",Prominence of the interstitial markings as well as bilateral patchy airspace opacities consistent with pulmonary edema which is new since ___.,patchy airspace opacities,bilateral,New,"['files/p18/p18057037/s52244987/57949fd6-88aba5c8-27f26572-80587301-346f13c9.jpg', 'files/p18/p18057037/s52244987/9d33ba30-3b746ce7-bf969585-85fde961-8967f38c.jpg']",['files/p18/p18057037/s51940572/7aba81f6-645a2f48-7aa04bfb-489d2880-2f72270c.jpg\n']
s52244987_18,p18057037,s52244987,18,Findings,"Frontal and lateral views of the chest. The cardiac and mediastinal silhouettes are stable. Prominence of the interstitial markings as well as bilateral patchy airspace opacities consistent with pulmonary edema which is new since ___. Moderate, left greater than right, pleural effusions are unchanged. No pneumothorax is identified. There are surgical clips in the left upper abdomen. There is eventration of the right hemidiaphragm.","Moderate, left greater than right, pleural effusions are unchanged.",pleural effusions,left greater than right,Stable,"['files/p18/p18057037/s52244987/57949fd6-88aba5c8-27f26572-80587301-346f13c9.jpg', 'files/p18/p18057037/s52244987/9d33ba30-3b746ce7-bf969585-85fde961-8967f38c.jpg']",['files/p18/p18057037/s51940572/7aba81f6-645a2f48-7aa04bfb-489d2880-2f72270c.jpg\n']
s52244987_18,p18057037,s52244987,18,Impression,"New mild pulmonary edema and unchanged small bilateral pleural effusions, since ___.","New mild pulmonary edema and unchanged small bilateral pleural effusions, since ___.",pulmonary edema,,New,"['files/p18/p18057037/s52244987/57949fd6-88aba5c8-27f26572-80587301-346f13c9.jpg', 'files/p18/p18057037/s52244987/9d33ba30-3b746ce7-bf969585-85fde961-8967f38c.jpg']",['files/p18/p18057037/s51940572/7aba81f6-645a2f48-7aa04bfb-489d2880-2f72270c.jpg\n']
s52244987_18,p18057037,s52244987,18,Impression,"New mild pulmonary edema and unchanged small bilateral pleural effusions, since ___.","New mild pulmonary edema and unchanged small bilateral pleural effusions, since ___.",pleural effusions,bilateral,Stable,"['files/p18/p18057037/s52244987/57949fd6-88aba5c8-27f26572-80587301-346f13c9.jpg', 'files/p18/p18057037/s52244987/9d33ba30-3b746ce7-bf969585-85fde961-8967f38c.jpg']",['files/p18/p18057037/s51940572/7aba81f6-645a2f48-7aa04bfb-489d2880-2f72270c.jpg\n']
s52255209_2,p18573829,s52255209,2,Findings,"A new left central venous line ends in the mid superior vena cava. There are surgical clips and median sternotomy wires. The cardiac and mediastinal contours are stable. Right lower lobe opacity is slightly increased since ___, and it corresponds to a known right pleural effusion. There is no left pleural effusion. There is no focal consolidation.","Right lower lobe opacity is slightly increased since ___, and it corresponds to a known right pleural effusion.",opacity,right lower lobe,Worse,['files/p18/p18573829/s52255209/51cd61fb-702bc603-25a5fc14-7ed07e7e-4628c152.jpg'],['files/p18/p18573829/s50660145/41d2924f-85f8e580-6d8773b6-5ede09de-b23811f6.jpg\n']
s52255209_2,p18573829,s52255209,2,Impression,New left central venous line ends in the mid superior vena cava.,New left central venous line ends in the mid superior vena cava.,left central venous line,mid superior vena cava,New,['files/p18/p18573829/s52255209/51cd61fb-702bc603-25a5fc14-7ed07e7e-4628c152.jpg'],['files/p18/p18573829/s50660145/41d2924f-85f8e580-6d8773b6-5ede09de-b23811f6.jpg\n']
s52255209_2,p18573829,s52255209,2,Findings,"A new left central venous line ends in the mid superior vena cava. There are surgical clips and median sternotomy wires. The cardiac and mediastinal contours are stable. Right lower lobe opacity is slightly increased since ___, and it corresponds to a known right pleural effusion. There is no left pleural effusion. There is no focal consolidation.",The cardiac and mediastinal contours are stable.,cardiac and mediastinal contours,,Stable,['files/p18/p18573829/s52255209/51cd61fb-702bc603-25a5fc14-7ed07e7e-4628c152.jpg'],['files/p18/p18573829/s50660145/41d2924f-85f8e580-6d8773b6-5ede09de-b23811f6.jpg\n']
s52255209_2,p18573829,s52255209,2,Findings,"A new left central venous line ends in the mid superior vena cava. There are surgical clips and median sternotomy wires. The cardiac and mediastinal contours are stable. Right lower lobe opacity is slightly increased since ___, and it corresponds to a known right pleural effusion. There is no left pleural effusion. There is no focal consolidation.",A new left central venous line ends in the mid superior vena cava.,left central venous line,mid superior vena cava,New,['files/p18/p18573829/s52255209/51cd61fb-702bc603-25a5fc14-7ed07e7e-4628c152.jpg'],['files/p18/p18573829/s50660145/41d2924f-85f8e580-6d8773b6-5ede09de-b23811f6.jpg\n']
s52255420_3,p19837705,s52255420,3,Findings,"Severe cardiomegaly is stable. Pacer leads are in standard position in the right atrium, right ventricle and through the coronary sinus. There is no pneumothorax. There is no pleural effusion. Patient is status post aortic valve and mitral valve repair",Severe cardiomegaly is stable.,Severe cardiomegaly,,Stable,"['files/p19/p19837705/s52255420/0b1eec92-74e6469a-5e6bd20f-889cc052-152a9dbd.jpg', 'files/p19/p19837705/s52255420/174d1efe-f7714d0c-f1f99de2-c6e25477-48635320.jpg']",['files/p19/p19837705/s52132258/e8b2aa8e-420f069d-51dc7f6f-2c778b27-c505a888.jpg\n']
s52264867_39,p11717909,s52264867,39,Impression,There is worsening airspace consolidation involving most of the right lower lung and possibly some of the right upper lobe concerning for pneumonia or possibly hemorrhage in the correct clinical setting. The left lung remains grossly clear. No pulmonary edema. Heart remains stably enlarged status post median sternotomy for CABG. No pneumothorax. Left subclavian PICC line unchanged in position.,Left subclavian PICC line unchanged in position.,PICC line,left subclavian,Stable,['files/p11/p11717909/s52264867/6fa38a39-b7c9d558-58dec4b3-9b6ae59b-d80805e8.jpg'],['files/p11/p11717909/s52127446/65ef31a2-e080f853-c5c75be5-2246e4e8-105fffb1.jpg\n']
s52264867_39,p11717909,s52264867,39,Impression,There is worsening airspace consolidation involving most of the right lower lung and possibly some of the right upper lobe concerning for pneumonia or possibly hemorrhage in the correct clinical setting. The left lung remains grossly clear. No pulmonary edema. Heart remains stably enlarged status post median sternotomy for CABG. No pneumothorax. Left subclavian PICC line unchanged in position.,There is worsening airspace consolidation involving most of the right lower lung and possibly some of the right upper lobe concerning for pneumonia or possibly hemorrhage in the correct clinical setting.,airspace consolidation,right lower lung and possibly some of the right upper lobe,Worse,['files/p11/p11717909/s52264867/6fa38a39-b7c9d558-58dec4b3-9b6ae59b-d80805e8.jpg'],['files/p11/p11717909/s52127446/65ef31a2-e080f853-c5c75be5-2246e4e8-105fffb1.jpg\n']
s52264867_39,p11717909,s52264867,39,Impression,There is worsening airspace consolidation involving most of the right lower lung and possibly some of the right upper lobe concerning for pneumonia or possibly hemorrhage in the correct clinical setting. The left lung remains grossly clear. No pulmonary edema. Heart remains stably enlarged status post median sternotomy for CABG. No pneumothorax. Left subclavian PICC line unchanged in position.,Heart remains stably enlarged status post median sternotomy for CABG.,heart size,,Stable,['files/p11/p11717909/s52264867/6fa38a39-b7c9d558-58dec4b3-9b6ae59b-d80805e8.jpg'],['files/p11/p11717909/s52127446/65ef31a2-e080f853-c5c75be5-2246e4e8-105fffb1.jpg\n']
s52265333_28,p17559288,s52265333,28,Impression,"No acute cardiopulmonary process, resolution of previously seen bilateral parenchymal opacities. Stable mild prominence of the left hila.",Stable mild prominence of the left hila.,prominence,left hila,Stable,['files/p17/p17559288/s52265333/d68e61e0-f41d1489-ba3b0c4c-ae35171f-1abd4615.jpg'],['files/p17/p17559288/s52177147/2365d0ef-d1cafbfe-24afa38d-5390baed-46e9e9ef.jpg\n']
s52265333_28,p17559288,s52265333,28,Impression,"No acute cardiopulmonary process, resolution of previously seen bilateral parenchymal opacities. Stable mild prominence of the left hila.","No acute cardiopulmonary process, resolution of previously seen bilateral parenchymal opacities.",parenchymal opacities,bilateral,Resolve,['files/p17/p17559288/s52265333/d68e61e0-f41d1489-ba3b0c4c-ae35171f-1abd4615.jpg'],['files/p17/p17559288/s52177147/2365d0ef-d1cafbfe-24afa38d-5390baed-46e9e9ef.jpg\n']
s52265333_28,p17559288,s52265333,28,Findings,"Single portable view of the chest is compared to previous exam from ___. Left-sided PICC is no longer seen. The lungs have shown interval resolution of the perihilar parenchymal opacities, they are now clear. Cardiomediastinal silhouette is within normal limits.","The lungs have shown interval resolution of the perihilar parenchymal opacities, they are now clear.",parenchymal opacities,perihilar,Resolve,['files/p17/p17559288/s52265333/d68e61e0-f41d1489-ba3b0c4c-ae35171f-1abd4615.jpg'],['files/p17/p17559288/s52177147/2365d0ef-d1cafbfe-24afa38d-5390baed-46e9e9ef.jpg\n']
s52265333_28,p17559288,s52265333,28,Findings,"Single portable view of the chest is compared to previous exam from ___. Left-sided PICC is no longer seen. The lungs have shown interval resolution of the perihilar parenchymal opacities, they are now clear. Cardiomediastinal silhouette is within normal limits.",Left-sided PICC is no longer seen.,left-sided PICC,,Resolve,['files/p17/p17559288/s52265333/d68e61e0-f41d1489-ba3b0c4c-ae35171f-1abd4615.jpg'],['files/p17/p17559288/s52177147/2365d0ef-d1cafbfe-24afa38d-5390baed-46e9e9ef.jpg\n']
s52278905_7,p11842519,s52278905,7,Impression,"In comparison with the study of ___, there is little overall change. Cardiac silhouette remains within normal limits and there is some hyperexpansion of the lungs. Coarse interstitial markings process along with blunting of both costophrenic angles and atelectatic changes at the bases, more prominent on the right.",Cardiac silhouette remains within normal limits and there is some hyperexpansion of the lungs.,Cardiac silhouette,,Stable,"['files/p11/p11842519/s52278905/e044c941-2f2d494f-0a794f54-a64e76fe-70da04b2.jpg', 'files/p11/p11842519/s52278905/f116ca80-a8af602f-9e093f53-f6f59ad5-7dd5441d.jpg']",['files/p11/p11842519/s51581083/e9977922-0c45547e-2c72b894-91042335-31f132ea.jpg\n']
s52289887_6,p17559288,s52289887,6,Findings,"In comparison with the study of ___, the monitoring and support devices remain in place. Diffuse bilateral pulmonary opacifications are seen bilaterally, though with some mild improvement in aeration. Although this could represent pulmonary edema, the absence of cardiac enlargement raises the possibility of a noncardiogenic cause. In the appropriate clinical setting, widespread pneumonia would have to be considered, as well as ARDS.","In comparison with the study of ___, the monitoring and support devices remain in place.",Monitoring and support devices,,Stable,['files/p17/p17559288/s52289887/78b0f724-759138a6-255f6ef3-48d0690c-4d9405cf.jpg'],['files/p17/p17559288/s52265333/d68e61e0-f41d1489-ba3b0c4c-ae35171f-1abd4615.jpg\n']
s52289887_6,p17559288,s52289887,6,Findings,"In comparison with the study of ___, the monitoring and support devices remain in place. Diffuse bilateral pulmonary opacifications are seen bilaterally, though with some mild improvement in aeration. Although this could represent pulmonary edema, the absence of cardiac enlargement raises the possibility of a noncardiogenic cause. In the appropriate clinical setting, widespread pneumonia would have to be considered, as well as ARDS.","Diffuse bilateral pulmonary opacifications are seen bilaterally, though with some mild improvement in aeration.",Diffuse bilateral pulmonary opacifications,Bilaterally,Better,['files/p17/p17559288/s52289887/78b0f724-759138a6-255f6ef3-48d0690c-4d9405cf.jpg'],['files/p17/p17559288/s52265333/d68e61e0-f41d1489-ba3b0c4c-ae35171f-1abd4615.jpg\n']
s52293076_83,p11717909,s52293076,83,Impression,"In comparison to ___ chest radiograph, cardiomediastinal contours are stable. Poorly defined opacities in the right perihilar and basilar regions are similar as well as a small right pleural effusion. Small left pleural effusion is apparently new. No other relevant change.",Small left pleural effusion is apparently new.,pleural effusion,left,New,['files/p11/p11717909/s52293076/09c44558-47920454-12da126b-06869468-7083d3b6.jpg'],['files/p11/p11717909/s52264867/6fa38a39-b7c9d558-58dec4b3-9b6ae59b-d80805e8.jpg\n']
s52293076_83,p11717909,s52293076,83,Impression,"In comparison to ___ chest radiograph, cardiomediastinal contours are stable. Poorly defined opacities in the right perihilar and basilar regions are similar as well as a small right pleural effusion. Small left pleural effusion is apparently new. No other relevant change.",Poorly defined opacities in the right perihilar and basilar regions are similar as well as a small right pleural effusion.,pleural effusion,right,Stable,['files/p11/p11717909/s52293076/09c44558-47920454-12da126b-06869468-7083d3b6.jpg'],['files/p11/p11717909/s52264867/6fa38a39-b7c9d558-58dec4b3-9b6ae59b-d80805e8.jpg\n']
s52293076_83,p11717909,s52293076,83,Impression,"In comparison to ___ chest radiograph, cardiomediastinal contours are stable. Poorly defined opacities in the right perihilar and basilar regions are similar as well as a small right pleural effusion. Small left pleural effusion is apparently new. No other relevant change.",Poorly defined opacities in the right perihilar and basilar regions are similar as well as a small right pleural effusion.,opacities,right perihilar and basilar regions,Stable,['files/p11/p11717909/s52293076/09c44558-47920454-12da126b-06869468-7083d3b6.jpg'],['files/p11/p11717909/s52264867/6fa38a39-b7c9d558-58dec4b3-9b6ae59b-d80805e8.jpg\n']
s52293076_83,p11717909,s52293076,83,Impression,"In comparison to ___ chest radiograph, cardiomediastinal contours are stable. Poorly defined opacities in the right perihilar and basilar regions are similar as well as a small right pleural effusion. Small left pleural effusion is apparently new. No other relevant change.","In comparison to ___ chest radiograph, cardiomediastinal contours are stable.",cardiomediastinal contours,,Stable,['files/p11/p11717909/s52293076/09c44558-47920454-12da126b-06869468-7083d3b6.jpg'],['files/p11/p11717909/s52264867/6fa38a39-b7c9d558-58dec4b3-9b6ae59b-d80805e8.jpg\n']
s52295399_16,p15902493,s52295399,16,Findings,"In comparison with the study of ___, there is increasing opacification at the right base consistent with effusion and atelectasis. Mild atelectatic changes are seen at the right base. Continued enlargement of the cardiac silhouette with evidence of increased pulmonary venous pressure. The large mass in the right upper zone displacing the trachea to the left is again seen.","In comparison with the study of ___, there is increasing opacification at the right base consistent with effusion and atelectasis.",opacification,right base,Worse,['files/p15/p15902493/s52295399/4805924d-20aa3bfa-d7e7ed46-b01fadbe-743dd101.jpg'],['files/p15/p15902493/s52253665/dd5485e4-d3c509f7-b7f8ea8c-70c26a6b-efe68e57.jpg\n']
s52309364_6,p10003502,s52309364,6,Findings,"Moderate to large bilateral pleural effusions are again seen, likely right greater than left. There is suspected superimposed pulmonary edema may have slightly improved since prior although detailed evaluation is limited given layering pleural effusions. Vasculature appears less engorged. Cardiac silhouette cannot be assessed.",There is suspected superimposed pulmonary edema may have slightly improved since prior although detailed evaluation is limited given layering pleural effusions.,pulmonary edema,superimposed,Better,['files/p10/p10003502/s52309364/e0275ad1-1e6a7451-c3960f5f-1267a188-547b73a1.jpg'],"['files/p10/p10003502/s52139270/489faba7-a9dc5f1d-fd7241d6-9638d855-eaa952b1.jpg\n', 'files/p10/p10003502/s52139270/550e6f3b-f008c1d0-8d2dee2a-649b30f4-101a98cc.jpg\n']"
s52309364_6,p10003502,s52309364,6,Impression,"Mild to large bilateral, right greater than left pleural effusions. Degree of pulmonary edema may have slightly improved since prior exam although detailed evaluation is limited.","Mild to large bilateral, right greater than left pleural effusions. Degree of pulmonary edema may have slightly improved since prior exam although detailed evaluation is limited.",pulmonary edema,bilateral,Better,['files/p10/p10003502/s52309364/e0275ad1-1e6a7451-c3960f5f-1267a188-547b73a1.jpg'],"['files/p10/p10003502/s52139270/489faba7-a9dc5f1d-fd7241d6-9638d855-eaa952b1.jpg\n', 'files/p10/p10003502/s52139270/550e6f3b-f008c1d0-8d2dee2a-649b30f4-101a98cc.jpg\n']"
s52309364_6,p10003502,s52309364,6,Findings,"Moderate to large bilateral pleural effusions are again seen, likely right greater than left. There is suspected superimposed pulmonary edema may have slightly improved since prior although detailed evaluation is limited given layering pleural effusions. Vasculature appears less engorged. Cardiac silhouette cannot be assessed.","Moderate to large bilateral pleural effusions are again seen, likely right greater than left.",pleural effusions,bilateral,Stable,['files/p10/p10003502/s52309364/e0275ad1-1e6a7451-c3960f5f-1267a188-547b73a1.jpg'],"['files/p10/p10003502/s52139270/489faba7-a9dc5f1d-fd7241d6-9638d855-eaa952b1.jpg\n', 'files/p10/p10003502/s52139270/550e6f3b-f008c1d0-8d2dee2a-649b30f4-101a98cc.jpg\n']"
s52317337_0,p15195289,s52317337,0,Findings,Heart size is normal and without change. Mediastinal and hilar contours are also normal. Lungs and pleural surfaces are clear. No acute skeletal findings.,Heart size is normal and without change.,Heart size,,Stable,"['files/p15/p15195289/s52317337/1e1bc298-16d08126-3fb08a26-ede408f7-e024e193.jpg', 'files/p15/p15195289/s52317337/2694726b-b64f21d1-40b204a6-b4106d63-e6e4af86.jpg', 'files/p15/p15195289/s52317337/5ad2e9f0-2e4ae7f2-0d6cbcb3-ae978122-0abd2385.jpg']",
s52317337_0,p15195289,s52317337,0,Impression,Stable radiographic appearance of the chest with no acute cardiopulmonary radiographic abnormalities.,Stable radiographic appearance of the chest with no acute cardiopulmonary radiographic abnormalities.,radiographic appearance of the chest,,Stable,"['files/p15/p15195289/s52317337/1e1bc298-16d08126-3fb08a26-ede408f7-e024e193.jpg', 'files/p15/p15195289/s52317337/2694726b-b64f21d1-40b204a6-b4106d63-e6e4af86.jpg', 'files/p15/p15195289/s52317337/5ad2e9f0-2e4ae7f2-0d6cbcb3-ae978122-0abd2385.jpg']",
s52321866_2,p10543994,s52321866,2,Impression,"As compared to ___ radiograph, cardiomegaly is accompanied by pulmonary vascular congestion and worsening asymmetrical combined alveolar and interstitial pattern which remains more severe in the right lung than the left. Observed findings may reflect asymmetrical edema, but followup radiographs after diuresis may be helpful to exclude secondary superimposed process in the right lung such as infection. Small pleural effusions are present bilaterally.","As compared to ___ radiograph, cardiomegaly is accompanied by pulmonary vascular congestion and worsening asymmetrical combined alveolar and interstitial pattern which remains more severe in the right lung than the left.",asymmetrical combined alveolar and interstitial pattern,right lung,Worse,['files/p10/p10543994/s52321866/6227f675-2c12a350-9948a0bc-be0b2666-b1ba8954.jpg'],['files/p10/p10543994/s50269819/5ed42390-a6bef7ec-7a5f8cd0-59d4304d-6a85c880.jpg\n']
s52330535_11,p10543994,s52330535,11,Findings,"Since the prior radiograph, no significant change in the widespread parenchymal opacities and moderate cardiomegaly. No change in the left the Port-A-Cath, which terminates at the cavoatrial junction, and right pacemaker lead in the right ventricle. No new focal consolidation or larger pleural effusions.","Since the prior radiograph, no significant change in the widespread parenchymal opacities and moderate cardiomegaly.",moderate cardiomegaly,Heart,Stable,['files/p10/p10543994/s52330535/b3d6304a-bf9f636f-6eba19df-d0e27e8d-4d62934b.jpg'],['files/p10/p10543994/s52321866/6227f675-2c12a350-9948a0bc-be0b2666-b1ba8954.jpg\n']
s52330535_11,p10543994,s52330535,11,Impression,No significant change in the widespread parenchymal opacities and moderate cardiomegaly. No larger pleural effusions.,No significant change in the widespread parenchymal opacities and moderate cardiomegaly.,moderate cardiomegaly,Heart,Stable,['files/p10/p10543994/s52330535/b3d6304a-bf9f636f-6eba19df-d0e27e8d-4d62934b.jpg'],['files/p10/p10543994/s52321866/6227f675-2c12a350-9948a0bc-be0b2666-b1ba8954.jpg\n']
s52330535_11,p10543994,s52330535,11,Findings,"Since the prior radiograph, no significant change in the widespread parenchymal opacities and moderate cardiomegaly. No change in the left the Port-A-Cath, which terminates at the cavoatrial junction, and right pacemaker lead in the right ventricle. No new focal consolidation or larger pleural effusions.","Since the prior radiograph, no significant change in the widespread parenchymal opacities and moderate cardiomegaly.",parenchymal opacities,Widespread,Stable,['files/p10/p10543994/s52330535/b3d6304a-bf9f636f-6eba19df-d0e27e8d-4d62934b.jpg'],['files/p10/p10543994/s52321866/6227f675-2c12a350-9948a0bc-be0b2666-b1ba8954.jpg\n']
s52330535_11,p10543994,s52330535,11,Impression,No significant change in the widespread parenchymal opacities and moderate cardiomegaly. No larger pleural effusions.,No significant change in the widespread parenchymal opacities and moderate cardiomegaly.,parenchymal opacities,Widespread,Stable,['files/p10/p10543994/s52330535/b3d6304a-bf9f636f-6eba19df-d0e27e8d-4d62934b.jpg'],['files/p10/p10543994/s52321866/6227f675-2c12a350-9948a0bc-be0b2666-b1ba8954.jpg\n']
s52339870_0,p10462870,s52339870,0,Findings,"In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. There has been interval placement of multiple surgical clips in the lower neck, presumably from thyroid surgery.","There has been interval placement of multiple surgical clips in the lower neck, presumably from thyroid surgery.",surgical clips,lower neck,New,"['files/p10/p10462870/s52339870/aa81a761-dbc13def-538949eb-6aefd90c-12a85e54.jpg', 'files/p10/p10462870/s52339870/ccea3851-88245a72-e4229b4e-0d54293e-6b5fae76.jpg']",
s52339870_0,p10462870,s52339870,0,Findings,"In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. There has been interval placement of multiple surgical clips in the lower neck, presumably from thyroid surgery.","In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease.",acute cardiopulmonary disease,,Stable,"['files/p10/p10462870/s52339870/aa81a761-dbc13def-538949eb-6aefd90c-12a85e54.jpg', 'files/p10/p10462870/s52339870/ccea3851-88245a72-e4229b4e-0d54293e-6b5fae76.jpg']",
s52347962_2,p10750092,s52347962,2,Findings,Comparison is made to previous study from ___. There is an endotracheal tube whose tip is 3.3 cm above the carina. This could be pulled back 1-2 cm for more optimal placement. There is a nasogastric tube whose side port is near the GE junction. This could be advanced several centimeters for more optimal placement. There is stable cardiomegaly and tortuosity of the thoracic aorta. There is some slight prominence of pulmonary vascular markings and some atelectasis versus developing infiltrate at the right base. No pneumothoraces are present.,There is stable cardiomegaly and tortuosity of the thoracic aorta.,cardiomegaly and tortuosity,thoracic aorta,Stable,['files/p10/p10750092/s52347962/f9f2994d-0072f6aa-32cf61c7-af016a0a-5e32b37a.jpg'],['files/p10/p10750092/s51178141/6a83b24c-67c3269a-c2c1b295-6bde13b8-b9bab43c.jpg\n']
s52350751_11,p19112585,s52350751,11,Impression,"Right internal jugular Swan-Ganz catheter, endotracheal tube and nasogastric tube are unchanged in position. Status post median sternotomy with stable postoperative cardiac and mediastinal enlargement. Layering bilateral effusions with bibasilar patchy opacities likely representing lower lobe atelectasis. Prominent perihilar vasculature likely reflects combination of low lung volumes and residual perihilar edema. No pneumothorax.","Right internal jugular Swan-Ganz catheter, endotracheal tube and nasogastric tube are unchanged in position.",endotracheal tube,,Stable,['files/p19/p19112585/s52350751/bcdccbea-2977c6e2-95eeb72a-3a7b6a89-ce41591a.jpg'],['files/p19/p19112585/s51995292/5cc68f09-82923919-b78e0dc5-7b2ffc0a-64b53314.jpg\n']
s52350751_11,p19112585,s52350751,11,Impression,"Right internal jugular Swan-Ganz catheter, endotracheal tube and nasogastric tube are unchanged in position. Status post median sternotomy with stable postoperative cardiac and mediastinal enlargement. Layering bilateral effusions with bibasilar patchy opacities likely representing lower lobe atelectasis. Prominent perihilar vasculature likely reflects combination of low lung volumes and residual perihilar edema. No pneumothorax.","Right internal jugular Swan-Ganz catheter, endotracheal tube and nasogastric tube are unchanged in position.",nasogastric tube,,Stable,['files/p19/p19112585/s52350751/bcdccbea-2977c6e2-95eeb72a-3a7b6a89-ce41591a.jpg'],['files/p19/p19112585/s51995292/5cc68f09-82923919-b78e0dc5-7b2ffc0a-64b53314.jpg\n']
s52350751_11,p19112585,s52350751,11,Impression,"Right internal jugular Swan-Ganz catheter, endotracheal tube and nasogastric tube are unchanged in position. Status post median sternotomy with stable postoperative cardiac and mediastinal enlargement. Layering bilateral effusions with bibasilar patchy opacities likely representing lower lobe atelectasis. Prominent perihilar vasculature likely reflects combination of low lung volumes and residual perihilar edema. No pneumothorax.","Right internal jugular Swan-Ganz catheter, endotracheal tube and nasogastric tube are unchanged in position.",Swan-Ganz catheter,right internal jugular,Stable,['files/p19/p19112585/s52350751/bcdccbea-2977c6e2-95eeb72a-3a7b6a89-ce41591a.jpg'],['files/p19/p19112585/s51995292/5cc68f09-82923919-b78e0dc5-7b2ffc0a-64b53314.jpg\n']
s52350751_11,p19112585,s52350751,11,Impression,"Right internal jugular Swan-Ganz catheter, endotracheal tube and nasogastric tube are unchanged in position. Status post median sternotomy with stable postoperative cardiac and mediastinal enlargement. Layering bilateral effusions with bibasilar patchy opacities likely representing lower lobe atelectasis. Prominent perihilar vasculature likely reflects combination of low lung volumes and residual perihilar edema. No pneumothorax.",Status post median sternotomy with stable postoperative cardiac and mediastinal enlargement.,postoperative cardiac and mediastinal enlargement,,Stable,['files/p19/p19112585/s52350751/bcdccbea-2977c6e2-95eeb72a-3a7b6a89-ce41591a.jpg'],['files/p19/p19112585/s51995292/5cc68f09-82923919-b78e0dc5-7b2ffc0a-64b53314.jpg\n']
s52353675_6,p14798972,s52353675,6,Findings,"As compared to the previous radiograph, pre-existing right pneumothorax appears to have completely resolved. No pneumothorax is seen on today's image. Unchanged course and position of the right Port-A-Cath, decreasing extent of the pre-existing right lateral soft tissue air collection. The cardiac silhouette and the left lung are normal.","Unchanged course and position of the right Port-A-Cath, decreasing extent of the pre-existing right lateral soft tissue air collection.",soft tissue air collection,right lateral,Better,"['files/p14/p14798972/s52353675/e02060fc-a54b4daf-d2ed5614-42e2016d-53ea5bed.jpg', 'files/p14/p14798972/s52353675/e6b4ccd3-0795f625-2acad01a-72101d69-4ade2ad7.jpg']",['files/p14/p14798972/s51882341/da9bcd9f-310e0f89-ef56f5ed-330d4f9e-c7c83601.jpg\n']
s52353675_6,p14798972,s52353675,6,Findings,"As compared to the previous radiograph, pre-existing right pneumothorax appears to have completely resolved. No pneumothorax is seen on today's image. Unchanged course and position of the right Port-A-Cath, decreasing extent of the pre-existing right lateral soft tissue air collection. The cardiac silhouette and the left lung are normal.","Unchanged course and position of the right Port-A-Cath, decreasing extent of the pre-existing right lateral soft tissue air collection.",Port-A-Cath,right,Stable,"['files/p14/p14798972/s52353675/e02060fc-a54b4daf-d2ed5614-42e2016d-53ea5bed.jpg', 'files/p14/p14798972/s52353675/e6b4ccd3-0795f625-2acad01a-72101d69-4ade2ad7.jpg']",['files/p14/p14798972/s51882341/da9bcd9f-310e0f89-ef56f5ed-330d4f9e-c7c83601.jpg\n']
s52353675_6,p14798972,s52353675,6,Findings,"As compared to the previous radiograph, pre-existing right pneumothorax appears to have completely resolved. No pneumothorax is seen on today's image. Unchanged course and position of the right Port-A-Cath, decreasing extent of the pre-existing right lateral soft tissue air collection. The cardiac silhouette and the left lung are normal.","As compared to the previous radiograph, pre-existing right pneumothorax appears to have completely resolved.",pneumothorax,right,Resolve,"['files/p14/p14798972/s52353675/e02060fc-a54b4daf-d2ed5614-42e2016d-53ea5bed.jpg', 'files/p14/p14798972/s52353675/e6b4ccd3-0795f625-2acad01a-72101d69-4ade2ad7.jpg']",['files/p14/p14798972/s51882341/da9bcd9f-310e0f89-ef56f5ed-330d4f9e-c7c83601.jpg\n']
s52354768_5,p13453133,s52354768,5,Impression,"In comparison with the earlier study of this day, there has been a thoracentesis with removal of a substantial amount of pleural fluid. Small residual process. Specifically, there is no evidence of appreciable pneumothorax. Remainder of the study is essentially unchanged.","In comparison with the earlier study of this day, there has been a thoracentesis with removal of a substantial amount of pleural fluid.",Pleural fluid,Pleural,Resolve,"['files/p13/p13453133/s52354768/10e4458b-93d9edd0-16e36870-28b04f58-25205862.jpg', 'files/p13/p13453133/s52354768/386e8915-c0072f29-206ebd92-18525c1d-07c487f4.jpg']",['files/p13/p13453133/s51829071/b01ddc40-b80fa234-3533e014-3b0fdf7b-e8c67c6c.jpg\n']
s52354768_5,p13453133,s52354768,5,Impression,"In comparison with the earlier study of this day, there has been a thoracentesis with removal of a substantial amount of pleural fluid. Small residual process. Specifically, there is no evidence of appreciable pneumothorax. Remainder of the study is essentially unchanged.",Remainder of the study is essentially unchanged.,,,Stable,"['files/p13/p13453133/s52354768/10e4458b-93d9edd0-16e36870-28b04f58-25205862.jpg', 'files/p13/p13453133/s52354768/386e8915-c0072f29-206ebd92-18525c1d-07c487f4.jpg']",['files/p13/p13453133/s51829071/b01ddc40-b80fa234-3533e014-3b0fdf7b-e8c67c6c.jpg\n']
s52364831_2,p18373333,s52364831,2,Impression,"As compared to ___, there has been further worsening of a bilateral interstitial pattern, now with a mid and lower lung predominance. It is uncertain whether this represents interstitial edema or a progressive atypical pneumonia.","As compared to ___, there has been further worsening of a bilateral interstitial pattern, now with a mid and lower lung predominance.",bilateral interstitial pattern,mid and lower lung,Worse,['files/p18/p18373333/s52364831/26d91d75-cf5c6002-96b0a11b-d3f93367-d109b784.jpg'],
s52385709_1,p19890966,s52385709,1,Findings,Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.,Mediastinal and hilar contours are unchanged.,contours,Mediastinal and hilar,Stable,"['files/p19/p19890966/s52385709/28711812-b5fa575d-30520ea7-5add8dca-a49239fe.jpg', 'files/p19/p19890966/s52385709/9d752539-c8aeb9f8-049a169c-1605c54e-90634c71.jpg']",
s52386935_6,p16319384,s52386935,6,Findings,"In comparison with study of ___, there is now a dual-channel pacer device in place with leads extending to the right atrium and region of the apex of the right ventricle. Cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.","In comparison with study of ___, there is now a dual-channel pacer device in place with leads extending to the right atrium and region of the apex of the right ventricle.",Dual-channel pacer device,Right atrium and apex of the right ventricle,New,"['files/p16/p16319384/s52386935/804b8d22-6d1eb472-77b4a9b3-2a62bd27-a1d390a9.jpg', 'files/p16/p16319384/s52386935/ada0238f-cfaaf77c-c0ff1c4c-fcb44ece-427e82d7.jpg', 'files/p16/p16319384/s52386935/f45462e0-afc7a83c-261958c5-a9f01910-d68468df.jpg']","['files/p16/p16319384/s51991869/04f641c1-61030285-70b766ad-7189c11b-64101452.jpg\n', 'files/p16/p16319384/s51991869/374b061d-8ac364d9-175a127c-5c6cff5a-98e8a57c.jpg\n']"
s52414889_3,p18795271,s52414889,3,Findings,"Nasogastric tube now terminates in the stomach, sideport at the esophagus. Lung volumes are low. There is persistent elevation of the right hemidiaphragm. The left hemidiaphragm is obscured by retrocardiac opacity. The left costophrenic angle is not fully imaged. There is no right pleural effusion. No pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. No pulmonary edema.",There is persistent elevation of the right hemidiaphragm.,elevation,right hemidiaphragm,Stable,"['files/p18/p18795271/s52414889/38f53f0f-2faf0d78-8d6b932a-d707d08e-9c14dfde.jpg', 'files/p18/p18795271/s52414889/ebc5f8d2-5f1b0b12-b55adc2b-96bdffd9-d5ecbf56.jpg', 'files/p18/p18795271/s52414889/ff254bc5-0c37dfa0-c2191df8-a419d5f7-e45ad7e4.jpg']",['files/p18/p18795271/s51769537/01884108-3101cca3-0fe40d44-deb3e031-fe8bc647.jpg\n']
s52414889_3,p18795271,s52414889,3,Findings,"Nasogastric tube now terminates in the stomach, sideport at the esophagus. Lung volumes are low. There is persistent elevation of the right hemidiaphragm. The left hemidiaphragm is obscured by retrocardiac opacity. The left costophrenic angle is not fully imaged. There is no right pleural effusion. No pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. No pulmonary edema.",Hilar and mediastinal silhouettes are unchanged.,silhouettes,hilar and mediastinal,Stable,"['files/p18/p18795271/s52414889/38f53f0f-2faf0d78-8d6b932a-d707d08e-9c14dfde.jpg', 'files/p18/p18795271/s52414889/ebc5f8d2-5f1b0b12-b55adc2b-96bdffd9-d5ecbf56.jpg', 'files/p18/p18795271/s52414889/ff254bc5-0c37dfa0-c2191df8-a419d5f7-e45ad7e4.jpg']",['files/p18/p18795271/s51769537/01884108-3101cca3-0fe40d44-deb3e031-fe8bc647.jpg\n']
s52416075_4,p14583397,s52416075,4,Findings,The lungs are hypoinflated with crowding of vasculature. Heterogeneous right lower lobe opacity is most consistent with atelectasis. No pleural effusion or pneumothorax. Persistent mild cardiomegaly is noted. Mediastinal contour and hila are unremarkable.,Persistent mild cardiomegaly is noted.,mild cardiomegaly,,Stable,"['files/p14/p14583397/s52416075/225bb728-6155e5c7-1d5756c7-629c2d3f-308f2408.jpg', 'files/p14/p14583397/s52416075/97c9620b-d57b73e6-50f4d0bb-e014ebb1-2d10729b.jpg']",['files/p14/p14583397/s51893215/d3a1d9e4-94eb4b4c-537cbd71-da0ad8c6-d974a241.jpg\n']
s52416075_4,p14583397,s52416075,4,Impression,New right basilar opacities suggestive of atelectasis. Followup PA and lateral radiographs may be helpful to ensure resolution and to exclude the possibility of an early infectious pneumonia in the appropriate clinical setting.,New right basilar opacities suggestive of atelectasis.,opacities,right basilar,New,"['files/p14/p14583397/s52416075/225bb728-6155e5c7-1d5756c7-629c2d3f-308f2408.jpg', 'files/p14/p14583397/s52416075/97c9620b-d57b73e6-50f4d0bb-e014ebb1-2d10729b.jpg']",['files/p14/p14583397/s51893215/d3a1d9e4-94eb4b4c-537cbd71-da0ad8c6-d974a241.jpg\n']
s52435125_2,p11842519,s52435125,2,Findings,The bilateral pleural effusions are again seen right greater than left. Right lower lobe opacities are unchanged and may be chronic atelectasis related to persistent effusions. The previously seen pulmonary edema has resolved. There is mild cardiomegaly. Orthopedic hardware is seen in the thoracic spine with adjacent surgical clips.,The bilateral pleural effusions are again seen right greater than left.,pleural effusions,bilateral,Stable,"['files/p11/p11842519/s52435125/87c8d17c-efddd19d-6d6bdf4a-33ac06da-52d1f2ae.jpg', 'files/p11/p11842519/s52435125/cc1a416d-51f3f1eb-f180d40e-0cfd0190-9e7a9a54.jpg']","['files/p11/p11842519/s52278905/e044c941-2f2d494f-0a794f54-a64e76fe-70da04b2.jpg\n', 'files/p11/p11842519/s52278905/f116ca80-a8af602f-9e093f53-f6f59ad5-7dd5441d.jpg\n']"
s52435125_2,p11842519,s52435125,2,Impression,1. Persistent bilateral effusions and likely chronic atelectasis. 2. Resolution of previous pulmonary edema.,Resolution of previous pulmonary edema.,pulmonary edema,,Resolve,"['files/p11/p11842519/s52435125/87c8d17c-efddd19d-6d6bdf4a-33ac06da-52d1f2ae.jpg', 'files/p11/p11842519/s52435125/cc1a416d-51f3f1eb-f180d40e-0cfd0190-9e7a9a54.jpg']","['files/p11/p11842519/s52278905/e044c941-2f2d494f-0a794f54-a64e76fe-70da04b2.jpg\n', 'files/p11/p11842519/s52278905/f116ca80-a8af602f-9e093f53-f6f59ad5-7dd5441d.jpg\n']"
s52435125_2,p11842519,s52435125,2,Findings,The bilateral pleural effusions are again seen right greater than left. Right lower lobe opacities are unchanged and may be chronic atelectasis related to persistent effusions. The previously seen pulmonary edema has resolved. There is mild cardiomegaly. Orthopedic hardware is seen in the thoracic spine with adjacent surgical clips.,Right lower lobe opacities are unchanged and may be chronic atelectasis related to persistent effusions.,opacities,right lower lobe,Stable,"['files/p11/p11842519/s52435125/87c8d17c-efddd19d-6d6bdf4a-33ac06da-52d1f2ae.jpg', 'files/p11/p11842519/s52435125/cc1a416d-51f3f1eb-f180d40e-0cfd0190-9e7a9a54.jpg']","['files/p11/p11842519/s52278905/e044c941-2f2d494f-0a794f54-a64e76fe-70da04b2.jpg\n', 'files/p11/p11842519/s52278905/f116ca80-a8af602f-9e093f53-f6f59ad5-7dd5441d.jpg\n']"
s52435125_2,p11842519,s52435125,2,Findings,The bilateral pleural effusions are again seen right greater than left. Right lower lobe opacities are unchanged and may be chronic atelectasis related to persistent effusions. The previously seen pulmonary edema has resolved. There is mild cardiomegaly. Orthopedic hardware is seen in the thoracic spine with adjacent surgical clips.,The previously seen pulmonary edema has resolved.,pulmonary edema,,Resolve,"['files/p11/p11842519/s52435125/87c8d17c-efddd19d-6d6bdf4a-33ac06da-52d1f2ae.jpg', 'files/p11/p11842519/s52435125/cc1a416d-51f3f1eb-f180d40e-0cfd0190-9e7a9a54.jpg']","['files/p11/p11842519/s52278905/e044c941-2f2d494f-0a794f54-a64e76fe-70da04b2.jpg\n', 'files/p11/p11842519/s52278905/f116ca80-a8af602f-9e093f53-f6f59ad5-7dd5441d.jpg\n']"
s52435223_1,p11717909,s52435223,1,Findings,Heart size is enlarged and stable. Right internal jugular Swan-Ganz catheter is appropriately positioned. Pulmonary edema has improved. Small left pleural effusion is stable. Intra-aortic balloon pump tip is 1.2 cm from the apex of the aortic knob.,Heart size is enlarged and stable.,Cardiomegaly,,Stable,['files/p11/p11717909/s52435223/efb1eddb-0ef61d1a-e71c7c6a-9885a19f-d756d9ca.jpg'],['files/p11/p11717909/s52362021/f3d88efb-8d1f70db-a2131320-90053712-cfd9a1bd.jpg\n']
s52435223_1,p11717909,s52435223,1,Impression,Intra-aortic balloon pump is above the usual expected position. Stable cardiomegaly and improvement in pulmonary edema.,Stable cardiomegaly and improvement in pulmonary edema.,Pulmonary edema,,Better,['files/p11/p11717909/s52435223/efb1eddb-0ef61d1a-e71c7c6a-9885a19f-d756d9ca.jpg'],['files/p11/p11717909/s52362021/f3d88efb-8d1f70db-a2131320-90053712-cfd9a1bd.jpg\n']
s52435223_1,p11717909,s52435223,1,Impression,Intra-aortic balloon pump is above the usual expected position. Stable cardiomegaly and improvement in pulmonary edema.,Stable cardiomegaly and improvement in pulmonary edema.,Cardiomegaly,,Stable,['files/p11/p11717909/s52435223/efb1eddb-0ef61d1a-e71c7c6a-9885a19f-d756d9ca.jpg'],['files/p11/p11717909/s52362021/f3d88efb-8d1f70db-a2131320-90053712-cfd9a1bd.jpg\n']
s52435223_1,p11717909,s52435223,1,Findings,Heart size is enlarged and stable. Right internal jugular Swan-Ganz catheter is appropriately positioned. Pulmonary edema has improved. Small left pleural effusion is stable. Intra-aortic balloon pump tip is 1.2 cm from the apex of the aortic knob.,Pulmonary edema has improved.,Pulmonary edema,,Better,['files/p11/p11717909/s52435223/efb1eddb-0ef61d1a-e71c7c6a-9885a19f-d756d9ca.jpg'],['files/p11/p11717909/s52362021/f3d88efb-8d1f70db-a2131320-90053712-cfd9a1bd.jpg\n']
s52435223_1,p11717909,s52435223,1,Findings,Heart size is enlarged and stable. Right internal jugular Swan-Ganz catheter is appropriately positioned. Pulmonary edema has improved. Small left pleural effusion is stable. Intra-aortic balloon pump tip is 1.2 cm from the apex of the aortic knob.,Small left pleural effusion is stable.,Pleural effusion,left,Stable,['files/p11/p11717909/s52435223/efb1eddb-0ef61d1a-e71c7c6a-9885a19f-d756d9ca.jpg'],['files/p11/p11717909/s52362021/f3d88efb-8d1f70db-a2131320-90053712-cfd9a1bd.jpg\n']
s52442425_1,p10862054,s52442425,1,Findings,Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Hilar contours are also stable.,The cardiac and mediastinal silhouettes are stable and unremarkable.,cardiac and mediastinal silhouettes,,Stable,"['files/p10/p10862054/s52442425/6320a177-342a4fd7-a6b6cd85-53265126-c5592815.jpg', 'files/p10/p10862054/s52442425/7ca81fd6-1bf2f074-46a147a6-c0a1560d-28d9dde0.jpg', 'files/p10/p10862054/s52442425/d0991e2b-409414c3-61292bfe-a7503b43-1683f5b1.jpg']","['files/p10/p10862054/s50702835/635af03b-69756d41-3660ec05-e2c0ec37-d732f2cc.jpg\n', 'files/p10/p10862054/s50702835/bb1e3b63-37b0c06b-9ee2551f-b2d7cf01-ed2f7d8b.jpg\n']"
s52442425_1,p10862054,s52442425,1,Findings,Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Hilar contours are also stable.,Hilar contours are also stable.,hilar contours,,Stable,"['files/p10/p10862054/s52442425/6320a177-342a4fd7-a6b6cd85-53265126-c5592815.jpg', 'files/p10/p10862054/s52442425/7ca81fd6-1bf2f074-46a147a6-c0a1560d-28d9dde0.jpg', 'files/p10/p10862054/s52442425/d0991e2b-409414c3-61292bfe-a7503b43-1683f5b1.jpg']","['files/p10/p10862054/s50702835/635af03b-69756d41-3660ec05-e2c0ec37-d732f2cc.jpg\n', 'files/p10/p10862054/s50702835/bb1e3b63-37b0c06b-9ee2551f-b2d7cf01-ed2f7d8b.jpg\n']"
s52444140_36,p13894716,s52444140,36,Impression,No change.,No change.,,,Stable,['files/p13/p13894716/s52444140/dfe7902d-7f50fd3a-34f95cfb-3aeeea63-20d6aa4f.jpg'],"['files/p13/p13894716/s52221435/0d5c7134-11a89847-9dde852c-ebe57412-85ba6640.jpg\n', 'files/p13/p13894716/s52221435/12e268f0-0d236069-78811721-d730d468-45aa2598.jpg\n', 'files/p13/p13894716/s52221435/5745d50f-5a13ef8b-80e11e39-07d87a78-f996a6a2.jpg\n', 'files/p13/p13894716/s52221435/ee9ef4b3-71184595-eb3b6ec8-8f9f5577-3ab80ed8.jpg\n']"
s52444140_36,p13894716,s52444140,36,Findings,Compared to the prior study there is no significant interval change.,Compared to the prior study there is no significant interval change.,,,Stable,['files/p13/p13894716/s52444140/dfe7902d-7f50fd3a-34f95cfb-3aeeea63-20d6aa4f.jpg'],"['files/p13/p13894716/s52221435/0d5c7134-11a89847-9dde852c-ebe57412-85ba6640.jpg\n', 'files/p13/p13894716/s52221435/12e268f0-0d236069-78811721-d730d468-45aa2598.jpg\n', 'files/p13/p13894716/s52221435/5745d50f-5a13ef8b-80e11e39-07d87a78-f996a6a2.jpg\n', 'files/p13/p13894716/s52221435/ee9ef4b3-71184595-eb3b6ec8-8f9f5577-3ab80ed8.jpg\n']"
s52447787_1,p16033763,s52447787,1,Findings,"Frontal and lateral radiographs of the chest show a left pectoral pacemaker with a single lead unchanged in position within the right ventricle. Bilateral apical pleural thickening is unchanged. A right lower lung granuloma is stable from the preceding radiograph. The lungs are otherwise clear without pleural effusion, focal consolidation or pneumothorax. No new pulmonary nodule is detected by radiography. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size but stable. The mediastinal and hilar contours are within normal limits and unchanged from ___.",The cardiac silhouette is top normal in size but stable.,cardiac silhouette,,Stable,"['files/p16/p16033763/s52447787/36b80f83-181f47f3-7f54839c-4f80a1f3-60de306a.jpg', 'files/p16/p16033763/s52447787/c90cae1c-784836db-33abc09e-f4490bd5-bd1f64fd.jpg']","['files/p16/p16033763/s51599066/09524e08-b43253ba-752c8e69-fc1908b0-54cbd712.jpg\n', 'files/p16/p16033763/s51599066/4969ed80-b6f01bb1-09bc5a19-c44bb4c5-70597525.jpg\n']"
s52447787_1,p16033763,s52447787,1,Findings,"Frontal and lateral radiographs of the chest show a left pectoral pacemaker with a single lead unchanged in position within the right ventricle. Bilateral apical pleural thickening is unchanged. A right lower lung granuloma is stable from the preceding radiograph. The lungs are otherwise clear without pleural effusion, focal consolidation or pneumothorax. No new pulmonary nodule is detected by radiography. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size but stable. The mediastinal and hilar contours are within normal limits and unchanged from ___.",A right lower lung granuloma is stable from the preceding radiograph.,granuloma,right lower lung,Stable,"['files/p16/p16033763/s52447787/36b80f83-181f47f3-7f54839c-4f80a1f3-60de306a.jpg', 'files/p16/p16033763/s52447787/c90cae1c-784836db-33abc09e-f4490bd5-bd1f64fd.jpg']","['files/p16/p16033763/s51599066/09524e08-b43253ba-752c8e69-fc1908b0-54cbd712.jpg\n', 'files/p16/p16033763/s51599066/4969ed80-b6f01bb1-09bc5a19-c44bb4c5-70597525.jpg\n']"
s52447787_1,p16033763,s52447787,1,Findings,"Frontal and lateral radiographs of the chest show a left pectoral pacemaker with a single lead unchanged in position within the right ventricle. Bilateral apical pleural thickening is unchanged. A right lower lung granuloma is stable from the preceding radiograph. The lungs are otherwise clear without pleural effusion, focal consolidation or pneumothorax. No new pulmonary nodule is detected by radiography. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size but stable. The mediastinal and hilar contours are within normal limits and unchanged from ___.",Frontal and lateral radiographs of the chest show a left pectoral pacemaker with a single lead unchanged in position within the right ventricle.,pacemaker with a single lead,left pectoral,Stable,"['files/p16/p16033763/s52447787/36b80f83-181f47f3-7f54839c-4f80a1f3-60de306a.jpg', 'files/p16/p16033763/s52447787/c90cae1c-784836db-33abc09e-f4490bd5-bd1f64fd.jpg']","['files/p16/p16033763/s51599066/09524e08-b43253ba-752c8e69-fc1908b0-54cbd712.jpg\n', 'files/p16/p16033763/s51599066/4969ed80-b6f01bb1-09bc5a19-c44bb4c5-70597525.jpg\n']"
s52447787_1,p16033763,s52447787,1,Findings,"Frontal and lateral radiographs of the chest show a left pectoral pacemaker with a single lead unchanged in position within the right ventricle. Bilateral apical pleural thickening is unchanged. A right lower lung granuloma is stable from the preceding radiograph. The lungs are otherwise clear without pleural effusion, focal consolidation or pneumothorax. No new pulmonary nodule is detected by radiography. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size but stable. The mediastinal and hilar contours are within normal limits and unchanged from ___.",The mediastinal and hilar contours are within normal limits and unchanged from ___.,mediastinal and hilar contours,,Stable,"['files/p16/p16033763/s52447787/36b80f83-181f47f3-7f54839c-4f80a1f3-60de306a.jpg', 'files/p16/p16033763/s52447787/c90cae1c-784836db-33abc09e-f4490bd5-bd1f64fd.jpg']","['files/p16/p16033763/s51599066/09524e08-b43253ba-752c8e69-fc1908b0-54cbd712.jpg\n', 'files/p16/p16033763/s51599066/4969ed80-b6f01bb1-09bc5a19-c44bb4c5-70597525.jpg\n']"
s52447787_1,p16033763,s52447787,1,Findings,"Frontal and lateral radiographs of the chest show a left pectoral pacemaker with a single lead unchanged in position within the right ventricle. Bilateral apical pleural thickening is unchanged. A right lower lung granuloma is stable from the preceding radiograph. The lungs are otherwise clear without pleural effusion, focal consolidation or pneumothorax. No new pulmonary nodule is detected by radiography. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size but stable. The mediastinal and hilar contours are within normal limits and unchanged from ___.",Bilateral apical pleural thickening is unchanged.,pleural thickening,bilateral apical,Stable,"['files/p16/p16033763/s52447787/36b80f83-181f47f3-7f54839c-4f80a1f3-60de306a.jpg', 'files/p16/p16033763/s52447787/c90cae1c-784836db-33abc09e-f4490bd5-bd1f64fd.jpg']","['files/p16/p16033763/s51599066/09524e08-b43253ba-752c8e69-fc1908b0-54cbd712.jpg\n', 'files/p16/p16033763/s51599066/4969ed80-b6f01bb1-09bc5a19-c44bb4c5-70597525.jpg\n']"
s52447787_1,p16033763,s52447787,1,Impression,1. No evidence of intrathoracic malignancy by radiography. 2. Stable right lower lung granuloma.,Stable right lower lung granuloma.,granuloma,right lower lung,Stable,"['files/p16/p16033763/s52447787/36b80f83-181f47f3-7f54839c-4f80a1f3-60de306a.jpg', 'files/p16/p16033763/s52447787/c90cae1c-784836db-33abc09e-f4490bd5-bd1f64fd.jpg']","['files/p16/p16033763/s51599066/09524e08-b43253ba-752c8e69-fc1908b0-54cbd712.jpg\n', 'files/p16/p16033763/s51599066/4969ed80-b6f01bb1-09bc5a19-c44bb4c5-70597525.jpg\n']"
s52459455_3,p15780880,s52459455,3,Findings,"As compared to the previous radiograph, the pre-existing parenchymal opacities have slightly decreased in extent and severity but are still clearly visible, notably in the region of the right apex. The bilateral pleural effusions, better visualized on the lateral than on the frontal radiograph, persist. Unchanged normal hilar structures and normal size of the cardiac silhouette, with minimal calcification of the aortic wall and minimal tortuosity of the aorta. No pneumothorax. Mild degenerative right shoulder disease.","Unchanged normal hilar structures and normal size of the cardiac silhouette, with minimal calcification of the aortic wall and minimal tortuosity of the aorta.",cardiac silhouette,,Stable,"['files/p15/p15780880/s52459455/16693bfb-94c40990-155fb2e7-6dc3f4b0-38ac11cb.jpg', 'files/p15/p15780880/s52459455/77d12f34-7559e3b5-ca659cda-05d2e515-b0726d99.jpg']",['files/p15/p15780880/s51766103/5d8300fe-3a3aaed5-ec3f9f49-769dcb99-a7ffa174.jpg\n']
s52459455_3,p15780880,s52459455,3,Findings,"As compared to the previous radiograph, the pre-existing parenchymal opacities have slightly decreased in extent and severity but are still clearly visible, notably in the region of the right apex. The bilateral pleural effusions, better visualized on the lateral than on the frontal radiograph, persist. Unchanged normal hilar structures and normal size of the cardiac silhouette, with minimal calcification of the aortic wall and minimal tortuosity of the aorta. No pneumothorax. Mild degenerative right shoulder disease.","Unchanged normal hilar structures and normal size of the cardiac silhouette, with minimal calcification of the aortic wall and minimal tortuosity of the aorta.",hilar structures,,Stable,"['files/p15/p15780880/s52459455/16693bfb-94c40990-155fb2e7-6dc3f4b0-38ac11cb.jpg', 'files/p15/p15780880/s52459455/77d12f34-7559e3b5-ca659cda-05d2e515-b0726d99.jpg']",['files/p15/p15780880/s51766103/5d8300fe-3a3aaed5-ec3f9f49-769dcb99-a7ffa174.jpg\n']
s52459455_3,p15780880,s52459455,3,Findings,"As compared to the previous radiograph, the pre-existing parenchymal opacities have slightly decreased in extent and severity but are still clearly visible, notably in the region of the right apex. The bilateral pleural effusions, better visualized on the lateral than on the frontal radiograph, persist. Unchanged normal hilar structures and normal size of the cardiac silhouette, with minimal calcification of the aortic wall and minimal tortuosity of the aorta. No pneumothorax. Mild degenerative right shoulder disease.","As compared to the previous radiograph, the pre-existing parenchymal opacities have slightly decreased in extent and severity but are still clearly visible, notably in the region of the right apex.",parenchymal opacities,right apex,Better,"['files/p15/p15780880/s52459455/16693bfb-94c40990-155fb2e7-6dc3f4b0-38ac11cb.jpg', 'files/p15/p15780880/s52459455/77d12f34-7559e3b5-ca659cda-05d2e515-b0726d99.jpg']",['files/p15/p15780880/s51766103/5d8300fe-3a3aaed5-ec3f9f49-769dcb99-a7ffa174.jpg\n']
s52459455_3,p15780880,s52459455,3,Findings,"As compared to the previous radiograph, the pre-existing parenchymal opacities have slightly decreased in extent and severity but are still clearly visible, notably in the region of the right apex. The bilateral pleural effusions, better visualized on the lateral than on the frontal radiograph, persist. Unchanged normal hilar structures and normal size of the cardiac silhouette, with minimal calcification of the aortic wall and minimal tortuosity of the aorta. No pneumothorax. Mild degenerative right shoulder disease.","The bilateral pleural effusions, better visualized on the lateral than on the frontal radiograph, persist.",pleural effusions,bilateral,Stable,"['files/p15/p15780880/s52459455/16693bfb-94c40990-155fb2e7-6dc3f4b0-38ac11cb.jpg', 'files/p15/p15780880/s52459455/77d12f34-7559e3b5-ca659cda-05d2e515-b0726d99.jpg']",['files/p15/p15780880/s51766103/5d8300fe-3a3aaed5-ec3f9f49-769dcb99-a7ffa174.jpg\n']
s52468610_2,p17093296,s52468610,2,Impression,"In comparison with the study of ___, there again are bilateral pleural effusions with compressive atelectasis at the bases, more prominent on the left. Following apparent thoracentesis, there is no evidence of pneumothorax. Cardiomediastinal silhouette is unchanged. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure.","There again are bilateral pleural effusions with compressive atelectasis at the bases, more prominent on the left.",pleural effusions,bilateral,Stable,['files/p17/p17093296/s52468610/40fa80dc-953c68e3-cbcf1c09-d87a60a4-d82a5ae8.jpg'],
s52468610_2,p17093296,s52468610,2,Impression,"In comparison with the study of ___, there again are bilateral pleural effusions with compressive atelectasis at the bases, more prominent on the left. Following apparent thoracentesis, there is no evidence of pneumothorax. Cardiomediastinal silhouette is unchanged. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure.","There again are bilateral pleural effusions with compressive atelectasis at the bases, more prominent on the left.",compressive atelectasis,"bases, more prominent on the left",Stable,['files/p17/p17093296/s52468610/40fa80dc-953c68e3-cbcf1c09-d87a60a4-d82a5ae8.jpg'],
s52468610_2,p17093296,s52468610,2,Impression,"In comparison with the study of ___, there again are bilateral pleural effusions with compressive atelectasis at the bases, more prominent on the left. Following apparent thoracentesis, there is no evidence of pneumothorax. Cardiomediastinal silhouette is unchanged. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure.",Cardiomediastinal silhouette is unchanged.,Cardiomediastinal silhouette,,Stable,['files/p17/p17093296/s52468610/40fa80dc-953c68e3-cbcf1c09-d87a60a4-d82a5ae8.jpg'],
s52469570_3,p15791567,s52469570,3,Findings,"In comparison with study of ___, there is little change and no evidence of acute cardiopulmonary disease. There is mild hyperexpansion of the lungs that could reflect some chronic pulmonary changes, but no acute pneumonia, vascular congestion, or pleural effusion.","In comparison with study of ___, there is little change and no evidence of acute cardiopulmonary disease.",cardiopulmonary disease,,Stable,"['files/p15/p15791567/s52469570/537c9b52-d4ee88f2-32098ca0-1f7b0cd9-b55ea22d.jpg', 'files/p15/p15791567/s52469570/fc1a0832-12355186-70c76318-a3913c89-13ceca14.jpg']",
s52474377_8,p11842519,s52474377,8,Impression,Cardiomediastinal silhouette is unchanged. Spinal hardware is unchanged. Bibasal consolidations appear to be mildly progressed since the prior study as well as there is slightly more pronounced vascular congestion. Right pleural effusion is small but increased since the prior study.,Spinal hardware is unchanged.,Spinal hardware,,Stable,"['files/p11/p11842519/s52474377/065a7a9c-53732182-e1803a70-560a7a03-f85438e2.jpg', 'files/p11/p11842519/s52474377/b4b54fa6-a62cd7a9-4ba6082c-5534bec0-fab033bf.jpg']","['files/p11/p11842519/s52435125/87c8d17c-efddd19d-6d6bdf4a-33ac06da-52d1f2ae.jpg\n', 'files/p11/p11842519/s52435125/cc1a416d-51f3f1eb-f180d40e-0cfd0190-9e7a9a54.jpg\n']"
s52474377_8,p11842519,s52474377,8,Impression,Cardiomediastinal silhouette is unchanged. Spinal hardware is unchanged. Bibasal consolidations appear to be mildly progressed since the prior study as well as there is slightly more pronounced vascular congestion. Right pleural effusion is small but increased since the prior study.,Bibasal consolidations appear to be mildly progressed since the prior study as well as there is slightly more pronounced vascular congestion.,consolidations,bibasal,Worse,"['files/p11/p11842519/s52474377/065a7a9c-53732182-e1803a70-560a7a03-f85438e2.jpg', 'files/p11/p11842519/s52474377/b4b54fa6-a62cd7a9-4ba6082c-5534bec0-fab033bf.jpg']","['files/p11/p11842519/s52435125/87c8d17c-efddd19d-6d6bdf4a-33ac06da-52d1f2ae.jpg\n', 'files/p11/p11842519/s52435125/cc1a416d-51f3f1eb-f180d40e-0cfd0190-9e7a9a54.jpg\n']"
s52474377_8,p11842519,s52474377,8,Impression,Cardiomediastinal silhouette is unchanged. Spinal hardware is unchanged. Bibasal consolidations appear to be mildly progressed since the prior study as well as there is slightly more pronounced vascular congestion. Right pleural effusion is small but increased since the prior study.,Right pleural effusion is small but increased since the prior study.,pleural effusion,right,Worse,"['files/p11/p11842519/s52474377/065a7a9c-53732182-e1803a70-560a7a03-f85438e2.jpg', 'files/p11/p11842519/s52474377/b4b54fa6-a62cd7a9-4ba6082c-5534bec0-fab033bf.jpg']","['files/p11/p11842519/s52435125/87c8d17c-efddd19d-6d6bdf4a-33ac06da-52d1f2ae.jpg\n', 'files/p11/p11842519/s52435125/cc1a416d-51f3f1eb-f180d40e-0cfd0190-9e7a9a54.jpg\n']"
s52474377_8,p11842519,s52474377,8,Impression,Cardiomediastinal silhouette is unchanged. Spinal hardware is unchanged. Bibasal consolidations appear to be mildly progressed since the prior study as well as there is slightly more pronounced vascular congestion. Right pleural effusion is small but increased since the prior study.,Cardiomediastinal silhouette is unchanged.,Cardiomediastinal silhouette,,Stable,"['files/p11/p11842519/s52474377/065a7a9c-53732182-e1803a70-560a7a03-f85438e2.jpg', 'files/p11/p11842519/s52474377/b4b54fa6-a62cd7a9-4ba6082c-5534bec0-fab033bf.jpg']","['files/p11/p11842519/s52435125/87c8d17c-efddd19d-6d6bdf4a-33ac06da-52d1f2ae.jpg\n', 'files/p11/p11842519/s52435125/cc1a416d-51f3f1eb-f180d40e-0cfd0190-9e7a9a54.jpg\n']"
s52474377_8,p11842519,s52474377,8,Impression,Cardiomediastinal silhouette is unchanged. Spinal hardware is unchanged. Bibasal consolidations appear to be mildly progressed since the prior study as well as there is slightly more pronounced vascular congestion. Right pleural effusion is small but increased since the prior study.,Bibasal consolidations appear to be mildly progressed since the prior study as well as there is slightly more pronounced vascular congestion.,vascular congestion,,Worse,"['files/p11/p11842519/s52474377/065a7a9c-53732182-e1803a70-560a7a03-f85438e2.jpg', 'files/p11/p11842519/s52474377/b4b54fa6-a62cd7a9-4ba6082c-5534bec0-fab033bf.jpg']","['files/p11/p11842519/s52435125/87c8d17c-efddd19d-6d6bdf4a-33ac06da-52d1f2ae.jpg\n', 'files/p11/p11842519/s52435125/cc1a416d-51f3f1eb-f180d40e-0cfd0190-9e7a9a54.jpg\n']"
s52480192_0,p11888614,s52480192,0,Findings,"The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. Mild reticular denisities are again seen throughout both lungs, less prominent, suggestive of improved chronic interstitial disease. No bony abnormalities are seen.","Mild reticular densities are again seen throughout both lungs, less prominent, suggestive of improved chronic interstitial disease.",chronic interstitial disease,throughout both lungs,Better,"['files/p11/p11888614/s52480192/0747fa57-65ee11cc-ed504521-5cfed40f-2a61d9b7.jpg', 'files/p11/p11888614/s52480192/9cbd3475-8f9f2464-1fbb6aca-f66b1b1e-6f5a46d8.jpg', 'files/p11/p11888614/s52480192/f06c75a8-93f44e14-bd0480d5-b2bdb8f6-6d771156.jpg']",['files/p11/p11888614/s52382255/436a33ef-05436b90-941301ea-3e5c29aa-85fa6307.jpg\n']
s52497746_4,p10522265,s52497746,4,Impression,"Pulmonary edema developed between ___ and ___. Edema has subsequently cleared from the upper lungs, but there is still substantial consolidation in the lower lungs, particularly the left accompanied by at least small bilateral pleural effusions. To what extent the abnormality represents combination of edema and residual atelectasis or pneumonia, is radiographically indeterminate, but if the patient's respiratory status has recently declined that cannot be attributed to worsening edema; either atelectasis or pneumonia is more likely. Feeding tube passes into the stomach and out of view. Left PIC line ends in the low SVC.","Edema has subsequently cleared from the upper lungs, but there is still substantial consolidation in the lower lungs, particularly the left accompanied by at least small bilateral pleural effusions.",small pleural effusions,bilateral,Stable,['files/p10/p10522265/s52497746/17077b64-972ced4d-1dd026ac-595f3151-121e9520.jpg'],['files/p10/p10522265/s50421811/d5aedb5c-3e300b8e-4ab8aa68-066f67dc-cfe7bd84.jpg\n']
s52497746_4,p10522265,s52497746,4,Impression,"Pulmonary edema developed between ___ and ___. Edema has subsequently cleared from the upper lungs, but there is still substantial consolidation in the lower lungs, particularly the left accompanied by at least small bilateral pleural effusions. To what extent the abnormality represents combination of edema and residual atelectasis or pneumonia, is radiographically indeterminate, but if the patient's respiratory status has recently declined that cannot be attributed to worsening edema; either atelectasis or pneumonia is more likely. Feeding tube passes into the stomach and out of view. Left PIC line ends in the low SVC.","Edema has subsequently cleared from the upper lungs, but there is still substantial consolidation in the lower lungs, particularly the left accompanied by at least small bilateral pleural effusions.",consolidation,"lower lungs, particularly the left",Worse,['files/p10/p10522265/s52497746/17077b64-972ced4d-1dd026ac-595f3151-121e9520.jpg'],['files/p10/p10522265/s50421811/d5aedb5c-3e300b8e-4ab8aa68-066f67dc-cfe7bd84.jpg\n']
s52514999_1,p16159370,s52514999,1,Findings,"There is a persistent nodular opacity projecting over the right mid lung measuring approximately ___ x 15 mm for which CT is recommended to further assess. In addition, there is right basal atelectasis. The possibility of additional nodules is difficult to entirely exclude. There is subtle opacity adjacent to left heart border on the frontal projection which could represent a prominent fat pad versus a very early pneumonia. No large effusions are present. Calcified pleural plaque is noted on the lateral projection along the posterior pleural surface. The cardiomediastinal silhouette is stable. Bony structures are intact.",There is a persistent nodular opacity projecting over the right mid lung measuring approximately ___ x 15 mm for which CT is recommended to further assess.,nodular opacity,right mid lung,Stable,"['files/p16/p16159370/s52514999/b8d59f8b-a58efaf2-9c361139-8ce4f7c1-6f948185.jpg', 'files/p16/p16159370/s52514999/d33d3e27-8bcf7569-af70ab28-bf25119c-49421ca2.jpg']",
s52514999_1,p16159370,s52514999,1,Findings,"There is a persistent nodular opacity projecting over the right mid lung measuring approximately ___ x 15 mm for which CT is recommended to further assess. In addition, there is right basal atelectasis. The possibility of additional nodules is difficult to entirely exclude. There is subtle opacity adjacent to left heart border on the frontal projection which could represent a prominent fat pad versus a very early pneumonia. No large effusions are present. Calcified pleural plaque is noted on the lateral projection along the posterior pleural surface. The cardiomediastinal silhouette is stable. Bony structures are intact.",The cardiomediastinal silhouette is stable.,,cardiomediastinal silhouette,Stable,"['files/p16/p16159370/s52514999/b8d59f8b-a58efaf2-9c361139-8ce4f7c1-6f948185.jpg', 'files/p16/p16159370/s52514999/d33d3e27-8bcf7569-af70ab28-bf25119c-49421ca2.jpg']",
s52514999_1,p16159370,s52514999,1,Impression,"1. Nodular opacity projecting over the right mid lung, as seen previously and chest CT is again recommended to further assess. 2. Additional subtle opacities in the right and left lower lungs which could represent atelectasis though the possibility of pneumonia is difficult to entirely exclude.","1. Nodular opacity projecting over the right mid lung, as seen previously and chest CT is again recommended to further assess.",nodular opacity,right mid lung,Stable,"['files/p16/p16159370/s52514999/b8d59f8b-a58efaf2-9c361139-8ce4f7c1-6f948185.jpg', 'files/p16/p16159370/s52514999/d33d3e27-8bcf7569-af70ab28-bf25119c-49421ca2.jpg']",
s52515651_3,p13722528,s52515651,3,Impression,"PA and lateral chest compared to ___ and ___: Heterogeneous opacification in the right upper lobe in ___ is most readily explained by pneumonia. That has largely resolved, but there is still irregular opacification, best appreciated on the lateral view as well as the possibility of a ___-mm wide nodule projecting just anterior to the ascending thoracic aorta. For that reason, I would recommend chest CT scanning if nothing else to establish baseline appearance of hyperinflated lungs, probably due to emphysema. Heart size is top normal, but there is no pulmonary or mediastinal vascular engorgement, edema or pleural effusion.","PA and lateral chest compared to ___ and ___: Heterogeneous opacification in the right upper lobe in ___ is most readily explained by pneumonia. That has largely resolved, but there is still irregular opacification, best appreciated on the lateral view as well as the possibility of a ___-mm wide nodule projecting just anterior to the ascending thoracic aorta. For that reason, I would recommend chest CT scanning if nothing else to establish baseline appearance of hyperinflated lungs, probably due to emphysema. Heart size is top normal, but there is no pulmonary or mediastinal vascular engorgement, edema or pleural effusion.",opacification,right upper lobe,Resolve,"['files/p13/p13722528/s52515651/2460ccc6-f9608080-7f2aa728-e30f6fc2-9b47f5b9.jpg', 'files/p13/p13722528/s52515651/ac41d67c-103ee28a-0efb6f93-85a812d9-6bdf13c6.jpg']","['files/p13/p13722528/s52066292/3fec4c61-f3e07a20-1bfa9956-78c0e16c-69d76fe2.jpg\n', 'files/p13/p13722528/s52066292/4533a58b-b915b5c9-18ce3efd-15d23267-5da8b20b.jpg\n', 'files/p13/p13722528/s52066292/8fc640a2-1d6e4787-685d3061-db38a40a-ad7c2e6c.jpg\n']"
s52519588_16,p19890030,s52519588,16,Impression,"In comparison with the earlier study of this date, there has been placement of a right PICC line that terminates in the left axilla. Otherwise little change.","In comparison with the earlier study of this date, there has been placement of a right PICC line that terminates in the left axilla.",right PICC line,right PICC line terminates in the left axilla,New,['files/p19/p19890030/s52519588/9da44dd4-f08ae82f-ac9dd82e-966b3d51-9fec0a87.jpg'],['files/p19/p19890030/s51116903/f82ff9bb-9bbb3f96-d55b669c-6b737ab9-ec52275a.jpg\n']
s52521607_15,p15902493,s52521607,15,Findings,"The feeding tube has been repositioned and is seen coursing below the diaphragm into the stomach; however, the distal end is off radiographic view. Tracheostomy tube is in standard position. Left-sided PICC line ends at mid SVC. Bilateral lung volumes are low and Bibasal atelectasis is similar. There are no new lung opacities of concern. Cardiomediastinal silhouette is stable in appearance. Heart size is normal.",Bilateral lung volumes are low and Bibasal atelectasis is similar.,lung volumes,Bilateral,Stable,['files/p15/p15902493/s52521607/79b93da8-1a8e3c8d-fb7ee2ba-ad86c2e1-4fa0f78b.jpg'],['files/p15/p15902493/s52295399/4805924d-20aa3bfa-d7e7ed46-b01fadbe-743dd101.jpg\n']
s52521607_15,p15902493,s52521607,15,Findings,"The feeding tube has been repositioned and is seen coursing below the diaphragm into the stomach; however, the distal end is off radiographic view. Tracheostomy tube is in standard position. Left-sided PICC line ends at mid SVC. Bilateral lung volumes are low and Bibasal atelectasis is similar. There are no new lung opacities of concern. Cardiomediastinal silhouette is stable in appearance. Heart size is normal.",Cardiomediastinal silhouette is stable in appearance.,Cardiomediastinal silhouette,,Stable,['files/p15/p15902493/s52521607/79b93da8-1a8e3c8d-fb7ee2ba-ad86c2e1-4fa0f78b.jpg'],['files/p15/p15902493/s52295399/4805924d-20aa3bfa-d7e7ed46-b01fadbe-743dd101.jpg\n']
s52521607_15,p15902493,s52521607,15,Findings,"The feeding tube has been repositioned and is seen coursing below the diaphragm into the stomach; however, the distal end is off radiographic view. Tracheostomy tube is in standard position. Left-sided PICC line ends at mid SVC. Bilateral lung volumes are low and Bibasal atelectasis is similar. There are no new lung opacities of concern. Cardiomediastinal silhouette is stable in appearance. Heart size is normal.",Bilateral lung volumes are low and Bibasal atelectasis is similar.,atelectasis,Bibasal,Stable,['files/p15/p15902493/s52521607/79b93da8-1a8e3c8d-fb7ee2ba-ad86c2e1-4fa0f78b.jpg'],['files/p15/p15902493/s52295399/4805924d-20aa3bfa-d7e7ed46-b01fadbe-743dd101.jpg\n']
s52521607_15,p15902493,s52521607,15,Impression,"1. After repositioning of the feeding tube, it extends into the stomach; however, the distal end is off the radiographic view. 2. Bibasal atelectasis is similar. No other relevant changes.",Bibasal atelectasis is similar. No other relevant changes.,atelectasis,Bibasal,Stable,['files/p15/p15902493/s52521607/79b93da8-1a8e3c8d-fb7ee2ba-ad86c2e1-4fa0f78b.jpg'],['files/p15/p15902493/s52295399/4805924d-20aa3bfa-d7e7ed46-b01fadbe-743dd101.jpg\n']
s52526223_9,p13571108,s52526223,9,Findings,"As compared to the previous radiograph, there is unchanged evidence of a relatively extensive left pleural effusion that occupies approximately half of the left hemithorax. The true extent of the effusion is, overall, grossly unchanged, although the effusion is distributed in a slightly different way. Unchanged relatively extensive left lower lung atelectasis and moderate cardiomegaly. On the right, there is no evidence of pathological changes such as effusions, pneumonia or pneumothorax.",Unchanged relatively extensive left lower lung atelectasis and moderate cardiomegaly.,atelectasis,left lower lung,Stable,['files/p13/p13571108/s52526223/80e656ba-2e0b73a5-6252aa35-12c0df92-f0d566b9.jpg'],"['files/p13/p13571108/s51737323/147372cb-a8b13f70-636a3d8e-c2c3672f-e6585376.jpg\n', 'files/p13/p13571108/s51737323/e5f491e8-7492e07c-44f7e6b7-01e90cc8-5242f410.jpg\n']"
s52526223_9,p13571108,s52526223,9,Findings,"As compared to the previous radiograph, there is unchanged evidence of a relatively extensive left pleural effusion that occupies approximately half of the left hemithorax. The true extent of the effusion is, overall, grossly unchanged, although the effusion is distributed in a slightly different way. Unchanged relatively extensive left lower lung atelectasis and moderate cardiomegaly. On the right, there is no evidence of pathological changes such as effusions, pneumonia or pneumothorax.","The true extent of the effusion is, overall, grossly unchanged, although the effusion is distributed in a slightly different way.",pleural effusion,left hemithorax,Stable,['files/p13/p13571108/s52526223/80e656ba-2e0b73a5-6252aa35-12c0df92-f0d566b9.jpg'],"['files/p13/p13571108/s51737323/147372cb-a8b13f70-636a3d8e-c2c3672f-e6585376.jpg\n', 'files/p13/p13571108/s51737323/e5f491e8-7492e07c-44f7e6b7-01e90cc8-5242f410.jpg\n']"
s52526223_9,p13571108,s52526223,9,Findings,"As compared to the previous radiograph, there is unchanged evidence of a relatively extensive left pleural effusion that occupies approximately half of the left hemithorax. The true extent of the effusion is, overall, grossly unchanged, although the effusion is distributed in a slightly different way. Unchanged relatively extensive left lower lung atelectasis and moderate cardiomegaly. On the right, there is no evidence of pathological changes such as effusions, pneumonia or pneumothorax.","As compared to the previous radiograph, there is unchanged evidence of a relatively extensive left pleural effusion that occupies approximately half of the left hemithorax.",pleural effusion,left hemithorax,Stable,['files/p13/p13571108/s52526223/80e656ba-2e0b73a5-6252aa35-12c0df92-f0d566b9.jpg'],"['files/p13/p13571108/s51737323/147372cb-a8b13f70-636a3d8e-c2c3672f-e6585376.jpg\n', 'files/p13/p13571108/s51737323/e5f491e8-7492e07c-44f7e6b7-01e90cc8-5242f410.jpg\n']"
s52526223_9,p13571108,s52526223,9,Findings,"As compared to the previous radiograph, there is unchanged evidence of a relatively extensive left pleural effusion that occupies approximately half of the left hemithorax. The true extent of the effusion is, overall, grossly unchanged, although the effusion is distributed in a slightly different way. Unchanged relatively extensive left lower lung atelectasis and moderate cardiomegaly. On the right, there is no evidence of pathological changes such as effusions, pneumonia or pneumothorax.",Unchanged relatively extensive left lower lung atelectasis and moderate cardiomegaly.,moderate cardiomegaly,,Stable,['files/p13/p13571108/s52526223/80e656ba-2e0b73a5-6252aa35-12c0df92-f0d566b9.jpg'],"['files/p13/p13571108/s51737323/147372cb-a8b13f70-636a3d8e-c2c3672f-e6585376.jpg\n', 'files/p13/p13571108/s51737323/e5f491e8-7492e07c-44f7e6b7-01e90cc8-5242f410.jpg\n']"
s52530059_8,p17223574,s52530059,8,Impression,"ET tip 55 mm proximal to the carina, but please note that the patient has a relatively short trachea and no more than 2 - 3cm advancement is advised. This was telephoned to the referring physician. Marked progression of the bilateral mid to lower lung zone airspace opacification which most likely represents pulmonary edema but superimposed infection or aspiration cannot be excluded.",Marked progression of the bilateral mid to lower lung zone airspace opacification which most likely represents pulmonary edema but superimposed infection or aspiration cannot be excluded.,airspace opacification,bilateral mid to lower lung zone,Worse,"['files/p17/p17223574/s52530059/4036f736-4f89546f-95a68b44-55bb97d3-fa07a45b.jpg', 'files/p17/p17223574/s52530059/80394587-5cae6c52-0e47c884-fc81d7a5-aa49039a.jpg']","['files/p17/p17223574/s51511763/2dca8086-7691c675-6078acc9-e190d786-24ed5466.jpg\n', 'files/p17/p17223574/s51511763/3e1d14ba-fe736cda-ebd2ef10-3dbcdb89-da6f2980.jpg\n', 'files/p17/p17223574/s51511763/dd797618-d289b1b9-76b0c234-cb3e2fca-197a188e.jpg\n']"
s52530059_8,p17223574,s52530059,8,Findings,"ETT tip ends above the clavicles, 55 mm above the carina. Decreased lung volumes. Cardiomegaly. Marked interval progression of the bilateral mid and lower lung zone airspace opacification with bilateral pleural effusions.",Marked interval progression of the bilateral mid and lower lung zone airspace opacification with bilateral pleural effusions.,airspace opacification,bilateral mid and lower lung zone,Worse,"['files/p17/p17223574/s52530059/4036f736-4f89546f-95a68b44-55bb97d3-fa07a45b.jpg', 'files/p17/p17223574/s52530059/80394587-5cae6c52-0e47c884-fc81d7a5-aa49039a.jpg']","['files/p17/p17223574/s51511763/2dca8086-7691c675-6078acc9-e190d786-24ed5466.jpg\n', 'files/p17/p17223574/s51511763/3e1d14ba-fe736cda-ebd2ef10-3dbcdb89-da6f2980.jpg\n', 'files/p17/p17223574/s51511763/dd797618-d289b1b9-76b0c234-cb3e2fca-197a188e.jpg\n']"
s52544664_1,p17079101,s52544664,1,Findings,"The inspiratory lung volumes remain low. Elevation of the right hemidiaphragm is unchanged, compatible with prior right lung resection. There is improved aeration of the left lung base without blunting of the costophrenic angle to suggest pleural effusion. There is increased opacification of the right lung, predominantly affecting the lower lung zone, which silhouettes the right hemidiaphragm and the right heart border. There is mild pulmonary vascular congestion. The cardiomediastinal silhouette remains prominently enlarged but stable compared to the remote prior study of ___. Surgical clips are noted projecting over the right upper mediastinum. Hypertrophic degenerative changes of the thoracic spine are also noted.",There is improved aeration of the left lung base without blunting of the costophrenic angle to suggest pleural effusion.,aeration,left lung base,Better,"['files/p17/p17079101/s52544664/1ad714a9-437bbce6-a694ad02-05512130-333e99af.jpg', 'files/p17/p17079101/s52544664/89c1162a-5fa4ed9c-c008cc39-f0bdb24c-2fe6296b.jpg', 'files/p17/p17079101/s52544664/b3a62ca0-2dc01e32-d5450dce-c6b9c0c4-77af854a.jpg']",
s52544664_1,p17079101,s52544664,1,Impression,"Increased opacification of the right lung, likely a combination of pleural fluid and underlying atelectasis. Given the mild pulmonary vascular congestion, this may represent fluid overload but given the recent history of trauma, injury is not excluded. If there is clinical concern for trauma, a non-contrast chest CT would be recommended for further evaluation.","Increased opacification of the right lung, likely a combination of pleural fluid and underlying atelectasis.",opacification,right lung,Worse,"['files/p17/p17079101/s52544664/1ad714a9-437bbce6-a694ad02-05512130-333e99af.jpg', 'files/p17/p17079101/s52544664/89c1162a-5fa4ed9c-c008cc39-f0bdb24c-2fe6296b.jpg', 'files/p17/p17079101/s52544664/b3a62ca0-2dc01e32-d5450dce-c6b9c0c4-77af854a.jpg']",
s52544664_1,p17079101,s52544664,1,Findings,"The inspiratory lung volumes remain low. Elevation of the right hemidiaphragm is unchanged, compatible with prior right lung resection. There is improved aeration of the left lung base without blunting of the costophrenic angle to suggest pleural effusion. There is increased opacification of the right lung, predominantly affecting the lower lung zone, which silhouettes the right hemidiaphragm and the right heart border. There is mild pulmonary vascular congestion. The cardiomediastinal silhouette remains prominently enlarged but stable compared to the remote prior study of ___. Surgical clips are noted projecting over the right upper mediastinum. Hypertrophic degenerative changes of the thoracic spine are also noted.",The cardiomediastinal silhouette remains prominently enlarged but stable compared to the remote prior study of ___.,cardiomediastinal silhouette enlargement,,Stable,"['files/p17/p17079101/s52544664/1ad714a9-437bbce6-a694ad02-05512130-333e99af.jpg', 'files/p17/p17079101/s52544664/89c1162a-5fa4ed9c-c008cc39-f0bdb24c-2fe6296b.jpg', 'files/p17/p17079101/s52544664/b3a62ca0-2dc01e32-d5450dce-c6b9c0c4-77af854a.jpg']",
s52544664_1,p17079101,s52544664,1,Findings,"The inspiratory lung volumes remain low. Elevation of the right hemidiaphragm is unchanged, compatible with prior right lung resection. There is improved aeration of the left lung base without blunting of the costophrenic angle to suggest pleural effusion. There is increased opacification of the right lung, predominantly affecting the lower lung zone, which silhouettes the right hemidiaphragm and the right heart border. There is mild pulmonary vascular congestion. The cardiomediastinal silhouette remains prominently enlarged but stable compared to the remote prior study of ___. Surgical clips are noted projecting over the right upper mediastinum. Hypertrophic degenerative changes of the thoracic spine are also noted.",The inspiratory lung volumes remain low.,inspiratory lung volumes,,Stable,"['files/p17/p17079101/s52544664/1ad714a9-437bbce6-a694ad02-05512130-333e99af.jpg', 'files/p17/p17079101/s52544664/89c1162a-5fa4ed9c-c008cc39-f0bdb24c-2fe6296b.jpg', 'files/p17/p17079101/s52544664/b3a62ca0-2dc01e32-d5450dce-c6b9c0c4-77af854a.jpg']",
s52544664_1,p17079101,s52544664,1,Findings,"The inspiratory lung volumes remain low. Elevation of the right hemidiaphragm is unchanged, compatible with prior right lung resection. There is improved aeration of the left lung base without blunting of the costophrenic angle to suggest pleural effusion. There is increased opacification of the right lung, predominantly affecting the lower lung zone, which silhouettes the right hemidiaphragm and the right heart border. There is mild pulmonary vascular congestion. The cardiomediastinal silhouette remains prominently enlarged but stable compared to the remote prior study of ___. Surgical clips are noted projecting over the right upper mediastinum. Hypertrophic degenerative changes of the thoracic spine are also noted.","Elevation of the right hemidiaphragm is unchanged, compatible with prior right lung resection.",hemidiaphragm elevation,right,Stable,"['files/p17/p17079101/s52544664/1ad714a9-437bbce6-a694ad02-05512130-333e99af.jpg', 'files/p17/p17079101/s52544664/89c1162a-5fa4ed9c-c008cc39-f0bdb24c-2fe6296b.jpg', 'files/p17/p17079101/s52544664/b3a62ca0-2dc01e32-d5450dce-c6b9c0c4-77af854a.jpg']",
s52544664_1,p17079101,s52544664,1,Findings,"The inspiratory lung volumes remain low. Elevation of the right hemidiaphragm is unchanged, compatible with prior right lung resection. There is improved aeration of the left lung base without blunting of the costophrenic angle to suggest pleural effusion. There is increased opacification of the right lung, predominantly affecting the lower lung zone, which silhouettes the right hemidiaphragm and the right heart border. There is mild pulmonary vascular congestion. The cardiomediastinal silhouette remains prominently enlarged but stable compared to the remote prior study of ___. Surgical clips are noted projecting over the right upper mediastinum. Hypertrophic degenerative changes of the thoracic spine are also noted.","There is increased opacification of the right lung, predominantly affecting the lower lung zone, which silhouettes the right hemidiaphragm and the right heart border.",opacification,"right lung, lower lung zone",Worse,"['files/p17/p17079101/s52544664/1ad714a9-437bbce6-a694ad02-05512130-333e99af.jpg', 'files/p17/p17079101/s52544664/89c1162a-5fa4ed9c-c008cc39-f0bdb24c-2fe6296b.jpg', 'files/p17/p17079101/s52544664/b3a62ca0-2dc01e32-d5450dce-c6b9c0c4-77af854a.jpg']",
s52546898_16,p13421580,s52546898,16,Findings,"As compared to the previous radiograph, there is a slight increase in lung volumes, likely reflecting increased ventilatory pressures. The pre-existing parenchymal opacities are slightly less severe than on the previous image, but still relatively advanced and diffuse. Unchanged presence of a left pleural effusion is likely. No pneumothorax.","The pre-existing parenchymal opacities are slightly less severe than on the previous image, but still relatively advanced and diffuse.",parenchymal opacities,general,Better,['files/p13/p13421580/s52546898/4912b8ce-70f296a3-b9137775-5da5c93b-74948b5e.jpg'],"['files/p13/p13421580/s51827027/312bb0ed-2dafb619-a0da3729-5dc19055-53169588.jpg\n', 'files/p13/p13421580/s51827027/9b3c6816-5dff0eb0-f54e92d0-805791b2-11c32f0b.jpg\n']"
s52546898_16,p13421580,s52546898,16,Findings,"As compared to the previous radiograph, there is a slight increase in lung volumes, likely reflecting increased ventilatory pressures. The pre-existing parenchymal opacities are slightly less severe than on the previous image, but still relatively advanced and diffuse. Unchanged presence of a left pleural effusion is likely. No pneumothorax.",Unchanged presence of a left pleural effusion is likely.,pleural effusion,left,Stable,['files/p13/p13421580/s52546898/4912b8ce-70f296a3-b9137775-5da5c93b-74948b5e.jpg'],"['files/p13/p13421580/s51827027/312bb0ed-2dafb619-a0da3729-5dc19055-53169588.jpg\n', 'files/p13/p13421580/s51827027/9b3c6816-5dff0eb0-f54e92d0-805791b2-11c32f0b.jpg\n']"
s52546898_16,p13421580,s52546898,16,Findings,"As compared to the previous radiograph, there is a slight increase in lung volumes, likely reflecting increased ventilatory pressures. The pre-existing parenchymal opacities are slightly less severe than on the previous image, but still relatively advanced and diffuse. Unchanged presence of a left pleural effusion is likely. No pneumothorax.","As compared to the previous radiograph, there is a slight increase in lung volumes, likely reflecting increased ventilatory pressures.",lung volumes,general,Worse,['files/p13/p13421580/s52546898/4912b8ce-70f296a3-b9137775-5da5c93b-74948b5e.jpg'],"['files/p13/p13421580/s51827027/312bb0ed-2dafb619-a0da3729-5dc19055-53169588.jpg\n', 'files/p13/p13421580/s51827027/9b3c6816-5dff0eb0-f54e92d0-805791b2-11c32f0b.jpg\n']"
s52548540_1,p11890444,s52548540,1,Impression,New small bilateral pleural effusions. No radiographic evidence for pneumonia.,New small bilateral pleural effusions.,pleural effusions,bilateral,New,"['files/p11/p11890444/s52548540/11dec88e-878b57f1-343fb940-c74959b5-0320dab9.jpg', 'files/p11/p11890444/s52548540/16ba2ebd-2cf0b27a-05a2c9ef-d72cf558-6c0b0bb2.jpg', 'files/p11/p11890444/s52548540/6f942e01-0ff2a009-37a3ba1a-9ac8cfa7-43910a68.jpg']",
s52548540_1,p11890444,s52548540,1,Findings,"Heart size is normal. The aorta is mildly tortuous, as seen previously. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs are clear. Small bilateral pleural effusions are new in the interval. No focal consolidation is present. There is no pneumothorax. No acute osseous abnormality is visualized.",Small bilateral pleural effusions are new in the interval.,pleural effusions,bilateral,New,"['files/p11/p11890444/s52548540/11dec88e-878b57f1-343fb940-c74959b5-0320dab9.jpg', 'files/p11/p11890444/s52548540/16ba2ebd-2cf0b27a-05a2c9ef-d72cf558-6c0b0bb2.jpg', 'files/p11/p11890444/s52548540/6f942e01-0ff2a009-37a3ba1a-9ac8cfa7-43910a68.jpg']",
s52548540_1,p11890444,s52548540,1,Findings,"Heart size is normal. The aorta is mildly tortuous, as seen previously. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs are clear. Small bilateral pleural effusions are new in the interval. No focal consolidation is present. There is no pneumothorax. No acute osseous abnormality is visualized.",Mediastinal and hilar contours are unchanged.,contours,mediastinal and hilar,Stable,"['files/p11/p11890444/s52548540/11dec88e-878b57f1-343fb940-c74959b5-0320dab9.jpg', 'files/p11/p11890444/s52548540/16ba2ebd-2cf0b27a-05a2c9ef-d72cf558-6c0b0bb2.jpg', 'files/p11/p11890444/s52548540/6f942e01-0ff2a009-37a3ba1a-9ac8cfa7-43910a68.jpg']",
s52548540_1,p11890444,s52548540,1,Findings,"Heart size is normal. The aorta is mildly tortuous, as seen previously. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs are clear. Small bilateral pleural effusions are new in the interval. No focal consolidation is present. There is no pneumothorax. No acute osseous abnormality is visualized.","The aorta is mildly tortuous, as seen previously.",mildly tortuous,aorta,Stable,"['files/p11/p11890444/s52548540/11dec88e-878b57f1-343fb940-c74959b5-0320dab9.jpg', 'files/p11/p11890444/s52548540/16ba2ebd-2cf0b27a-05a2c9ef-d72cf558-6c0b0bb2.jpg', 'files/p11/p11890444/s52548540/6f942e01-0ff2a009-37a3ba1a-9ac8cfa7-43910a68.jpg']",
s52552455_0,p15718331,s52552455,0,Findings,"The heart is mildly enlarged but not significantly changed since earlier examinations. The cardiac, mediastinal, and hilar contours appear similar. The lungs are clear. There are no pleural effusions or pneumothorax. Mild-to-moderate degenerative changes are similar along the thoracic spine.","The cardiac, mediastinal, and hilar contours appear similar.","Cardiac, mediastinal, and hilar contours",,Stable,"['files/p15/p15718331/s52552455/2475d419-36bd3605-ce47decf-c2d3ebce-4f860c29.jpg', 'files/p15/p15718331/s52552455/4d2afd84-14eebd01-d0d9aab5-248a2e02-250a8f87.jpg', 'files/p15/p15718331/s52552455/e680a6a3-8d3a8020-1efd254a-c43f36f9-2d1de5da.jpg']",
s52552455_0,p15718331,s52552455,0,Findings,"The heart is mildly enlarged but not significantly changed since earlier examinations. The cardiac, mediastinal, and hilar contours appear similar. The lungs are clear. There are no pleural effusions or pneumothorax. Mild-to-moderate degenerative changes are similar along the thoracic spine.",The heart is mildly enlarged but not significantly changed since earlier examinations.,Mildly enlarged heart,,Stable,"['files/p15/p15718331/s52552455/2475d419-36bd3605-ce47decf-c2d3ebce-4f860c29.jpg', 'files/p15/p15718331/s52552455/4d2afd84-14eebd01-d0d9aab5-248a2e02-250a8f87.jpg', 'files/p15/p15718331/s52552455/e680a6a3-8d3a8020-1efd254a-c43f36f9-2d1de5da.jpg']",
s52552455_0,p15718331,s52552455,0,Findings,"The heart is mildly enlarged but not significantly changed since earlier examinations. The cardiac, mediastinal, and hilar contours appear similar. The lungs are clear. There are no pleural effusions or pneumothorax. Mild-to-moderate degenerative changes are similar along the thoracic spine.",Mild-to-moderate degenerative changes are similar along the thoracic spine.,Degenerative changes,Thoracic spine,Stable,"['files/p15/p15718331/s52552455/2475d419-36bd3605-ce47decf-c2d3ebce-4f860c29.jpg', 'files/p15/p15718331/s52552455/4d2afd84-14eebd01-d0d9aab5-248a2e02-250a8f87.jpg', 'files/p15/p15718331/s52552455/e680a6a3-8d3a8020-1efd254a-c43f36f9-2d1de5da.jpg']",
s52553174_3,p13356814,s52553174,3,Impression,"Compared to prior chest radiographs ___ through ___ at 07:32. Left lower lobe collapse between ___ and ___ and is still airless. Right middle lobe collapse between ___ and ___ venous partially re-expanded. Most likely explanation is mucous retention, but CT scanning would be required for confirmation or other explanation. Upper lungs are clear. Moderate cardiomegaly stable. Small pleural effusions are likely, but these are secondary to the atelectasis, not the cause. No pneumothorax.",Moderate cardiomegaly stable.,Moderate cardiomegaly,,Stable,['files/p13/p13356814/s52553174/56c0b824-617a7edf-7ad7a6d7-c02e5088-5a22aaa6.jpg'],
s52553174_3,p13356814,s52553174,3,Impression,"Compared to prior chest radiographs ___ through ___ at 07:32. Left lower lobe collapse between ___ and ___ and is still airless. Right middle lobe collapse between ___ and ___ venous partially re-expanded. Most likely explanation is mucous retention, but CT scanning would be required for confirmation or other explanation. Upper lungs are clear. Moderate cardiomegaly stable. Small pleural effusions are likely, but these are secondary to the atelectasis, not the cause. No pneumothorax.",Left lower lobe collapse between ___ and ___ and is still airless.,collapse,left lower lobe,Stable,['files/p13/p13356814/s52553174/56c0b824-617a7edf-7ad7a6d7-c02e5088-5a22aaa6.jpg'],
s52553174_3,p13356814,s52553174,3,Impression,"Compared to prior chest radiographs ___ through ___ at 07:32. Left lower lobe collapse between ___ and ___ and is still airless. Right middle lobe collapse between ___ and ___ venous partially re-expanded. Most likely explanation is mucous retention, but CT scanning would be required for confirmation or other explanation. Upper lungs are clear. Moderate cardiomegaly stable. Small pleural effusions are likely, but these are secondary to the atelectasis, not the cause. No pneumothorax.",Right middle lobe collapse between ___ and ___ venous partially re-expanded.,collapse,right middle lobe,Better,['files/p13/p13356814/s52553174/56c0b824-617a7edf-7ad7a6d7-c02e5088-5a22aaa6.jpg'],
s52558395_2,p18969267,s52558395,2,Findings,"There are low lung volumes which accentuate the bronchovascular markings. Given this, there is central pulmonary vascular engorgement and mild vascular congestion without overt pulmonary edema.No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable given differences in technique and inspiration..",The cardiac and mediastinal silhouettes are stable given differences in technique and inspiration.,cardiac and mediastinal silhouettes,,Stable,"['files/p18/p18969267/s52558395/2699223e-a2cb7790-18bf0c76-76c3652e-4e0989c7.jpg', 'files/p18/p18969267/s52558395/2b07a6ee-51d37168-a67a3218-d5454eee-2a3dbae5.jpg']",
s52561076_12,p15911529,s52561076,12,Impression,Right pleural effusion has resolved since ___ following insertion of a right basal pigtail pleural drainage catheter. There is no pneumothorax. Lungs are clear. Mild cardiomegaly is stable and pulmonary vasculature borderline engorged,Mild cardiomegaly is stable and pulmonary vasculature borderline engorged,mild cardiomegaly,,Stable,['files/p15/p15911529/s52561076/ccdac225-47c7b48e-79a78b1c-a6ac307c-ae6bea97.jpg'],['files/p15/p15911529/s51747240/ef150859-52757bb3-74733e58-ff402137-15580586.jpg\n']
s52561076_12,p15911529,s52561076,12,Impression,Right pleural effusion has resolved since ___ following insertion of a right basal pigtail pleural drainage catheter. There is no pneumothorax. Lungs are clear. Mild cardiomegaly is stable and pulmonary vasculature borderline engorged,Right pleural effusion has resolved since ___ following insertion of a right basal pigtail pleural drainage catheter.,pleural effusion,right,Resolve,['files/p15/p15911529/s52561076/ccdac225-47c7b48e-79a78b1c-a6ac307c-ae6bea97.jpg'],['files/p15/p15911529/s51747240/ef150859-52757bb3-74733e58-ff402137-15580586.jpg\n']
s52561076_12,p15911529,s52561076,12,Impression,Right pleural effusion has resolved since ___ following insertion of a right basal pigtail pleural drainage catheter. There is no pneumothorax. Lungs are clear. Mild cardiomegaly is stable and pulmonary vasculature borderline engorged,Mild cardiomegaly is stable and pulmonary vasculature borderline engorged,pulmonary vasculature,,Stable,['files/p15/p15911529/s52561076/ccdac225-47c7b48e-79a78b1c-a6ac307c-ae6bea97.jpg'],['files/p15/p15911529/s51747240/ef150859-52757bb3-74733e58-ff402137-15580586.jpg\n']
s52569432_3,p10803114,s52569432,3,Impression,"Pigtail right base. No pneumothorax, reduced effusion.","Pigtail right base. No pneumothorax, reduced effusion.",Effusion,Right base,Better,['files/p10/p10803114/s52569432/21b088f4-785d17f9-7d448101-6744c865-87dd790b.jpg'],['files/p10/p10803114/s50901934/a239d4b6-5c88ad05-ed28dae6-22f93f18-4538a559.jpg\n']
s52575467_10,p18711952,s52575467,10,Impression,"Since ___ there been substantial changes: Moderate enlargement of the cardiac silhouette is new, borderline interstitial edema has developed, small left pleural effusion is larger, and new heterogeneous opacification at the right base could be dependent atelectasis and edema. Overall findings indicate cardiac decompensation. Possibility of acute pulmonary embolism should be considered from a clinical standpoint, particular given.","Since ___ there been substantial changes: Moderate enlargement of the cardiac silhouette is new, borderline interstitial edema has developed, small left pleural effusion is larger, and new heterogeneous opacification at the right base could be dependent atelectasis and edema. Overall findings indicate cardiac decompensation. Possibility of acute pulmonary embolism should be considered from a clinical standpoint, particular given.",heterogeneous opacification,right base,New,"['files/p18/p18711952/s52575467/901bb0dd-fdfda3ed-2d96b0f4-d803b7bb-9e4b3bd8.jpg', 'files/p18/p18711952/s52575467/d9d7f6db-ecc8ba46-a7b9f746-8fffb884-c4ea3c67.jpg']","['files/p18/p18711952/s52152687/7f7bf68e-6d6ce67a-f6531a2b-edaf79cd-8825f540.jpg\n', 'files/p18/p18711952/s52152687/cdc9c3fc-2c1de092-1ff45e6d-12accd18-918c173c.jpg\n']"
s52575467_10,p18711952,s52575467,10,Impression,"Since ___ there been substantial changes: Moderate enlargement of the cardiac silhouette is new, borderline interstitial edema has developed, small left pleural effusion is larger, and new heterogeneous opacification at the right base could be dependent atelectasis and edema. Overall findings indicate cardiac decompensation. Possibility of acute pulmonary embolism should be considered from a clinical standpoint, particular given.","Since ___ there been substantial changes: Moderate enlargement of the cardiac silhouette is new, borderline interstitial edema has developed, small left pleural effusion is larger, and new heterogeneous opacification at the right base could be dependent atelectasis and edema. Overall findings indicate cardiac decompensation. Possibility of acute pulmonary embolism should be considered from a clinical standpoint, particular given.",Moderate enlargement,cardiac silhouette,New,"['files/p18/p18711952/s52575467/901bb0dd-fdfda3ed-2d96b0f4-d803b7bb-9e4b3bd8.jpg', 'files/p18/p18711952/s52575467/d9d7f6db-ecc8ba46-a7b9f746-8fffb884-c4ea3c67.jpg']","['files/p18/p18711952/s52152687/7f7bf68e-6d6ce67a-f6531a2b-edaf79cd-8825f540.jpg\n', 'files/p18/p18711952/s52152687/cdc9c3fc-2c1de092-1ff45e6d-12accd18-918c173c.jpg\n']"
s52575467_10,p18711952,s52575467,10,Impression,"Since ___ there been substantial changes: Moderate enlargement of the cardiac silhouette is new, borderline interstitial edema has developed, small left pleural effusion is larger, and new heterogeneous opacification at the right base could be dependent atelectasis and edema. Overall findings indicate cardiac decompensation. Possibility of acute pulmonary embolism should be considered from a clinical standpoint, particular given.","Since ___ there been substantial changes: Moderate enlargement of the cardiac silhouette is new, borderline interstitial edema has developed, small left pleural effusion is larger, and new heterogeneous opacification at the right base could be dependent atelectasis and edema. Overall findings indicate cardiac decompensation. Possibility of acute pulmonary embolism should be considered from a clinical standpoint, particular given.",effusion,left pleural,Worse,"['files/p18/p18711952/s52575467/901bb0dd-fdfda3ed-2d96b0f4-d803b7bb-9e4b3bd8.jpg', 'files/p18/p18711952/s52575467/d9d7f6db-ecc8ba46-a7b9f746-8fffb884-c4ea3c67.jpg']","['files/p18/p18711952/s52152687/7f7bf68e-6d6ce67a-f6531a2b-edaf79cd-8825f540.jpg\n', 'files/p18/p18711952/s52152687/cdc9c3fc-2c1de092-1ff45e6d-12accd18-918c173c.jpg\n']"
s52576095_1,p19175595,s52576095,1,Findings,"In comparison to earlier study of this date, there are lower lung volumes with little change in the degree of small-to-moderate left pneumothorax. Opacification in the retrocardiac region is consistent with atelectasis. Right lung is clear and there is no evidence of vascular congestion.","In comparison to earlier study of this date, there are lower lung volumes with little change in the degree of small-to-moderate left pneumothorax.",pneumothorax,left,Stable,"['files/p19/p19175595/s52576095/409e8ad6-2a430b33-c5e09174-8cd5eec3-453eb611.jpg', 'files/p19/p19175595/s52576095/63840ce5-dc9f7428-a7f42782-a10c5a1f-d5ad954f.jpg', 'files/p19/p19175595/s52576095/99878b0f-6f56ff51-8a56948b-cab003bc-caf7eecf.jpg']","['files/p19/p19175595/s52445151/468a1675-344a56da-7cf12651-0344086a-8454a87a.jpg\n', 'files/p19/p19175595/s52445151/c4f34ece-6df384b0-73e1b938-fa6f5e5a-3c19569e.jpg\n']"
s52577959_14,p11614040,s52577959,14,Impression,"1. OG tube placed, with tip over fundus. 2. Slight interval improvement in CHF findings.",Slight interval improvement in CHF findings.,CHF findings,,Better,['files/p11/p11614040/s52577959/3171e900-87eb21d0-8d960bcd-ae644198-073b1869.jpg'],"['files/p11/p11614040/s50995901/51bf1504-fd68a1ec-7f7ca477-9736040f-4167a6f0.jpg\n', 'files/p11/p11614040/s50995901/a4e05e8d-f1cc5629-84b87ad8-9f4c0402-17e6f75e.jpg\n']"
s52583675_3,p18969267,s52583675,3,Findings,PA and lateral views of the chest provided. Extensive consolidation in the left lower lobe is compatible with pneumonia. There is mild opacity at the right lung base which in the correct clinical setting may represent additional site of pneumonia. Cardiomediastinal silhouette appears grossly unchanged. No large pneumothorax or effusion. Bony structures are intact.,Cardiomediastinal silhouette appears grossly unchanged.,Cardiomediastinal silhouette,,Stable,"['files/p18/p18969267/s52583675/59b5b5e5-634c07ed-17d92c27-463e06df-2f15f98a.jpg', 'files/p18/p18969267/s52583675/6f8c8386-c00f970e-7ffd5cbb-1c5c050c-802c2c88.jpg', 'files/p18/p18969267/s52583675/76397f30-d006d063-4a74816b-c9a7771f-091df4d9.jpg', 'files/p18/p18969267/s52583675/fc6b9e45-ff6ee9f1-19c02f10-9d729ec8-efe70be6.jpg']","['files/p18/p18969267/s52558395/2699223e-a2cb7790-18bf0c76-76c3652e-4e0989c7.jpg\n', 'files/p18/p18969267/s52558395/2b07a6ee-51d37168-a67a3218-d5454eee-2a3dbae5.jpg\n']"
s52595455_1,p13356814,s52595455,1,Findings,Mild cardiomegaly is a stable. The aorta is tortuous. Small bilateral effusions larger on the right have increased. Bibasilar atelectasis have increased. There is no evident pneumothorax or pulmonary edema. The and moderate Degenerative changes in the thoracic spine,Mild cardiomegaly is a stable.,Mild cardiomegaly,,Stable,"['files/p13/p13356814/s52595455/43ac8837-cdd4322b-f73768bf-f798dcb6-bbef815b.jpg', 'files/p13/p13356814/s52595455/bf216517-21b42ccc-627f8812-5d889362-f5e78c59.jpg']",['files/p13/p13356814/s52553174/56c0b824-617a7edf-7ad7a6d7-c02e5088-5a22aaa6.jpg\n']
s52595455_1,p13356814,s52595455,1,Findings,Mild cardiomegaly is a stable. The aorta is tortuous. Small bilateral effusions larger on the right have increased. Bibasilar atelectasis have increased. There is no evident pneumothorax or pulmonary edema. The and moderate Degenerative changes in the thoracic spine,Small bilateral effusions larger on the right have increased.,effusions,bilateral,Worse,"['files/p13/p13356814/s52595455/43ac8837-cdd4322b-f73768bf-f798dcb6-bbef815b.jpg', 'files/p13/p13356814/s52595455/bf216517-21b42ccc-627f8812-5d889362-f5e78c59.jpg']",['files/p13/p13356814/s52553174/56c0b824-617a7edf-7ad7a6d7-c02e5088-5a22aaa6.jpg\n']
s52595455_1,p13356814,s52595455,1,Findings,Mild cardiomegaly is a stable. The aorta is tortuous. Small bilateral effusions larger on the right have increased. Bibasilar atelectasis have increased. There is no evident pneumothorax or pulmonary edema. The and moderate Degenerative changes in the thoracic spine,Bibasilar atelectasis have increased.,atelectasis,bibasilar,Worse,"['files/p13/p13356814/s52595455/43ac8837-cdd4322b-f73768bf-f798dcb6-bbef815b.jpg', 'files/p13/p13356814/s52595455/bf216517-21b42ccc-627f8812-5d889362-f5e78c59.jpg']",['files/p13/p13356814/s52553174/56c0b824-617a7edf-7ad7a6d7-c02e5088-5a22aaa6.jpg\n']
s52595455_1,p13356814,s52595455,1,Impression,Increasing bilateral effusions with adjacent atelectasis,Increasing bilateral effusions with adjacent atelectasis,effusions,bilateral,Worse,"['files/p13/p13356814/s52595455/43ac8837-cdd4322b-f73768bf-f798dcb6-bbef815b.jpg', 'files/p13/p13356814/s52595455/bf216517-21b42ccc-627f8812-5d889362-f5e78c59.jpg']",['files/p13/p13356814/s52553174/56c0b824-617a7edf-7ad7a6d7-c02e5088-5a22aaa6.jpg\n']
s52595455_1,p13356814,s52595455,1,Impression,Increasing bilateral effusions with adjacent atelectasis,Increasing bilateral effusions with adjacent atelectasis,atelectasis,adjacent,Worse,"['files/p13/p13356814/s52595455/43ac8837-cdd4322b-f73768bf-f798dcb6-bbef815b.jpg', 'files/p13/p13356814/s52595455/bf216517-21b42ccc-627f8812-5d889362-f5e78c59.jpg']",['files/p13/p13356814/s52553174/56c0b824-617a7edf-7ad7a6d7-c02e5088-5a22aaa6.jpg\n']
s52599744_0,p15791567,s52599744,0,Impression,"PA and lateral chest compared to ___: Normal heart, lungs, hila, mediastinum and pleural surfaces. No change since ___.","PA and lateral chest compared to ___: Normal heart, lungs, hila, mediastinum and pleural surfaces. No change since ___.",heart,,Stable,"['files/p15/p15791567/s52599744/44800cb9-ddb2c6d9-0499a6d3-c80c0213-7feb4a02.jpg', 'files/p15/p15791567/s52599744/b6a8ed73-abb80e2a-9f73a1a7-406b1ac2-0ec86922.jpg', 'files/p15/p15791567/s52599744/badf38c3-22ebf7ae-4cebfd93-a4c59633-763b8087.jpg']","['files/p15/p15791567/s52469570/537c9b52-d4ee88f2-32098ca0-1f7b0cd9-b55ea22d.jpg\n', 'files/p15/p15791567/s52469570/fc1a0832-12355186-70c76318-a3913c89-13ceca14.jpg\n']"
s52599744_0,p15791567,s52599744,0,Impression,"PA and lateral chest compared to ___: Normal heart, lungs, hila, mediastinum and pleural surfaces. No change since ___.","PA and lateral chest compared to ___: Normal heart, lungs, hila, mediastinum and pleural surfaces. No change since ___.",lungs,,Stable,"['files/p15/p15791567/s52599744/44800cb9-ddb2c6d9-0499a6d3-c80c0213-7feb4a02.jpg', 'files/p15/p15791567/s52599744/b6a8ed73-abb80e2a-9f73a1a7-406b1ac2-0ec86922.jpg', 'files/p15/p15791567/s52599744/badf38c3-22ebf7ae-4cebfd93-a4c59633-763b8087.jpg']","['files/p15/p15791567/s52469570/537c9b52-d4ee88f2-32098ca0-1f7b0cd9-b55ea22d.jpg\n', 'files/p15/p15791567/s52469570/fc1a0832-12355186-70c76318-a3913c89-13ceca14.jpg\n']"
s52599744_0,p15791567,s52599744,0,Impression,"PA and lateral chest compared to ___: Normal heart, lungs, hila, mediastinum and pleural surfaces. No change since ___.","PA and lateral chest compared to ___: Normal heart, lungs, hila, mediastinum and pleural surfaces. No change since ___.",hila,,Stable,"['files/p15/p15791567/s52599744/44800cb9-ddb2c6d9-0499a6d3-c80c0213-7feb4a02.jpg', 'files/p15/p15791567/s52599744/b6a8ed73-abb80e2a-9f73a1a7-406b1ac2-0ec86922.jpg', 'files/p15/p15791567/s52599744/badf38c3-22ebf7ae-4cebfd93-a4c59633-763b8087.jpg']","['files/p15/p15791567/s52469570/537c9b52-d4ee88f2-32098ca0-1f7b0cd9-b55ea22d.jpg\n', 'files/p15/p15791567/s52469570/fc1a0832-12355186-70c76318-a3913c89-13ceca14.jpg\n']"
s52599744_0,p15791567,s52599744,0,Impression,"PA and lateral chest compared to ___: Normal heart, lungs, hila, mediastinum and pleural surfaces. No change since ___.","PA and lateral chest compared to ___: Normal heart, lungs, hila, mediastinum and pleural surfaces. No change since ___.",mediastinum,,Stable,"['files/p15/p15791567/s52599744/44800cb9-ddb2c6d9-0499a6d3-c80c0213-7feb4a02.jpg', 'files/p15/p15791567/s52599744/b6a8ed73-abb80e2a-9f73a1a7-406b1ac2-0ec86922.jpg', 'files/p15/p15791567/s52599744/badf38c3-22ebf7ae-4cebfd93-a4c59633-763b8087.jpg']","['files/p15/p15791567/s52469570/537c9b52-d4ee88f2-32098ca0-1f7b0cd9-b55ea22d.jpg\n', 'files/p15/p15791567/s52469570/fc1a0832-12355186-70c76318-a3913c89-13ceca14.jpg\n']"
s52599744_0,p15791567,s52599744,0,Impression,"PA and lateral chest compared to ___: Normal heart, lungs, hila, mediastinum and pleural surfaces. No change since ___.","PA and lateral chest compared to ___: Normal heart, lungs, hila, mediastinum and pleural surfaces. No change since ___.",pleural surfaces,,Stable,"['files/p15/p15791567/s52599744/44800cb9-ddb2c6d9-0499a6d3-c80c0213-7feb4a02.jpg', 'files/p15/p15791567/s52599744/b6a8ed73-abb80e2a-9f73a1a7-406b1ac2-0ec86922.jpg', 'files/p15/p15791567/s52599744/badf38c3-22ebf7ae-4cebfd93-a4c59633-763b8087.jpg']","['files/p15/p15791567/s52469570/537c9b52-d4ee88f2-32098ca0-1f7b0cd9-b55ea22d.jpg\n', 'files/p15/p15791567/s52469570/fc1a0832-12355186-70c76318-a3913c89-13ceca14.jpg\n']"
s52612877_1,p14255450,s52612877,1,Findings,"As compared to the previous examination, there is no relevant change. Minimal basal areas of atelectasis. Normal size of the cardiac silhouette without pulmonary edema. No interval appearance of new parenchymal opacities suggestive of pneumonia. The contours of the hilar and mediastinal structures are unchanged and normal.","As compared to the previous examination, there is no relevant change.",,,Stable,"['files/p14/p14255450/s52612877/e99fb49b-a1e84657-f75c3b6a-fdb7838a-8c2bfb2b.jpg', 'files/p14/p14255450/s52612877/fbed2763-32e1610b-cb445bc1-49e2d2d9-404f7105.jpg']","['files/p14/p14255450/s50698639/0973ab55-e2d9ddb3-e7c364fe-137b0308-177b4795.jpg\n', 'files/p14/p14255450/s50698639/136985d4-3b58fc18-a45d8bbf-7d56b225-fffb9e9a.jpg\n', 'files/p14/p14255450/s50698639/2a15e5d8-5e51a253-590045d2-0df7cd99-f06413f9.jpg\n']"
s52613722_0,p13356814,s52613722,0,Impression,Interval development of probable right lower lobe pneumonia or aspiration. Clinical correlation is advised.,Interval development of probable right lower lobe pneumonia or aspiration.,pneumonia or aspiration,right lower lobe,New,"['files/p13/p13356814/s52613722/a9708514-d13caad4-67a5bd5b-50adf0b1-001133c9.jpg', 'files/p13/p13356814/s52613722/b9e0794f-128bc11f-687abd02-c3068507-8bd8cb3e.jpg']","['files/p13/p13356814/s52595455/43ac8837-cdd4322b-f73768bf-f798dcb6-bbef815b.jpg\n', 'files/p13/p13356814/s52595455/bf216517-21b42ccc-627f8812-5d889362-f5e78c59.jpg\n']"
s52613722_0,p13356814,s52613722,0,Findings,"The cardiomediastinal and hilar contours are stable. The aorta is tortuous. The lungs are mildly hyperexpanded suggestive of underlying emphysema. There has been interval development of a right lower lobe opacity which would be concerning for pneumonia or aspiration, less likely atelectasis. No pneumothorax or pulmonary edema. Note is made of severe degenerative change involving the right glenohumeral joint.","There has been interval development of a right lower lobe opacity which would be concerning for pneumonia or aspiration, less likely atelectasis.",opacity,right lower lobe,New,"['files/p13/p13356814/s52613722/a9708514-d13caad4-67a5bd5b-50adf0b1-001133c9.jpg', 'files/p13/p13356814/s52613722/b9e0794f-128bc11f-687abd02-c3068507-8bd8cb3e.jpg']","['files/p13/p13356814/s52595455/43ac8837-cdd4322b-f73768bf-f798dcb6-bbef815b.jpg\n', 'files/p13/p13356814/s52595455/bf216517-21b42ccc-627f8812-5d889362-f5e78c59.jpg\n']"
s52613722_0,p13356814,s52613722,0,Findings,"The cardiomediastinal and hilar contours are stable. The aorta is tortuous. The lungs are mildly hyperexpanded suggestive of underlying emphysema. There has been interval development of a right lower lobe opacity which would be concerning for pneumonia or aspiration, less likely atelectasis. No pneumothorax or pulmonary edema. Note is made of severe degenerative change involving the right glenohumeral joint.",The cardiomediastinal and hilar contours are stable.,,cardiomediastinal and hilar contours,Stable,"['files/p13/p13356814/s52613722/a9708514-d13caad4-67a5bd5b-50adf0b1-001133c9.jpg', 'files/p13/p13356814/s52613722/b9e0794f-128bc11f-687abd02-c3068507-8bd8cb3e.jpg']","['files/p13/p13356814/s52595455/43ac8837-cdd4322b-f73768bf-f798dcb6-bbef815b.jpg\n', 'files/p13/p13356814/s52595455/bf216517-21b42ccc-627f8812-5d889362-f5e78c59.jpg\n']"
s52620864_30,p11717909,s52620864,30,Findings,A right-sided PICC terminates within the right atrium and should be pulled back approximately 3 cm for appropriate positioning. Median sternotomy wires and clips are again demonstrated. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.,Median sternotomy wires and clips are again demonstrated.,Median sternotomy wires and clips,,Stable,['files/p11/p11717909/s52620864/e3afe9cf-4fbc9089-8943fa0a-08a4af09-069a5605.jpg'],['files/p11/p11717909/s52435223/efb1eddb-0ef61d1a-e71c7c6a-9885a19f-d756d9ca.jpg\n']
s52643889_3,p19890966,s52643889,3,Findings,The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.,The cardiac and mediastinal silhouettes are stable.,silhouettes,cardiac and mediastinal,Stable,"['files/p19/p19890966/s52643889/35fe6db8-9b1e2b47-acbac4cf-7c7be2b0-4e63a836.jpg', 'files/p19/p19890966/s52643889/7fbb1cce-8dd0a953-1266b08a-dbb89115-121dff79.jpg']","['files/p19/p19890966/s52385709/28711812-b5fa575d-30520ea7-5add8dca-a49239fe.jpg\n', 'files/p19/p19890966/s52385709/9d752539-c8aeb9f8-049a169c-1605c54e-90634c71.jpg\n']"
s52646931_18,p15911529,s52646931,18,Impression,"Small fissural component of right pleural effusion is new. Dependent pleural effusion is probably small and they are still atelectasis at the right base, with the right pigtail pleural drainage catheter unchanged in position. Moderate cardiomegaly is stable. Left lung is grossly clear. There is no pneumothorax. Transvenous right atrial, biventricular pacer leads are in standard positions continuous from the left pectoral generator.",Small fissural component of right pleural effusion is new.,pleural effusion,right,New,['files/p15/p15911529/s52646931/6e3a9cd5-91eb5828-ac10bc10-24dfa7c0-0e536576.jpg'],['files/p15/p15911529/s52561076/ccdac225-47c7b48e-79a78b1c-a6ac307c-ae6bea97.jpg\n']
s52646931_18,p15911529,s52646931,18,Impression,"Small fissural component of right pleural effusion is new. Dependent pleural effusion is probably small and they are still atelectasis at the right base, with the right pigtail pleural drainage catheter unchanged in position. Moderate cardiomegaly is stable. Left lung is grossly clear. There is no pneumothorax. Transvenous right atrial, biventricular pacer leads are in standard positions continuous from the left pectoral generator.","Dependent pleural effusion is probably small and they are still atelectasis at the right base, with the right pigtail pleural drainage catheter unchanged in position.",pigtail pleural drainage catheter,right,Stable,['files/p15/p15911529/s52646931/6e3a9cd5-91eb5828-ac10bc10-24dfa7c0-0e536576.jpg'],['files/p15/p15911529/s52561076/ccdac225-47c7b48e-79a78b1c-a6ac307c-ae6bea97.jpg\n']
s52646931_18,p15911529,s52646931,18,Impression,"Small fissural component of right pleural effusion is new. Dependent pleural effusion is probably small and they are still atelectasis at the right base, with the right pigtail pleural drainage catheter unchanged in position. Moderate cardiomegaly is stable. Left lung is grossly clear. There is no pneumothorax. Transvenous right atrial, biventricular pacer leads are in standard positions continuous from the left pectoral generator.","Dependent pleural effusion is probably small and they are still atelectasis at the right base, with the right pigtail pleural drainage catheter unchanged in position.",atelectasis,right base,Stable,['files/p15/p15911529/s52646931/6e3a9cd5-91eb5828-ac10bc10-24dfa7c0-0e536576.jpg'],['files/p15/p15911529/s52561076/ccdac225-47c7b48e-79a78b1c-a6ac307c-ae6bea97.jpg\n']
s52646931_18,p15911529,s52646931,18,Impression,"Small fissural component of right pleural effusion is new. Dependent pleural effusion is probably small and they are still atelectasis at the right base, with the right pigtail pleural drainage catheter unchanged in position. Moderate cardiomegaly is stable. Left lung is grossly clear. There is no pneumothorax. Transvenous right atrial, biventricular pacer leads are in standard positions continuous from the left pectoral generator.",Moderate cardiomegaly is stable.,cardiomegaly,,Stable,['files/p15/p15911529/s52646931/6e3a9cd5-91eb5828-ac10bc10-24dfa7c0-0e536576.jpg'],['files/p15/p15911529/s52561076/ccdac225-47c7b48e-79a78b1c-a6ac307c-ae6bea97.jpg\n']
s52654474_3,p15693523,s52654474,3,Impression,No significant interval change noting left perihilar mass with subsequent left lower lobe collapse and opacities in the aerated left upper lobe.,No significant interval change noting left perihilar mass with subsequent left lower lobe collapse and opacities in the aerated left upper lobe.,collapse,left lower lobe,Stable,"['files/p15/p15693523/s52654474/06a14fd9-8f89607b-b20836e4-7b3477f4-8434d888.jpg', 'files/p15/p15693523/s52654474/116fcb38-1309dd16-16643cd1-262b2801-bcc0a0bf.jpg', 'files/p15/p15693523/s52654474/61fee867-8392b680-a5aba632-e3f3b946-900eddd5.jpg']","['files/p15/p15693523/s51055127/a9ba6acb-5c5c7011-ee748574-29618645-8272ce9f.jpg\n', 'files/p15/p15693523/s51055127/ce085ac9-380a3af0-26189a25-67e34038-82954f13.jpg\n']"
s52654474_3,p15693523,s52654474,3,Findings,Better delineated on recent CT scan is a left hilar mass compatible with patient's known malignancy with complete left lower lobe collapse is again seen. Scattered opacity in the aerated left upper lobe are compatible with opacity seen on recent CT. The right lung is grossly clear. Mediastinal shift to the left is as seen on prior. Left chest wall dual lead pacing device and right Port-A-Cath are again seen. Widespread metastatic disease is better seen on prior CT scan.,Better delineated on recent CT scan is a left hilar mass compatible with patient's known malignancy with complete left lower lobe collapse is again seen.,mass,left hilar,Stable,"['files/p15/p15693523/s52654474/06a14fd9-8f89607b-b20836e4-7b3477f4-8434d888.jpg', 'files/p15/p15693523/s52654474/116fcb38-1309dd16-16643cd1-262b2801-bcc0a0bf.jpg', 'files/p15/p15693523/s52654474/61fee867-8392b680-a5aba632-e3f3b946-900eddd5.jpg']","['files/p15/p15693523/s51055127/a9ba6acb-5c5c7011-ee748574-29618645-8272ce9f.jpg\n', 'files/p15/p15693523/s51055127/ce085ac9-380a3af0-26189a25-67e34038-82954f13.jpg\n']"
s52654474_3,p15693523,s52654474,3,Findings,Better delineated on recent CT scan is a left hilar mass compatible with patient's known malignancy with complete left lower lobe collapse is again seen. Scattered opacity in the aerated left upper lobe are compatible with opacity seen on recent CT. The right lung is grossly clear. Mediastinal shift to the left is as seen on prior. Left chest wall dual lead pacing device and right Port-A-Cath are again seen. Widespread metastatic disease is better seen on prior CT scan.,Mediastinal shift to the left is as seen on prior.,shift,mediastinal,Stable,"['files/p15/p15693523/s52654474/06a14fd9-8f89607b-b20836e4-7b3477f4-8434d888.jpg', 'files/p15/p15693523/s52654474/116fcb38-1309dd16-16643cd1-262b2801-bcc0a0bf.jpg', 'files/p15/p15693523/s52654474/61fee867-8392b680-a5aba632-e3f3b946-900eddd5.jpg']","['files/p15/p15693523/s51055127/a9ba6acb-5c5c7011-ee748574-29618645-8272ce9f.jpg\n', 'files/p15/p15693523/s51055127/ce085ac9-380a3af0-26189a25-67e34038-82954f13.jpg\n']"
s52654474_3,p15693523,s52654474,3,Findings,Better delineated on recent CT scan is a left hilar mass compatible with patient's known malignancy with complete left lower lobe collapse is again seen. Scattered opacity in the aerated left upper lobe are compatible with opacity seen on recent CT. The right lung is grossly clear. Mediastinal shift to the left is as seen on prior. Left chest wall dual lead pacing device and right Port-A-Cath are again seen. Widespread metastatic disease is better seen on prior CT scan.,Left chest wall dual lead pacing device and right Port-A-Cath are again seen.,dual lead pacing device,left chest wall,Stable,"['files/p15/p15693523/s52654474/06a14fd9-8f89607b-b20836e4-7b3477f4-8434d888.jpg', 'files/p15/p15693523/s52654474/116fcb38-1309dd16-16643cd1-262b2801-bcc0a0bf.jpg', 'files/p15/p15693523/s52654474/61fee867-8392b680-a5aba632-e3f3b946-900eddd5.jpg']","['files/p15/p15693523/s51055127/a9ba6acb-5c5c7011-ee748574-29618645-8272ce9f.jpg\n', 'files/p15/p15693523/s51055127/ce085ac9-380a3af0-26189a25-67e34038-82954f13.jpg\n']"
s52654474_3,p15693523,s52654474,3,Findings,Better delineated on recent CT scan is a left hilar mass compatible with patient's known malignancy with complete left lower lobe collapse is again seen. Scattered opacity in the aerated left upper lobe are compatible with opacity seen on recent CT. The right lung is grossly clear. Mediastinal shift to the left is as seen on prior. Left chest wall dual lead pacing device and right Port-A-Cath are again seen. Widespread metastatic disease is better seen on prior CT scan.,Left chest wall dual lead pacing device and right Port-A-Cath are again seen.,Port-A-Cath,right,Stable,"['files/p15/p15693523/s52654474/06a14fd9-8f89607b-b20836e4-7b3477f4-8434d888.jpg', 'files/p15/p15693523/s52654474/116fcb38-1309dd16-16643cd1-262b2801-bcc0a0bf.jpg', 'files/p15/p15693523/s52654474/61fee867-8392b680-a5aba632-e3f3b946-900eddd5.jpg']","['files/p15/p15693523/s51055127/a9ba6acb-5c5c7011-ee748574-29618645-8272ce9f.jpg\n', 'files/p15/p15693523/s51055127/ce085ac9-380a3af0-26189a25-67e34038-82954f13.jpg\n']"
s52654474_3,p15693523,s52654474,3,Findings,Better delineated on recent CT scan is a left hilar mass compatible with patient's known malignancy with complete left lower lobe collapse is again seen. Scattered opacity in the aerated left upper lobe are compatible with opacity seen on recent CT. The right lung is grossly clear. Mediastinal shift to the left is as seen on prior. Left chest wall dual lead pacing device and right Port-A-Cath are again seen. Widespread metastatic disease is better seen on prior CT scan.,Widespread metastatic disease is better seen on prior CT scan.,metastatic disease,widespread,Stable,"['files/p15/p15693523/s52654474/06a14fd9-8f89607b-b20836e4-7b3477f4-8434d888.jpg', 'files/p15/p15693523/s52654474/116fcb38-1309dd16-16643cd1-262b2801-bcc0a0bf.jpg', 'files/p15/p15693523/s52654474/61fee867-8392b680-a5aba632-e3f3b946-900eddd5.jpg']","['files/p15/p15693523/s51055127/a9ba6acb-5c5c7011-ee748574-29618645-8272ce9f.jpg\n', 'files/p15/p15693523/s51055127/ce085ac9-380a3af0-26189a25-67e34038-82954f13.jpg\n']"
s52654474_3,p15693523,s52654474,3,Impression,No significant interval change noting left perihilar mass with subsequent left lower lobe collapse and opacities in the aerated left upper lobe.,No significant interval change noting left perihilar mass with subsequent left lower lobe collapse and opacities in the aerated left upper lobe.,opacities,aerated left upper lobe,Stable,"['files/p15/p15693523/s52654474/06a14fd9-8f89607b-b20836e4-7b3477f4-8434d888.jpg', 'files/p15/p15693523/s52654474/116fcb38-1309dd16-16643cd1-262b2801-bcc0a0bf.jpg', 'files/p15/p15693523/s52654474/61fee867-8392b680-a5aba632-e3f3b946-900eddd5.jpg']","['files/p15/p15693523/s51055127/a9ba6acb-5c5c7011-ee748574-29618645-8272ce9f.jpg\n', 'files/p15/p15693523/s51055127/ce085ac9-380a3af0-26189a25-67e34038-82954f13.jpg\n']"
s52654474_3,p15693523,s52654474,3,Impression,No significant interval change noting left perihilar mass with subsequent left lower lobe collapse and opacities in the aerated left upper lobe.,No significant interval change noting left perihilar mass with subsequent left lower lobe collapse and opacities in the aerated left upper lobe.,mass,left perihilar,Stable,"['files/p15/p15693523/s52654474/06a14fd9-8f89607b-b20836e4-7b3477f4-8434d888.jpg', 'files/p15/p15693523/s52654474/116fcb38-1309dd16-16643cd1-262b2801-bcc0a0bf.jpg', 'files/p15/p15693523/s52654474/61fee867-8392b680-a5aba632-e3f3b946-900eddd5.jpg']","['files/p15/p15693523/s51055127/a9ba6acb-5c5c7011-ee748574-29618645-8272ce9f.jpg\n', 'files/p15/p15693523/s51055127/ce085ac9-380a3af0-26189a25-67e34038-82954f13.jpg\n']"
s52655610_86,p11717909,s52655610,86,Impression,Swan-Ganz catheter tip is in the main pulmonary artery or proximal right pulmonary artery. There is no pneumothorax. There is stable atelectasis or scarring in the right mid and lower lung zone. There is no new consolidation or CHF..,There is stable atelectasis or scarring in the right mid and lower lung zone.,atelectasis or scarring,right mid and lower lung zone,Stable,['files/p11/p11717909/s52655610/c2bd0b48-ecc300dc-df118f3d-a82300cd-5e16b5bc.jpg'],['files/p11/p11717909/s52620864/e3afe9cf-4fbc9089-8943fa0a-08a4af09-069a5605.jpg\n']
s52663873_0,p16197098,s52663873,0,Findings,"The mediastinum appears widened especially comparatively to the most recent prior chest x-ray however some of this may be due to low lung volumes. The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion.",The mediastinum appears widened especially comparatively to the most recent prior chest x-ray however some of this may be due to low lung volumes.,widening,mediastinum,Worse,"['files/p16/p16197098/s52663873/26ef2bde-ae5cf661-f6e14469-48db7dad-b0df367b.jpg', 'files/p16/p16197098/s52663873/ad7d1cde-f67b3e6f-3420f812-641b1b2f-b2441e48.jpg']",
s52681987_4,p15902493,s52681987,4,Findings,"As compared to the previous radiograph, the monitoring and support devices are in unchanged position. Unchanged coiling of the nasogastric tube in the pharynx. The pre-existing small right pleural effusion is distributing in a slightly different manner than on the previous image, its overall extent, however, is unchanged. The right-sided upper mediastinal mass is unchanged in appearance. No pulmonary edema. No pneumonia. Unchanged size of the cardiac silhouette.","As compared to the previous radiograph, the monitoring and support devices are in unchanged position. Unchanged coiling of the nasogastric tube in the pharynx. The pre-existing small right pleural effusion is distributing in a slightly different manner than on the previous image, its overall extent, however, is unchanged. The right-sided upper mediastinal mass is unchanged in appearance. No pulmonary edema. No pneumonia. Unchanged size of the cardiac silhouette",,Nasogastric tube,Stable,['files/p15/p15902493/s52681987/2174bfb6-9645eac0-eb4a2c83-0e62dc14-94b436ab.jpg'],['files/p15/p15902493/s52521607/79b93da8-1a8e3c8d-fb7ee2ba-ad86c2e1-4fa0f78b.jpg\n']
s52681987_4,p15902493,s52681987,4,Findings,"As compared to the previous radiograph, the monitoring and support devices are in unchanged position. Unchanged coiling of the nasogastric tube in the pharynx. The pre-existing small right pleural effusion is distributing in a slightly different manner than on the previous image, its overall extent, however, is unchanged. The right-sided upper mediastinal mass is unchanged in appearance. No pulmonary edema. No pneumonia. Unchanged size of the cardiac silhouette.","As compared to the previous radiograph, the monitoring and support devices are in unchanged position. Unchanged coiling of the nasogastric tube in the pharynx. The pre-existing small right pleural effusion is distributing in a slightly different manner than on the previous image, its overall extent, however, is unchanged. The right-sided upper mediastinal mass is unchanged in appearance. No pulmonary edema. No pneumonia. Unchanged size of the cardiac silhouette",,Monitoring and support devices,Stable,['files/p15/p15902493/s52681987/2174bfb6-9645eac0-eb4a2c83-0e62dc14-94b436ab.jpg'],['files/p15/p15902493/s52521607/79b93da8-1a8e3c8d-fb7ee2ba-ad86c2e1-4fa0f78b.jpg\n']
s52681987_4,p15902493,s52681987,4,Findings,"As compared to the previous radiograph, the monitoring and support devices are in unchanged position. Unchanged coiling of the nasogastric tube in the pharynx. The pre-existing small right pleural effusion is distributing in a slightly different manner than on the previous image, its overall extent, however, is unchanged. The right-sided upper mediastinal mass is unchanged in appearance. No pulmonary edema. No pneumonia. Unchanged size of the cardiac silhouette.","As compared to the previous radiograph, the monitoring and support devices are in unchanged position. Unchanged coiling of the nasogastric tube in the pharynx. The pre-existing small right pleural effusion is distributing in a slightly different manner than on the previous image, its overall extent, however, is unchanged. The right-sided upper mediastinal mass is unchanged in appearance. No pulmonary edema. No pneumonia. Unchanged size of the cardiac silhouette",Mass,Right-sided upper mediastinal,Stable,['files/p15/p15902493/s52681987/2174bfb6-9645eac0-eb4a2c83-0e62dc14-94b436ab.jpg'],['files/p15/p15902493/s52521607/79b93da8-1a8e3c8d-fb7ee2ba-ad86c2e1-4fa0f78b.jpg\n']
s52681987_4,p15902493,s52681987,4,Findings,"As compared to the previous radiograph, the monitoring and support devices are in unchanged position. Unchanged coiling of the nasogastric tube in the pharynx. The pre-existing small right pleural effusion is distributing in a slightly different manner than on the previous image, its overall extent, however, is unchanged. The right-sided upper mediastinal mass is unchanged in appearance. No pulmonary edema. No pneumonia. Unchanged size of the cardiac silhouette.","As compared to the previous radiograph, the monitoring and support devices are in unchanged position. Unchanged coiling of the nasogastric tube in the pharynx. The pre-existing small right pleural effusion is distributing in a slightly different manner than on the previous image, its overall extent, however, is unchanged. The right-sided upper mediastinal mass is unchanged in appearance. No pulmonary edema. No pneumonia. Unchanged size of the cardiac silhouette",,Right pleural effusion,Stable,['files/p15/p15902493/s52681987/2174bfb6-9645eac0-eb4a2c83-0e62dc14-94b436ab.jpg'],['files/p15/p15902493/s52521607/79b93da8-1a8e3c8d-fb7ee2ba-ad86c2e1-4fa0f78b.jpg\n']
s52681987_4,p15902493,s52681987,4,Findings,"As compared to the previous radiograph, the monitoring and support devices are in unchanged position. Unchanged coiling of the nasogastric tube in the pharynx. The pre-existing small right pleural effusion is distributing in a slightly different manner than on the previous image, its overall extent, however, is unchanged. The right-sided upper mediastinal mass is unchanged in appearance. No pulmonary edema. No pneumonia. Unchanged size of the cardiac silhouette.","As compared to the previous radiograph, the monitoring and support devices are in unchanged position. Unchanged coiling of the nasogastric tube in the pharynx. The pre-existing small right pleural effusion is distributing in a slightly different manner than on the previous image, its overall extent, however, is unchanged. The right-sided upper mediastinal mass is unchanged in appearance. No pulmonary edema. No pneumonia. Unchanged size of the cardiac silhouette",,Cardiac silhouette,Stable,['files/p15/p15902493/s52681987/2174bfb6-9645eac0-eb4a2c83-0e62dc14-94b436ab.jpg'],['files/p15/p15902493/s52521607/79b93da8-1a8e3c8d-fb7ee2ba-ad86c2e1-4fa0f78b.jpg\n']
s52684400_24,p15902493,s52684400,24,Impression,1. No evidence of pneumothorax. Basilar atelectasis. 2. Previously noted elevation of the hemidiaphragm is no longer seen on this radiograph.,1. No evidence of pneumothorax. Basilar atelectasis. 2. Previously noted elevation of the hemidiaphragm is no longer seen on this radiograph.,elevation,right hemidiaphragm,Resolve,['files/p15/p15902493/s52684400/75590e00-ed59b5d5-547eea97-30378a27-3389c2d4.jpg'],['files/p15/p15902493/s52681987/2174bfb6-9645eac0-eb4a2c83-0e62dc14-94b436ab.jpg\n']
s52684400_24,p15902493,s52684400,24,Findings,"There is no focal consolidation, pleural effusion or pneumothorax. The tracheostomy tube now appears midline. There are ___ in the neck. There is bibasilar atelectasis. The previously elevated right hemidiaphragm is now in normal position. The cardiomediastinal silhouette is unremarkable.","There is no focal consolidation, pleural effusion or pneumothorax. The tracheostomy tube now appears midline. There are ___ in the neck. There is bibasilar atelectasis. The previously elevated right hemidiaphragm is now in normal position. The cardiomediastinal silhouette is unremarkable.",elevation,right hemidiaphragm,Resolve,['files/p15/p15902493/s52684400/75590e00-ed59b5d5-547eea97-30378a27-3389c2d4.jpg'],['files/p15/p15902493/s52681987/2174bfb6-9645eac0-eb4a2c83-0e62dc14-94b436ab.jpg\n']
s52687222_5,p17559288,s52687222,5,Findings,"Comparison is made to prior study from ___. Endotracheal tube, feeding tube, right-sided central venous catheters are unchanged in position. There are again seen diffuse airspace opacities bilaterally likely due to worsening of the pulmonary edema. Heart size is within normal limits. There is prominence of the vascular pedicle, consistent with the edema. No pneumothoraces are present.","Endotracheal tube, feeding tube, right-sided central venous catheters are unchanged in position.",Position,Endotracheal tube,Stable,['files/p17/p17559288/s52687222/56381c64-278c220e-719702c4-6e5d4bf7-193da1ab.jpg'],['files/p17/p17559288/s52289887/78b0f724-759138a6-255f6ef3-48d0690c-4d9405cf.jpg\n']
s52687222_5,p17559288,s52687222,5,Findings,"Comparison is made to prior study from ___. Endotracheal tube, feeding tube, right-sided central venous catheters are unchanged in position. There are again seen diffuse airspace opacities bilaterally likely due to worsening of the pulmonary edema. Heart size is within normal limits. There is prominence of the vascular pedicle, consistent with the edema. No pneumothoraces are present.","Endotracheal tube, feeding tube, right-sided central venous catheters are unchanged in position.",Position,Right-sided central venous catheters,Stable,['files/p17/p17559288/s52687222/56381c64-278c220e-719702c4-6e5d4bf7-193da1ab.jpg'],['files/p17/p17559288/s52289887/78b0f724-759138a6-255f6ef3-48d0690c-4d9405cf.jpg\n']
s52687222_5,p17559288,s52687222,5,Findings,"Comparison is made to prior study from ___. Endotracheal tube, feeding tube, right-sided central venous catheters are unchanged in position. There are again seen diffuse airspace opacities bilaterally likely due to worsening of the pulmonary edema. Heart size is within normal limits. There is prominence of the vascular pedicle, consistent with the edema. No pneumothoraces are present.","Endotracheal tube, feeding tube, right-sided central venous catheters are unchanged in position.",Position,Feeding tube,Stable,['files/p17/p17559288/s52687222/56381c64-278c220e-719702c4-6e5d4bf7-193da1ab.jpg'],['files/p17/p17559288/s52289887/78b0f724-759138a6-255f6ef3-48d0690c-4d9405cf.jpg\n']
s52687222_5,p17559288,s52687222,5,Findings,"Comparison is made to prior study from ___. Endotracheal tube, feeding tube, right-sided central venous catheters are unchanged in position. There are again seen diffuse airspace opacities bilaterally likely due to worsening of the pulmonary edema. Heart size is within normal limits. There is prominence of the vascular pedicle, consistent with the edema. No pneumothoraces are present.",There are again seen diffuse airspace opacities bilaterally likely due to worsening of the pulmonary edema.,Diffuse airspace opacities,Bilaterally,Worse,['files/p17/p17559288/s52687222/56381c64-278c220e-719702c4-6e5d4bf7-193da1ab.jpg'],['files/p17/p17559288/s52289887/78b0f724-759138a6-255f6ef3-48d0690c-4d9405cf.jpg\n']
s52698656_5,p17055995,s52698656,5,Impression,"AP chest compared to ___, 9:54 a.m.: Lung volumes are low, making it difficult to distinguish right basal vascular crowding from mild interstitial edema. Heart is normal size and there is no mediastinal vascular engorgement or any pleural effusion, so edema is less likely. There is a new left perihilar pulmonary opacity partially obscured by overlying EKG leads, but I suspect there is substantial atelectasis or new pneumonia. Left PICC line ends in the mid to low SVC as before and an upper enteric tube ends in the stomach, which is not particularly distended despite severe gaseous distention of the rest of the intestinal tract in the upper abdomen. No pneumothorax. Dr. ___ was paged at 10:35 a.m. and I discussed the findings by telephone with the house officer covering the patient at 10:50 a.m.","There is a new left perihilar pulmonary opacity partially obscured by overlying EKG leads, but I suspect there is substantial atelectasis or new pneumonia.",pulmonary opacity,left perihilar,New,['files/p17/p17055995/s52698656/63a73093-e2949a4b-c2a38b30-87805d05-9375c863.jpg'],['files/p17/p17055995/s52484430/7300ed3f-578b9a92-0404bfde-931d53a6-03d1907c.jpg\n']
s52705257_1,p19587538,s52705257,1,Findings,"AP upright portable view of the chest provided. The lungs appear largely clear bilaterally aside from mild dependent basilar atelectasis. Slightly underpenetrated technique limits the evaluation for subtle mild congestion, though there is no overt evidence for pulmonary edema. The heart size appears normal. The mediastinal contour is stable and within normal limits. The bony structures appear intact. There is no free air below the right hemidiaphragm.",The mediastinal contour is stable and within normal limits.,Normal limits,Mediastinal contour,Stable,"['files/p19/p19587538/s52705257/8edeaeb8-f9b613cc-f2ca6d82-b59942a8-ad118a88.jpg', 'files/p19/p19587538/s52705257/af3bd66e-b12a61bb-31b04389-8bfe9264-e50eef1b.jpg']","['files/p19/p19587538/s52370369/46a6d930-2fc44fe5-967f3273-a3e6d81d-3e4f74a0.jpg\n', 'files/p19/p19587538/s52370369/f615e0cd-8708c9de-4c3c409c-61733455-21d87814.jpg\n']"
s52711234_1,p17387103,s52711234,1,Impression,1. Mild improvement of pulmonary vascular congestion and bilateral interstitial edema since ___ without complete resolution. 2. No radiographic evidence of pneumonia.,1. Mild improvement of pulmonary vascular congestion and bilateral interstitial edema since ___ without complete resolution.,interstitial edema,bilateral,Better,"['files/p17/p17387103/s52711234/03bed479-1814df7f-0373e080-4e5d1ef0-6ebe1066.jpg', 'files/p17/p17387103/s52711234/44cacbf6-9d96a84b-4fe9670d-106a3b5d-ac3ae803.jpg']",
s52711234_1,p17387103,s52711234,1,Impression,1. Mild improvement of pulmonary vascular congestion and bilateral interstitial edema since ___ without complete resolution. 2. No radiographic evidence of pneumonia.,1. Mild improvement of pulmonary vascular congestion and bilateral interstitial edema since ___ without complete resolution.,pulmonary vascular congestion,bilateral,Better,"['files/p17/p17387103/s52711234/03bed479-1814df7f-0373e080-4e5d1ef0-6ebe1066.jpg', 'files/p17/p17387103/s52711234/44cacbf6-9d96a84b-4fe9670d-106a3b5d-ac3ae803.jpg']",
s52711234_1,p17387103,s52711234,1,Findings,"In comparison to ___ portable chest radiograph, there is mild improvement of the pulmonary vascular congestion and bilateral interstitial edema. Blunted left costophrenic angle is likely due to an obscuring bowel lobe rather than a true left pleural effusion. Heart size is moderately enlarged but stable. No consolidation, masses nor nodules are seen.",Heart size is moderately enlarged but stable.,heart size,,Stable,"['files/p17/p17387103/s52711234/03bed479-1814df7f-0373e080-4e5d1ef0-6ebe1066.jpg', 'files/p17/p17387103/s52711234/44cacbf6-9d96a84b-4fe9670d-106a3b5d-ac3ae803.jpg']",
s52711234_1,p17387103,s52711234,1,Findings,"In comparison to ___ portable chest radiograph, there is mild improvement of the pulmonary vascular congestion and bilateral interstitial edema. Blunted left costophrenic angle is likely due to an obscuring bowel lobe rather than a true left pleural effusion. Heart size is moderately enlarged but stable. No consolidation, masses nor nodules are seen.","In comparison to ___ portable chest radiograph, there is mild improvement of the pulmonary vascular congestion and bilateral interstitial edema.",interstitial edema,bilateral,Better,"['files/p17/p17387103/s52711234/03bed479-1814df7f-0373e080-4e5d1ef0-6ebe1066.jpg', 'files/p17/p17387103/s52711234/44cacbf6-9d96a84b-4fe9670d-106a3b5d-ac3ae803.jpg']",
s52711234_1,p17387103,s52711234,1,Findings,"In comparison to ___ portable chest radiograph, there is mild improvement of the pulmonary vascular congestion and bilateral interstitial edema. Blunted left costophrenic angle is likely due to an obscuring bowel lobe rather than a true left pleural effusion. Heart size is moderately enlarged but stable. No consolidation, masses nor nodules are seen.","In comparison to ___ portable chest radiograph, there is mild improvement of the pulmonary vascular congestion and bilateral interstitial edema.",pulmonary vascular congestion,bilateral,Better,"['files/p17/p17387103/s52711234/03bed479-1814df7f-0373e080-4e5d1ef0-6ebe1066.jpg', 'files/p17/p17387103/s52711234/44cacbf6-9d96a84b-4fe9670d-106a3b5d-ac3ae803.jpg']",
s52734390_2,p15787214,s52734390,2,Findings,"In comparison with the study of ___, there is a little overall change in the degree of bilateral pulmonary opacifications that is more prominent on the right. Although some of this may reflect asymmetric pulmonary edema, a multifocal pneumonia is also present. Subclavian PICC line is difficult to assess, though it appears to extend to the mid-to-lower portion of the SVC.","In comparison with the study of ___, there is a little overall change in the degree of bilateral pulmonary opacifications that is more prominent on the right.",pulmonary opacifications,bilateral,Stable,['files/p15/p15787214/s52734390/e73cd1d5-5e0bf9d7-abf87afe-b9825e7f-6786a135.jpg'],['files/p15/p15787214/s51063221/6831e70e-667ba211-59160e9a-cb703a95-c16adfc1.jpg\n']
s52734390_2,p15787214,s52734390,2,Findings,"In comparison with the study of ___, there is a little overall change in the degree of bilateral pulmonary opacifications that is more prominent on the right. Although some of this may reflect asymmetric pulmonary edema, a multifocal pneumonia is also present. Subclavian PICC line is difficult to assess, though it appears to extend to the mid-to-lower portion of the SVC.","Although some of this may reflect asymmetric pulmonary edema, a multifocal pneumonia is also present.",asymmetric pulmonary edema and multifocal pneumonia,,New,['files/p15/p15787214/s52734390/e73cd1d5-5e0bf9d7-abf87afe-b9825e7f-6786a135.jpg'],['files/p15/p15787214/s51063221/6831e70e-667ba211-59160e9a-cb703a95-c16adfc1.jpg\n']
s52734390_2,p15787214,s52734390,2,Findings,"In comparison with the study of ___, there is a little overall change in the degree of bilateral pulmonary opacifications that is more prominent on the right. Although some of this may reflect asymmetric pulmonary edema, a multifocal pneumonia is also present. Subclavian PICC line is difficult to assess, though it appears to extend to the mid-to-lower portion of the SVC.","Subclavian PICC line is difficult to assess, though it appears to extend to the mid-to-lower portion of the SVC.",Subclavian PICC line,mid-to-lower portion of the SVC,New,['files/p15/p15787214/s52734390/e73cd1d5-5e0bf9d7-abf87afe-b9825e7f-6786a135.jpg'],['files/p15/p15787214/s51063221/6831e70e-667ba211-59160e9a-cb703a95-c16adfc1.jpg\n']
s52755842_50,p11717909,s52755842,50,Impression,No significant interval change when compared to the prior study.,No significant interval change when compared to the prior study.,,,Stable,['files/p11/p11717909/s52755842/17a73741-1a329d9a-09f6f1af-1e66a860-43d74397.jpg'],['files/p11/p11717909/s52655610/c2bd0b48-ecc300dc-df118f3d-a82300cd-5e16b5bc.jpg\n']
s52755842_50,p11717909,s52755842,50,Findings,Again seen is very extensive consolidation involving the right lung with relative sparing of the apex. An associated right pleural effusion is likely slightly decreased when compared to the prior study. Opacities in the left lung are unchanged. Monitoring and supportive equipment is unchanged in appearance. No definite left-sided pleural effusion. No pneumothorax seen.,Opacities in the left lung are unchanged.,opacities,left,Stable,['files/p11/p11717909/s52755842/17a73741-1a329d9a-09f6f1af-1e66a860-43d74397.jpg'],['files/p11/p11717909/s52655610/c2bd0b48-ecc300dc-df118f3d-a82300cd-5e16b5bc.jpg\n']
s52755842_50,p11717909,s52755842,50,Findings,Again seen is very extensive consolidation involving the right lung with relative sparing of the apex. An associated right pleural effusion is likely slightly decreased when compared to the prior study. Opacities in the left lung are unchanged. Monitoring and supportive equipment is unchanged in appearance. No definite left-sided pleural effusion. No pneumothorax seen.,Monitoring and supportive equipment is unchanged in appearance.,Monitoring and supportive equipment,,Stable,['files/p11/p11717909/s52755842/17a73741-1a329d9a-09f6f1af-1e66a860-43d74397.jpg'],['files/p11/p11717909/s52655610/c2bd0b48-ecc300dc-df118f3d-a82300cd-5e16b5bc.jpg\n']
s52755842_50,p11717909,s52755842,50,Findings,Again seen is very extensive consolidation involving the right lung with relative sparing of the apex. An associated right pleural effusion is likely slightly decreased when compared to the prior study. Opacities in the left lung are unchanged. Monitoring and supportive equipment is unchanged in appearance. No definite left-sided pleural effusion. No pneumothorax seen.,An associated right pleural effusion is likely slightly decreased when compared to the prior study.,pleural effusion,right,Better,['files/p11/p11717909/s52755842/17a73741-1a329d9a-09f6f1af-1e66a860-43d74397.jpg'],['files/p11/p11717909/s52655610/c2bd0b48-ecc300dc-df118f3d-a82300cd-5e16b5bc.jpg\n']
s52755969_5,p18711952,s52755969,5,Findings,"As compared to the previous radiograph, the patient has undergone left thoracocentesis. There is no visualization of an apical or basal pneumothorax. The effusion has moderately decreased in extent. Borderline size of the cardiac silhouette. Double-lumen dialysis catheter. The left heart border is delineated in a sharper manner than on the previous radiograph, likely caused by slight patient rotation to the left.","As compared to the previous radiograph, the patient has undergone left thoracocentesis.",thoracocentesis,left,Resolve,"['files/p18/p18711952/s52755969/6769fd0c-b51ad36a-54e19d93-66fec455-aa13b0da.jpg', 'files/p18/p18711952/s52755969/a22177ff-0eb9fd65-82ec3a76-021caec9-20987989.jpg']","['files/p18/p18711952/s52575467/901bb0dd-fdfda3ed-2d96b0f4-d803b7bb-9e4b3bd8.jpg\n', 'files/p18/p18711952/s52575467/d9d7f6db-ecc8ba46-a7b9f746-8fffb884-c4ea3c67.jpg\n']"
s52755969_5,p18711952,s52755969,5,Findings,"As compared to the previous radiograph, the patient has undergone left thoracocentesis. There is no visualization of an apical or basal pneumothorax. The effusion has moderately decreased in extent. Borderline size of the cardiac silhouette. Double-lumen dialysis catheter. The left heart border is delineated in a sharper manner than on the previous radiograph, likely caused by slight patient rotation to the left.",The effusion has moderately decreased in extent.,effusion,,Better,"['files/p18/p18711952/s52755969/6769fd0c-b51ad36a-54e19d93-66fec455-aa13b0da.jpg', 'files/p18/p18711952/s52755969/a22177ff-0eb9fd65-82ec3a76-021caec9-20987989.jpg']","['files/p18/p18711952/s52575467/901bb0dd-fdfda3ed-2d96b0f4-d803b7bb-9e4b3bd8.jpg\n', 'files/p18/p18711952/s52575467/d9d7f6db-ecc8ba46-a7b9f746-8fffb884-c4ea3c67.jpg\n']"
s52770480_17,p17055995,s52770480,17,Findings,"The heart size is normal. Lung volumes are low, resulting and pulmonary vascular crowding, otherwise the hilar and mediastinal contours are unremarkable. There is subtle increased opacity within the left perihilar region and upper lung. Streaky atelectasis is seen at the left lung base. There is no pneumothorax, or pleural effusion. The visualized osseous structures are unremarkable.",There is subtle increased opacity within the left perihilar region and upper lung.,opacity,left perihilar region and upper lung,Worse,"['files/p17/p17055995/s52770480/1658b53d-620ef24b-cc1913fb-1d842a7b-233b6a0d.jpg', 'files/p17/p17055995/s52770480/e619f4bc-6a72c001-18ee8e31-b4b41aa1-3f57cbc5.jpg']",['files/p17/p17055995/s52698656/63a73093-e2949a4b-c2a38b30-87805d05-9375c863.jpg\n']
s52770480_17,p17055995,s52770480,17,Impression,"Subtle increased opacity within the left perihilar region and upper lung, which could be secondary to pneumonia.","Subtle increased opacity within the left perihilar region and upper lung, which could be secondary to pneumonia.",opacity,left perihilar region and upper lung,Worse,"['files/p17/p17055995/s52770480/1658b53d-620ef24b-cc1913fb-1d842a7b-233b6a0d.jpg', 'files/p17/p17055995/s52770480/e619f4bc-6a72c001-18ee8e31-b4b41aa1-3f57cbc5.jpg']",['files/p17/p17055995/s52698656/63a73093-e2949a4b-c2a38b30-87805d05-9375c863.jpg\n']
s52783924_4,p18580594,s52783924,4,Findings,"As compared to the previous radiograph, there is no relevant change. The extent and severity of the known bilateral diffuse metastatic lung disease is unchanged. No new areas of focal consolidations or opacities. Unchanged size of the cardiac silhouette. No pleural effusions. No pneumothorax. Unchanged course and position of the right PICC line.",Unchanged course and position of the right PICC line.,PICC line,right,Stable,['files/p18/p18580594/s52783924/79d26270-6ac0b789-8f537c71-f31636b6-652a10b8.jpg'],['files/p18/p18580594/s51202750/d9dbe791-88e5c7a0-dc34613c-5913966a-50de825a.jpg\n']
s52783924_4,p18580594,s52783924,4,Findings,"As compared to the previous radiograph, there is no relevant change. The extent and severity of the known bilateral diffuse metastatic lung disease is unchanged. No new areas of focal consolidations or opacities. Unchanged size of the cardiac silhouette. No pleural effusions. No pneumothorax. Unchanged course and position of the right PICC line.",Unchanged size of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p18/p18580594/s52783924/79d26270-6ac0b789-8f537c71-f31636b6-652a10b8.jpg'],['files/p18/p18580594/s51202750/d9dbe791-88e5c7a0-dc34613c-5913966a-50de825a.jpg\n']
s52783924_4,p18580594,s52783924,4,Findings,"As compared to the previous radiograph, there is no relevant change. The extent and severity of the known bilateral diffuse metastatic lung disease is unchanged. No new areas of focal consolidations or opacities. Unchanged size of the cardiac silhouette. No pleural effusions. No pneumothorax. Unchanged course and position of the right PICC line.",The extent and severity of the known bilateral diffuse metastatic lung disease is unchanged.,metastatic lung disease,bilateral,Stable,['files/p18/p18580594/s52783924/79d26270-6ac0b789-8f537c71-f31636b6-652a10b8.jpg'],['files/p18/p18580594/s51202750/d9dbe791-88e5c7a0-dc34613c-5913966a-50de825a.jpg\n']
s52791306_0,p13548796,s52791306,0,Findings,"On today's examination, no suggestion of mediastinal widening. The mediastinal reflections are all visualized. The mild peripharyngeal soft tissue thickening described on a CT examination from ___ is not visible on the current image. Borderline size of the cardiac silhouette. No pneumomediastinum. Normal appearance of the lung parenchyma. No pleural effusions. No pneumothorax.",The mild peripharyngeal soft tissue thickening described on a CT examination from ___ is not visible on the current image.,Soft tissue thickening,Peripharyngeal,Resolve,"['files/p13/p13548796/s52791306/22bf2f39-0f319173-abc3db10-6e10c430-51f614e5.jpg', 'files/p13/p13548796/s52791306/5f2c97b1-447bf315-76c09138-d319e6a7-78012f26.jpg', 'files/p13/p13548796/s52791306/96734a31-b38490e1-f61e9e78-5db8c8f5-ded5e1df.jpg']",
s52798138_1,p17483408,s52798138,1,Findings,"There is a new endotracheal tube seen with tip approximately 6.7 cm from the carina. Otherwise, there has been no significant interval change of diffuse bilateral parenchymal opacities.",There is a new endotracheal tube seen with tip approximately 6.7 cm from the carina.,endotracheal tube,6.7 cm from the carina,New,['files/p17/p17483408/s52798138/aaff472f-e41c0470-87efd349-ba763de2-55568bd8.jpg'],['files/p17/p17483408/s52493039/f1ea5a2c-ce5a610d-aff80fde-8392148f-39f4982a.jpg\n']
s52798138_1,p17483408,s52798138,1,Findings,"There is a new endotracheal tube seen with tip approximately 6.7 cm from the carina. Otherwise, there has been no significant interval change of diffuse bilateral parenchymal opacities.","Otherwise, there has been no significant interval change of diffuse bilateral parenchymal opacities.",parenchymal opacities,bilateral,Stable,['files/p17/p17483408/s52798138/aaff472f-e41c0470-87efd349-ba763de2-55568bd8.jpg'],['files/p17/p17483408/s52493039/f1ea5a2c-ce5a610d-aff80fde-8392148f-39f4982a.jpg\n']
s52799543_2,p19580750,s52799543,2,Impression,Lungs are fully expanded and clear. No pleural abnormalities. Mild cardiomegaly. Cardiomediastinal and hilar silhouettes are normal. A left pectoral pacemaker with right atrial and right ventricular leads is unchanged.,A left pectoral pacemaker with right atrial and right ventricular leads is unchanged.,pacemaker with right atrial and right ventricular leads,left pectoral,Stable,"['files/p19/p19580750/s52799543/31c50e15-4a244cac-11d33a37-6e57019b-63c5858f.jpg', 'files/p19/p19580750/s52799543/b5ff5541-31d765d8-cd2e6649-54d1b9d4-8fffaebf.jpg', 'files/p19/p19580750/s52799543/ffa3942d-8bd6dde2-202b09c9-c4a8018d-cd3be89c.jpg']",
s52804736_1,p13299965,s52804736,1,Findings,Single AP upright portable view of the chest was obtained. There is bibasilar atelectasis without definite focal consolidation. Right paratracheal opacity likely relates to prominent vascular structures and has been stable as compared to ___. The cardiac and mediastinal silhouettes are stable also compared to ___. No overt pulmonary edema is seen. No definite fracture is identified.,The cardiac and mediastinal silhouettes are stable also compared to ___.,silhouettes,Cardiac and mediastinal,Stable,"['files/p13/p13299965/s52804736/424512f8-2a1c31d2-9ba3a1a4-63c2f669-1232ca66.jpg', 'files/p13/p13299965/s52804736/bc3c796e-6d0d50cb-bbda3fad-e5317feb-9129e16e.jpg']","['files/p13/p13299965/s51469366/e5a5b5a2-a2996ae1-5bb987c1-eace885e-862db33c.jpg\n', 'files/p13/p13299965/s51469366/f1e70f28-5a6e30a4-7f2d7942-6753668e-d6f2ba56.jpg\n']"
s52804736_1,p13299965,s52804736,1,Findings,Single AP upright portable view of the chest was obtained. There is bibasilar atelectasis without definite focal consolidation. Right paratracheal opacity likely relates to prominent vascular structures and has been stable as compared to ___. The cardiac and mediastinal silhouettes are stable also compared to ___. No overt pulmonary edema is seen. No definite fracture is identified.,Right paratracheal opacity likely relates to prominent vascular structures and has been stable as compared to ___.,opacity,Right paratracheal,Stable,"['files/p13/p13299965/s52804736/424512f8-2a1c31d2-9ba3a1a4-63c2f669-1232ca66.jpg', 'files/p13/p13299965/s52804736/bc3c796e-6d0d50cb-bbda3fad-e5317feb-9129e16e.jpg']","['files/p13/p13299965/s51469366/e5a5b5a2-a2996ae1-5bb987c1-eace885e-862db33c.jpg\n', 'files/p13/p13299965/s51469366/f1e70f28-5a6e30a4-7f2d7942-6753668e-d6f2ba56.jpg\n']"
s52837363_0,p13314609,s52837363,0,Findings,"In comparison with study of ___, the cardiac silhouette remains within normal limits and there is no evidence of vascular congestion or pleural effusion. No convincing evidence of acute focal pneumonia.","In comparison with study of ___, the cardiac silhouette remains within normal limits and there is no evidence of vascular congestion or pleural effusion.",normal limits,cardiac silhouette,Stable,"['files/p13/p13314609/s52837363/81893a7b-25e3ed4b-8debe6d3-38e925f6-ebeb46c7.jpg', 'files/p13/p13314609/s52837363/ab1864d3-39efd23e-186ed260-9dd6e19c-9b5c7043.jpg']",
s52837363_0,p13314609,s52837363,0,Findings,"In comparison with study of ___, the cardiac silhouette remains within normal limits and there is no evidence of vascular congestion or pleural effusion. No convincing evidence of acute focal pneumonia.","In comparison with study of ___, the cardiac silhouette remains within normal limits and there is no evidence of vascular congestion or pleural effusion.",congestion,vascular,Stable,"['files/p13/p13314609/s52837363/81893a7b-25e3ed4b-8debe6d3-38e925f6-ebeb46c7.jpg', 'files/p13/p13314609/s52837363/ab1864d3-39efd23e-186ed260-9dd6e19c-9b5c7043.jpg']",
s52837363_0,p13314609,s52837363,0,Findings,"In comparison with study of ___, the cardiac silhouette remains within normal limits and there is no evidence of vascular congestion or pleural effusion. No convincing evidence of acute focal pneumonia.","In comparison with study of ___, the cardiac silhouette remains within normal limits and there is no evidence of vascular congestion or pleural effusion.",effusion,pleural,Stable,"['files/p13/p13314609/s52837363/81893a7b-25e3ed4b-8debe6d3-38e925f6-ebeb46c7.jpg', 'files/p13/p13314609/s52837363/ab1864d3-39efd23e-186ed260-9dd6e19c-9b5c7043.jpg']",
s52848554_0,p18411490,s52848554,0,Findings,PA and lateral views of the chest provided. Lung volumes are low. Mild cardiomegaly is noted. There is subtle blunting of the left CP angle suggesting a tiny effusion or pleural thickening. The lungs appear clear without focal consolidation or edema. No pneumothorax. Mediastinal contour is normal. Bony structures are intact. Partially imaged spinal hardware is again noted in the lumbar spine.,Partially imaged spinal hardware is again noted in the lumbar spine.,spinal hardware,lumbar spine,Stable,['files/p18/p18411490/s52848554/053a6144-ff4648a1-526c1937-08f13670-e4f2cd44.jpg'],"['files/p18/p18411490/s50523107/4bd8decb-25920510-72d388b1-8a496755-56136b26.jpg\n', 'files/p18/p18411490/s50523107/d58d0e27-e1c60eac-ce1656c7-d7b99a45-484b6ea5.jpg\n']"
s52850524_11,p13171410,s52850524,11,Findings,"A right-sided central venous catheter projects along the right internal jugular vein and its tip is seen proximal to the cavoatrial junction. Surgical clips are projecting along the heart and sternotomy wires are intact. As compared to prior chest radiograph from ___, there has been interval removal of a right-sided chest tube. There is scattered atelectasis and there are tiny bilateral pleural effusions. A residual right apical pneumothorax is identified. Cardiomediastinal silhouette is stable.","As compared to prior chest radiograph from ___, there has been interval removal of a right-sided chest tube.",chest tube,right-sided,Resolve,"['files/p13/p13171410/s52850524/e436cfc0-fc21c094-9d4ddd86-bbf65f19-70a2c641.jpg', 'files/p13/p13171410/s52850524/f6a58dfe-8cde9194-a1c915d6-f69e88b3-3437c91e.jpg']","['files/p13/p13171410/s51969259/3077d18e-520b03ab-15ec5dd1-21c42a96-58bb1a22.jpg\n', 'files/p13/p13171410/s51969259/5710ff39-a6f932de-1547e689-b3864d9b-a9179f5b.jpg\n', 'files/p13/p13171410/s51969259/89b566cc-1497f0e2-d17c897d-8795930b-8e51bfdd.jpg\n']"
s52850524_11,p13171410,s52850524,11,Findings,"A right-sided central venous catheter projects along the right internal jugular vein and its tip is seen proximal to the cavoatrial junction. Surgical clips are projecting along the heart and sternotomy wires are intact. As compared to prior chest radiograph from ___, there has been interval removal of a right-sided chest tube. There is scattered atelectasis and there are tiny bilateral pleural effusions. A residual right apical pneumothorax is identified. Cardiomediastinal silhouette is stable.",Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p13/p13171410/s52850524/e436cfc0-fc21c094-9d4ddd86-bbf65f19-70a2c641.jpg', 'files/p13/p13171410/s52850524/f6a58dfe-8cde9194-a1c915d6-f69e88b3-3437c91e.jpg']","['files/p13/p13171410/s51969259/3077d18e-520b03ab-15ec5dd1-21c42a96-58bb1a22.jpg\n', 'files/p13/p13171410/s51969259/5710ff39-a6f932de-1547e689-b3864d9b-a9179f5b.jpg\n', 'files/p13/p13171410/s51969259/89b566cc-1497f0e2-d17c897d-8795930b-8e51bfdd.jpg\n']"
s52867251_3,p11842519,s52867251,3,Findings,"Pulmonary vascular cephalization is chronic. Moderate loculated right pleural effusion going into the fissure is stable. 22 mm opacity projects at the left lung base unchanged since ___, but could not be clearly seen before that. Mild-to-moderate cardiomegaly is unchanged. The patient is status post fusion with posterior screws at T6 through T9 levels.",Mild-to-moderate cardiomegaly is unchanged.,cardiomegaly,,Stable,"['files/p11/p11842519/s52867251/50fbe1fa-ace6be47-082c1ac4-6be43489-25ee1f1a.jpg', 'files/p11/p11842519/s52867251/af9b84f1-17375755-06f08c96-34a6a9b8-4cf2fb80.jpg']","['files/p11/p11842519/s52474377/065a7a9c-53732182-e1803a70-560a7a03-f85438e2.jpg\n', 'files/p11/p11842519/s52474377/b4b54fa6-a62cd7a9-4ba6082c-5534bec0-fab033bf.jpg\n']"
s52867251_3,p11842519,s52867251,3,Findings,"Pulmonary vascular cephalization is chronic. Moderate loculated right pleural effusion going into the fissure is stable. 22 mm opacity projects at the left lung base unchanged since ___, but could not be clearly seen before that. Mild-to-moderate cardiomegaly is unchanged. The patient is status post fusion with posterior screws at T6 through T9 levels.","22 mm opacity projects at the left lung base unchanged since ___, but could not be clearly seen before that.",opacity,left lung base,Stable,"['files/p11/p11842519/s52867251/50fbe1fa-ace6be47-082c1ac4-6be43489-25ee1f1a.jpg', 'files/p11/p11842519/s52867251/af9b84f1-17375755-06f08c96-34a6a9b8-4cf2fb80.jpg']","['files/p11/p11842519/s52474377/065a7a9c-53732182-e1803a70-560a7a03-f85438e2.jpg\n', 'files/p11/p11842519/s52474377/b4b54fa6-a62cd7a9-4ba6082c-5534bec0-fab033bf.jpg\n']"
s52867251_3,p11842519,s52867251,3,Impression,"Left lower lung opacity could either be a focal area of atelectasis or even a lung nodule. It could not be seen before the chest x-ray of ___. If warranted, CT scan could be done to assess this abnormality. There is no significant change since ___ in chronic pulmonary vessel cephalization and loculated pleural effusion on the right. The results have been posted to Radiology dashboard for direct notification to referring physician.",There is no significant change since ___ in chronic pulmonary vessel cephalization and loculated pleural effusion on the right.,chronic pulmonary vessel cephalization and loculated pleural effusion,right,Stable,"['files/p11/p11842519/s52867251/50fbe1fa-ace6be47-082c1ac4-6be43489-25ee1f1a.jpg', 'files/p11/p11842519/s52867251/af9b84f1-17375755-06f08c96-34a6a9b8-4cf2fb80.jpg']","['files/p11/p11842519/s52474377/065a7a9c-53732182-e1803a70-560a7a03-f85438e2.jpg\n', 'files/p11/p11842519/s52474377/b4b54fa6-a62cd7a9-4ba6082c-5534bec0-fab033bf.jpg\n']"
s52867251_3,p11842519,s52867251,3,Findings,"Pulmonary vascular cephalization is chronic. Moderate loculated right pleural effusion going into the fissure is stable. 22 mm opacity projects at the left lung base unchanged since ___, but could not be clearly seen before that. Mild-to-moderate cardiomegaly is unchanged. The patient is status post fusion with posterior screws at T6 through T9 levels.",Moderate loculated right pleural effusion going into the fissure is stable.,loculated pleural effusion,right,Stable,"['files/p11/p11842519/s52867251/50fbe1fa-ace6be47-082c1ac4-6be43489-25ee1f1a.jpg', 'files/p11/p11842519/s52867251/af9b84f1-17375755-06f08c96-34a6a9b8-4cf2fb80.jpg']","['files/p11/p11842519/s52474377/065a7a9c-53732182-e1803a70-560a7a03-f85438e2.jpg\n', 'files/p11/p11842519/s52474377/b4b54fa6-a62cd7a9-4ba6082c-5534bec0-fab033bf.jpg\n']"
s52869267_71,p11717909,s52869267,71,Impression,"1. Since ___, moderate right pleural effusion is mildly improved, bibasilar atelectasis is increased with possible new small left pleural effusion, and new opacity in the right mid lung may be atelectasis but could be pneumonia in the right clinical setting.","1. Since ___, moderate right pleural effusion is mildly improved, bibasilar atelectasis is increased with possible new small left pleural effusion, and new opacity in the right mid lung may be atelectasis but could be pneumonia in the right clinical setting.",opacity,right mid lung,New,['files/p11/p11717909/s52869267/f0bdf88f-f956d3d7-2ba2ed1c-b1a7bcab-4a9cf8eb.jpg'],['files/p11/p11717909/s52755842/17a73741-1a329d9a-09f6f1af-1e66a860-43d74397.jpg\n']
s52869267_71,p11717909,s52869267,71,Impression,"1. Since ___, moderate right pleural effusion is mildly improved, bibasilar atelectasis is increased with possible new small left pleural effusion, and new opacity in the right mid lung may be atelectasis but could be pneumonia in the right clinical setting.","1. Since ___, moderate right pleural effusion is mildly improved, bibasilar atelectasis is increased with possible new small left pleural effusion, and new opacity in the right mid lung may be atelectasis but could be pneumonia in the right clinical setting.",pleural effusion,left,New,['files/p11/p11717909/s52869267/f0bdf88f-f956d3d7-2ba2ed1c-b1a7bcab-4a9cf8eb.jpg'],['files/p11/p11717909/s52755842/17a73741-1a329d9a-09f6f1af-1e66a860-43d74397.jpg\n']
s52869267_71,p11717909,s52869267,71,Impression,"1. Since ___, moderate right pleural effusion is mildly improved, bibasilar atelectasis is increased with possible new small left pleural effusion, and new opacity in the right mid lung may be atelectasis but could be pneumonia in the right clinical setting.","1. Since ___, moderate right pleural effusion is mildly improved, bibasilar atelectasis is increased with possible new small left pleural effusion, and new opacity in the right mid lung may be atelectasis but could be pneumonia in the right clinical setting.",atelectasis,"bibasilar, retrocardiac",Worse,['files/p11/p11717909/s52869267/f0bdf88f-f956d3d7-2ba2ed1c-b1a7bcab-4a9cf8eb.jpg'],['files/p11/p11717909/s52755842/17a73741-1a329d9a-09f6f1af-1e66a860-43d74397.jpg\n']
s52869267_71,p11717909,s52869267,71,Findings,"Since ___, moderate right pleural effusion is mildly improved and bibasilar and retrocardiac atelectasis is increased with a possible new small left pleural effusion. A new opacity in the right mid lung may be atelectasis but could represent pneumonia in the right clinical setting. The left lung remains clear. Enlarged appearing heart may be technical from persistence of low lung volumes. Unchanged positioning of right internal jugular central line and feeding tube. Median sternotomy wires are intact and aligned. No pneumothorax.",A new opacity in the right mid lung may be atelectasis but could represent pneumonia in the right clinical setting.,opacity,right mid lung,New,['files/p11/p11717909/s52869267/f0bdf88f-f956d3d7-2ba2ed1c-b1a7bcab-4a9cf8eb.jpg'],['files/p11/p11717909/s52755842/17a73741-1a329d9a-09f6f1af-1e66a860-43d74397.jpg\n']
s52869267_71,p11717909,s52869267,71,Findings,"Since ___, moderate right pleural effusion is mildly improved and bibasilar and retrocardiac atelectasis is increased with a possible new small left pleural effusion. A new opacity in the right mid lung may be atelectasis but could represent pneumonia in the right clinical setting. The left lung remains clear. Enlarged appearing heart may be technical from persistence of low lung volumes. Unchanged positioning of right internal jugular central line and feeding tube. Median sternotomy wires are intact and aligned. No pneumothorax.","Since ___, moderate right pleural effusion is mildly improved and bibasilar and retrocardiac atelectasis is increased with a possible new small left pleural effusion.",pleural effusion,left,New,['files/p11/p11717909/s52869267/f0bdf88f-f956d3d7-2ba2ed1c-b1a7bcab-4a9cf8eb.jpg'],['files/p11/p11717909/s52755842/17a73741-1a329d9a-09f6f1af-1e66a860-43d74397.jpg\n']
s52869267_71,p11717909,s52869267,71,Findings,"Since ___, moderate right pleural effusion is mildly improved and bibasilar and retrocardiac atelectasis is increased with a possible new small left pleural effusion. A new opacity in the right mid lung may be atelectasis but could represent pneumonia in the right clinical setting. The left lung remains clear. Enlarged appearing heart may be technical from persistence of low lung volumes. Unchanged positioning of right internal jugular central line and feeding tube. Median sternotomy wires are intact and aligned. No pneumothorax.","Since ___, moderate right pleural effusion is mildly improved and bibasilar and retrocardiac atelectasis is increased with a possible new small left pleural effusion.",atelectasis,"bibasilar, retrocardiac",Worse,['files/p11/p11717909/s52869267/f0bdf88f-f956d3d7-2ba2ed1c-b1a7bcab-4a9cf8eb.jpg'],['files/p11/p11717909/s52755842/17a73741-1a329d9a-09f6f1af-1e66a860-43d74397.jpg\n']
s52869267_71,p11717909,s52869267,71,Findings,"Since ___, moderate right pleural effusion is mildly improved and bibasilar and retrocardiac atelectasis is increased with a possible new small left pleural effusion. A new opacity in the right mid lung may be atelectasis but could represent pneumonia in the right clinical setting. The left lung remains clear. Enlarged appearing heart may be technical from persistence of low lung volumes. Unchanged positioning of right internal jugular central line and feeding tube. Median sternotomy wires are intact and aligned. No pneumothorax.","Since ___, moderate right pleural effusion is mildly improved and bibasilar and retrocardiac atelectasis is increased with a possible new small left pleural effusion.",pleural effusion,right,Better,['files/p11/p11717909/s52869267/f0bdf88f-f956d3d7-2ba2ed1c-b1a7bcab-4a9cf8eb.jpg'],['files/p11/p11717909/s52755842/17a73741-1a329d9a-09f6f1af-1e66a860-43d74397.jpg\n']
s52869267_71,p11717909,s52869267,71,Impression,"1. Since ___, moderate right pleural effusion is mildly improved, bibasilar atelectasis is increased with possible new small left pleural effusion, and new opacity in the right mid lung may be atelectasis but could be pneumonia in the right clinical setting.","1. Since ___, moderate right pleural effusion is mildly improved, bibasilar atelectasis is increased with possible new small left pleural effusion, and new opacity in the right mid lung may be atelectasis but could be pneumonia in the right clinical setting.",pleural effusion,right,Better,['files/p11/p11717909/s52869267/f0bdf88f-f956d3d7-2ba2ed1c-b1a7bcab-4a9cf8eb.jpg'],['files/p11/p11717909/s52755842/17a73741-1a329d9a-09f6f1af-1e66a860-43d74397.jpg\n']
s52873579_5,p19175595,s52873579,5,Findings,"There is no longer an apical component to the previously described left pneumothorax. A small-to-moderate left pleural effusion persists on the left with few areas of streaky associated atelectasis. An air-fluid level best seen on the lateral view indicated some degree of hydropneumothorax. There is no evidence of diaphragmatic flattening or mediastinal shift. Right mid rib fractures are nondisplaced, not well appreciated on the current exam.",A small-to-moderate left pleural effusion persists on the left with few areas of streaky associated atelectasis.,atelectasis,left,Stable,"['files/p19/p19175595/s52873579/6f50e12e-0dcd33c3-ae2d6fa8-24696640-f1e54f40.jpg', 'files/p19/p19175595/s52873579/756771db-5805a998-08667cd8-f505ae42-22e2414b.jpg']","['files/p19/p19175595/s52576095/409e8ad6-2a430b33-c5e09174-8cd5eec3-453eb611.jpg\n', 'files/p19/p19175595/s52576095/63840ce5-dc9f7428-a7f42782-a10c5a1f-d5ad954f.jpg\n', 'files/p19/p19175595/s52576095/99878b0f-6f56ff51-8a56948b-cab003bc-caf7eecf.jpg\n']"
s52873579_5,p19175595,s52873579,5,Impression,Resolution of apical portion of left pneumothorax with lower left hydropneumothorax; no evidence of tension.,Resolution of apical portion of left pneumothorax with lower left hydropneumothorax; no evidence of tension.,pneumothorax,apical,Resolve,"['files/p19/p19175595/s52873579/6f50e12e-0dcd33c3-ae2d6fa8-24696640-f1e54f40.jpg', 'files/p19/p19175595/s52873579/756771db-5805a998-08667cd8-f505ae42-22e2414b.jpg']","['files/p19/p19175595/s52576095/409e8ad6-2a430b33-c5e09174-8cd5eec3-453eb611.jpg\n', 'files/p19/p19175595/s52576095/63840ce5-dc9f7428-a7f42782-a10c5a1f-d5ad954f.jpg\n', 'files/p19/p19175595/s52576095/99878b0f-6f56ff51-8a56948b-cab003bc-caf7eecf.jpg\n']"
s52873579_5,p19175595,s52873579,5,Findings,"There is no longer an apical component to the previously described left pneumothorax. A small-to-moderate left pleural effusion persists on the left with few areas of streaky associated atelectasis. An air-fluid level best seen on the lateral view indicated some degree of hydropneumothorax. There is no evidence of diaphragmatic flattening or mediastinal shift. Right mid rib fractures are nondisplaced, not well appreciated on the current exam.",A small-to-moderate left pleural effusion persists on the left with few areas of streaky associated atelectasis.,pleural effusion,left,Stable,"['files/p19/p19175595/s52873579/6f50e12e-0dcd33c3-ae2d6fa8-24696640-f1e54f40.jpg', 'files/p19/p19175595/s52873579/756771db-5805a998-08667cd8-f505ae42-22e2414b.jpg']","['files/p19/p19175595/s52576095/409e8ad6-2a430b33-c5e09174-8cd5eec3-453eb611.jpg\n', 'files/p19/p19175595/s52576095/63840ce5-dc9f7428-a7f42782-a10c5a1f-d5ad954f.jpg\n', 'files/p19/p19175595/s52576095/99878b0f-6f56ff51-8a56948b-cab003bc-caf7eecf.jpg\n']"
s52873579_5,p19175595,s52873579,5,Findings,"There is no longer an apical component to the previously described left pneumothorax. A small-to-moderate left pleural effusion persists on the left with few areas of streaky associated atelectasis. An air-fluid level best seen on the lateral view indicated some degree of hydropneumothorax. There is no evidence of diaphragmatic flattening or mediastinal shift. Right mid rib fractures are nondisplaced, not well appreciated on the current exam.",There is no longer an apical component to the previously described left pneumothorax.,pneumothorax,apical,Resolve,"['files/p19/p19175595/s52873579/6f50e12e-0dcd33c3-ae2d6fa8-24696640-f1e54f40.jpg', 'files/p19/p19175595/s52873579/756771db-5805a998-08667cd8-f505ae42-22e2414b.jpg']","['files/p19/p19175595/s52576095/409e8ad6-2a430b33-c5e09174-8cd5eec3-453eb611.jpg\n', 'files/p19/p19175595/s52576095/63840ce5-dc9f7428-a7f42782-a10c5a1f-d5ad954f.jpg\n', 'files/p19/p19175595/s52576095/99878b0f-6f56ff51-8a56948b-cab003bc-caf7eecf.jpg\n']"
s52879897_94,p11717909,s52879897,94,Impression,Comparison to ___. The pre-existing right-sided parenchymal opacities have increased in extent and severity and are suggesting pneumonia. There is also is a new parenchymal opacity in the perihilar left lung areas. Moderate cardiomegaly persists. Status post CABG. No larger pleural effusions.,Moderate cardiomegaly persists.,Moderate cardiomegaly,,Stable,"['files/p11/p11717909/s52879897/df0b3ae5-a86fd93b-1d84dc76-01d14fb3-4837ad71.jpg', 'files/p11/p11717909/s52879897/ec02cfa7-6890853a-bacd3fbf-8863ccf7-d309c168.jpg']",['files/p11/p11717909/s52869267/f0bdf88f-f956d3d7-2ba2ed1c-b1a7bcab-4a9cf8eb.jpg\n']
s52879897_94,p11717909,s52879897,94,Impression,Comparison to ___. The pre-existing right-sided parenchymal opacities have increased in extent and severity and are suggesting pneumonia. There is also is a new parenchymal opacity in the perihilar left lung areas. Moderate cardiomegaly persists. Status post CABG. No larger pleural effusions.,There is also is a new parenchymal opacity in the perihilar left lung areas.,parenchymal opacity,perihilar left lung,New,"['files/p11/p11717909/s52879897/df0b3ae5-a86fd93b-1d84dc76-01d14fb3-4837ad71.jpg', 'files/p11/p11717909/s52879897/ec02cfa7-6890853a-bacd3fbf-8863ccf7-d309c168.jpg']",['files/p11/p11717909/s52869267/f0bdf88f-f956d3d7-2ba2ed1c-b1a7bcab-4a9cf8eb.jpg\n']
s52879897_94,p11717909,s52879897,94,Impression,Comparison to ___. The pre-existing right-sided parenchymal opacities have increased in extent and severity and are suggesting pneumonia. There is also is a new parenchymal opacity in the perihilar left lung areas. Moderate cardiomegaly persists. Status post CABG. No larger pleural effusions.,Comparison to ___. The pre-existing right-sided parenchymal opacities have increased in extent and severity and are suggesting pneumonia.,parenchymal opacities,right-sided,Worse,"['files/p11/p11717909/s52879897/df0b3ae5-a86fd93b-1d84dc76-01d14fb3-4837ad71.jpg', 'files/p11/p11717909/s52879897/ec02cfa7-6890853a-bacd3fbf-8863ccf7-d309c168.jpg']",['files/p11/p11717909/s52869267/f0bdf88f-f956d3d7-2ba2ed1c-b1a7bcab-4a9cf8eb.jpg\n']
s52887977_1,p15793456,s52887977,1,Impression,1. Bullous emphysematous changes in the lower lobes increased since ___. Consideration to alpha-1- antitrypsin deficiency should be given.,1. Bullous emphysematous changes in the lower lobes increased since ___. Consideration to alpha-1- antitrypsin deficiency should be given.,bullous emphysematous changes,lower lobes,Worse,"['files/p15/p15793456/s52887977/328c4898-15a54df3-c97f1134-fd048ae3-d95c0107.jpg', 'files/p15/p15793456/s52887977/add46527-df788627-5e7db26e-09b0fd71-16a29aa1.jpg']",['files/p15/p15793456/s51861010/85fdecbd-e6066ee2-2b534974-6cf4108f-ea355efd.jpg\n']
s52887977_1,p15793456,s52887977,1,Findings,"The lungs are hyperexpanded. There are bullous emphysematous changes in the lower lobes increased since ___. There is no focal consolidation, pleural effusion or pneumothorax. The ascending aorta is dilated and tortuous but unchanged since ___. The imaged upper abdomen is unremarkable.",There are bullous emphysematous changes in the lower lobes increased since ___.,bullous emphysematous changes,lower lobes,Worse,"['files/p15/p15793456/s52887977/328c4898-15a54df3-c97f1134-fd048ae3-d95c0107.jpg', 'files/p15/p15793456/s52887977/add46527-df788627-5e7db26e-09b0fd71-16a29aa1.jpg']",['files/p15/p15793456/s51861010/85fdecbd-e6066ee2-2b534974-6cf4108f-ea355efd.jpg\n']
s52887977_1,p15793456,s52887977,1,Findings,"The lungs are hyperexpanded. There are bullous emphysematous changes in the lower lobes increased since ___. There is no focal consolidation, pleural effusion or pneumothorax. The ascending aorta is dilated and tortuous but unchanged since ___. The imaged upper abdomen is unremarkable.",The ascending aorta is dilated and tortuous but unchanged since ___.,dilated and tortuous,ascending aorta,Stable,"['files/p15/p15793456/s52887977/328c4898-15a54df3-c97f1134-fd048ae3-d95c0107.jpg', 'files/p15/p15793456/s52887977/add46527-df788627-5e7db26e-09b0fd71-16a29aa1.jpg']",['files/p15/p15793456/s51861010/85fdecbd-e6066ee2-2b534974-6cf4108f-ea355efd.jpg\n']
s52887996_2,p11989878,s52887996,2,Impression,"Previous marked postoperative widening of the cardiomediastinal silhouette has improved. Moderate left pleural effusion has redistributed, now probably loculated and partially fissural. Moderate bibasilar atelectasis has improved. No pneumothorax or pulmonary edema. Right jugular line ends in the low SVC.",Previous marked postoperative widening of the cardiomediastinal silhouette has improved.,cardiomediastinal silhouette,,Better,"['files/p11/p11989878/s52887996/0c29ea1e-848c7739-b7f4844c-aac23b7c-cd7ec5f4.jpg', 'files/p11/p11989878/s52887996/41d5a498-07091ca9-2cd74297-047f091c-c2d1cd58.jpg', 'files/p11/p11989878/s52887996/852705e9-03fd0c8e-b6bc57f1-af9bc1ab-9cb988cb.jpg']",
s52887996_2,p11989878,s52887996,2,Impression,"Previous marked postoperative widening of the cardiomediastinal silhouette has improved. Moderate left pleural effusion has redistributed, now probably loculated and partially fissural. Moderate bibasilar atelectasis has improved. No pneumothorax or pulmonary edema. Right jugular line ends in the low SVC.",Moderate bibasilar atelectasis has improved.,atelectasis,bibasilar,Better,"['files/p11/p11989878/s52887996/0c29ea1e-848c7739-b7f4844c-aac23b7c-cd7ec5f4.jpg', 'files/p11/p11989878/s52887996/41d5a498-07091ca9-2cd74297-047f091c-c2d1cd58.jpg', 'files/p11/p11989878/s52887996/852705e9-03fd0c8e-b6bc57f1-af9bc1ab-9cb988cb.jpg']",
s52901971_3,p11932181,s52901971,3,Findings,"Frontal and lateral chest radiographs demonstrate a left chest tube, unchanged in position. There is persistent right upper lobe atelectasis with collapse of the right upper lobe and rightward tracheal deviation. The lungs are clear without focal consolidation or pulmonary edema. There is no pneumothorax. The cardiomediastinal silhouette is unchanged.","Frontal and lateral chest radiographs demonstrate a left chest tube, unchanged in position.",chest tube,left chest,Stable,"['files/p11/p11932181/s52901971/274d8805-bc393e4a-269a1f8a-ee42d1ae-e8959ff7.jpg', 'files/p11/p11932181/s52901971/b89928d1-52232630-816e0948-e20d92e5-b0d906ab.jpg']","['files/p11/p11932181/s52153858/6fafcd8d-67ac12fa-a3ce56a6-3557b61f-1fa1d58a.jpg\n', 'files/p11/p11932181/s52153858/d593896e-25d268b0-0a8ededc-4a4c401c-c72b8357.jpg\n']"
s52901971_3,p11932181,s52901971,3,Findings,"Frontal and lateral chest radiographs demonstrate a left chest tube, unchanged in position. There is persistent right upper lobe atelectasis with collapse of the right upper lobe and rightward tracheal deviation. The lungs are clear without focal consolidation or pulmonary edema. There is no pneumothorax. The cardiomediastinal silhouette is unchanged.",There is persistent right upper lobe atelectasis with collapse of the right upper lobe and rightward tracheal deviation.,atelectasis,right upper lobe,Stable,"['files/p11/p11932181/s52901971/274d8805-bc393e4a-269a1f8a-ee42d1ae-e8959ff7.jpg', 'files/p11/p11932181/s52901971/b89928d1-52232630-816e0948-e20d92e5-b0d906ab.jpg']","['files/p11/p11932181/s52153858/6fafcd8d-67ac12fa-a3ce56a6-3557b61f-1fa1d58a.jpg\n', 'files/p11/p11932181/s52153858/d593896e-25d268b0-0a8ededc-4a4c401c-c72b8357.jpg\n']"
s52901971_3,p11932181,s52901971,3,Findings,"Frontal and lateral chest radiographs demonstrate a left chest tube, unchanged in position. There is persistent right upper lobe atelectasis with collapse of the right upper lobe and rightward tracheal deviation. The lungs are clear without focal consolidation or pulmonary edema. There is no pneumothorax. The cardiomediastinal silhouette is unchanged.",The cardiomediastinal silhouette is unchanged.,silhouette,cardiomediastinal,Stable,"['files/p11/p11932181/s52901971/274d8805-bc393e4a-269a1f8a-ee42d1ae-e8959ff7.jpg', 'files/p11/p11932181/s52901971/b89928d1-52232630-816e0948-e20d92e5-b0d906ab.jpg']","['files/p11/p11932181/s52153858/6fafcd8d-67ac12fa-a3ce56a6-3557b61f-1fa1d58a.jpg\n', 'files/p11/p11932181/s52153858/d593896e-25d268b0-0a8ededc-4a4c401c-c72b8357.jpg\n']"
s52901971_3,p11932181,s52901971,3,Impression,Persistent right upper lobe collapse.,Persistent right upper lobe collapse.,collapse,right upper lobe,Stable,"['files/p11/p11932181/s52901971/274d8805-bc393e4a-269a1f8a-ee42d1ae-e8959ff7.jpg', 'files/p11/p11932181/s52901971/b89928d1-52232630-816e0948-e20d92e5-b0d906ab.jpg']","['files/p11/p11932181/s52153858/6fafcd8d-67ac12fa-a3ce56a6-3557b61f-1fa1d58a.jpg\n', 'files/p11/p11932181/s52153858/d593896e-25d268b0-0a8ededc-4a4c401c-c72b8357.jpg\n']"
s52904178_4,p11619788,s52904178,4,Findings,A right PICC line has been retracted with the tip now terminating in the proximal right axillary vein. There is no pneumothorax. There are increased bibasilar patchy airspace opacities in the bilateral lung bases concerning for developing pneumonia and raising the possibility of aspiration. Small left pleural effusion is difficult to exclude. The cardiac silhouette is unchanged in size. The mediastinum appears unchanged from the prior chest radiograph of ___.,The mediastinum appears unchanged from the prior chest radiograph of ___.,appearance,mediastinum,Stable,['files/p11/p11619788/s52904178/268224a0-f4db4bc6-9f5606f0-6a333f24-ace4e910.jpg'],['files/p11/p11619788/s50955531/7252d03a-a20f7bb6-f72983bd-0b4f5591-98efee5e.jpg\n']
s52904178_4,p11619788,s52904178,4,Impression,1. Right PICC retracted with the tip terminating in the proximal right axillary vein. 2. Bibasilar patchy airspace opacities new from the most recent prior study are concerning for developing pneumonia and raise the possibility of aspiration.,2. Bibasilar patchy airspace opacities new from the most recent prior study are concerning for developing pneumonia and raise the possibility of aspiration.,bibasilar patchy airspace opacities,bilateral lung bases,New,['files/p11/p11619788/s52904178/268224a0-f4db4bc6-9f5606f0-6a333f24-ace4e910.jpg'],['files/p11/p11619788/s50955531/7252d03a-a20f7bb6-f72983bd-0b4f5591-98efee5e.jpg\n']
s52904178_4,p11619788,s52904178,4,Findings,A right PICC line has been retracted with the tip now terminating in the proximal right axillary vein. There is no pneumothorax. There are increased bibasilar patchy airspace opacities in the bilateral lung bases concerning for developing pneumonia and raising the possibility of aspiration. Small left pleural effusion is difficult to exclude. The cardiac silhouette is unchanged in size. The mediastinum appears unchanged from the prior chest radiograph of ___.,The cardiac silhouette is unchanged in size.,size,cardiac silhouette,Stable,['files/p11/p11619788/s52904178/268224a0-f4db4bc6-9f5606f0-6a333f24-ace4e910.jpg'],['files/p11/p11619788/s50955531/7252d03a-a20f7bb6-f72983bd-0b4f5591-98efee5e.jpg\n']
s52904178_4,p11619788,s52904178,4,Findings,A right PICC line has been retracted with the tip now terminating in the proximal right axillary vein. There is no pneumothorax. There are increased bibasilar patchy airspace opacities in the bilateral lung bases concerning for developing pneumonia and raising the possibility of aspiration. Small left pleural effusion is difficult to exclude. The cardiac silhouette is unchanged in size. The mediastinum appears unchanged from the prior chest radiograph of ___.,There are increased bibasilar patchy airspace opacities in the bilateral lung bases concerning for developing pneumonia and raising the possibility of aspiration.,bibasilar patchy airspace opacities,bilateral lung bases,Worse,['files/p11/p11619788/s52904178/268224a0-f4db4bc6-9f5606f0-6a333f24-ace4e910.jpg'],['files/p11/p11619788/s50955531/7252d03a-a20f7bb6-f72983bd-0b4f5591-98efee5e.jpg\n']
s52908323_4,p10198310,s52908323,4,Impression,"Cardiomegaly is severe, unchanged. Pacemaker leads are unchanged. There is interval progression of vascular congestion and interstitial pulmonary edema. No pneumothorax. No atelectasis. Subcutaneous air within the left chest wall is minimal.","Cardiomegaly is severe, unchanged.",Cardiomegaly,Heart,Stable,"['files/p10/p10198310/s52908323/712aa03e-6655e311-b8ade96a-39fa2c64-ca1bd306.jpg', 'files/p10/p10198310/s52908323/ff7d1ad3-f6e1cd09-288ac039-d69f45d4-8ebbacf3.jpg']",
s52908323_4,p10198310,s52908323,4,Impression,"Cardiomegaly is severe, unchanged. Pacemaker leads are unchanged. There is interval progression of vascular congestion and interstitial pulmonary edema. No pneumothorax. No atelectasis. Subcutaneous air within the left chest wall is minimal.",Pacemaker leads are unchanged.,Leads,Pacemaker,Stable,"['files/p10/p10198310/s52908323/712aa03e-6655e311-b8ade96a-39fa2c64-ca1bd306.jpg', 'files/p10/p10198310/s52908323/ff7d1ad3-f6e1cd09-288ac039-d69f45d4-8ebbacf3.jpg']",
s52908323_4,p10198310,s52908323,4,Impression,"Cardiomegaly is severe, unchanged. Pacemaker leads are unchanged. There is interval progression of vascular congestion and interstitial pulmonary edema. No pneumothorax. No atelectasis. Subcutaneous air within the left chest wall is minimal.",There is interval progression of vascular congestion and interstitial pulmonary edema.,Edema,Pulmonary,Worse,"['files/p10/p10198310/s52908323/712aa03e-6655e311-b8ade96a-39fa2c64-ca1bd306.jpg', 'files/p10/p10198310/s52908323/ff7d1ad3-f6e1cd09-288ac039-d69f45d4-8ebbacf3.jpg']",
s52908323_4,p10198310,s52908323,4,Impression,"Cardiomegaly is severe, unchanged. Pacemaker leads are unchanged. There is interval progression of vascular congestion and interstitial pulmonary edema. No pneumothorax. No atelectasis. Subcutaneous air within the left chest wall is minimal.",There is interval progression of vascular congestion and interstitial pulmonary edema.,Vascular congestion,Pulmonary,Worse,"['files/p10/p10198310/s52908323/712aa03e-6655e311-b8ade96a-39fa2c64-ca1bd306.jpg', 'files/p10/p10198310/s52908323/ff7d1ad3-f6e1cd09-288ac039-d69f45d4-8ebbacf3.jpg']",
s52916619_7,p19890030,s52916619,7,Findings,"Support and monitoring devices are in standard position, and cardiomediastinal contours are stable. Persistent pulmonary vascular congestion accompanied by improving pulmonary edema and slight decrease in size of bilateral pleural effusions.",Persistent pulmonary vascular congestion accompanied by improving pulmonary edema and slight decrease in size of bilateral pleural effusions.,pleural effusions,bilateral,Better,['files/p19/p19890030/s52916619/ed3ea821-d5846c32-5f18d81a-657f73d8-472d55eb.jpg'],['files/p19/p19890030/s52519588/9da44dd4-f08ae82f-ac9dd82e-966b3d51-9fec0a87.jpg\n']
s52916619_7,p19890030,s52916619,7,Findings,"Support and monitoring devices are in standard position, and cardiomediastinal contours are stable. Persistent pulmonary vascular congestion accompanied by improving pulmonary edema and slight decrease in size of bilateral pleural effusions.",Persistent pulmonary vascular congestion accompanied by improving pulmonary edema and slight decrease in size of bilateral pleural effusions.,pulmonary edema,,Better,['files/p19/p19890030/s52916619/ed3ea821-d5846c32-5f18d81a-657f73d8-472d55eb.jpg'],['files/p19/p19890030/s52519588/9da44dd4-f08ae82f-ac9dd82e-966b3d51-9fec0a87.jpg\n']
s52916619_7,p19890030,s52916619,7,Findings,"Support and monitoring devices are in standard position, and cardiomediastinal contours are stable. Persistent pulmonary vascular congestion accompanied by improving pulmonary edema and slight decrease in size of bilateral pleural effusions.",Persistent pulmonary vascular congestion accompanied by improving pulmonary edema and slight decrease in size of bilateral pleural effusions.,pulmonary vascular congestion,,Worse,['files/p19/p19890030/s52916619/ed3ea821-d5846c32-5f18d81a-657f73d8-472d55eb.jpg'],['files/p19/p19890030/s52519588/9da44dd4-f08ae82f-ac9dd82e-966b3d51-9fec0a87.jpg\n']
s52916619_7,p19890030,s52916619,7,Findings,"Support and monitoring devices are in standard position, and cardiomediastinal contours are stable. Persistent pulmonary vascular congestion accompanied by improving pulmonary edema and slight decrease in size of bilateral pleural effusions.","Support and monitoring devices are in standard position, and cardiomediastinal contours are stable.",cardiomediastinal contours,,Stable,['files/p19/p19890030/s52916619/ed3ea821-d5846c32-5f18d81a-657f73d8-472d55eb.jpg'],['files/p19/p19890030/s52519588/9da44dd4-f08ae82f-ac9dd82e-966b3d51-9fec0a87.jpg\n']
s52923479_30,p13894716,s52923479,30,Impression,"Compared to chest radiographs ___ through ___. There has been no change since earlier in the day moderate pulmonary edema, moderate to large right and small to moderate left pleural effusions all unchanged. There is quite possibly substantial lower lobe atelectasis, perhaps even collapse. Heart size mildly enlarged. No pneumothorax. Cardiopulmonary support devices in standard placements, unchanged.","There has been no change since earlier in the day moderate pulmonary edema, moderate to large right and small to moderate left pleural effusions all unchanged.",pleural effusion,right,Stable,"['files/p13/p13894716/s52923479/3b44553e-f53c6853-5c8a9814-44129c1e-32509200.jpg', 'files/p13/p13894716/s52923479/e301cf49-ca4e1f54-2aab6551-5bed4849-1cbf5bcf.jpg']",['files/p13/p13894716/s52444140/dfe7902d-7f50fd3a-34f95cfb-3aeeea63-20d6aa4f.jpg\n']
s52923479_30,p13894716,s52923479,30,Impression,"Compared to chest radiographs ___ through ___. There has been no change since earlier in the day moderate pulmonary edema, moderate to large right and small to moderate left pleural effusions all unchanged. There is quite possibly substantial lower lobe atelectasis, perhaps even collapse. Heart size mildly enlarged. No pneumothorax. Cardiopulmonary support devices in standard placements, unchanged.","There has been no change since earlier in the day moderate pulmonary edema, moderate to large right and small to moderate left pleural effusions all unchanged.",pleural effusion,left,Stable,"['files/p13/p13894716/s52923479/3b44553e-f53c6853-5c8a9814-44129c1e-32509200.jpg', 'files/p13/p13894716/s52923479/e301cf49-ca4e1f54-2aab6551-5bed4849-1cbf5bcf.jpg']",['files/p13/p13894716/s52444140/dfe7902d-7f50fd3a-34f95cfb-3aeeea63-20d6aa4f.jpg\n']
s52923479_30,p13894716,s52923479,30,Impression,"Compared to chest radiographs ___ through ___. There has been no change since earlier in the day moderate pulmonary edema, moderate to large right and small to moderate left pleural effusions all unchanged. There is quite possibly substantial lower lobe atelectasis, perhaps even collapse. Heart size mildly enlarged. No pneumothorax. Cardiopulmonary support devices in standard placements, unchanged.","There has been no change since earlier in the day moderate pulmonary edema, moderate to large right and small to moderate left pleural effusions all unchanged.",pulmonary edema,,Stable,"['files/p13/p13894716/s52923479/3b44553e-f53c6853-5c8a9814-44129c1e-32509200.jpg', 'files/p13/p13894716/s52923479/e301cf49-ca4e1f54-2aab6551-5bed4849-1cbf5bcf.jpg']",['files/p13/p13894716/s52444140/dfe7902d-7f50fd3a-34f95cfb-3aeeea63-20d6aa4f.jpg\n']
s52923479_30,p13894716,s52923479,30,Impression,"Compared to chest radiographs ___ through ___. There has been no change since earlier in the day moderate pulmonary edema, moderate to large right and small to moderate left pleural effusions all unchanged. There is quite possibly substantial lower lobe atelectasis, perhaps even collapse. Heart size mildly enlarged. No pneumothorax. Cardiopulmonary support devices in standard placements, unchanged.","Cardiopulmonary support devices in standard placements, unchanged.",Cardiopulmonary support devices,,Stable,"['files/p13/p13894716/s52923479/3b44553e-f53c6853-5c8a9814-44129c1e-32509200.jpg', 'files/p13/p13894716/s52923479/e301cf49-ca4e1f54-2aab6551-5bed4849-1cbf5bcf.jpg']",['files/p13/p13894716/s52444140/dfe7902d-7f50fd3a-34f95cfb-3aeeea63-20d6aa4f.jpg\n']
s52924184_5,p14319319,s52924184,5,Findings,"In comparison with the study of ___, the patient has taken a better inspiration. There again is some increase in opacification in the perihilar and infrahilar region on the left. This again could reflect an area of consolidation. The area of subtle opacity in the right lower lung is again seen, which also could reflect an infectious focus.",There again is some increase in opacification in the perihilar and infrahilar region on the left.,opacification,perihilar and infrahilar region on the left,Worse,"['files/p14/p14319319/s52924184/809c72b2-39df536d-93ec5dbf-ac5f8f71-95414ea7.jpg', 'files/p14/p14319319/s52924184/e544d6d1-92416c58-191077f7-1849aedb-7096c34a.jpg']","['files/p14/p14319319/s52885023/23eb13e1-8751185a-481941e8-47440c28-f0b048e1.jpg\n', 'files/p14/p14319319/s52885023/a7ae0c27-73fe32bb-6d9fd821-4b8a0d03-0ced0365.jpg\n']"
s52924184_5,p14319319,s52924184,5,Findings,"In comparison with the study of ___, the patient has taken a better inspiration. There again is some increase in opacification in the perihilar and infrahilar region on the left. This again could reflect an area of consolidation. The area of subtle opacity in the right lower lung is again seen, which also could reflect an infectious focus.","The area of subtle opacity in the right lower lung is again seen, which also could reflect an infectious focus.",opacity,right lower lung,Stable,"['files/p14/p14319319/s52924184/809c72b2-39df536d-93ec5dbf-ac5f8f71-95414ea7.jpg', 'files/p14/p14319319/s52924184/e544d6d1-92416c58-191077f7-1849aedb-7096c34a.jpg']","['files/p14/p14319319/s52885023/23eb13e1-8751185a-481941e8-47440c28-f0b048e1.jpg\n', 'files/p14/p14319319/s52885023/a7ae0c27-73fe32bb-6d9fd821-4b8a0d03-0ced0365.jpg\n']"
s52950410_2,p15195289,s52950410,2,Findings,"In comparison to the chest radiographs obtained ___, no significant changes are appreciated. Lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. No pleural abnormalities. Heart size is top normal. Cardiomediastinal and hilar silhouettes are normal. Cervical fusion hardware is incompletely evaluated on this study.","In comparison to the chest radiographs obtained ___, no significant changes are appreciated.",chest radiographs,,Stable,"['files/p15/p15195289/s52950410/39a771b2-b6891189-b68590ad-5d5cb5e6-7dc07990.jpg', 'files/p15/p15195289/s52950410/89db0697-aa26530a-d451eb99-319b8e78-39a6aeb0.jpg']","['files/p15/p15195289/s52317337/1e1bc298-16d08126-3fb08a26-ede408f7-e024e193.jpg\n', 'files/p15/p15195289/s52317337/2694726b-b64f21d1-40b204a6-b4106d63-e6e4af86.jpg\n', 'files/p15/p15195289/s52317337/5ad2e9f0-2e4ae7f2-0d6cbcb3-ae978122-0abd2385.jpg\n']"
s53001361_74,p11717909,s53001361,74,Impression,"As compared to ___ chest radiograph, a feeding tube is been advanced into the duodenum. Overall appearance of the chest is not appreciably changed.","As compared to ___ chest radiograph, a feeding tube is been advanced into the duodenum.",feeding tube,,Resolve,['files/p11/p11717909/s53001361/e273ee90-02f2af87-c118ca0a-86222135-c38eb743.jpg'],['files/p11/p11717909/s52983911/9e212d56-0e1f18f3-63caba31-b94a0ec4-50aa339b.jpg\n']
s53010838_23,p13894716,s53010838,23,Impression,"Comparison to ___. All monitoring and support devices, including the endotracheal tube and the to central venous access lines inserted over the right internal jugular vein, are in stable position. Stable appearance of the bilateral pleural effusions and the moderately enlarged cardiac silhouette. Mild pulmonary edema is present in unchanged manner. No pneumothorax.",Mild pulmonary edema is present in unchanged manner.,pulmonary edema,,Stable,"['files/p13/p13894716/s53010838/36a124b2-816b2e86-561993f7-86f49d6f-f93c3ab0.jpg', 'files/p13/p13894716/s53010838/eca90488-10582fe3-bd30e11d-cca0f4a3-4a7f7367.jpg']","['files/p13/p13894716/s52923479/3b44553e-f53c6853-5c8a9814-44129c1e-32509200.jpg\n', 'files/p13/p13894716/s52923479/e301cf49-ca4e1f54-2aab6551-5bed4849-1cbf5bcf.jpg\n']"
s53010838_23,p13894716,s53010838,23,Impression,"Comparison to ___. All monitoring and support devices, including the endotracheal tube and the to central venous access lines inserted over the right internal jugular vein, are in stable position. Stable appearance of the bilateral pleural effusions and the moderately enlarged cardiac silhouette. Mild pulmonary edema is present in unchanged manner. No pneumothorax.",Stable appearance of the bilateral pleural effusions and the moderately enlarged cardiac silhouette.,pleural effusions,bilateral,Stable,"['files/p13/p13894716/s53010838/36a124b2-816b2e86-561993f7-86f49d6f-f93c3ab0.jpg', 'files/p13/p13894716/s53010838/eca90488-10582fe3-bd30e11d-cca0f4a3-4a7f7367.jpg']","['files/p13/p13894716/s52923479/3b44553e-f53c6853-5c8a9814-44129c1e-32509200.jpg\n', 'files/p13/p13894716/s52923479/e301cf49-ca4e1f54-2aab6551-5bed4849-1cbf5bcf.jpg\n']"
s53010838_23,p13894716,s53010838,23,Impression,"Comparison to ___. All monitoring and support devices, including the endotracheal tube and the to central venous access lines inserted over the right internal jugular vein, are in stable position. Stable appearance of the bilateral pleural effusions and the moderately enlarged cardiac silhouette. Mild pulmonary edema is present in unchanged manner. No pneumothorax.","Comparison to ___. All monitoring and support devices, including the endotracheal tube and the to central venous access lines inserted over the right internal jugular vein, are in stable position.",central venous access lines,right internal jugular vein,Stable,"['files/p13/p13894716/s53010838/36a124b2-816b2e86-561993f7-86f49d6f-f93c3ab0.jpg', 'files/p13/p13894716/s53010838/eca90488-10582fe3-bd30e11d-cca0f4a3-4a7f7367.jpg']","['files/p13/p13894716/s52923479/3b44553e-f53c6853-5c8a9814-44129c1e-32509200.jpg\n', 'files/p13/p13894716/s52923479/e301cf49-ca4e1f54-2aab6551-5bed4849-1cbf5bcf.jpg\n']"
s53036025_6,p11520249,s53036025,6,Impression,"1. Slowly growing peripheral right upper lobe lung nodule is concerning for primary lung adenocarcinoma. Dedicated chest CT may be considered for more accurate assessment as well as to evaluate for possible right hilar lymph node enlargement warranted clinically. 2. Low lung volumes limit assessment of the lung bases for pneumonia. Given clinical suspicion for this entity, this could be further evaluated with repeat chest radiograph with improved inspiratory level. Dr. ___ was paged with these results at 8:15 a.m. on ___, at the time of discovery.",Slowly growing peripheral right upper lobe lung nodule is concerning for primary lung adenocarcinoma.,lung nodule,right upper lobe,Worse,"['files/p11/p11520249/s53036025/925adb8d-69aca63a-440c3d56-6b7842af-89d5994b.jpg', 'files/p11/p11520249/s53036025/da4b16dc-70fac17f-f55577e8-6d7eb687-7777fa17.jpg']",
s53036025_6,p11520249,s53036025,6,Findings,"Peripheral right upper lobe lung nodule has grown compared to the prior CT chest of ___ and chest radiograph of ___. On the prior chest radiograph, it measured 1.6 cm in diameter and now measures 1.9 cm. As AP technique may magnify the nodule, dedicated chest CT may be considered for more accurate assessment of interval growth as well as possible development of lymphadenopathy in the right hilum. Heart remains enlarged. Low lung volumes accentuate the pulmonary vascular structures. Minor bibasilar atelectasis is present. No definite pleural effusion. Single-lead pacer remains in place, with lead terminating in right ventricle.",Heart remains enlarged.,cardiomegaly,,Stable,"['files/p11/p11520249/s53036025/925adb8d-69aca63a-440c3d56-6b7842af-89d5994b.jpg', 'files/p11/p11520249/s53036025/da4b16dc-70fac17f-f55577e8-6d7eb687-7777fa17.jpg']",
s53036025_6,p11520249,s53036025,6,Findings,"Peripheral right upper lobe lung nodule has grown compared to the prior CT chest of ___ and chest radiograph of ___. On the prior chest radiograph, it measured 1.6 cm in diameter and now measures 1.9 cm. As AP technique may magnify the nodule, dedicated chest CT may be considered for more accurate assessment of interval growth as well as possible development of lymphadenopathy in the right hilum. Heart remains enlarged. Low lung volumes accentuate the pulmonary vascular structures. Minor bibasilar atelectasis is present. No definite pleural effusion. Single-lead pacer remains in place, with lead terminating in right ventricle.","On the prior chest radiograph, it measured 1.6 cm in diameter and now measures 1.9 cm.",lung nodule,right upper lobe,Worse,"['files/p11/p11520249/s53036025/925adb8d-69aca63a-440c3d56-6b7842af-89d5994b.jpg', 'files/p11/p11520249/s53036025/da4b16dc-70fac17f-f55577e8-6d7eb687-7777fa17.jpg']",
s53036025_6,p11520249,s53036025,6,Findings,"Peripheral right upper lobe lung nodule has grown compared to the prior CT chest of ___ and chest radiograph of ___. On the prior chest radiograph, it measured 1.6 cm in diameter and now measures 1.9 cm. As AP technique may magnify the nodule, dedicated chest CT may be considered for more accurate assessment of interval growth as well as possible development of lymphadenopathy in the right hilum. Heart remains enlarged. Low lung volumes accentuate the pulmonary vascular structures. Minor bibasilar atelectasis is present. No definite pleural effusion. Single-lead pacer remains in place, with lead terminating in right ventricle.",Peripheral right upper lobe lung nodule has grown compared to the prior CT chest of ___ and chest radiograph of ___.,lung nodule,right upper lobe,Worse,"['files/p11/p11520249/s53036025/925adb8d-69aca63a-440c3d56-6b7842af-89d5994b.jpg', 'files/p11/p11520249/s53036025/da4b16dc-70fac17f-f55577e8-6d7eb687-7777fa17.jpg']",
s53036025_6,p11520249,s53036025,6,Findings,"Peripheral right upper lobe lung nodule has grown compared to the prior CT chest of ___ and chest radiograph of ___. On the prior chest radiograph, it measured 1.6 cm in diameter and now measures 1.9 cm. As AP technique may magnify the nodule, dedicated chest CT may be considered for more accurate assessment of interval growth as well as possible development of lymphadenopathy in the right hilum. Heart remains enlarged. Low lung volumes accentuate the pulmonary vascular structures. Minor bibasilar atelectasis is present. No definite pleural effusion. Single-lead pacer remains in place, with lead terminating in right ventricle.","Single-lead pacer remains in place, with lead terminating in right ventricle.",pacemaker,right ventricle,Stable,"['files/p11/p11520249/s53036025/925adb8d-69aca63a-440c3d56-6b7842af-89d5994b.jpg', 'files/p11/p11520249/s53036025/da4b16dc-70fac17f-f55577e8-6d7eb687-7777fa17.jpg']",
s53036112_0,p16413061,s53036112,0,Impression,"An NG tube terminates in the stomach with side port beyond the expected location the gastroesophageal junction. Partially visualized diffusely dilated air-filled loops of small bowel appear likely represent ileus or obstruction. A left Port-A-Cath terminates in the right atrium, unchanged. Platelike opacity in the left base likely represents atelectasis, less likely aspiration. The lung apices are not visualized. There is no large pleural effusion or evidence of pulmonary edema.","A left Port-A-Cath terminates in the right atrium, unchanged.",Port-A-Cath,left,Stable,['files/p16/p16413061/s53036112/e139be8f-a49d5442-2bd59848-b929b102-ab36ea25.jpg'],
s53036339_4,p11135350,s53036339,4,Findings,Assessment is somewhat limited due to marked patient rotation. The endotracheal tube tip is 2 cm above the carina. A right internal jugular catheter terminates in the distal SVC. There is persistent left lower lobe atelectasis. The heart remains enlarged. Bilateral pleural effusions are similar in appearance when compared to the prior study. Airspace opacity at the right lung base may reflect either atelectasis or infection.,The heart remains enlarged.,enlarged heart,,Stable,['files/p11/p11135350/s53036339/a49ebd3a-d86b070c-87256a4b-f5bb2b7e-f8ebaa00.jpg'],['files/p11/p11135350/s52432586/e2cc529b-ba7a0982-effc5cf0-662077a9-c2ce376f.jpg\n']
s53036339_4,p11135350,s53036339,4,Findings,Assessment is somewhat limited due to marked patient rotation. The endotracheal tube tip is 2 cm above the carina. A right internal jugular catheter terminates in the distal SVC. There is persistent left lower lobe atelectasis. The heart remains enlarged. Bilateral pleural effusions are similar in appearance when compared to the prior study. Airspace opacity at the right lung base may reflect either atelectasis or infection.,There is persistent left lower lobe atelectasis.,atelectasis,left lower lobe,Stable,['files/p11/p11135350/s53036339/a49ebd3a-d86b070c-87256a4b-f5bb2b7e-f8ebaa00.jpg'],['files/p11/p11135350/s52432586/e2cc529b-ba7a0982-effc5cf0-662077a9-c2ce376f.jpg\n']
s53036339_4,p11135350,s53036339,4,Impression,Bibasilar atelectasis versus consolidation. Otherwise no significant interval change when compared to the prior study.,Otherwise no significant interval change when compared to the prior study.,,,Stable,['files/p11/p11135350/s53036339/a49ebd3a-d86b070c-87256a4b-f5bb2b7e-f8ebaa00.jpg'],['files/p11/p11135350/s52432586/e2cc529b-ba7a0982-effc5cf0-662077a9-c2ce376f.jpg\n']
s53036339_4,p11135350,s53036339,4,Findings,Assessment is somewhat limited due to marked patient rotation. The endotracheal tube tip is 2 cm above the carina. A right internal jugular catheter terminates in the distal SVC. There is persistent left lower lobe atelectasis. The heart remains enlarged. Bilateral pleural effusions are similar in appearance when compared to the prior study. Airspace opacity at the right lung base may reflect either atelectasis or infection.,Bilateral pleural effusions are similar in appearance when compared to the prior study.,pleural effusions,bilateral,Stable,['files/p11/p11135350/s53036339/a49ebd3a-d86b070c-87256a4b-f5bb2b7e-f8ebaa00.jpg'],['files/p11/p11135350/s52432586/e2cc529b-ba7a0982-effc5cf0-662077a9-c2ce376f.jpg\n']
s53038461_2,p11181748,s53038461,2,Impression,"As compared to the previous radiograph, the right pleural effusion has been almost completely drained. There is no evidence of pneumothorax. Otherwise unchanged radiograph.",Otherwise unchanged radiograph.,,,Stable,['files/p11/p11181748/s53038461/a9f45db3-3320935c-32abfa1d-70c84639-f9d19d75.jpg'],
s53038461_2,p11181748,s53038461,2,Impression,"As compared to the previous radiograph, the right pleural effusion has been almost completely drained. There is no evidence of pneumothorax. Otherwise unchanged radiograph.","As compared to the previous radiograph, the right pleural effusion has been almost completely drained.",pleural effusion,right,Resolve,['files/p11/p11181748/s53038461/a9f45db3-3320935c-32abfa1d-70c84639-f9d19d75.jpg'],
s53042347_23,p11717909,s53042347,23,Impression,"As compared to the previous radiograph, the lung volumes have decreased. The monitoring and support devices, including the cardiac support device, is in unchanged position. The extent of the opacity in the left lung, however, has not substantially increased. No evidence of pneumothorax.","The monitoring and support devices, including the cardiac support device, is in unchanged position.",cardiac support device,,Stable,"['files/p11/p11717909/s53042347/0074eb26-c1938874-43e673d0-accb9fb7-e22c3757.jpg', 'files/p11/p11717909/s53042347/843962d4-17729cc1-22b9d9ad-fd3f97b8-e78f8b56.jpg']",['files/p11/p11717909/s53001361/e273ee90-02f2af87-c118ca0a-86222135-c38eb743.jpg\n']
s53042347_23,p11717909,s53042347,23,Impression,"As compared to the previous radiograph, the lung volumes have decreased. The monitoring and support devices, including the cardiac support device, is in unchanged position. The extent of the opacity in the left lung, however, has not substantially increased. No evidence of pneumothorax.","The monitoring and support devices, including the cardiac support device, is in unchanged position.",monitoring and support devices,,Stable,"['files/p11/p11717909/s53042347/0074eb26-c1938874-43e673d0-accb9fb7-e22c3757.jpg', 'files/p11/p11717909/s53042347/843962d4-17729cc1-22b9d9ad-fd3f97b8-e78f8b56.jpg']",['files/p11/p11717909/s53001361/e273ee90-02f2af87-c118ca0a-86222135-c38eb743.jpg\n']
s53042347_23,p11717909,s53042347,23,Impression,"As compared to the previous radiograph, the lung volumes have decreased. The monitoring and support devices, including the cardiac support device, is in unchanged position. The extent of the opacity in the left lung, however, has not substantially increased. No evidence of pneumothorax.","The extent of the opacity in the left lung, however, has not substantially increased.",opacity,left lung,Stable,"['files/p11/p11717909/s53042347/0074eb26-c1938874-43e673d0-accb9fb7-e22c3757.jpg', 'files/p11/p11717909/s53042347/843962d4-17729cc1-22b9d9ad-fd3f97b8-e78f8b56.jpg']",['files/p11/p11717909/s53001361/e273ee90-02f2af87-c118ca0a-86222135-c38eb743.jpg\n']
s53042347_23,p11717909,s53042347,23,Impression,"As compared to the previous radiograph, the lung volumes have decreased. The monitoring and support devices, including the cardiac support device, is in unchanged position. The extent of the opacity in the left lung, however, has not substantially increased. No evidence of pneumothorax.","As compared to the previous radiograph, the lung volumes have decreased.",lung volumes,,Worse,"['files/p11/p11717909/s53042347/0074eb26-c1938874-43e673d0-accb9fb7-e22c3757.jpg', 'files/p11/p11717909/s53042347/843962d4-17729cc1-22b9d9ad-fd3f97b8-e78f8b56.jpg']",['files/p11/p11717909/s53001361/e273ee90-02f2af87-c118ca0a-86222135-c38eb743.jpg\n']
s53058109_6,p18057037,s53058109,6,Findings,"In comparison with study of ___, there is continued enlargement of the cardiac silhouette without evidence of pulmonary edema. Small left effusion is seen. Again, there is substantial elevation of the right hemidiaphragmatic contour, as clearly demonstrated on the CT of ___.","In comparison with study of ___, there is continued enlargement of the cardiac silhouette without evidence of pulmonary edema.",enlargement,cardiac silhouette,Stable,"['files/p18/p18057037/s53058109/32f21aeb-76b307a2-19e6cd41-6e22837f-89b37db0.jpg', 'files/p18/p18057037/s53058109/903860bd-98a2aa2c-e1387e26-3c53bfbd-53e441f3.jpg', 'files/p18/p18057037/s53058109/ed9cb7d3-e541763d-995f4deb-46c21698-b3f3f780.jpg']","['files/p18/p18057037/s52244987/57949fd6-88aba5c8-27f26572-80587301-346f13c9.jpg\n', 'files/p18/p18057037/s52244987/9d33ba30-3b746ce7-bf969585-85fde961-8967f38c.jpg\n']"
s53058109_6,p18057037,s53058109,6,Findings,"In comparison with study of ___, there is continued enlargement of the cardiac silhouette without evidence of pulmonary edema. Small left effusion is seen. Again, there is substantial elevation of the right hemidiaphragmatic contour, as clearly demonstrated on the CT of ___.","Again, there is substantial elevation of the right hemidiaphragmatic contour, as clearly demonstrated on the CT of ___.",elevation,right hemidiaphragmatic contour,Stable,"['files/p18/p18057037/s53058109/32f21aeb-76b307a2-19e6cd41-6e22837f-89b37db0.jpg', 'files/p18/p18057037/s53058109/903860bd-98a2aa2c-e1387e26-3c53bfbd-53e441f3.jpg', 'files/p18/p18057037/s53058109/ed9cb7d3-e541763d-995f4deb-46c21698-b3f3f780.jpg']","['files/p18/p18057037/s52244987/57949fd6-88aba5c8-27f26572-80587301-346f13c9.jpg\n', 'files/p18/p18057037/s52244987/9d33ba30-3b746ce7-bf969585-85fde961-8967f38c.jpg\n']"
s53060481_32,p15911529,s53060481,32,Impression,"No change in the position of the right pigtail catheter, loculated pleural effusion, cardiomediastinal silhouette and pacemaker leads demonstrated.","No change in the position of the right pigtail catheter, loculated pleural effusion, cardiomediastinal silhouette and pacemaker leads demonstrated.",Pigtail catheter,right,Stable,['files/p15/p15911529/s53060481/070db2df-2c7004d2-26b8d90f-9fd165dc-7eefd70c.jpg'],"['files/p15/p15911529/s52748820/011b341a-aa4cf984-beef2741-bca288fe-598f5273.jpg\n', 'files/p15/p15911529/s52748820/f0dd4b1e-9b442429-b6bec3f4-a0c3368d-1f56c2e1.jpg\n']"
s53060481_32,p15911529,s53060481,32,Impression,"No change in the position of the right pigtail catheter, loculated pleural effusion, cardiomediastinal silhouette and pacemaker leads demonstrated.","No change in the position of the right pigtail catheter, loculated pleural effusion, cardiomediastinal silhouette and pacemaker leads demonstrated.",Loculated pleural effusion,right,Stable,['files/p15/p15911529/s53060481/070db2df-2c7004d2-26b8d90f-9fd165dc-7eefd70c.jpg'],"['files/p15/p15911529/s52748820/011b341a-aa4cf984-beef2741-bca288fe-598f5273.jpg\n', 'files/p15/p15911529/s52748820/f0dd4b1e-9b442429-b6bec3f4-a0c3368d-1f56c2e1.jpg\n']"
s53060481_32,p15911529,s53060481,32,Impression,"No change in the position of the right pigtail catheter, loculated pleural effusion, cardiomediastinal silhouette and pacemaker leads demonstrated.","No change in the position of the right pigtail catheter, loculated pleural effusion, cardiomediastinal silhouette and pacemaker leads demonstrated.",Cardiomediastinal silhouette,,Stable,['files/p15/p15911529/s53060481/070db2df-2c7004d2-26b8d90f-9fd165dc-7eefd70c.jpg'],"['files/p15/p15911529/s52748820/011b341a-aa4cf984-beef2741-bca288fe-598f5273.jpg\n', 'files/p15/p15911529/s52748820/f0dd4b1e-9b442429-b6bec3f4-a0c3368d-1f56c2e1.jpg\n']"
s53060481_32,p15911529,s53060481,32,Impression,"No change in the position of the right pigtail catheter, loculated pleural effusion, cardiomediastinal silhouette and pacemaker leads demonstrated.","No change in the position of the right pigtail catheter, loculated pleural effusion, cardiomediastinal silhouette and pacemaker leads demonstrated.",Pacemaker leads,,Stable,['files/p15/p15911529/s53060481/070db2df-2c7004d2-26b8d90f-9fd165dc-7eefd70c.jpg'],"['files/p15/p15911529/s52748820/011b341a-aa4cf984-beef2741-bca288fe-598f5273.jpg\n', 'files/p15/p15911529/s52748820/f0dd4b1e-9b442429-b6bec3f4-a0c3368d-1f56c2e1.jpg\n']"
s53067857_1,p18088902,s53067857,1,Impression,No evidence of pneumonia. Stable elevation of the right hemidiaphragm.,Stable elevation of the right hemidiaphragm.,hemidiaphragm elevation,right,Stable,"['files/p18/p18088902/s53067857/033e88a7-b72e1f61-9e9c608c-95650c3f-87cd1f6a.jpg', 'files/p18/p18088902/s53067857/db21cdac-6b505ece-719ff0fc-4c4291ad-e52017ab.jpg']",
s53067857_1,p18088902,s53067857,1,Findings,"There is persistent elevation of the right hemidiaphragm, unchanged. Otherwise, the lungs are well expanded and clear. No pulmonary edema. Stable appearance of the cardiomediastinal silhouette. No pleural effusion. No pneumothorax.","There is persistent elevation of the right hemidiaphragm, unchanged.",hemidiaphragm elevation,right,Stable,"['files/p18/p18088902/s53067857/033e88a7-b72e1f61-9e9c608c-95650c3f-87cd1f6a.jpg', 'files/p18/p18088902/s53067857/db21cdac-6b505ece-719ff0fc-4c4291ad-e52017ab.jpg']",
s53067857_1,p18088902,s53067857,1,Findings,"There is persistent elevation of the right hemidiaphragm, unchanged. Otherwise, the lungs are well expanded and clear. No pulmonary edema. Stable appearance of the cardiomediastinal silhouette. No pleural effusion. No pneumothorax.",Stable appearance of the cardiomediastinal silhouette.,cardiomediastinal silhouette,,Stable,"['files/p18/p18088902/s53067857/033e88a7-b72e1f61-9e9c608c-95650c3f-87cd1f6a.jpg', 'files/p18/p18088902/s53067857/db21cdac-6b505ece-719ff0fc-4c4291ad-e52017ab.jpg']",
s53069779_5,p13571108,s53069779,5,Findings,Heart size is top normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. There has been interval development of small bilateral right greater than left pleural effusions with mild adjacent bibasilar atelectasis. Remainder of the lung fields are clear. There is no pneumothorax. A Dobbhoff tube remains in place in the very proximal stomach and should be further advanced.,There has been interval development of small bilateral right greater than left pleural effusions with mild adjacent bibasilar atelectasis.,pleural effusions,bilateral right greater than left,New,"['files/p13/p13571108/s53069779/08f26428-11618c66-d31e30be-bb3cdba9-7246cdef.jpg', 'files/p13/p13571108/s53069779/114fc6d8-e46d27e6-617b8079-bc857050-e0982eee.jpg']",['files/p13/p13571108/s52526223/80e656ba-2e0b73a5-6252aa35-12c0df92-f0d566b9.jpg\n']
s53069779_5,p13571108,s53069779,5,Findings,Heart size is top normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. There has been interval development of small bilateral right greater than left pleural effusions with mild adjacent bibasilar atelectasis. Remainder of the lung fields are clear. There is no pneumothorax. A Dobbhoff tube remains in place in the very proximal stomach and should be further advanced.,There has been interval development of small bilateral right greater than left pleural effusions with mild adjacent bibasilar atelectasis.,atelectasis,bibasilar,New,"['files/p13/p13571108/s53069779/08f26428-11618c66-d31e30be-bb3cdba9-7246cdef.jpg', 'files/p13/p13571108/s53069779/114fc6d8-e46d27e6-617b8079-bc857050-e0982eee.jpg']",['files/p13/p13571108/s52526223/80e656ba-2e0b73a5-6252aa35-12c0df92-f0d566b9.jpg\n']
s53069779_5,p13571108,s53069779,5,Findings,Heart size is top normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. There has been interval development of small bilateral right greater than left pleural effusions with mild adjacent bibasilar atelectasis. Remainder of the lung fields are clear. There is no pneumothorax. A Dobbhoff tube remains in place in the very proximal stomach and should be further advanced.,A Dobbhoff tube remains in place in the very proximal stomach and should be further advanced.,Dobbhoff tube,very proximal stomach,Stable,"['files/p13/p13571108/s53069779/08f26428-11618c66-d31e30be-bb3cdba9-7246cdef.jpg', 'files/p13/p13571108/s53069779/114fc6d8-e46d27e6-617b8079-bc857050-e0982eee.jpg']",['files/p13/p13571108/s52526223/80e656ba-2e0b73a5-6252aa35-12c0df92-f0d566b9.jpg\n']
s53079362_13,p14798972,s53079362,13,Findings,Indwelling support and monitoring devices are unchanged in position. Increased widening of right mediastinal contour is consistent with distention of the patient's neoesophagus in this patient status post recent esophagectomy procedure. Increasing moderate left pleural effusion is present with adjacent left retrocardiac atelectasis.,Indwelling support and monitoring devices are unchanged in position.,Indwelling support and monitoring devices,position,Stable,['files/p14/p14798972/s53079362/0159eb74-f5b69f73-6e0faa67-ccf3e55c-474da4bb.jpg'],"['files/p14/p14798972/s52353675/e02060fc-a54b4daf-d2ed5614-42e2016d-53ea5bed.jpg\n', 'files/p14/p14798972/s52353675/e6b4ccd3-0795f625-2acad01a-72101d69-4ade2ad7.jpg\n']"
s53086987_3,p11925631,s53086987,3,Findings,"Compared with the most recent prior radiograph, there are new bibasilar opacities which could represent atelectasis, aspiration or consolidation. There are low lung volumes, which accentuates the cardiomediastinal silhouette. There is blunting of the left costophrenic angle which may be related to small pleural effusion. No pneumothorax is present. A dense round opacity in the left upper abdomen could be barium if the patient had a previous barium swallow; however, none is documented our system. A drain is seen in the left upper abdomen.","Compared with the most recent prior radiograph, there are new bibasilar opacities which could represent atelectasis, aspiration or consolidation.",opacities,bibasilar,New,"['files/p11/p11925631/s53086987/01b2e505-9d2a75bc-da0a86a7-cb2a2c42-9582f62b.jpg', 'files/p11/p11925631/s53086987/3b197005-484344a8-d685b5df-3c59c632-aa22411e.jpg']","['files/p11/p11925631/s52715722/00d187bc-46b2dcc4-dcc3029d-57dedba3-c026f807.jpg\n', 'files/p11/p11925631/s52715722/1041a192-952e9875-16fa1c6c-45c39917-f19e5dc2.jpg\n']"
s53086987_3,p11925631,s53086987,3,Impression,"New bibasilar opacities could be atelectasis, aspiration or pneumonia. Findings discussed with Dr. ___ by Dr. ___ at 11:26 a.m. on ___, 5 minutes after discovery.","New bibasilar opacities could be atelectasis, aspiration or pneumonia.",opacities,bibasilar,New,"['files/p11/p11925631/s53086987/01b2e505-9d2a75bc-da0a86a7-cb2a2c42-9582f62b.jpg', 'files/p11/p11925631/s53086987/3b197005-484344a8-d685b5df-3c59c632-aa22411e.jpg']","['files/p11/p11925631/s52715722/00d187bc-46b2dcc4-dcc3029d-57dedba3-c026f807.jpg\n', 'files/p11/p11925631/s52715722/1041a192-952e9875-16fa1c6c-45c39917-f19e5dc2.jpg\n']"
s53093135_0,p17002995,s53093135,0,Findings,Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. An ___ x 12 mm nodule is demonstrated projecting over the left upper lobe. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.,An ___ x 12 mm nodule is demonstrated projecting over the left upper lobe.,nodule,left upper lobe,New,"['files/p17/p17002995/s53093135/68061713-5fff1c59-90ebb853-44566d77-ae9fe3c9.jpg', 'files/p17/p17002995/s53093135/9bbce2c8-90534017-445931b8-8f207173-2068749c.jpg']",
s53093135_0,p17002995,s53093135,0,Impression,12 mm pulmonary nodule projecting over the left upper lobe. Further assessment with chest CT is recommended as this could reflect a malignancy.,12 mm pulmonary nodule projecting over the left upper lobe. Further assessment with chest CT is recommended as this could reflect a malignancy.,pulmonary nodule,left upper lobe,New,"['files/p17/p17002995/s53093135/68061713-5fff1c59-90ebb853-44566d77-ae9fe3c9.jpg', 'files/p17/p17002995/s53093135/9bbce2c8-90534017-445931b8-8f207173-2068749c.jpg']",
s53106161_61,p11717909,s53106161,61,Impression,"Prior chest radiographs ___ through ___. Extensive bilateral pneumonia, more pronounced in the right lung, has improved in the left lower lobe since ___, but is still considerable. Heart size top-normal. No pulmonary edema. Small right pleural effusion is likely, not appreciably changed since ___. No pneumothorax. ET tube, right internal jugular line, and transesophageal drainage tube in standard placements respectively.","Extensive bilateral pneumonia, more pronounced in the right lung, has improved in the left lower lobe since ___, but is still considerable.",pneumonia,right lung,Worse,['files/p11/p11717909/s53106161/c2bbad8a-13586101-c890f65a-eb483340-39f89263.jpg'],"['files/p11/p11717909/s53042347/0074eb26-c1938874-43e673d0-accb9fb7-e22c3757.jpg\n', 'files/p11/p11717909/s53042347/843962d4-17729cc1-22b9d9ad-fd3f97b8-e78f8b56.jpg\n']"
s53106161_61,p11717909,s53106161,61,Impression,"Prior chest radiographs ___ through ___. Extensive bilateral pneumonia, more pronounced in the right lung, has improved in the left lower lobe since ___, but is still considerable. Heart size top-normal. No pulmonary edema. Small right pleural effusion is likely, not appreciably changed since ___. No pneumothorax. ET tube, right internal jugular line, and transesophageal drainage tube in standard placements respectively.","Small right pleural effusion is likely, not appreciably changed since ___.",pleural effusion,right,Stable,['files/p11/p11717909/s53106161/c2bbad8a-13586101-c890f65a-eb483340-39f89263.jpg'],"['files/p11/p11717909/s53042347/0074eb26-c1938874-43e673d0-accb9fb7-e22c3757.jpg\n', 'files/p11/p11717909/s53042347/843962d4-17729cc1-22b9d9ad-fd3f97b8-e78f8b56.jpg\n']"
s53106161_61,p11717909,s53106161,61,Impression,"Prior chest radiographs ___ through ___. Extensive bilateral pneumonia, more pronounced in the right lung, has improved in the left lower lobe since ___, but is still considerable. Heart size top-normal. No pulmonary edema. Small right pleural effusion is likely, not appreciably changed since ___. No pneumothorax. ET tube, right internal jugular line, and transesophageal drainage tube in standard placements respectively.","Extensive bilateral pneumonia, more pronounced in the right lung, has improved in the left lower lobe since ___, but is still considerable.",pneumonia,left lower lobe,Better,['files/p11/p11717909/s53106161/c2bbad8a-13586101-c890f65a-eb483340-39f89263.jpg'],"['files/p11/p11717909/s53042347/0074eb26-c1938874-43e673d0-accb9fb7-e22c3757.jpg\n', 'files/p11/p11717909/s53042347/843962d4-17729cc1-22b9d9ad-fd3f97b8-e78f8b56.jpg\n']"
s53111457_1,p12998617,s53111457,1,Findings,"The cardiac, mediastinal and hilar contours appear within normal limits and unchanged. Streaky opacities at the left lung base indicate mild atelectasis. A small calcification projecting over the right upper lobe and the course of the right anterior fourth rib as well as the posterior right seventh rib suggests a bone island or parenchymal granuloma but unchanged. Mild pleural thickening appears unchanged at each lung apex. There is no pleural effusion or pneumothorax. The chest appears hyperinflated.",Streaky opacities at the left lung base indicate mild atelectasis.,atelectasis,left lung base,New,"['files/p12/p12998617/s53111457/14ca8f98-3b8cc136-42e4fd22-e44b2da1-e390b60b.jpg', 'files/p12/p12998617/s53111457/197a7aed-7ea6e597-f69224f2-04b68fe1-0148a45f.jpg']",
s53111457_1,p12998617,s53111457,1,Findings,"The cardiac, mediastinal and hilar contours appear within normal limits and unchanged. Streaky opacities at the left lung base indicate mild atelectasis. A small calcification projecting over the right upper lobe and the course of the right anterior fourth rib as well as the posterior right seventh rib suggests a bone island or parenchymal granuloma but unchanged. Mild pleural thickening appears unchanged at each lung apex. There is no pleural effusion or pneumothorax. The chest appears hyperinflated.",A small calcification projecting over the right upper lobe and the course of the right anterior fourth rib as well as the posterior right seventh rib suggests a bone island or parenchymal granuloma but unchanged.,calcification,right upper lobe,Stable,"['files/p12/p12998617/s53111457/14ca8f98-3b8cc136-42e4fd22-e44b2da1-e390b60b.jpg', 'files/p12/p12998617/s53111457/197a7aed-7ea6e597-f69224f2-04b68fe1-0148a45f.jpg']",
s53111457_1,p12998617,s53111457,1,Findings,"The cardiac, mediastinal and hilar contours appear within normal limits and unchanged. Streaky opacities at the left lung base indicate mild atelectasis. A small calcification projecting over the right upper lobe and the course of the right anterior fourth rib as well as the posterior right seventh rib suggests a bone island or parenchymal granuloma but unchanged. Mild pleural thickening appears unchanged at each lung apex. There is no pleural effusion or pneumothorax. The chest appears hyperinflated.",Mild pleural thickening appears unchanged at each lung apex.,pleural thickening,each lung apex,Stable,"['files/p12/p12998617/s53111457/14ca8f98-3b8cc136-42e4fd22-e44b2da1-e390b60b.jpg', 'files/p12/p12998617/s53111457/197a7aed-7ea6e597-f69224f2-04b68fe1-0148a45f.jpg']",
s53111950_2,p14798972,s53111950,2,Findings,"As compared to the previous radiograph, the extent of the pre-existing pneumothorax has decreased. The apical part of the pneumothorax has now a diameter of 1 cm. The right pigtail catheter is in unchanged position. Slightly increasing amounts of right lateral air collection in the soft tissues. No evidence of tension. No other relevant changes.",The right pigtail catheter is in unchanged position.,pigtail catheter,right,Stable,"['files/p14/p14798972/s53111950/34a847c0-1064f7be-7174acc7-f552794e-b7b8fbc2.jpg', 'files/p14/p14798972/s53111950/7a18126c-a436beb1-3705883d-becf89c8-4a4895d3.jpg']",['files/p14/p14798972/s53079362/0159eb74-f5b69f73-6e0faa67-ccf3e55c-474da4bb.jpg\n']
s53111950_2,p14798972,s53111950,2,Findings,"As compared to the previous radiograph, the extent of the pre-existing pneumothorax has decreased. The apical part of the pneumothorax has now a diameter of 1 cm. The right pigtail catheter is in unchanged position. Slightly increasing amounts of right lateral air collection in the soft tissues. No evidence of tension. No other relevant changes.",The extent of the pre-existing pneumothorax has decreased.,pneumothorax,,Better,"['files/p14/p14798972/s53111950/34a847c0-1064f7be-7174acc7-f552794e-b7b8fbc2.jpg', 'files/p14/p14798972/s53111950/7a18126c-a436beb1-3705883d-becf89c8-4a4895d3.jpg']",['files/p14/p14798972/s53079362/0159eb74-f5b69f73-6e0faa67-ccf3e55c-474da4bb.jpg\n']
s53111950_2,p14798972,s53111950,2,Findings,"As compared to the previous radiograph, the extent of the pre-existing pneumothorax has decreased. The apical part of the pneumothorax has now a diameter of 1 cm. The right pigtail catheter is in unchanged position. Slightly increasing amounts of right lateral air collection in the soft tissues. No evidence of tension. No other relevant changes.",Slightly increasing amounts of right lateral air collection in the soft tissues.,air collection,right lateral,Worse,"['files/p14/p14798972/s53111950/34a847c0-1064f7be-7174acc7-f552794e-b7b8fbc2.jpg', 'files/p14/p14798972/s53111950/7a18126c-a436beb1-3705883d-becf89c8-4a4895d3.jpg']",['files/p14/p14798972/s53079362/0159eb74-f5b69f73-6e0faa67-ccf3e55c-474da4bb.jpg\n']
s53115506_0,p18837251,s53115506,0,Impression,No previous images. No evidence of acute cardiopulmonary disease or old tuberculous disease. There is a pectus deformity.,No evidence of acute cardiopulmonary disease or old tuberculous disease.,acute cardiopulmonary disease,,Stable,"['files/p18/p18837251/s53115506/4dbf3ee6-55d63b13-8a456a59-195d85d2-ad0e7faf.jpg', 'files/p18/p18837251/s53115506/c599ea98-5ed5ec57-e623db3a-2326ff93-5aeb931f.jpg', 'files/p18/p18837251/s53115506/f64812cf-033baf68-a7b4ee13-c8b2f15b-048d0c2d.jpg']",
s53115506_0,p18837251,s53115506,0,Impression,No previous images. No evidence of acute cardiopulmonary disease or old tuberculous disease. There is a pectus deformity.,No evidence of acute cardiopulmonary disease or old tuberculous disease.,tuberculous disease,,Stable,"['files/p18/p18837251/s53115506/4dbf3ee6-55d63b13-8a456a59-195d85d2-ad0e7faf.jpg', 'files/p18/p18837251/s53115506/c599ea98-5ed5ec57-e623db3a-2326ff93-5aeb931f.jpg', 'files/p18/p18837251/s53115506/f64812cf-033baf68-a7b4ee13-c8b2f15b-048d0c2d.jpg']",
s53126282_9,p13722528,s53126282,9,Findings,Interval resolution of the left upper lobe pneumonia. No new areas of airspace consolidation. The cardiomediastinal shadow is unchanged. No pleural effusions. Mild coarsening of the interstitial markings persist.,Mild coarsening of the interstitial markings persist.,Mild coarsening of the interstitial markings,,Stable,"['files/p13/p13722528/s53126282/2e226c3f-39058bce-2bf559f3-119d4b1c-3b18c1e4.jpg', 'files/p13/p13722528/s53126282/bcfdab4a-41f56a9d-969a736a-88b92d25-0b313cc1.jpg']","['files/p13/p13722528/s52515651/2460ccc6-f9608080-7f2aa728-e30f6fc2-9b47f5b9.jpg\n', 'files/p13/p13722528/s52515651/ac41d67c-103ee28a-0efb6f93-85a812d9-6bdf13c6.jpg\n']"
s53126282_9,p13722528,s53126282,9,Findings,Interval resolution of the left upper lobe pneumonia. No new areas of airspace consolidation. The cardiomediastinal shadow is unchanged. No pleural effusions. Mild coarsening of the interstitial markings persist.,Interval resolution of the left upper lobe pneumonia.,pneumonia,left upper lobe,Resolve,"['files/p13/p13722528/s53126282/2e226c3f-39058bce-2bf559f3-119d4b1c-3b18c1e4.jpg', 'files/p13/p13722528/s53126282/bcfdab4a-41f56a9d-969a736a-88b92d25-0b313cc1.jpg']","['files/p13/p13722528/s52515651/2460ccc6-f9608080-7f2aa728-e30f6fc2-9b47f5b9.jpg\n', 'files/p13/p13722528/s52515651/ac41d67c-103ee28a-0efb6f93-85a812d9-6bdf13c6.jpg\n']"
s53126282_9,p13722528,s53126282,9,Findings,Interval resolution of the left upper lobe pneumonia. No new areas of airspace consolidation. The cardiomediastinal shadow is unchanged. No pleural effusions. Mild coarsening of the interstitial markings persist.,The cardiomediastinal shadow is unchanged.,cardiomediastinal shadow,,Stable,"['files/p13/p13722528/s53126282/2e226c3f-39058bce-2bf559f3-119d4b1c-3b18c1e4.jpg', 'files/p13/p13722528/s53126282/bcfdab4a-41f56a9d-969a736a-88b92d25-0b313cc1.jpg']","['files/p13/p13722528/s52515651/2460ccc6-f9608080-7f2aa728-e30f6fc2-9b47f5b9.jpg\n', 'files/p13/p13722528/s52515651/ac41d67c-103ee28a-0efb6f93-85a812d9-6bdf13c6.jpg\n']"
s53126282_9,p13722528,s53126282,9,Impression,Interval resolution of the left upper lobe pneumonia.,Interval resolution of the left upper lobe pneumonia.,pneumonia,left upper lobe,Resolve,"['files/p13/p13722528/s53126282/2e226c3f-39058bce-2bf559f3-119d4b1c-3b18c1e4.jpg', 'files/p13/p13722528/s53126282/bcfdab4a-41f56a9d-969a736a-88b92d25-0b313cc1.jpg']","['files/p13/p13722528/s52515651/2460ccc6-f9608080-7f2aa728-e30f6fc2-9b47f5b9.jpg\n', 'files/p13/p13722528/s52515651/ac41d67c-103ee28a-0efb6f93-85a812d9-6bdf13c6.jpg\n']"
s53140692_1,p15911529,s53140692,1,Findings,Single portable view of the chest is compared to previous exam from ___. The lungs are clear of confluent consolidation. Cardiac silhouette is enlarged but stable. Hypertrophic change is seen in the spine. Osseous and soft tissue structures are otherwise unremarkable.,Cardiac silhouette is enlarged but stable.,Cardiomegaly,,Stable,['files/p15/p15911529/s53140692/5063d302-87f10189-f63cd435-f9628cbb-ea776d10.jpg'],['files/p15/p15911529/s53060481/070db2df-2c7004d2-26b8d90f-9fd165dc-7eefd70c.jpg\n']
s53147687_2,p17123098,s53147687,2,Impression,1. Persistent probable small bilateral effusions with associated atelectasis. 2. Stable moderate cardiomegaly with central vascular congestion and possible new mild interstitial pulmonary edema. 3. No new focal consolidation concerning for infection or aspiration.,2. Stable moderate cardiomegaly with central vascular congestion and possible new mild interstitial pulmonary edema.,Moderate,Cardiomegaly with central vascular congestion and mild interstitial pulmonary edema,Stable,['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg'],
s53147687_2,p17123098,s53147687,2,Findings,"Compared to chest radiographs from ___, there is been interval removal of an endotracheal tube. Lung volumes remain low. Moderate cardiomegaly with mild central vascular congestion and possible new mild interstitial pulmonary edema. Probable small bilateral pleural effusions with associated atelectasis, left greater than right, are unchanged. No new focal consolidation. No pneumothoraces. Mediastinal widening has slightly improved and may reflect mild congestion of mediastinal veins.",Mediastinal widening has slightly improved and may reflect mild congestion of mediastinal veins.,Mild congestion of mediastinal veins,Mediastinal widening,Better,['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg'],
s53147687_2,p17123098,s53147687,2,Findings,"Compared to chest radiographs from ___, there is been interval removal of an endotracheal tube. Lung volumes remain low. Moderate cardiomegaly with mild central vascular congestion and possible new mild interstitial pulmonary edema. Probable small bilateral pleural effusions with associated atelectasis, left greater than right, are unchanged. No new focal consolidation. No pneumothoraces. Mediastinal widening has slightly improved and may reflect mild congestion of mediastinal veins.",Lung volumes remain low.,Low,Lung volumes,Stable,['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg'],
s53147687_2,p17123098,s53147687,2,Findings,"Compared to chest radiographs from ___, there is been interval removal of an endotracheal tube. Lung volumes remain low. Moderate cardiomegaly with mild central vascular congestion and possible new mild interstitial pulmonary edema. Probable small bilateral pleural effusions with associated atelectasis, left greater than right, are unchanged. No new focal consolidation. No pneumothoraces. Mediastinal widening has slightly improved and may reflect mild congestion of mediastinal veins.","Compared to chest radiographs from ___, there is been interval removal of an endotracheal tube.",,Endotracheal tube,Resolve,['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg'],
s53147687_2,p17123098,s53147687,2,Impression,1. Persistent probable small bilateral effusions with associated atelectasis. 2. Stable moderate cardiomegaly with central vascular congestion and possible new mild interstitial pulmonary edema. 3. No new focal consolidation concerning for infection or aspiration.,1. Persistent probable small bilateral effusions with associated atelectasis.,Small,Bilateral effusions with associated atelectasis,Stable,['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg'],
s53147687_2,p17123098,s53147687,2,Findings,"Compared to chest radiographs from ___, there is been interval removal of an endotracheal tube. Lung volumes remain low. Moderate cardiomegaly with mild central vascular congestion and possible new mild interstitial pulmonary edema. Probable small bilateral pleural effusions with associated atelectasis, left greater than right, are unchanged. No new focal consolidation. No pneumothoraces. Mediastinal widening has slightly improved and may reflect mild congestion of mediastinal veins.","Probable small bilateral pleural effusions with associated atelectasis, left greater than right, are unchanged.",Small,Bilateral pleural effusions with associated atelectasis,Stable,['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg'],
s53153262_16,p16033763,s53153262,16,Impression,"Persistent small left-sided pleural effusion with adjacent atelectasis, and slight interval increase in size in the small right pleural effusion.","Persistent small left-sided pleural effusion with adjacent atelectasis, and slight interval increase in size in the small right pleural effusion.",pleural effusion,right-sided,Worse,['files/p16/p16033763/s53153262/574a4800-1bd863fc-41b229b6-7e737994-5232ce8a.jpg'],"['files/p16/p16033763/s52447787/36b80f83-181f47f3-7f54839c-4f80a1f3-60de306a.jpg\n', 'files/p16/p16033763/s52447787/c90cae1c-784836db-33abc09e-f4490bd5-bd1f64fd.jpg\n']"
s53153262_16,p16033763,s53153262,16,Impression,"Persistent small left-sided pleural effusion with adjacent atelectasis, and slight interval increase in size in the small right pleural effusion.","Persistent small left-sided pleural effusion with adjacent atelectasis, and slight interval increase in size in the small right pleural effusion.",pleural effusion with adjacent atelectasis,left-sided,Stable,['files/p16/p16033763/s53153262/574a4800-1bd863fc-41b229b6-7e737994-5232ce8a.jpg'],"['files/p16/p16033763/s52447787/36b80f83-181f47f3-7f54839c-4f80a1f3-60de306a.jpg\n', 'files/p16/p16033763/s52447787/c90cae1c-784836db-33abc09e-f4490bd5-bd1f64fd.jpg\n']"
s53153262_16,p16033763,s53153262,16,Findings,"Portable semi-upright radiograph of the chest demonstrates persistent small left-sided pleural effusion, which is not significantly changed. A small right-sided pleural effusion is also seen, and is slightly increased in size over the interval. Again seen are multiple bilateral nodules in the lungs consistent with metastatic disease. The cardiomediastinal and hilar contours are unchanged. Two chest tubes project over the left hemithorax.","Portable semi-upright radiograph of the chest demonstrates persistent small left-sided pleural effusion, which is not significantly changed.",pleural effusion,left-sided,Stable,['files/p16/p16033763/s53153262/574a4800-1bd863fc-41b229b6-7e737994-5232ce8a.jpg'],"['files/p16/p16033763/s52447787/36b80f83-181f47f3-7f54839c-4f80a1f3-60de306a.jpg\n', 'files/p16/p16033763/s52447787/c90cae1c-784836db-33abc09e-f4490bd5-bd1f64fd.jpg\n']"
s53153262_16,p16033763,s53153262,16,Findings,"Portable semi-upright radiograph of the chest demonstrates persistent small left-sided pleural effusion, which is not significantly changed. A small right-sided pleural effusion is also seen, and is slightly increased in size over the interval. Again seen are multiple bilateral nodules in the lungs consistent with metastatic disease. The cardiomediastinal and hilar contours are unchanged. Two chest tubes project over the left hemithorax.",The cardiomediastinal and hilar contours are unchanged.,cardiomediastinal and hilar contours,,Stable,['files/p16/p16033763/s53153262/574a4800-1bd863fc-41b229b6-7e737994-5232ce8a.jpg'],"['files/p16/p16033763/s52447787/36b80f83-181f47f3-7f54839c-4f80a1f3-60de306a.jpg\n', 'files/p16/p16033763/s52447787/c90cae1c-784836db-33abc09e-f4490bd5-bd1f64fd.jpg\n']"
s53153262_16,p16033763,s53153262,16,Findings,"Portable semi-upright radiograph of the chest demonstrates persistent small left-sided pleural effusion, which is not significantly changed. A small right-sided pleural effusion is also seen, and is slightly increased in size over the interval. Again seen are multiple bilateral nodules in the lungs consistent with metastatic disease. The cardiomediastinal and hilar contours are unchanged. Two chest tubes project over the left hemithorax.","A small right-sided pleural effusion is also seen, and is slightly increased in size over the interval.",pleural effusion,right-sided,Worse,['files/p16/p16033763/s53153262/574a4800-1bd863fc-41b229b6-7e737994-5232ce8a.jpg'],"['files/p16/p16033763/s52447787/36b80f83-181f47f3-7f54839c-4f80a1f3-60de306a.jpg\n', 'files/p16/p16033763/s52447787/c90cae1c-784836db-33abc09e-f4490bd5-bd1f64fd.jpg\n']"
s53160255_8,p13894716,s53160255,8,Findings,ET tube is approximately 8.4 cm above the carina. Right IJ central venous catheter terminates in mid SVC. The enteric tube loops around and terminates in the stomach. Moderate pulmonary venous congestion has slightly improved and no pulmonary edema. Left lower lobe atelectasis is unchanged. No new consolidation. No pleural effusions or pneumothorax. Heart size is top normal but unchanged. Mediastinal silhouette is unchanged.,Moderate pulmonary venous congestion has slightly improved and no pulmonary edema.,pulmonary venous congestion,,Better,['files/p13/p13894716/s53160255/1530fc93-5d8daf6b-2fe3d095-226a1abf-d1ee0557.jpg'],"['files/p13/p13894716/s53010838/36a124b2-816b2e86-561993f7-86f49d6f-f93c3ab0.jpg\n', 'files/p13/p13894716/s53010838/eca90488-10582fe3-bd30e11d-cca0f4a3-4a7f7367.jpg\n']"
s53160255_8,p13894716,s53160255,8,Findings,ET tube is approximately 8.4 cm above the carina. Right IJ central venous catheter terminates in mid SVC. The enteric tube loops around and terminates in the stomach. Moderate pulmonary venous congestion has slightly improved and no pulmonary edema. Left lower lobe atelectasis is unchanged. No new consolidation. No pleural effusions or pneumothorax. Heart size is top normal but unchanged. Mediastinal silhouette is unchanged.,Left lower lobe atelectasis is unchanged.,atelectasis,left lower lobe,Stable,['files/p13/p13894716/s53160255/1530fc93-5d8daf6b-2fe3d095-226a1abf-d1ee0557.jpg'],"['files/p13/p13894716/s53010838/36a124b2-816b2e86-561993f7-86f49d6f-f93c3ab0.jpg\n', 'files/p13/p13894716/s53010838/eca90488-10582fe3-bd30e11d-cca0f4a3-4a7f7367.jpg\n']"
s53160255_8,p13894716,s53160255,8,Findings,ET tube is approximately 8.4 cm above the carina. Right IJ central venous catheter terminates in mid SVC. The enteric tube loops around and terminates in the stomach. Moderate pulmonary venous congestion has slightly improved and no pulmonary edema. Left lower lobe atelectasis is unchanged. No new consolidation. No pleural effusions or pneumothorax. Heart size is top normal but unchanged. Mediastinal silhouette is unchanged.,Heart size is top normal but unchanged.,heart size,,Stable,['files/p13/p13894716/s53160255/1530fc93-5d8daf6b-2fe3d095-226a1abf-d1ee0557.jpg'],"['files/p13/p13894716/s53010838/36a124b2-816b2e86-561993f7-86f49d6f-f93c3ab0.jpg\n', 'files/p13/p13894716/s53010838/eca90488-10582fe3-bd30e11d-cca0f4a3-4a7f7367.jpg\n']"
s53160255_8,p13894716,s53160255,8,Findings,ET tube is approximately 8.4 cm above the carina. Right IJ central venous catheter terminates in mid SVC. The enteric tube loops around and terminates in the stomach. Moderate pulmonary venous congestion has slightly improved and no pulmonary edema. Left lower lobe atelectasis is unchanged. No new consolidation. No pleural effusions or pneumothorax. Heart size is top normal but unchanged. Mediastinal silhouette is unchanged.,Mediastinal silhouette is unchanged.,mediastinal silhouette,,Stable,['files/p13/p13894716/s53160255/1530fc93-5d8daf6b-2fe3d095-226a1abf-d1ee0557.jpg'],"['files/p13/p13894716/s53010838/36a124b2-816b2e86-561993f7-86f49d6f-f93c3ab0.jpg\n', 'files/p13/p13894716/s53010838/eca90488-10582fe3-bd30e11d-cca0f4a3-4a7f7367.jpg\n']"
s53160255_8,p13894716,s53160255,8,Impression,1. ETT is 8.4 cm above the carina. 2. Improved pulmonary venous congestion.,2. Improved pulmonary venous congestion.,pulmonary venous congestion,,Better,['files/p13/p13894716/s53160255/1530fc93-5d8daf6b-2fe3d095-226a1abf-d1ee0557.jpg'],"['files/p13/p13894716/s53010838/36a124b2-816b2e86-561993f7-86f49d6f-f93c3ab0.jpg\n', 'files/p13/p13894716/s53010838/eca90488-10582fe3-bd30e11d-cca0f4a3-4a7f7367.jpg\n']"
s53163844_5,p15936884,s53163844,5,Impression,"As compared to the previous radiograph, the nasogastric tube was removed. The right PICC line is in unchanged position. Unchanged appearance of the cardiac silhouette and of the lung parenchyma. The alignment of the sternal wires is constant.",The alignment of the sternal wires is constant.,sternal wires,,Stable,['files/p15/p15936884/s53163844/9c117d65-7622dfb8-8d925586-8a37e8c7-aaa535de.jpg'],
s53163844_5,p15936884,s53163844,5,Impression,"As compared to the previous radiograph, the nasogastric tube was removed. The right PICC line is in unchanged position. Unchanged appearance of the cardiac silhouette and of the lung parenchyma. The alignment of the sternal wires is constant.",Unchanged appearance of the cardiac silhouette and of the lung parenchyma.,lung parenchyma,,Stable,['files/p15/p15936884/s53163844/9c117d65-7622dfb8-8d925586-8a37e8c7-aaa535de.jpg'],
s53163844_5,p15936884,s53163844,5,Impression,"As compared to the previous radiograph, the nasogastric tube was removed. The right PICC line is in unchanged position. Unchanged appearance of the cardiac silhouette and of the lung parenchyma. The alignment of the sternal wires is constant.",The right PICC line is in unchanged position.,PICC line,right,Stable,['files/p15/p15936884/s53163844/9c117d65-7622dfb8-8d925586-8a37e8c7-aaa535de.jpg'],
s53163844_5,p15936884,s53163844,5,Impression,"As compared to the previous radiograph, the nasogastric tube was removed. The right PICC line is in unchanged position. Unchanged appearance of the cardiac silhouette and of the lung parenchyma. The alignment of the sternal wires is constant.",Unchanged appearance of the cardiac silhouette and of the lung parenchyma.,cardiac silhouette,,Stable,['files/p15/p15936884/s53163844/9c117d65-7622dfb8-8d925586-8a37e8c7-aaa535de.jpg'],
s53163844_5,p15936884,s53163844,5,Impression,"As compared to the previous radiograph, the nasogastric tube was removed. The right PICC line is in unchanged position. Unchanged appearance of the cardiac silhouette and of the lung parenchyma. The alignment of the sternal wires is constant.","As compared to the previous radiograph, the nasogastric tube was removed.",nasogastric tube,,Resolve,['files/p15/p15936884/s53163844/9c117d65-7622dfb8-8d925586-8a37e8c7-aaa535de.jpg'],
s53169528_12,p15793456,s53169528,12,Impression,"Again seen is extensive emphysema with prominent bullous changes particularly at the bases. However, there is increased lucency at the left base with slight elevation of the left hemidiaphragm as well as increasing infrahilar opacity. Findings therefore raise the possibility of a loculated pneumothorax. Followup imaging is recommended. Endotracheal tube has its tip approximately 6 cm above the carina. A left subclavian PICC line has its tip in the distal SVC near the cavoatrial junction and a nasogastric tube is seen coursing below the diaphragm with the tip not identified. No pulmonary edema.","However, there is increased lucency at the left base with slight elevation of the left hemidiaphragm as well as increasing infrahilar opacity.",lucency,left base,Worse,['files/p15/p15793456/s53169528/ddb6d871-83f1673f-96525527-40edfaa8-32689e38.jpg'],"['files/p15/p15793456/s52887977/328c4898-15a54df3-c97f1134-fd048ae3-d95c0107.jpg\n', 'files/p15/p15793456/s52887977/add46527-df788627-5e7db26e-09b0fd71-16a29aa1.jpg\n']"
s53169528_12,p15793456,s53169528,12,Impression,"Again seen is extensive emphysema with prominent bullous changes particularly at the bases. However, there is increased lucency at the left base with slight elevation of the left hemidiaphragm as well as increasing infrahilar opacity. Findings therefore raise the possibility of a loculated pneumothorax. Followup imaging is recommended. Endotracheal tube has its tip approximately 6 cm above the carina. A left subclavian PICC line has its tip in the distal SVC near the cavoatrial junction and a nasogastric tube is seen coursing below the diaphragm with the tip not identified. No pulmonary edema.","However, there is increased lucency at the left base with slight elevation of the left hemidiaphragm as well as increasing infrahilar opacity.",opacity,infrahilar,Worse,['files/p15/p15793456/s53169528/ddb6d871-83f1673f-96525527-40edfaa8-32689e38.jpg'],"['files/p15/p15793456/s52887977/328c4898-15a54df3-c97f1134-fd048ae3-d95c0107.jpg\n', 'files/p15/p15793456/s52887977/add46527-df788627-5e7db26e-09b0fd71-16a29aa1.jpg\n']"
s53169528_12,p15793456,s53169528,12,Impression,"Again seen is extensive emphysema with prominent bullous changes particularly at the bases. However, there is increased lucency at the left base with slight elevation of the left hemidiaphragm as well as increasing infrahilar opacity. Findings therefore raise the possibility of a loculated pneumothorax. Followup imaging is recommended. Endotracheal tube has its tip approximately 6 cm above the carina. A left subclavian PICC line has its tip in the distal SVC near the cavoatrial junction and a nasogastric tube is seen coursing below the diaphragm with the tip not identified. No pulmonary edema.",Again seen is extensive emphysema with prominent bullous changes particularly at the bases.,emphysema with bullous changes,bases,Worse,['files/p15/p15793456/s53169528/ddb6d871-83f1673f-96525527-40edfaa8-32689e38.jpg'],"['files/p15/p15793456/s52887977/328c4898-15a54df3-c97f1134-fd048ae3-d95c0107.jpg\n', 'files/p15/p15793456/s52887977/add46527-df788627-5e7db26e-09b0fd71-16a29aa1.jpg\n']"
s53186992_12,p10543994,s53186992,12,Findings,"The bilateral parenchymal opacities are likely secondary to edema but may be due to accelerated interstitial disease. There largely unchanged. Moderate cardiomegaly is unchanged, as are the pulmonary vasculature and mediastinal contours. Right Port-A-Cath terminating at the cavoatrial junction and left pacemaker continuous lead in the right ventricle are unchanged.","Moderate cardiomegaly is unchanged, as are the pulmonary vasculature and mediastinal contours.",moderate cardiomegaly,Heart,Stable,['files/p10/p10543994/s53186992/cd184740-11930719-2a8fc04b-c1076a05-9009709a.jpg'],['files/p10/p10543994/s52330535/b3d6304a-bf9f636f-6eba19df-d0e27e8d-4d62934b.jpg\n']
s53186992_12,p10543994,s53186992,12,Impression,"Largely unchanged bilateral parenchymal opacities, likely secondary to edema but may be due to accelerated interstitial disease.","Largely unchanged bilateral parenchymal opacities, likely secondary to edema but may be due to accelerated interstitial disease.",parenchymal opacities,Bilateral,Stable,['files/p10/p10543994/s53186992/cd184740-11930719-2a8fc04b-c1076a05-9009709a.jpg'],['files/p10/p10543994/s52330535/b3d6304a-bf9f636f-6eba19df-d0e27e8d-4d62934b.jpg\n']
s53186992_12,p10543994,s53186992,12,Findings,"The bilateral parenchymal opacities are likely secondary to edema but may be due to accelerated interstitial disease. There largely unchanged. Moderate cardiomegaly is unchanged, as are the pulmonary vasculature and mediastinal contours. Right Port-A-Cath terminating at the cavoatrial junction and left pacemaker continuous lead in the right ventricle are unchanged.",The bilateral parenchymal opacities are likely secondary to edema but may be due to accelerated interstitial disease. There largely unchanged.,parenchymal opacities,Bilateral,Stable,['files/p10/p10543994/s53186992/cd184740-11930719-2a8fc04b-c1076a05-9009709a.jpg'],['files/p10/p10543994/s52330535/b3d6304a-bf9f636f-6eba19df-d0e27e8d-4d62934b.jpg\n']
s53195010_7,p12056668,s53195010,7,Findings,"In comparison with study of ___, there is again large left pleural effusion and a much smaller right pleural effusion with pigtail catheter in place. Bibasilar compressive atelectasis. In the absence of a lateral view, the possibility of supervening pneumonia, especially at the left base, cannot be excluded. No evidence of vascular congestion.","In comparison with study of ___, there is again large left pleural effusion and a much smaller right pleural effusion with pigtail catheter in place.",pleural effusion,right,Stable,['files/p12/p12056668/s53195010/4861b3fb-a6f7f90a-54624d89-31cc606f-beab81a7.jpg'],['files/p12/p12056668/s52167064/052e448b-2164ba7d-2a1a5625-94f5bdc2-34f732ab.jpg\n']
s53195010_7,p12056668,s53195010,7,Findings,"In comparison with study of ___, there is again large left pleural effusion and a much smaller right pleural effusion with pigtail catheter in place. Bibasilar compressive atelectasis. In the absence of a lateral view, the possibility of supervening pneumonia, especially at the left base, cannot be excluded. No evidence of vascular congestion.","In comparison with study of ___, there is again large left pleural effusion and a much smaller right pleural effusion with pigtail catheter in place.",pleural effusion,left,Stable,['files/p12/p12056668/s53195010/4861b3fb-a6f7f90a-54624d89-31cc606f-beab81a7.jpg'],['files/p12/p12056668/s52167064/052e448b-2164ba7d-2a1a5625-94f5bdc2-34f732ab.jpg\n']
s53199615_1,p19837705,s53199615,1,Impression,Severe cardiomegaly is stable. The lungs are clear. There is no pneumothorax or enlarging pleural effusions. The patient is status post aortic and mitral valve repair. Sternal wires are aligned.,Severe cardiomegaly is stable.,Severe cardiomegaly,,Stable,['files/p19/p19837705/s53199615/409ab484-fda170e7-cda34211-b9ba9941-eb94231c.jpg'],"['files/p19/p19837705/s52255420/0b1eec92-74e6469a-5e6bd20f-889cc052-152a9dbd.jpg\n', 'files/p19/p19837705/s52255420/174d1efe-f7714d0c-f1f99de2-c6e25477-48635320.jpg\n']"
s53205436_45,p11717909,s53205436,45,Impression,"In comparison with the study of ___, there is little change in the diffuse opacification involving most of the right hemithorax and the lower left lung. The monitoring support devices appear essentially unchanged.","In comparison with the study of ___, there is little change in the diffuse opacification involving most of the right hemithorax and the lower left lung.",diffuse opacification,lower left lung,Stable,['files/p11/p11717909/s53205436/7ee2c611-7652d0ee-f7552709-ffaf4671-7623d229.jpg'],['files/p11/p11717909/s53106161/c2bbad8a-13586101-c890f65a-eb483340-39f89263.jpg\n']
s53205436_45,p11717909,s53205436,45,Impression,"In comparison with the study of ___, there is little change in the diffuse opacification involving most of the right hemithorax and the lower left lung. The monitoring support devices appear essentially unchanged.",The monitoring support devices appear essentially unchanged.,monitoring support devices,,Stable,['files/p11/p11717909/s53205436/7ee2c611-7652d0ee-f7552709-ffaf4671-7623d229.jpg'],['files/p11/p11717909/s53106161/c2bbad8a-13586101-c890f65a-eb483340-39f89263.jpg\n']
s53205436_45,p11717909,s53205436,45,Impression,"In comparison with the study of ___, there is little change in the diffuse opacification involving most of the right hemithorax and the lower left lung. The monitoring support devices appear essentially unchanged.","In comparison with the study of ___, there is little change in the diffuse opacification involving most of the right hemithorax and the lower left lung.",diffuse opacification,right hemithorax,Stable,['files/p11/p11717909/s53205436/7ee2c611-7652d0ee-f7552709-ffaf4671-7623d229.jpg'],['files/p11/p11717909/s53106161/c2bbad8a-13586101-c890f65a-eb483340-39f89263.jpg\n']
s53208211_0,p11287042,s53208211,0,Impression,Moderate subpulmonic right pleural effusion smaller today than on ___. There is probably mild right basal atelectasis. Lungs are otherwise clear. No left pleural effusion.. Mediastinum is midline and contours are normal. Stomach is moderately distended with air. No pneumothorax.,Moderate subpulmonic right pleural effusion smaller today than on ___,pleural effusion,right subpulmonic,Better,"['files/p11/p11287042/s53208211/a0baf1bf-063bb5ba-1044c1ee-23f0b7ed-24b8169a.jpg', 'files/p11/p11287042/s53208211/d3e2e4d5-85f72646-4f703a66-df6941af-3344c515.jpg']","['files/p11/p11287042/s50657073/1ad21961-ee94488b-7fc68fbd-3a8a8100-9b71edfc.jpg\n', 'files/p11/p11287042/s50657073/31afabb5-1bab1f87-ced724a1-8ae227f6-6bca4f42.jpg\n']"
s53211019_0,p12326452,s53211019,0,Findings,"Compared to most recent prior exam, mild pulmonary edema has improved. Lung volumes are improved with minimal bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax is detected. There has been interval extubation. Right internal jugular catheter is in similar position with tip projecting at the level of the cavoatrial junction.",There has been interval extubation.,extubation,,Resolve,['files/p12/p12326452/s53211019/e4527afd-9522899b-f0226c68-901dccb8-e2d4eff4.jpg'],
s53211019_0,p12326452,s53211019,0,Impression,Interval extubation and improved interstitial edema.,Interval extubation and improved interstitial edema.,interstitial edema,,Better,['files/p12/p12326452/s53211019/e4527afd-9522899b-f0226c68-901dccb8-e2d4eff4.jpg'],
s53211019_0,p12326452,s53211019,0,Findings,"Compared to most recent prior exam, mild pulmonary edema has improved. Lung volumes are improved with minimal bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax is detected. There has been interval extubation. Right internal jugular catheter is in similar position with tip projecting at the level of the cavoatrial junction.","Compared to most recent prior exam, mild pulmonary edema has improved.",mild pulmonary edema,,Better,['files/p12/p12326452/s53211019/e4527afd-9522899b-f0226c68-901dccb8-e2d4eff4.jpg'],
s53211019_0,p12326452,s53211019,0,Findings,"Compared to most recent prior exam, mild pulmonary edema has improved. Lung volumes are improved with minimal bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax is detected. There has been interval extubation. Right internal jugular catheter is in similar position with tip projecting at the level of the cavoatrial junction.",Lung volumes are improved with minimal bibasilar atelectasis.,atelectasis,bibasilar,Better,['files/p12/p12326452/s53211019/e4527afd-9522899b-f0226c68-901dccb8-e2d4eff4.jpg'],
s53211019_0,p12326452,s53211019,0,Findings,"Compared to most recent prior exam, mild pulmonary edema has improved. Lung volumes are improved with minimal bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax is detected. There has been interval extubation. Right internal jugular catheter is in similar position with tip projecting at the level of the cavoatrial junction.",Right internal jugular catheter is in similar position with tip projecting at the level of the cavoatrial junction.,catheter,right internal jugular,Stable,['files/p12/p12326452/s53211019/e4527afd-9522899b-f0226c68-901dccb8-e2d4eff4.jpg'],
s53225875_6,p10773739,s53225875,6,Impression,"1. Small amount of thoracostomy related air and residual pleural fluid loculation, unchanged. 2. Mild volume loss at the left lower lobe.","1. Small amount of thoracostomy related air and residual pleural fluid loculation, unchanged.",thoracostomy related air and residual pleural fluid loculation,left pleural space,Stable,"['files/p10/p10773739/s53225875/05aa533c-2feb184d-ecec6546-ea655419-8dfdb025.jpg', 'files/p10/p10773739/s53225875/7ce067b7-43b86b45-28974414-6f1c4688-b7f94e66.jpg']","['files/p10/p10773739/s52243706/03a0e671-6ed112db-cd729147-e75e4c14-8b10b571.jpg\n', 'files/p10/p10773739/s52243706/27301340-4a2d61c1-9754659f-1f32a3ba-c517d70f.jpg\n', 'files/p10/p10773739/s52243706/63542f63-17f22a5a-775a8466-1ba3c944-df2167f2.jpg\n']"
s53225875_6,p10773739,s53225875,6,Findings,"The tiny volume of residual air in the left pleural space laterally and anteriorly, in the small, stable volume of loculated left pleural fluid or pleural thickening, reflects recent removal of the left thoracostomy tube. The left hemidiaphragm is more elevated now than it was several days ago, an indication of greater volume loss in the left lower lobe. The right lung and pleural space and visible mediastinal contours and structures are normal.","The left hemidiaphragm is more elevated now than it was several days ago, an indication of greater volume loss in the left lower lobe.",volume loss,left lower lobe,Worse,"['files/p10/p10773739/s53225875/05aa533c-2feb184d-ecec6546-ea655419-8dfdb025.jpg', 'files/p10/p10773739/s53225875/7ce067b7-43b86b45-28974414-6f1c4688-b7f94e66.jpg']","['files/p10/p10773739/s52243706/03a0e671-6ed112db-cd729147-e75e4c14-8b10b571.jpg\n', 'files/p10/p10773739/s52243706/27301340-4a2d61c1-9754659f-1f32a3ba-c517d70f.jpg\n', 'files/p10/p10773739/s52243706/63542f63-17f22a5a-775a8466-1ba3c944-df2167f2.jpg\n']"
s53225875_6,p10773739,s53225875,6,Findings,"The tiny volume of residual air in the left pleural space laterally and anteriorly, in the small, stable volume of loculated left pleural fluid or pleural thickening, reflects recent removal of the left thoracostomy tube. The left hemidiaphragm is more elevated now than it was several days ago, an indication of greater volume loss in the left lower lobe. The right lung and pleural space and visible mediastinal contours and structures are normal.","The tiny volume of residual air in the left pleural space laterally and anteriorly, in the small, stable volume of loculated left pleural fluid or pleural thickening, reflects recent removal of the left thoracostomy tube.",thoracostomy tube,left,Resolve,"['files/p10/p10773739/s53225875/05aa533c-2feb184d-ecec6546-ea655419-8dfdb025.jpg', 'files/p10/p10773739/s53225875/7ce067b7-43b86b45-28974414-6f1c4688-b7f94e66.jpg']","['files/p10/p10773739/s52243706/03a0e671-6ed112db-cd729147-e75e4c14-8b10b571.jpg\n', 'files/p10/p10773739/s52243706/27301340-4a2d61c1-9754659f-1f32a3ba-c517d70f.jpg\n', 'files/p10/p10773739/s52243706/63542f63-17f22a5a-775a8466-1ba3c944-df2167f2.jpg\n']"
s53227625_4,p16702545,s53227625,4,Impression,"In comparison with the earlier study of this date, the left subclavian catheter extends to the confluence of the brachiocephalic vein and left subclavian, essentially unchanged from the previous study. Continued low lung volumes with the degree of pulmonary vascular congestion appearing more prominent on this examination.",Continued low lung volumes with the degree of pulmonary vascular congestion appearing more prominent on this examination.,Pulmonary vascular congestion,,Worse,['files/p16/p16702545/s53227625/2eef5c12-93494114-fde0ba28-47a92aa4-240e4a11.jpg'],
s53227625_4,p16702545,s53227625,4,Impression,"In comparison with the earlier study of this date, the left subclavian catheter extends to the confluence of the brachiocephalic vein and left subclavian, essentially unchanged from the previous study. Continued low lung volumes with the degree of pulmonary vascular congestion appearing more prominent on this examination.","In comparison with the earlier study of this date, the left subclavian catheter extends to the confluence of the brachiocephalic vein and left subclavian, essentially unchanged from the previous study.",Left subclavian catheter,Confluence of the brachiocephalic vein and left subclavian,Stable,['files/p16/p16702545/s53227625/2eef5c12-93494114-fde0ba28-47a92aa4-240e4a11.jpg'],
s53255510_1,p18969267,s53255510,1,Findings,"Lungs are well-expanded and clear. Thickening of the tracheal wall is better seen on recent CT of the neck. The heart appears mildly enlarged with mild prominence of the bilateral hila consistent with mild congestive heart failure. No pneumothorax, pleural effusion, or consolidation.",Thickening of the tracheal wall is better seen on recent CT of the neck.,Thickening,tracheal wall,Better,"['files/p18/p18969267/s53255510/d0656529-d4148e4d-645f1099-b131dec9-41324e42.jpg', 'files/p18/p18969267/s53255510/eed7debf-292679cb-a89b7580-25336d55-4e0d77ef.jpg']","['files/p18/p18969267/s52583675/59b5b5e5-634c07ed-17d92c27-463e06df-2f15f98a.jpg\n', 'files/p18/p18969267/s52583675/6f8c8386-c00f970e-7ffd5cbb-1c5c050c-802c2c88.jpg\n', 'files/p18/p18969267/s52583675/76397f30-d006d063-4a74816b-c9a7771f-091df4d9.jpg\n', 'files/p18/p18969267/s52583675/fc6b9e45-ff6ee9f1-19c02f10-9d729ec8-efe70be6.jpg\n']"
s53267993_0,p14930750,s53267993,0,Findings,"Heart size is normal. The mediastinal contour is unchanged with mild atherosclerotic calcifications noted at the aortic arch. Hilar contours are similar compared to the prior chest CT with an infrahilar opacity re- demonstrated. The lungs are hyperinflated with severe emphysematous changes again seen. While scarring within the lung apices is again noted, there is a new patchy opacity seen within the left upper lobe concerning for an area of infection. No pleural effusion or pneumothorax is identified. No acute osseous abnormality seen.",The mediastinal contour is unchanged with mild atherosclerotic calcifications noted at the aortic arch.,mild atherosclerotic calcifications,aortic arch,Stable,"['files/p14/p14930750/s53267993/272ca8f3-c19b4186-d9b66363-3b20f14f-a6cec2b6.jpg', 'files/p14/p14930750/s53267993/bb47b3eb-ca29a1f0-571cfe7f-a5f99cf4-7e570c71.jpg']",
s53267993_0,p14930750,s53267993,0,Findings,"Heart size is normal. The mediastinal contour is unchanged with mild atherosclerotic calcifications noted at the aortic arch. Hilar contours are similar compared to the prior chest CT with an infrahilar opacity re- demonstrated. The lungs are hyperinflated with severe emphysematous changes again seen. While scarring within the lung apices is again noted, there is a new patchy opacity seen within the left upper lobe concerning for an area of infection. No pleural effusion or pneumothorax is identified. No acute osseous abnormality seen.",Hilar contours are similar compared to the prior chest CT with an infrahilar opacity re- demonstrated.,infrahilar opacity,hilar contours,Stable,"['files/p14/p14930750/s53267993/272ca8f3-c19b4186-d9b66363-3b20f14f-a6cec2b6.jpg', 'files/p14/p14930750/s53267993/bb47b3eb-ca29a1f0-571cfe7f-a5f99cf4-7e570c71.jpg']",
s53267993_0,p14930750,s53267993,0,Findings,"Heart size is normal. The mediastinal contour is unchanged with mild atherosclerotic calcifications noted at the aortic arch. Hilar contours are similar compared to the prior chest CT with an infrahilar opacity re- demonstrated. The lungs are hyperinflated with severe emphysematous changes again seen. While scarring within the lung apices is again noted, there is a new patchy opacity seen within the left upper lobe concerning for an area of infection. No pleural effusion or pneumothorax is identified. No acute osseous abnormality seen.",The lungs are hyperinflated with severe emphysematous changes again seen.,severe emphysematous changes,lungs,Stable,"['files/p14/p14930750/s53267993/272ca8f3-c19b4186-d9b66363-3b20f14f-a6cec2b6.jpg', 'files/p14/p14930750/s53267993/bb47b3eb-ca29a1f0-571cfe7f-a5f99cf4-7e570c71.jpg']",
s53267993_0,p14930750,s53267993,0,Findings,"Heart size is normal. The mediastinal contour is unchanged with mild atherosclerotic calcifications noted at the aortic arch. Hilar contours are similar compared to the prior chest CT with an infrahilar opacity re- demonstrated. The lungs are hyperinflated with severe emphysematous changes again seen. While scarring within the lung apices is again noted, there is a new patchy opacity seen within the left upper lobe concerning for an area of infection. No pleural effusion or pneumothorax is identified. No acute osseous abnormality seen.","While scarring within the lung apices is again noted, there is a new patchy opacity seen within the left upper lobe concerning for an area of infection.",patchy opacity,left upper lobe,New,"['files/p14/p14930750/s53267993/272ca8f3-c19b4186-d9b66363-3b20f14f-a6cec2b6.jpg', 'files/p14/p14930750/s53267993/bb47b3eb-ca29a1f0-571cfe7f-a5f99cf4-7e570c71.jpg']",
s53267993_0,p14930750,s53267993,0,Impression,"1. New patchy opacity in the left upper lobe concerning for an area of pneumonia. 2. Severe emphysema with scarring within the lung apices. 3. Right infrahilar opacity is re- demonstrated, and previously characterized on chest CTA as an area concerning for possible malignancy. Again bronchoscopy of this area is recommended if not done in the interval.",New patchy opacity in the left upper lobe concerning for an area of pneumonia.,patchy opacity,left upper lobe,New,"['files/p14/p14930750/s53267993/272ca8f3-c19b4186-d9b66363-3b20f14f-a6cec2b6.jpg', 'files/p14/p14930750/s53267993/bb47b3eb-ca29a1f0-571cfe7f-a5f99cf4-7e570c71.jpg']",
s53267993_0,p14930750,s53267993,0,Impression,"1. New patchy opacity in the left upper lobe concerning for an area of pneumonia. 2. Severe emphysema with scarring within the lung apices. 3. Right infrahilar opacity is re- demonstrated, and previously characterized on chest CTA as an area concerning for possible malignancy. Again bronchoscopy of this area is recommended if not done in the interval.","Right infrahilar opacity is re- demonstrated, and previously characterized on chest CTA as an area concerning for possible malignancy. Again bronchoscopy of this area is recommended if not done in the interval.",opacity,right infrahilar,Stable,"['files/p14/p14930750/s53267993/272ca8f3-c19b4186-d9b66363-3b20f14f-a6cec2b6.jpg', 'files/p14/p14930750/s53267993/bb47b3eb-ca29a1f0-571cfe7f-a5f99cf4-7e570c71.jpg']",
s53272126_0,p17223574,s53272126,0,Findings,"As compared to the previous radiograph, patient has been intubated. The tip of the endotracheal tube projects 5 cm above the carina. The patient has also received a nasogastric tube, the course of the tube can be followed through the upper and mid third of the esophagus but is not visible more peripherally than that. Decreased lung volumes and increased diameter of the pulmonary vasculature, combined with blunting of the left costophrenic sinus, potentially reflecting moderate pulmonary edema and a small pleural effusion. In addition atelectases are seen at both lung bases. Moderate cardiomegaly. No evidence of pneumonia.","As compared to the previous radiograph, patient has been intubated.",intubation,,New,['files/p17/p17223574/s53272126/8af200b2-6d16d8b6-7cf5ca1c-30dfcdce-74779c42.jpg'],"['files/p17/p17223574/s52530059/4036f736-4f89546f-95a68b44-55bb97d3-fa07a45b.jpg\n', 'files/p17/p17223574/s52530059/80394587-5cae6c52-0e47c884-fc81d7a5-aa49039a.jpg\n']"
s53273352_22,p18057037,s53273352,22,Findings,"Comparison is made to the prior radiographs from ___. Heart size is enlarged but stable. There is atelectasis at the lung bases. There are again seen bilateral pleural effusions, left worse than right and there is prominence of the pulmonary interstitial markings which is slightly improved. There are no pneumothoraces.",Heart size is enlarged but stable.,Heart size,,Stable,['files/p18/p18057037/s53273352/d37198a2-d588ccee-08feb12c-5d4942b3-98453d12.jpg'],"['files/p18/p18057037/s53058109/32f21aeb-76b307a2-19e6cd41-6e22837f-89b37db0.jpg\n', 'files/p18/p18057037/s53058109/903860bd-98a2aa2c-e1387e26-3c53bfbd-53e441f3.jpg\n', 'files/p18/p18057037/s53058109/ed9cb7d3-e541763d-995f4deb-46c21698-b3f3f780.jpg\n']"
s53273352_22,p18057037,s53273352,22,Findings,"Comparison is made to the prior radiographs from ___. Heart size is enlarged but stable. There is atelectasis at the lung bases. There are again seen bilateral pleural effusions, left worse than right and there is prominence of the pulmonary interstitial markings which is slightly improved. There are no pneumothoraces.","There are again seen bilateral pleural effusions, left worse than right and there is prominence of the pulmonary interstitial markings which is slightly improved.",interstitial markings,pulmonary,Better,['files/p18/p18057037/s53273352/d37198a2-d588ccee-08feb12c-5d4942b3-98453d12.jpg'],"['files/p18/p18057037/s53058109/32f21aeb-76b307a2-19e6cd41-6e22837f-89b37db0.jpg\n', 'files/p18/p18057037/s53058109/903860bd-98a2aa2c-e1387e26-3c53bfbd-53e441f3.jpg\n', 'files/p18/p18057037/s53058109/ed9cb7d3-e541763d-995f4deb-46c21698-b3f3f780.jpg\n']"
s53273352_22,p18057037,s53273352,22,Findings,"Comparison is made to the prior radiographs from ___. Heart size is enlarged but stable. There is atelectasis at the lung bases. There are again seen bilateral pleural effusions, left worse than right and there is prominence of the pulmonary interstitial markings which is slightly improved. There are no pneumothoraces.","There are again seen bilateral pleural effusions, left worse than right and there is prominence of the pulmonary interstitial markings which is slightly improved.",pleural effusions,bilateral,Better,['files/p18/p18057037/s53273352/d37198a2-d588ccee-08feb12c-5d4942b3-98453d12.jpg'],"['files/p18/p18057037/s53058109/32f21aeb-76b307a2-19e6cd41-6e22837f-89b37db0.jpg\n', 'files/p18/p18057037/s53058109/903860bd-98a2aa2c-e1387e26-3c53bfbd-53e441f3.jpg\n', 'files/p18/p18057037/s53058109/ed9cb7d3-e541763d-995f4deb-46c21698-b3f3f780.jpg\n']"
s53274670_2,p17933711,s53274670,2,Impression,New right catheter terminating in the right atrium. No pneumothorax. No acute cardiopulmonary abnormality. These findings were communicated to ordering physician ___. ___ by Dr. ___ ___ telephone at 10:35 on ___ immediately upon review of the radiograph.,New right catheter terminating in the right atrium.,Catheter,Right atrium,New,"['files/p17/p17933711/s53274670/bae736e7-d18067d5-22628077-2c19a6a3-2b6ea80a.jpg', 'files/p17/p17933711/s53274670/ff0e266e-6a3934bd-5c43948a-9777d9c7-8195a8cb.jpg']","['files/p17/p17933711/s51201285/27a25899-ff86a8aa-e4233c75-794e0118-c17d38ea.jpg\n', 'files/p17/p17933711/s51201285/82ca8995-dd37a31a-02d18a47-a0a6c734-0f8bb665.jpg\n']"
s53274670_2,p17933711,s53274670,2,Findings,The frontal and lateral chest re- craft demonstrates clear lungs with no focal consolidations. There is a new right catheter terminating in the right atrium. There is no pneumothorax. There is no pleural effusions. Heart size is mildly enlarged. Pulmonary vasculature and hilar structures are unremarkable. Pleural surfaces and osseous structures are unremarkable.,There is a new right catheter terminating in the right atrium.,Catheter,Right atrium,New,"['files/p17/p17933711/s53274670/bae736e7-d18067d5-22628077-2c19a6a3-2b6ea80a.jpg', 'files/p17/p17933711/s53274670/ff0e266e-6a3934bd-5c43948a-9777d9c7-8195a8cb.jpg']","['files/p17/p17933711/s51201285/27a25899-ff86a8aa-e4233c75-794e0118-c17d38ea.jpg\n', 'files/p17/p17933711/s51201285/82ca8995-dd37a31a-02d18a47-a0a6c734-0f8bb665.jpg\n']"
s53275640_25,p10337896,s53275640,25,Findings,"The tracheostomy tube is unchanged in position and terminates approximately 4.8 cm above the carina. The right PICC line terminates in the distal SVC. There is no significant change in the lungs when compared to ___. There are several parenchymal calcifications which were characterized on the most recent CT scan. Again noted are diffuse infiltrative parenchymal opacities, right worse than left; this is largely due to pulmonary edema and the right-sided pleural effusion, but underlying pneumonia cannot be excluded. The mediastinum is wide, which was noted as far back as the outside hospital CXR from ___. No acute osseous abnormalities.","Again noted are diffuse infiltrative parenchymal opacities, right worse than left; this is largely due to pulmonary edema and the right-sided pleural effusion, but underlying pneumonia cannot be excluded.",parenchymal opacities,right,Worse,['files/p10/p10337896/s53275640/ac8d6143-a581f133-eafa59da-4f66bc75-4693997c.jpg'],['files/p10/p10337896/s50880103/e5cd4468-946415a5-4559575d-56536274-59b03c5d.jpg\n']
s53275640_25,p10337896,s53275640,25,Findings,"The tracheostomy tube is unchanged in position and terminates approximately 4.8 cm above the carina. The right PICC line terminates in the distal SVC. There is no significant change in the lungs when compared to ___. There are several parenchymal calcifications which were characterized on the most recent CT scan. Again noted are diffuse infiltrative parenchymal opacities, right worse than left; this is largely due to pulmonary edema and the right-sided pleural effusion, but underlying pneumonia cannot be excluded. The mediastinum is wide, which was noted as far back as the outside hospital CXR from ___. No acute osseous abnormalities.",There is no significant change in the lungs when compared to ___.,lungs,,Stable,['files/p10/p10337896/s53275640/ac8d6143-a581f133-eafa59da-4f66bc75-4693997c.jpg'],['files/p10/p10337896/s50880103/e5cd4468-946415a5-4559575d-56536274-59b03c5d.jpg\n']
s53275640_25,p10337896,s53275640,25,Findings,"The tracheostomy tube is unchanged in position and terminates approximately 4.8 cm above the carina. The right PICC line terminates in the distal SVC. There is no significant change in the lungs when compared to ___. There are several parenchymal calcifications which were characterized on the most recent CT scan. Again noted are diffuse infiltrative parenchymal opacities, right worse than left; this is largely due to pulmonary edema and the right-sided pleural effusion, but underlying pneumonia cannot be excluded. The mediastinum is wide, which was noted as far back as the outside hospital CXR from ___. No acute osseous abnormalities.",The tracheostomy tube is unchanged in position and terminates approximately 4.8 cm above the carina.,tracheostomy tube position,4.8 cm above the carina,Stable,['files/p10/p10337896/s53275640/ac8d6143-a581f133-eafa59da-4f66bc75-4693997c.jpg'],['files/p10/p10337896/s50880103/e5cd4468-946415a5-4559575d-56536274-59b03c5d.jpg\n']
s53275640_25,p10337896,s53275640,25,Impression,"1. Moderate pulmonary edema, unchanged. 2. Interval improvement in right-sided pleural effusion.",2. Interval improvement in right-sided pleural effusion.,pleural effusion,right-sided,Better,['files/p10/p10337896/s53275640/ac8d6143-a581f133-eafa59da-4f66bc75-4693997c.jpg'],['files/p10/p10337896/s50880103/e5cd4468-946415a5-4559575d-56536274-59b03c5d.jpg\n']
s53275640_25,p10337896,s53275640,25,Impression,"1. Moderate pulmonary edema, unchanged. 2. Interval improvement in right-sided pleural effusion.","1. Moderate pulmonary edema, unchanged.",moderate pulmonary edema,,Stable,['files/p10/p10337896/s53275640/ac8d6143-a581f133-eafa59da-4f66bc75-4693997c.jpg'],['files/p10/p10337896/s50880103/e5cd4468-946415a5-4559575d-56536274-59b03c5d.jpg\n']
s53277637_15,p11135350,s53277637,15,Findings,"Since the chest radiographs obtained 3 days prior, there has been a significant increase in left lung atelectasis with leftward mediastinal shift. Patient positioning does not account for all apparent mediastinal shift. Unable to assess for concomitant left pleural effusions or consolidation. The right lung is fully expanded and clear.","Since the chest radiographs obtained 3 days prior, there has been a significant increase in left lung atelectasis with leftward mediastinal shift.",atelectasis,left lung,Worse,['files/p11/p11135350/s53277637/f3a27e2d-1d0d73bc-b7394f0c-7ed82c79-189ddee5.jpg'],['files/p11/p11135350/s53036339/a49ebd3a-d86b070c-87256a4b-f5bb2b7e-f8ebaa00.jpg\n']
s53282277_15,p14798972,s53282277,15,Findings,"There is a single right chest tube with its tip terminating near the right lung apex. No pneumothorax. Widening on the right side of the mediastinum is attributed to the neoesophagus. Otherwise, cardiomediastinal silhouette is stable in appearance. Minimal bibasilar atelectasis is present, unchanged on the right side and minimal increase on the left side. There is no pleural effusion or pneumothorax.","Otherwise, cardiomediastinal silhouette is stable in appearance.",Silhouette,Cardiomediastinal,Stable,"['files/p14/p14798972/s53282277/e0283f98-83b815d6-35bb6853-ae461039-0c3e6bbc.jpg', 'files/p14/p14798972/s53282277/e9bb2e99-4208de3e-59bacad5-8e02e55c-42955bad.jpg']","['files/p14/p14798972/s53111950/34a847c0-1064f7be-7174acc7-f552794e-b7b8fbc2.jpg\n', 'files/p14/p14798972/s53111950/7a18126c-a436beb1-3705883d-becf89c8-4a4895d3.jpg\n']"
s53282277_15,p14798972,s53282277,15,Findings,"There is a single right chest tube with its tip terminating near the right lung apex. No pneumothorax. Widening on the right side of the mediastinum is attributed to the neoesophagus. Otherwise, cardiomediastinal silhouette is stable in appearance. Minimal bibasilar atelectasis is present, unchanged on the right side and minimal increase on the left side. There is no pleural effusion or pneumothorax.","Minimal bibasilar atelectasis is present, unchanged on the right side and minimal increase on the left side.",Atelectasis,Right bibasilar,Stable,"['files/p14/p14798972/s53282277/e0283f98-83b815d6-35bb6853-ae461039-0c3e6bbc.jpg', 'files/p14/p14798972/s53282277/e9bb2e99-4208de3e-59bacad5-8e02e55c-42955bad.jpg']","['files/p14/p14798972/s53111950/34a847c0-1064f7be-7174acc7-f552794e-b7b8fbc2.jpg\n', 'files/p14/p14798972/s53111950/7a18126c-a436beb1-3705883d-becf89c8-4a4895d3.jpg\n']"
s53282277_15,p14798972,s53282277,15,Findings,"There is a single right chest tube with its tip terminating near the right lung apex. No pneumothorax. Widening on the right side of the mediastinum is attributed to the neoesophagus. Otherwise, cardiomediastinal silhouette is stable in appearance. Minimal bibasilar atelectasis is present, unchanged on the right side and minimal increase on the left side. There is no pleural effusion or pneumothorax.","Minimal bibasilar atelectasis is present, unchanged on the right side and minimal increase on the left side.",Atelectasis,Left bibasilar,Worse,"['files/p14/p14798972/s53282277/e0283f98-83b815d6-35bb6853-ae461039-0c3e6bbc.jpg', 'files/p14/p14798972/s53282277/e9bb2e99-4208de3e-59bacad5-8e02e55c-42955bad.jpg']","['files/p14/p14798972/s53111950/34a847c0-1064f7be-7174acc7-f552794e-b7b8fbc2.jpg\n', 'files/p14/p14798972/s53111950/7a18126c-a436beb1-3705883d-becf89c8-4a4895d3.jpg\n']"
s53287973_8,p10803114,s53287973,8,Impression,"1. There is a stable small right apical pneumothorax. Two right basilar chest tubes remain in place and there is contiguous patchy airspace disease in this vicinity which is essentially unchanged. A small but stable right effusion is likely present. The left lung remains clear. Overall, cardiac and mediastinal contours are stable. No evidence of pulmonary edema.",Two right basilar chest tubes remain in place and there is contiguous patchy airspace disease in this vicinity which is essentially unchanged.,patchy airspace disease,right basilar,Stable,['files/p10/p10803114/s53287973/24dcc6bd-268da180-8371ae76-64cd7bcd-550a8701.jpg'],['files/p10/p10803114/s52569432/21b088f4-785d17f9-7d448101-6744c865-87dd790b.jpg\n']
s53287973_8,p10803114,s53287973,8,Impression,"1. There is a stable small right apical pneumothorax. Two right basilar chest tubes remain in place and there is contiguous patchy airspace disease in this vicinity which is essentially unchanged. A small but stable right effusion is likely present. The left lung remains clear. Overall, cardiac and mediastinal contours are stable. No evidence of pulmonary edema.","Overall, cardiac and mediastinal contours are stable.",cardiac and mediastinal contours,,Stable,['files/p10/p10803114/s53287973/24dcc6bd-268da180-8371ae76-64cd7bcd-550a8701.jpg'],['files/p10/p10803114/s52569432/21b088f4-785d17f9-7d448101-6744c865-87dd790b.jpg\n']
s53287973_8,p10803114,s53287973,8,Impression,"1. There is a stable small right apical pneumothorax. Two right basilar chest tubes remain in place and there is contiguous patchy airspace disease in this vicinity which is essentially unchanged. A small but stable right effusion is likely present. The left lung remains clear. Overall, cardiac and mediastinal contours are stable. No evidence of pulmonary edema.",A small but stable right effusion is likely present.,effusion,right,Stable,['files/p10/p10803114/s53287973/24dcc6bd-268da180-8371ae76-64cd7bcd-550a8701.jpg'],['files/p10/p10803114/s52569432/21b088f4-785d17f9-7d448101-6744c865-87dd790b.jpg\n']
s53287973_8,p10803114,s53287973,8,Impression,"1. There is a stable small right apical pneumothorax. Two right basilar chest tubes remain in place and there is contiguous patchy airspace disease in this vicinity which is essentially unchanged. A small but stable right effusion is likely present. The left lung remains clear. Overall, cardiac and mediastinal contours are stable. No evidence of pulmonary edema.",The left lung remains clear.,lung,left,Stable,['files/p10/p10803114/s53287973/24dcc6bd-268da180-8371ae76-64cd7bcd-550a8701.jpg'],['files/p10/p10803114/s52569432/21b088f4-785d17f9-7d448101-6744c865-87dd790b.jpg\n']
s53287973_8,p10803114,s53287973,8,Impression,"1. There is a stable small right apical pneumothorax. Two right basilar chest tubes remain in place and there is contiguous patchy airspace disease in this vicinity which is essentially unchanged. A small but stable right effusion is likely present. The left lung remains clear. Overall, cardiac and mediastinal contours are stable. No evidence of pulmonary edema.",1. There is a stable small right apical pneumothorax.,pneumothorax,right apical,Stable,['files/p10/p10803114/s53287973/24dcc6bd-268da180-8371ae76-64cd7bcd-550a8701.jpg'],['files/p10/p10803114/s52569432/21b088f4-785d17f9-7d448101-6744c865-87dd790b.jpg\n']
s53287973_8,p10803114,s53287973,8,Impression,"1. There is a stable small right apical pneumothorax. Two right basilar chest tubes remain in place and there is contiguous patchy airspace disease in this vicinity which is essentially unchanged. A small but stable right effusion is likely present. The left lung remains clear. Overall, cardiac and mediastinal contours are stable. No evidence of pulmonary edema.",Two right basilar chest tubes remain in place and there is contiguous patchy airspace disease in this vicinity which is essentially unchanged.,chest tubes,right basilar,Stable,['files/p10/p10803114/s53287973/24dcc6bd-268da180-8371ae76-64cd7bcd-550a8701.jpg'],['files/p10/p10803114/s52569432/21b088f4-785d17f9-7d448101-6744c865-87dd790b.jpg\n']
s53288720_0,p11668016,s53288720,0,Findings,"Subtle left base streaky opacity most likely represents atelectasis, although in the appropriate clinical setting, an underlying consolidation is not excluded. The right lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Mild degenerative changes are seen along the spine. No displaced fracture is seen.",The cardiac and mediastinal silhouettes are stable.,cardiac and mediastinal silhouettes,,Stable,"['files/p11/p11668016/s53288720/372cbd5c-3e859e0a-99848f35-a0ad4c90-72e10f87.jpg', 'files/p11/p11668016/s53288720/c28d6f89-4ca74a2d-2dac60f1-572eb1e1-651e43a4.jpg']",
s53302173_0,p10986871,s53302173,0,Findings,"Cardiomediastinal and hilar contours are stable demonstrating mild cardiomegaly. Mitral annular calcifications are noted. Bibasilar opacities, left greater than right are demonstrated and may represent infection or atelectasis. Lower lung volumes on the current exam results in crowding of the bronchovascular markings. The aorta is tortuous and calcified. There is no pneumothorax. There is no pleural effusion. There is marked degenerative change involving the glenohumeral joints bilaterally.",Cardiomediastinal and hilar contours are stable demonstrating mild cardiomegaly.,mild cardiomegaly,Cardiomediastinal and hilar contours,Stable,"['files/p10/p10986871/s53302173/171a4674-65e7ed96-c63bae1f-faa3fd7d-07ac9309.jpg', 'files/p10/p10986871/s53302173/4d5310fd-468856e6-1b902127-c506ed84-8b93870d.jpg', 'files/p10/p10986871/s53302173/d60c19c5-2a87cd59-e5c184dd-a81d581c-09f5cb99.jpg']",
s53302173_0,p10986871,s53302173,0,Impression,"Bibasilar opacities, left greater than right suggest infection or atelectasis. Mild cardiomegaly is stable.",Mild cardiomegaly is stable.,mild cardiomegaly,,Stable,"['files/p10/p10986871/s53302173/171a4674-65e7ed96-c63bae1f-faa3fd7d-07ac9309.jpg', 'files/p10/p10986871/s53302173/4d5310fd-468856e6-1b902127-c506ed84-8b93870d.jpg', 'files/p10/p10986871/s53302173/d60c19c5-2a87cd59-e5c184dd-a81d581c-09f5cb99.jpg']",
s53310742_2,p11520249,s53310742,2,Findings,"A single lead pacemaker terminates in the left ventricle. The pulmonary vasculature is normal. A rounded opacity seen in the right upper lobe is again worrisome for carcinoma. There is no focal airspace consolidation to suggest pneumonia. The cardiac silhouette is moderately enlarged, slightly increased, without central vascular congestion or pulmonary edema. There is no pleural effusion or pneumothorax. Dense calcifications are seen throughout the aorta.","The cardiac silhouette is moderately enlarged, slightly increased, without central vascular congestion or pulmonary edema.",moderately enlarged cardiac silhouette,,Worse,"['files/p11/p11520249/s53310742/360077bf-5c45c46a-28dca0b6-44639e55-2a199832.jpg', 'files/p11/p11520249/s53310742/fe1456c8-170ff785-1bee6889-6f6bf616-b8bfe756.jpg']","['files/p11/p11520249/s53036025/925adb8d-69aca63a-440c3d56-6b7842af-89d5994b.jpg\n', 'files/p11/p11520249/s53036025/da4b16dc-70fac17f-f55577e8-6d7eb687-7777fa17.jpg\n']"
s53310742_2,p11520249,s53310742,2,Findings,"A single lead pacemaker terminates in the left ventricle. The pulmonary vasculature is normal. A rounded opacity seen in the right upper lobe is again worrisome for carcinoma. There is no focal airspace consolidation to suggest pneumonia. The cardiac silhouette is moderately enlarged, slightly increased, without central vascular congestion or pulmonary edema. There is no pleural effusion or pneumothorax. Dense calcifications are seen throughout the aorta.",A rounded opacity seen in the right upper lobe is again worrisome for carcinoma.,rounded opacity,right upper lobe,Worse,"['files/p11/p11520249/s53310742/360077bf-5c45c46a-28dca0b6-44639e55-2a199832.jpg', 'files/p11/p11520249/s53310742/fe1456c8-170ff785-1bee6889-6f6bf616-b8bfe756.jpg']","['files/p11/p11520249/s53036025/925adb8d-69aca63a-440c3d56-6b7842af-89d5994b.jpg\n', 'files/p11/p11520249/s53036025/da4b16dc-70fac17f-f55577e8-6d7eb687-7777fa17.jpg\n']"
s53320690_17,p19358609,s53320690,17,Findings,"The multifocal bilateral opacities have essentially completely resolved since ___. Left pleural effusion has also completely resolved. Residual background emphysematous changes most prominent in the right upper lung with scarring and pleural thickening as well as background post-left upper lobectomy changes with elevation of the left hemidiaphragm are unchanged compared to ___. Blunting of the left costophrenic angle reflects thickening/scarring. A calcified perihilar node is unchanged. The heart is normal in size. The descending thoracic aorta is slightly tortuous, unchanged. Dextroconvex scoliosis of thoracic spine is overall similar with similar distortion of thoracic cage. Prominent degenerative changes in the thoracic spine are also overall unchanged.",Left pleural effusion has also completely resolved.,pleural effusion,left,Resolve,"['files/p19/p19358609/s53320690/5a0fbb50-16fcbb3c-b43ab7db-64bdd2fa-0d3ba8ae.jpg', 'files/p19/p19358609/s53320690/c3ab7330-992f2893-ebd35a90-84ee8f64-3922a960.jpg']",['files/p19/p19358609/s52687447/64a79d58-bf2c5aca-fb7bf4f7-833548bf-24fa5543.jpg\n']
s53320690_17,p19358609,s53320690,17,Findings,"The multifocal bilateral opacities have essentially completely resolved since ___. Left pleural effusion has also completely resolved. Residual background emphysematous changes most prominent in the right upper lung with scarring and pleural thickening as well as background post-left upper lobectomy changes with elevation of the left hemidiaphragm are unchanged compared to ___. Blunting of the left costophrenic angle reflects thickening/scarring. A calcified perihilar node is unchanged. The heart is normal in size. The descending thoracic aorta is slightly tortuous, unchanged. Dextroconvex scoliosis of thoracic spine is overall similar with similar distortion of thoracic cage. Prominent degenerative changes in the thoracic spine are also overall unchanged.",Residual background emphysematous changes most prominent in the right upper lung with scarring and pleural thickening as well as background post-left upper lobectomy changes with elevation of the left hemidiaphragm are unchanged compared to ___.,emphysematous changes,right upper lung,Stable,"['files/p19/p19358609/s53320690/5a0fbb50-16fcbb3c-b43ab7db-64bdd2fa-0d3ba8ae.jpg', 'files/p19/p19358609/s53320690/c3ab7330-992f2893-ebd35a90-84ee8f64-3922a960.jpg']",['files/p19/p19358609/s52687447/64a79d58-bf2c5aca-fb7bf4f7-833548bf-24fa5543.jpg\n']
s53320690_17,p19358609,s53320690,17,Impression,Interval resolution of pneumonia.,Interval resolution of pneumonia.,pneumonia,,Resolve,"['files/p19/p19358609/s53320690/5a0fbb50-16fcbb3c-b43ab7db-64bdd2fa-0d3ba8ae.jpg', 'files/p19/p19358609/s53320690/c3ab7330-992f2893-ebd35a90-84ee8f64-3922a960.jpg']",['files/p19/p19358609/s52687447/64a79d58-bf2c5aca-fb7bf4f7-833548bf-24fa5543.jpg\n']
s53320690_17,p19358609,s53320690,17,Findings,"The multifocal bilateral opacities have essentially completely resolved since ___. Left pleural effusion has also completely resolved. Residual background emphysematous changes most prominent in the right upper lung with scarring and pleural thickening as well as background post-left upper lobectomy changes with elevation of the left hemidiaphragm are unchanged compared to ___. Blunting of the left costophrenic angle reflects thickening/scarring. A calcified perihilar node is unchanged. The heart is normal in size. The descending thoracic aorta is slightly tortuous, unchanged. Dextroconvex scoliosis of thoracic spine is overall similar with similar distortion of thoracic cage. Prominent degenerative changes in the thoracic spine are also overall unchanged.",Residual background emphysematous changes most prominent in the right upper lung with scarring and pleural thickening as well as background post-left upper lobectomy changes with elevation of the left hemidiaphragm are unchanged compared to ___.,post-left upper lobectomy changes,left hemidiaphragm,Stable,"['files/p19/p19358609/s53320690/5a0fbb50-16fcbb3c-b43ab7db-64bdd2fa-0d3ba8ae.jpg', 'files/p19/p19358609/s53320690/c3ab7330-992f2893-ebd35a90-84ee8f64-3922a960.jpg']",['files/p19/p19358609/s52687447/64a79d58-bf2c5aca-fb7bf4f7-833548bf-24fa5543.jpg\n']
s53320690_17,p19358609,s53320690,17,Findings,"The multifocal bilateral opacities have essentially completely resolved since ___. Left pleural effusion has also completely resolved. Residual background emphysematous changes most prominent in the right upper lung with scarring and pleural thickening as well as background post-left upper lobectomy changes with elevation of the left hemidiaphragm are unchanged compared to ___. Blunting of the left costophrenic angle reflects thickening/scarring. A calcified perihilar node is unchanged. The heart is normal in size. The descending thoracic aorta is slightly tortuous, unchanged. Dextroconvex scoliosis of thoracic spine is overall similar with similar distortion of thoracic cage. Prominent degenerative changes in the thoracic spine are also overall unchanged.",Prominent degenerative changes in the thoracic spine are also overall unchanged.,degenerative changes,thoracic spine,Stable,"['files/p19/p19358609/s53320690/5a0fbb50-16fcbb3c-b43ab7db-64bdd2fa-0d3ba8ae.jpg', 'files/p19/p19358609/s53320690/c3ab7330-992f2893-ebd35a90-84ee8f64-3922a960.jpg']",['files/p19/p19358609/s52687447/64a79d58-bf2c5aca-fb7bf4f7-833548bf-24fa5543.jpg\n']
s53320690_17,p19358609,s53320690,17,Findings,"The multifocal bilateral opacities have essentially completely resolved since ___. Left pleural effusion has also completely resolved. Residual background emphysematous changes most prominent in the right upper lung with scarring and pleural thickening as well as background post-left upper lobectomy changes with elevation of the left hemidiaphragm are unchanged compared to ___. Blunting of the left costophrenic angle reflects thickening/scarring. A calcified perihilar node is unchanged. The heart is normal in size. The descending thoracic aorta is slightly tortuous, unchanged. Dextroconvex scoliosis of thoracic spine is overall similar with similar distortion of thoracic cage. Prominent degenerative changes in the thoracic spine are also overall unchanged.",Dextroconvex scoliosis of thoracic spine is overall similar with similar distortion of thoracic cage.,dextroconvex scoliosis,thoracic spine,Stable,"['files/p19/p19358609/s53320690/5a0fbb50-16fcbb3c-b43ab7db-64bdd2fa-0d3ba8ae.jpg', 'files/p19/p19358609/s53320690/c3ab7330-992f2893-ebd35a90-84ee8f64-3922a960.jpg']",['files/p19/p19358609/s52687447/64a79d58-bf2c5aca-fb7bf4f7-833548bf-24fa5543.jpg\n']
s53320690_17,p19358609,s53320690,17,Findings,"The multifocal bilateral opacities have essentially completely resolved since ___. Left pleural effusion has also completely resolved. Residual background emphysematous changes most prominent in the right upper lung with scarring and pleural thickening as well as background post-left upper lobectomy changes with elevation of the left hemidiaphragm are unchanged compared to ___. Blunting of the left costophrenic angle reflects thickening/scarring. A calcified perihilar node is unchanged. The heart is normal in size. The descending thoracic aorta is slightly tortuous, unchanged. Dextroconvex scoliosis of thoracic spine is overall similar with similar distortion of thoracic cage. Prominent degenerative changes in the thoracic spine are also overall unchanged.","The descending thoracic aorta is slightly tortuous, unchanged.",tortuosity,descending thoracic aorta,Stable,"['files/p19/p19358609/s53320690/5a0fbb50-16fcbb3c-b43ab7db-64bdd2fa-0d3ba8ae.jpg', 'files/p19/p19358609/s53320690/c3ab7330-992f2893-ebd35a90-84ee8f64-3922a960.jpg']",['files/p19/p19358609/s52687447/64a79d58-bf2c5aca-fb7bf4f7-833548bf-24fa5543.jpg\n']
s53320690_17,p19358609,s53320690,17,Findings,"The multifocal bilateral opacities have essentially completely resolved since ___. Left pleural effusion has also completely resolved. Residual background emphysematous changes most prominent in the right upper lung with scarring and pleural thickening as well as background post-left upper lobectomy changes with elevation of the left hemidiaphragm are unchanged compared to ___. Blunting of the left costophrenic angle reflects thickening/scarring. A calcified perihilar node is unchanged. The heart is normal in size. The descending thoracic aorta is slightly tortuous, unchanged. Dextroconvex scoliosis of thoracic spine is overall similar with similar distortion of thoracic cage. Prominent degenerative changes in the thoracic spine are also overall unchanged.",A calcified perihilar node is unchanged.,calcified node,perihilar,Stable,"['files/p19/p19358609/s53320690/5a0fbb50-16fcbb3c-b43ab7db-64bdd2fa-0d3ba8ae.jpg', 'files/p19/p19358609/s53320690/c3ab7330-992f2893-ebd35a90-84ee8f64-3922a960.jpg']",['files/p19/p19358609/s52687447/64a79d58-bf2c5aca-fb7bf4f7-833548bf-24fa5543.jpg\n']
s53320690_17,p19358609,s53320690,17,Findings,"The multifocal bilateral opacities have essentially completely resolved since ___. Left pleural effusion has also completely resolved. Residual background emphysematous changes most prominent in the right upper lung with scarring and pleural thickening as well as background post-left upper lobectomy changes with elevation of the left hemidiaphragm are unchanged compared to ___. Blunting of the left costophrenic angle reflects thickening/scarring. A calcified perihilar node is unchanged. The heart is normal in size. The descending thoracic aorta is slightly tortuous, unchanged. Dextroconvex scoliosis of thoracic spine is overall similar with similar distortion of thoracic cage. Prominent degenerative changes in the thoracic spine are also overall unchanged.",The multifocal bilateral opacities have essentially completely resolved since ___.,opacities,bilateral,Resolve,"['files/p19/p19358609/s53320690/5a0fbb50-16fcbb3c-b43ab7db-64bdd2fa-0d3ba8ae.jpg', 'files/p19/p19358609/s53320690/c3ab7330-992f2893-ebd35a90-84ee8f64-3922a960.jpg']",['files/p19/p19358609/s52687447/64a79d58-bf2c5aca-fb7bf4f7-833548bf-24fa5543.jpg\n']
s53321855_5,p10198310,s53321855,5,Findings,Lungs are fully expanded and clear. No pleural abnormalities. Severe cardiomegaly and cardiomediastinal hilar silhouettes are unchanged. Pacemaker and ICD leads are unchanged in position. No evidence of displaced rib fracture.,Pacemaker and ICD leads are unchanged in position.,Pacemaker and ICD leads,,Stable,"['files/p10/p10198310/s53321855/52051de6-12f425a6-7e6e8a6e-8b8c4176-b5d56a2b.jpg', 'files/p10/p10198310/s53321855/b0957f5e-2da32f5e-3f46e685-8b05a23b-25c97471.jpg']","['files/p10/p10198310/s52908323/712aa03e-6655e311-b8ade96a-39fa2c64-ca1bd306.jpg\n', 'files/p10/p10198310/s52908323/ff7d1ad3-f6e1cd09-288ac039-d69f45d4-8ebbacf3.jpg\n']"
s53321855_5,p10198310,s53321855,5,Findings,Lungs are fully expanded and clear. No pleural abnormalities. Severe cardiomegaly and cardiomediastinal hilar silhouettes are unchanged. Pacemaker and ICD leads are unchanged in position. No evidence of displaced rib fracture.,Severe cardiomegaly and cardiomediastinal hilar silhouettes are unchanged.,cardiomegaly,cardiomediastinal,Stable,"['files/p10/p10198310/s53321855/52051de6-12f425a6-7e6e8a6e-8b8c4176-b5d56a2b.jpg', 'files/p10/p10198310/s53321855/b0957f5e-2da32f5e-3f46e685-8b05a23b-25c97471.jpg']","['files/p10/p10198310/s52908323/712aa03e-6655e311-b8ade96a-39fa2c64-ca1bd306.jpg\n', 'files/p10/p10198310/s52908323/ff7d1ad3-f6e1cd09-288ac039-d69f45d4-8ebbacf3.jpg\n']"
s53321855_5,p10198310,s53321855,5,Impression,No evidence of rib fracture. Pacemaker and ICD leads are unchanged in position.,Pacemaker and ICD leads are unchanged in position.,Pacemaker and ICD leads,,Stable,"['files/p10/p10198310/s53321855/52051de6-12f425a6-7e6e8a6e-8b8c4176-b5d56a2b.jpg', 'files/p10/p10198310/s53321855/b0957f5e-2da32f5e-3f46e685-8b05a23b-25c97471.jpg']","['files/p10/p10198310/s52908323/712aa03e-6655e311-b8ade96a-39fa2c64-ca1bd306.jpg\n', 'files/p10/p10198310/s52908323/ff7d1ad3-f6e1cd09-288ac039-d69f45d4-8ebbacf3.jpg\n']"
s53321855_5,p10198310,s53321855,5,Findings,Lungs are fully expanded and clear. No pleural abnormalities. Severe cardiomegaly and cardiomediastinal hilar silhouettes are unchanged. Pacemaker and ICD leads are unchanged in position. No evidence of displaced rib fracture.,Severe cardiomegaly and cardiomediastinal hilar silhouettes are unchanged.,hilar silhouettes,cardiomediastinal,Stable,"['files/p10/p10198310/s53321855/52051de6-12f425a6-7e6e8a6e-8b8c4176-b5d56a2b.jpg', 'files/p10/p10198310/s53321855/b0957f5e-2da32f5e-3f46e685-8b05a23b-25c97471.jpg']","['files/p10/p10198310/s52908323/712aa03e-6655e311-b8ade96a-39fa2c64-ca1bd306.jpg\n', 'files/p10/p10198310/s52908323/ff7d1ad3-f6e1cd09-288ac039-d69f45d4-8ebbacf3.jpg\n']"
s53323373_9,p10337896,s53323373,9,Impression,"In comparison with the study of ___, there is little change. Diffuse bilateral pulmonary opacification with areas of calcificationpersist with bilateral pleural effusions and no change in the monitoring and support devices.",Diffuse bilateral pulmonary opacification with areas of calcificationpersist with bilateral pleural effusions and no change in the monitoring and support devices.,monitoring and support devices,,Stable,['files/p10/p10337896/s53323373/15034ac9-409361f3-6164c82a-a854b0cb-06ae3a8d.jpg'],['files/p10/p10337896/s53275640/ac8d6143-a581f133-eafa59da-4f66bc75-4693997c.jpg\n']
s53323373_9,p10337896,s53323373,9,Impression,"In comparison with the study of ___, there is little change. Diffuse bilateral pulmonary opacification with areas of calcificationpersist with bilateral pleural effusions and no change in the monitoring and support devices.","In comparison with the study of ___, there is little change.",study,,Stable,['files/p10/p10337896/s53323373/15034ac9-409361f3-6164c82a-a854b0cb-06ae3a8d.jpg'],['files/p10/p10337896/s53275640/ac8d6143-a581f133-eafa59da-4f66bc75-4693997c.jpg\n']
s53323373_9,p10337896,s53323373,9,Impression,"In comparison with the study of ___, there is little change. Diffuse bilateral pulmonary opacification with areas of calcificationpersist with bilateral pleural effusions and no change in the monitoring and support devices.",Diffuse bilateral pulmonary opacification with areas of calcificationpersist with bilateral pleural effusions and no change in the monitoring and support devices.,diffuse bilateral pulmonary opacification with areas of calcification,,Stable,['files/p10/p10337896/s53323373/15034ac9-409361f3-6164c82a-a854b0cb-06ae3a8d.jpg'],['files/p10/p10337896/s53275640/ac8d6143-a581f133-eafa59da-4f66bc75-4693997c.jpg\n']
s53323373_9,p10337896,s53323373,9,Impression,"In comparison with the study of ___, there is little change. Diffuse bilateral pulmonary opacification with areas of calcificationpersist with bilateral pleural effusions and no change in the monitoring and support devices.",Diffuse bilateral pulmonary opacification with areas of calcificationpersist with bilateral pleural effusions and no change in the monitoring and support devices.,bilateral pleural effusions,,Stable,['files/p10/p10337896/s53323373/15034ac9-409361f3-6164c82a-a854b0cb-06ae3a8d.jpg'],['files/p10/p10337896/s53275640/ac8d6143-a581f133-eafa59da-4f66bc75-4693997c.jpg\n']
s53338001_1,p19358609,s53338001,1,Impression,"The heart size is at upper limits of normal, but stable compared to prior study as are the mediastinal contours. The lungs continue to demonstrate bibasilar opacities, becoming slightly more confluent on the left - a developing pneumonia cannot be excluded. Pulmonary vascular congestion is also present in the setting of severe emphysema. Biapical scarring is unchanged. There is no large pleural effusion or pneumothorax.","The lungs continue to demonstrate bibasilar opacities, becoming slightly more confluent on the left - a developing pneumonia cannot be excluded.",opacities,left bibasilar,Worse,['files/p19/p19358609/s53338001/e3b156eb-4c598a51-50f9b5e6-4c4dc426-84eee081.jpg'],"['files/p19/p19358609/s53320690/5a0fbb50-16fcbb3c-b43ab7db-64bdd2fa-0d3ba8ae.jpg\n', 'files/p19/p19358609/s53320690/c3ab7330-992f2893-ebd35a90-84ee8f64-3922a960.jpg\n']"
s53338001_1,p19358609,s53338001,1,Impression,"The heart size is at upper limits of normal, but stable compared to prior study as are the mediastinal contours. The lungs continue to demonstrate bibasilar opacities, becoming slightly more confluent on the left - a developing pneumonia cannot be excluded. Pulmonary vascular congestion is also present in the setting of severe emphysema. Biapical scarring is unchanged. There is no large pleural effusion or pneumothorax.",Biapical scarring is unchanged.,scarring,biapical,Stable,['files/p19/p19358609/s53338001/e3b156eb-4c598a51-50f9b5e6-4c4dc426-84eee081.jpg'],"['files/p19/p19358609/s53320690/5a0fbb50-16fcbb3c-b43ab7db-64bdd2fa-0d3ba8ae.jpg\n', 'files/p19/p19358609/s53320690/c3ab7330-992f2893-ebd35a90-84ee8f64-3922a960.jpg\n']"
s53338001_1,p19358609,s53338001,1,Impression,"The heart size is at upper limits of normal, but stable compared to prior study as are the mediastinal contours. The lungs continue to demonstrate bibasilar opacities, becoming slightly more confluent on the left - a developing pneumonia cannot be excluded. Pulmonary vascular congestion is also present in the setting of severe emphysema. Biapical scarring is unchanged. There is no large pleural effusion or pneumothorax.","The heart size is at upper limits of normal, but stable compared to prior study as are the mediastinal contours.",size,heart,Stable,['files/p19/p19358609/s53338001/e3b156eb-4c598a51-50f9b5e6-4c4dc426-84eee081.jpg'],"['files/p19/p19358609/s53320690/5a0fbb50-16fcbb3c-b43ab7db-64bdd2fa-0d3ba8ae.jpg\n', 'files/p19/p19358609/s53320690/c3ab7330-992f2893-ebd35a90-84ee8f64-3922a960.jpg\n']"
s53338001_1,p19358609,s53338001,1,Impression,"The heart size is at upper limits of normal, but stable compared to prior study as are the mediastinal contours. The lungs continue to demonstrate bibasilar opacities, becoming slightly more confluent on the left - a developing pneumonia cannot be excluded. Pulmonary vascular congestion is also present in the setting of severe emphysema. Biapical scarring is unchanged. There is no large pleural effusion or pneumothorax.","The heart size is at upper limits of normal, but stable compared to prior study as are the mediastinal contours.",contours,mediastinal,Stable,['files/p19/p19358609/s53338001/e3b156eb-4c598a51-50f9b5e6-4c4dc426-84eee081.jpg'],"['files/p19/p19358609/s53320690/5a0fbb50-16fcbb3c-b43ab7db-64bdd2fa-0d3ba8ae.jpg\n', 'files/p19/p19358609/s53320690/c3ab7330-992f2893-ebd35a90-84ee8f64-3922a960.jpg\n']"
s53340313_13,p13421580,s53340313,13,Findings,"Interval re-positioning of left PICC, now terminating in the proximal superior vena cava. Other devices are unchanged in position. Heart size remains normal. Multifocal pulmonary opacities in the mid and lower lungs appear relatively similar to the prior study allowing for patient rotation. Moderate-to-large pleural effusions are again demonstrated, with apparent slight improvement on the right. Diffuse haziness of upper abdomen is suggestive of ascites.","Moderate-to-large pleural effusions are again demonstrated, with apparent slight improvement on the right.",moderate-to-large pleural effusions,right,Better,"['files/p13/p13421580/s53340313/6e39a6e9-bab75ed2-f14cb4c3-af0877ed-05332d75.jpg', 'files/p13/p13421580/s53340313/be3cdb3c-7f8e24b7-df00a412-c41181eb-44d18ada.jpg']",['files/p13/p13421580/s52546898/4912b8ce-70f296a3-b9137775-5da5c93b-74948b5e.jpg\n']
s53340313_13,p13421580,s53340313,13,Findings,"Interval re-positioning of left PICC, now terminating in the proximal superior vena cava. Other devices are unchanged in position. Heart size remains normal. Multifocal pulmonary opacities in the mid and lower lungs appear relatively similar to the prior study allowing for patient rotation. Moderate-to-large pleural effusions are again demonstrated, with apparent slight improvement on the right. Diffuse haziness of upper abdomen is suggestive of ascites.",Multifocal pulmonary opacities in the mid and lower lungs appear relatively similar to the prior study allowing for patient rotation.,multifocal pulmonary opacities,mid and lower lungs,Stable,"['files/p13/p13421580/s53340313/6e39a6e9-bab75ed2-f14cb4c3-af0877ed-05332d75.jpg', 'files/p13/p13421580/s53340313/be3cdb3c-7f8e24b7-df00a412-c41181eb-44d18ada.jpg']",['files/p13/p13421580/s52546898/4912b8ce-70f296a3-b9137775-5da5c93b-74948b5e.jpg\n']
s53340313_13,p13421580,s53340313,13,Findings,"Interval re-positioning of left PICC, now terminating in the proximal superior vena cava. Other devices are unchanged in position. Heart size remains normal. Multifocal pulmonary opacities in the mid and lower lungs appear relatively similar to the prior study allowing for patient rotation. Moderate-to-large pleural effusions are again demonstrated, with apparent slight improvement on the right. Diffuse haziness of upper abdomen is suggestive of ascites.",Other devices are unchanged in position.,other devices,,Stable,"['files/p13/p13421580/s53340313/6e39a6e9-bab75ed2-f14cb4c3-af0877ed-05332d75.jpg', 'files/p13/p13421580/s53340313/be3cdb3c-7f8e24b7-df00a412-c41181eb-44d18ada.jpg']",['files/p13/p13421580/s52546898/4912b8ce-70f296a3-b9137775-5da5c93b-74948b5e.jpg\n']
s53340313_13,p13421580,s53340313,13,Findings,"Interval re-positioning of left PICC, now terminating in the proximal superior vena cava. Other devices are unchanged in position. Heart size remains normal. Multifocal pulmonary opacities in the mid and lower lungs appear relatively similar to the prior study allowing for patient rotation. Moderate-to-large pleural effusions are again demonstrated, with apparent slight improvement on the right. Diffuse haziness of upper abdomen is suggestive of ascites.",Heart size remains normal.,heart size,,Stable,"['files/p13/p13421580/s53340313/6e39a6e9-bab75ed2-f14cb4c3-af0877ed-05332d75.jpg', 'files/p13/p13421580/s53340313/be3cdb3c-7f8e24b7-df00a412-c41181eb-44d18ada.jpg']",['files/p13/p13421580/s52546898/4912b8ce-70f296a3-b9137775-5da5c93b-74948b5e.jpg\n']
s53343064_0,p13799343,s53343064,0,Findings,The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. Patchy calcification is similar along the aortic arch. There is a vascular stent projecting adjacent to the aortic arch. There is no pleural effusion or pneumothorax. The lungs appear clear. Slight degenerative changes are similar along the thoracic spine. There is a prior non-displaced right sixth rib fracture with remodeling.,The mediastinal and hilar contours appear unchanged.,,mediastinal and hilar contours,Stable,"['files/p13/p13799343/s53343064/6b5d6ce1-8bcb7314-52203b9f-b287d557-396bee1d.jpg', 'files/p13/p13799343/s53343064/b90f926b-309e71d5-d3572c48-dc0744ec-8b4c6a5e.jpg']",
s53343064_0,p13799343,s53343064,0,Findings,The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. Patchy calcification is similar along the aortic arch. There is a vascular stent projecting adjacent to the aortic arch. There is no pleural effusion or pneumothorax. The lungs appear clear. Slight degenerative changes are similar along the thoracic spine. There is a prior non-displaced right sixth rib fracture with remodeling.,There is a prior non-displaced right sixth rib fracture with remodeling.,non-displaced fracture with remodeling,right sixth rib,Stable,"['files/p13/p13799343/s53343064/6b5d6ce1-8bcb7314-52203b9f-b287d557-396bee1d.jpg', 'files/p13/p13799343/s53343064/b90f926b-309e71d5-d3572c48-dc0744ec-8b4c6a5e.jpg']",
s53343064_0,p13799343,s53343064,0,Findings,The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. Patchy calcification is similar along the aortic arch. There is a vascular stent projecting adjacent to the aortic arch. There is no pleural effusion or pneumothorax. The lungs appear clear. Slight degenerative changes are similar along the thoracic spine. There is a prior non-displaced right sixth rib fracture with remodeling.,Patchy calcification is similar along the aortic arch.,Patchy calcification,along the aortic arch,Stable,"['files/p13/p13799343/s53343064/6b5d6ce1-8bcb7314-52203b9f-b287d557-396bee1d.jpg', 'files/p13/p13799343/s53343064/b90f926b-309e71d5-d3572c48-dc0744ec-8b4c6a5e.jpg']",
s53343064_0,p13799343,s53343064,0,Findings,The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. Patchy calcification is similar along the aortic arch. There is a vascular stent projecting adjacent to the aortic arch. There is no pleural effusion or pneumothorax. The lungs appear clear. Slight degenerative changes are similar along the thoracic spine. There is a prior non-displaced right sixth rib fracture with remodeling.,Slight degenerative changes are similar along the thoracic spine.,Slight degenerative changes,along the thoracic spine,Stable,"['files/p13/p13799343/s53343064/6b5d6ce1-8bcb7314-52203b9f-b287d557-396bee1d.jpg', 'files/p13/p13799343/s53343064/b90f926b-309e71d5-d3572c48-dc0744ec-8b4c6a5e.jpg']",
s53359410_1,p12772476,s53359410,1,Impression,"1. New right lower lung zone opacity, which is nonspecific, and could be due to aspiration, pneumonia and/or atelectasis. 2. Moderate left pleural effusion. 3. Stable mild cardiomegaly.",3. Stable mild cardiomegaly.,mild cardiomegaly,cardiomediastinal silhouette,Stable,"['files/p12/p12772476/s53359410/527ab470-5a042701-655a8f99-f88b1d1d-d9a565d0.jpg', 'files/p12/p12772476/s53359410/a5c3b36a-f3271f5a-cc6ce24f-3808fc88-f79e1e27.jpg']",['files/p12/p12772476/s50730815/96ac5d23-fc7ee66f-45c92058-4edaeaf3-87204a92.jpg\n']
s53359410_1,p12772476,s53359410,1,Findings,"The lung volumes are low. There is a hazy linear opacification at the right base, which is new from the prior exam, and concerning for pneumonia, aspiration, or atelectasis. There is persistent blunting of the right costophrenic angle, without definite pleural effusion. There is a moderate left pleural effusion. The upper lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is unchanged with stable mild cardiomegaly.","There is a hazy linear opacification at the right base, which is new from the prior exam, and concerning for pneumonia, aspiration, or atelectasis.",opacification,right base,New,"['files/p12/p12772476/s53359410/527ab470-5a042701-655a8f99-f88b1d1d-d9a565d0.jpg', 'files/p12/p12772476/s53359410/a5c3b36a-f3271f5a-cc6ce24f-3808fc88-f79e1e27.jpg']",['files/p12/p12772476/s50730815/96ac5d23-fc7ee66f-45c92058-4edaeaf3-87204a92.jpg\n']
s53359410_1,p12772476,s53359410,1,Findings,"The lung volumes are low. There is a hazy linear opacification at the right base, which is new from the prior exam, and concerning for pneumonia, aspiration, or atelectasis. There is persistent blunting of the right costophrenic angle, without definite pleural effusion. There is a moderate left pleural effusion. The upper lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is unchanged with stable mild cardiomegaly.","There is persistent blunting of the right costophrenic angle, without definite pleural effusion.",blunting,right costophrenic angle,Stable,"['files/p12/p12772476/s53359410/527ab470-5a042701-655a8f99-f88b1d1d-d9a565d0.jpg', 'files/p12/p12772476/s53359410/a5c3b36a-f3271f5a-cc6ce24f-3808fc88-f79e1e27.jpg']",['files/p12/p12772476/s50730815/96ac5d23-fc7ee66f-45c92058-4edaeaf3-87204a92.jpg\n']
s53359410_1,p12772476,s53359410,1,Impression,"1. New right lower lung zone opacity, which is nonspecific, and could be due to aspiration, pneumonia and/or atelectasis. 2. Moderate left pleural effusion. 3. Stable mild cardiomegaly.","1. New right lower lung zone opacity, which is nonspecific, and could be due to aspiration, pneumonia and/or atelectasis.",opacity,right lower lung zone,New,"['files/p12/p12772476/s53359410/527ab470-5a042701-655a8f99-f88b1d1d-d9a565d0.jpg', 'files/p12/p12772476/s53359410/a5c3b36a-f3271f5a-cc6ce24f-3808fc88-f79e1e27.jpg']",['files/p12/p12772476/s50730815/96ac5d23-fc7ee66f-45c92058-4edaeaf3-87204a92.jpg\n']
s53359410_1,p12772476,s53359410,1,Findings,"The lung volumes are low. There is a hazy linear opacification at the right base, which is new from the prior exam, and concerning for pneumonia, aspiration, or atelectasis. There is persistent blunting of the right costophrenic angle, without definite pleural effusion. There is a moderate left pleural effusion. The upper lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is unchanged with stable mild cardiomegaly.",The cardiomediastinal silhouette is unchanged with stable mild cardiomegaly.,mild cardiomegaly,cardiomediastinal silhouette,Stable,"['files/p12/p12772476/s53359410/527ab470-5a042701-655a8f99-f88b1d1d-d9a565d0.jpg', 'files/p12/p12772476/s53359410/a5c3b36a-f3271f5a-cc6ce24f-3808fc88-f79e1e27.jpg']",['files/p12/p12772476/s50730815/96ac5d23-fc7ee66f-45c92058-4edaeaf3-87204a92.jpg\n']
s53371051_15,p11932181,s53371051,15,Findings,Frontal and lateral views of the chest. There is volume loss in the left hemithorax with elevation of left hemidiaphragm and of the left hilum. Findings are compatible with left upper lobectomy. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Deformity of the posterior left sixth rib is again seen.,Deformity of the posterior left sixth rib is again seen.,Deformity,posterior left sixth rib,Stable,"['files/p11/p11932181/s53371051/2bcf27dd-d6846a19-17a50f81-e265b7ff-00892752.jpg', 'files/p11/p11932181/s53371051/6e7d1634-c7ec6214-ab2d08c7-5f964d50-7fcebc90.jpg']","['files/p11/p11932181/s53058995/91310c64-f689bd9a-53a0bb24-83baba02-d33e0c78.jpg\n', 'files/p11/p11932181/s53058995/a6bfecfe-281e20c1-3d9a3002-ebed7792-aa0c7f47.jpg\n']"
s53371757_0,p17617589,s53371757,0,Impression,1. Right mainstem intubation. Recommend re-positioning. 2. Asymmetric pulmonary interstitial edema and vascular congestion on the right greater than the left. Superimposed infection cannot be excluded in the appropriate clinical context.,Right mainstem intubation. Recommend re-positioning.,Intubation,Right mainstem,Worse,['files/p17/p17617589/s53371757/d3e8fc04-74fae9fb-787da683-4705e3a6-8e7dd7a6.jpg'],
s53383140_0,p12329950,s53383140,0,Findings,"In comparison with the study of ___, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.","In comparison with the study of ___, there is no interval change or evidence of acute cardiopulmonary disease.",acute cardiopulmonary disease,,Stable,"['files/p12/p12329950/s53383140/06c66858-7a1c5a87-dcab2b4f-eac300a1-97c25db3.jpg', 'files/p12/p12329950/s53383140/371535d2-66f5cbc5-b9d8abfd-fadeca21-81b0e4a8.jpg']","['files/p12/p12329950/s50866812/162fc277-cbb73b5c-ce81e596-2975a3c2-428c8a21.jpg\n', 'files/p12/p12329950/s50866812/53286e62-dc9dc056-5c468ac4-8d4b9a0d-747d77cd.jpg\n']"
s53383243_21,p11888614,s53383243,21,Impression,"Multifocal opacities in both lungs, predominantly within a perihilar distribution, as demonstrated on the prior chest CT. Findings again are nonspecific, but concerning for a multifocal infectious process.","Findings again are nonspecific, but concerning for a multifocal infectious process.",Multifocal infectious process,Both lungs,Stable,"['files/p11/p11888614/s53383243/66e06e1a-cbaf78cc-cfb43d10-c93987a3-a12d7bca.jpg', 'files/p11/p11888614/s53383243/f64e7f86-3a69ce7c-1bca8f45-3fb972a4-a7f54583.jpg']","['files/p11/p11888614/s53187893/7ebdf1b8-b936cc21-5810163a-7443a8a9-2684d9a2.jpg\n', 'files/p11/p11888614/s53187893/921eecd2-7d30328a-db88bb8d-94f476e1-a090f4ef.jpg\n']"
s53383243_21,p11888614,s53383243,21,Impression,"Multifocal opacities in both lungs, predominantly within a perihilar distribution, as demonstrated on the prior chest CT. Findings again are nonspecific, but concerning for a multifocal infectious process.","Multifocal opacities in both lungs, predominantly within a perihilar distribution, as demonstrated on the prior chest CT.",Multifocal opacities,Perihilar distribution,Stable,"['files/p11/p11888614/s53383243/66e06e1a-cbaf78cc-cfb43d10-c93987a3-a12d7bca.jpg', 'files/p11/p11888614/s53383243/f64e7f86-3a69ce7c-1bca8f45-3fb972a4-a7f54583.jpg']","['files/p11/p11888614/s53187893/7ebdf1b8-b936cc21-5810163a-7443a8a9-2684d9a2.jpg\n', 'files/p11/p11888614/s53187893/921eecd2-7d30328a-db88bb8d-94f476e1-a090f4ef.jpg\n']"
s53383243_21,p11888614,s53383243,21,Findings,"The cardiac, mediastinal and hilar contours are within normal limits, and the heart size is normal. Focal ill-defined opacities are demonstrated predominantly within the perihilar regions of both upper lobes, as was noted on the prior CT, but new when compared to the prior chest radiograph. No pleural effusion or pneumothorax is present, and there is no pulmonary vascular congestion. There are no acute osseous abnormalities.","Focal ill-defined opacities are demonstrated predominantly within the perihilar regions of both upper lobes, as was noted on the prior CT, but new when compared to the prior chest radiograph.",Focal ill-defined opacities,Perihilar regions of both upper lobes,New,"['files/p11/p11888614/s53383243/66e06e1a-cbaf78cc-cfb43d10-c93987a3-a12d7bca.jpg', 'files/p11/p11888614/s53383243/f64e7f86-3a69ce7c-1bca8f45-3fb972a4-a7f54583.jpg']","['files/p11/p11888614/s53187893/7ebdf1b8-b936cc21-5810163a-7443a8a9-2684d9a2.jpg\n', 'files/p11/p11888614/s53187893/921eecd2-7d30328a-db88bb8d-94f476e1-a090f4ef.jpg\n']"
s53395975_6,p16034181,s53395975,6,Findings,"Interval improvement in pulmonary edema with residual interstitial edema remaining. Cardiac silhouette is stable in size, and note is made of a moderate hiatal hernia. Bilateral small pleural effusions are also present. Increased lung volumes are suggestive of COPD.",Interval improvement in pulmonary edema with residual interstitial edema remaining.,Pulmonary edema,,Better,"['files/p16/p16034181/s53395975/77e5731e-4cd67ee6-56cf33fa-772c6c6b-4e25a333.jpg', 'files/p16/p16034181/s53395975/9c83a18d-e7c2386f-1b090c1f-9d7c949f-ded90c8f.jpg']",['files/p16/p16034181/s50146664/052836b8-b02d3f46-3faf7e36-07ce1ba1-1052a8a6.jpg\n']
s53395975_6,p16034181,s53395975,6,Impression,1. Improving pulmonary edema with residual interstitial edema remaining as well as small bilateral pleural effusions. 2. Moderate hiatal hernia.,1. Improving pulmonary edema with residual interstitial edema remaining as well as small bilateral pleural effusions.,Pulmonary edema,,Better,"['files/p16/p16034181/s53395975/77e5731e-4cd67ee6-56cf33fa-772c6c6b-4e25a333.jpg', 'files/p16/p16034181/s53395975/9c83a18d-e7c2386f-1b090c1f-9d7c949f-ded90c8f.jpg']",['files/p16/p16034181/s50146664/052836b8-b02d3f46-3faf7e36-07ce1ba1-1052a8a6.jpg\n']
s53395975_6,p16034181,s53395975,6,Findings,"Interval improvement in pulmonary edema with residual interstitial edema remaining. Cardiac silhouette is stable in size, and note is made of a moderate hiatal hernia. Bilateral small pleural effusions are also present. Increased lung volumes are suggestive of COPD.",Interval improvement in pulmonary edema with residual interstitial edema remaining.,Residual interstitial edema,,Stable,"['files/p16/p16034181/s53395975/77e5731e-4cd67ee6-56cf33fa-772c6c6b-4e25a333.jpg', 'files/p16/p16034181/s53395975/9c83a18d-e7c2386f-1b090c1f-9d7c949f-ded90c8f.jpg']",['files/p16/p16034181/s50146664/052836b8-b02d3f46-3faf7e36-07ce1ba1-1052a8a6.jpg\n']
s53395975_6,p16034181,s53395975,6,Findings,"Interval improvement in pulmonary edema with residual interstitial edema remaining. Cardiac silhouette is stable in size, and note is made of a moderate hiatal hernia. Bilateral small pleural effusions are also present. Increased lung volumes are suggestive of COPD.","Cardiac silhouette is stable in size, and note is made of a moderate hiatal hernia.",Cardiac silhouette size,,Stable,"['files/p16/p16034181/s53395975/77e5731e-4cd67ee6-56cf33fa-772c6c6b-4e25a333.jpg', 'files/p16/p16034181/s53395975/9c83a18d-e7c2386f-1b090c1f-9d7c949f-ded90c8f.jpg']",['files/p16/p16034181/s50146664/052836b8-b02d3f46-3faf7e36-07ce1ba1-1052a8a6.jpg\n']
s53395975_6,p16034181,s53395975,6,Findings,"Interval improvement in pulmonary edema with residual interstitial edema remaining. Cardiac silhouette is stable in size, and note is made of a moderate hiatal hernia. Bilateral small pleural effusions are also present. Increased lung volumes are suggestive of COPD.","Cardiac silhouette is stable in size, and note is made of a moderate hiatal hernia.",Moderate hiatal hernia,,New,"['files/p16/p16034181/s53395975/77e5731e-4cd67ee6-56cf33fa-772c6c6b-4e25a333.jpg', 'files/p16/p16034181/s53395975/9c83a18d-e7c2386f-1b090c1f-9d7c949f-ded90c8f.jpg']",['files/p16/p16034181/s50146664/052836b8-b02d3f46-3faf7e36-07ce1ba1-1052a8a6.jpg\n']
s53395975_6,p16034181,s53395975,6,Impression,1. Improving pulmonary edema with residual interstitial edema remaining as well as small bilateral pleural effusions. 2. Moderate hiatal hernia.,1. Improving pulmonary edema with residual interstitial edema remaining as well as small bilateral pleural effusions.,Small pleural effusions,Bilateral,Stable,"['files/p16/p16034181/s53395975/77e5731e-4cd67ee6-56cf33fa-772c6c6b-4e25a333.jpg', 'files/p16/p16034181/s53395975/9c83a18d-e7c2386f-1b090c1f-9d7c949f-ded90c8f.jpg']",['files/p16/p16034181/s50146664/052836b8-b02d3f46-3faf7e36-07ce1ba1-1052a8a6.jpg\n']
s53395975_6,p16034181,s53395975,6,Impression,1. Improving pulmonary edema with residual interstitial edema remaining as well as small bilateral pleural effusions. 2. Moderate hiatal hernia.,1. Improving pulmonary edema with residual interstitial edema remaining as well as small bilateral pleural effusions.,Residual interstitial edema,,Stable,"['files/p16/p16034181/s53395975/77e5731e-4cd67ee6-56cf33fa-772c6c6b-4e25a333.jpg', 'files/p16/p16034181/s53395975/9c83a18d-e7c2386f-1b090c1f-9d7c949f-ded90c8f.jpg']",['files/p16/p16034181/s50146664/052836b8-b02d3f46-3faf7e36-07ce1ba1-1052a8a6.jpg\n']
s53400904_20,p17055995,s53400904,20,Impression,New mild peribronchial opacification right lower lobe could be due to recent aspiration or developing pneumonia. Lungs otherwise clear. No pleural abnormality. Normal cardiomediastinal silhouette. Left jugular line ends in the mid SVC.,New mild peribronchial opacification right lower lobe could be due to recent aspiration or developing pneumonia.,peribronchial opacification,right lower lobe,New,['files/p17/p17055995/s53400904/8b0af9e3-cf03e510-2238b168-0fcfeaaa-379dac24.jpg'],"['files/p17/p17055995/s52770480/1658b53d-620ef24b-cc1913fb-1d842a7b-233b6a0d.jpg\n', 'files/p17/p17055995/s52770480/e619f4bc-6a72c001-18ee8e31-b4b41aa1-3f57cbc5.jpg\n']"
s53401480_1,p11662490,s53401480,1,Findings,"There is prominence of the vasculature which has increased from prior. Additionaly, patchy opacities at the lung bases is more conspicuous on this study. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are normal. The imaged upper abdomen is unremarkable. Cervical orthopedic hardware is partially imaged.",There is prominence of the vasculature which has increased from prior.,Vasculature prominence,,Worse,['files/p11/p11662490/s53401480/209d689e-f2bb226e-ab552d0d-9117b227-324c0ac6.jpg'],['files/p11/p11662490/s51662547/b9ea020d-fe39c08b-1e6f557d-405aa7cb-ce016ba2.jpg\n']
s53401480_1,p11662490,s53401480,1,Impression,Bibasilar patchy opacities are nonspecific but may be due to aspiration given clinical suspicion for this entity. Worsened vascular congestion.,Worsened vascular congestion.,Vascular congestion,,Worse,['files/p11/p11662490/s53401480/209d689e-f2bb226e-ab552d0d-9117b227-324c0ac6.jpg'],['files/p11/p11662490/s51662547/b9ea020d-fe39c08b-1e6f557d-405aa7cb-ce016ba2.jpg\n']
s53401480_1,p11662490,s53401480,1,Findings,"There is prominence of the vasculature which has increased from prior. Additionaly, patchy opacities at the lung bases is more conspicuous on this study. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are normal. The imaged upper abdomen is unremarkable. Cervical orthopedic hardware is partially imaged.","Additionally, patchy opacities at the lung bases is more conspicuous on this study.",Patchy opacities,Lung bases,Worse,['files/p11/p11662490/s53401480/209d689e-f2bb226e-ab552d0d-9117b227-324c0ac6.jpg'],['files/p11/p11662490/s51662547/b9ea020d-fe39c08b-1e6f557d-405aa7cb-ce016ba2.jpg\n']
s53410013_3,p13376876,s53410013,3,Impression,No acute cardiopulmonary process. Right subclavian port intact and unchanged in position.,Right subclavian port intact and unchanged in position.,Right subclavian port,,Stable,"['files/p13/p13376876/s53410013/6c2a89e1-7527c7bc-af55390d-e1a8a046-a6a45f48.jpg', 'files/p13/p13376876/s53410013/72b75c31-c89b5e3c-f2a6d852-a3982477-96334886.jpg']",['files/p13/p13376876/s51235024/53f3ebc2-eccf07d6-246e623d-a4b102ff-79e5b202.jpg\n']
s53410013_3,p13376876,s53410013,3,Findings,A right subclavian Port-A-Cath is unchanged in position with the tip terminating in the mid SVC without any kinks or breaks in the line. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.,A right subclavian Port-A-Cath is unchanged in position with the tip terminating in the mid SVC without any kinks or breaks in the line.,right subclavian Port-A-Cath,mid SVC,Stable,"['files/p13/p13376876/s53410013/6c2a89e1-7527c7bc-af55390d-e1a8a046-a6a45f48.jpg', 'files/p13/p13376876/s53410013/72b75c31-c89b5e3c-f2a6d852-a3982477-96334886.jpg']",['files/p13/p13376876/s51235024/53f3ebc2-eccf07d6-246e623d-a4b102ff-79e5b202.jpg\n']
s53411092_3,p16702545,s53411092,3,Impression,"In comparison with the earlier study of this date, the nasogastric tube has been pushed forward so that it extends at least to the mid to lower portion of the body of the stomach. Otherwise little change. .","In comparison with the earlier study of this date, the nasogastric tube has been pushed forward so that it extends at least to the mid to lower portion of the body of the stomach.",Nasogastric tube,Mid to lower portion of the body of the stomach,Worse,"['files/p16/p16702545/s53411092/25eef2b8-203a6f5d-ed3bca06-5b1e873c-0cbbbc20.jpg', 'files/p16/p16702545/s53411092/c1e4e895-66af7b86-0fc1918b-2dc76aaf-49aee7c5.jpg']",['files/p16/p16702545/s53227625/2eef5c12-93494114-fde0ba28-47a92aa4-240e4a11.jpg\n']
s53411092_3,p16702545,s53411092,3,Impression,"In comparison with the earlier study of this date, the nasogastric tube has been pushed forward so that it extends at least to the mid to lower portion of the body of the stomach. Otherwise little change. .",Otherwise little change.,General condition,,Stable,"['files/p16/p16702545/s53411092/25eef2b8-203a6f5d-ed3bca06-5b1e873c-0cbbbc20.jpg', 'files/p16/p16702545/s53411092/c1e4e895-66af7b86-0fc1918b-2dc76aaf-49aee7c5.jpg']",['files/p16/p16702545/s53227625/2eef5c12-93494114-fde0ba28-47a92aa4-240e4a11.jpg\n']
s53415248_20,p16033763,s53415248,20,Findings,"In comparison with the study of ___, the Pleurx catheter remains in place while the chest tube has been removed. No evidence of pneumothorax. Multiple pulmonary lesions are again seen.","In comparison with the study of ___, the Pleurx catheter remains in place while the chest tube has been removed.",Pleurx catheter,,Stable,['files/p16/p16033763/s53415248/a1c0d864-60999f47-337df4cc-6a4a20eb-c78f73b8.jpg'],['files/p16/p16033763/s53153262/574a4800-1bd863fc-41b229b6-7e737994-5232ce8a.jpg\n']
s53418566_1,p10543994,s53418566,1,Impression,Interval placement of a single lead left-sided pacing device with the lead terminating over the expected location of the right ventricle. The cardiac and mediastinal contours are stable with left ventricular prominence. Interval placement of a right internal jugular Port-A-Cath with its tip in the distal SVC. No pneumothorax. Interval appearance of mild pulmonary edema.,Interval placement of a right internal jugular Port-A-Cath with its tip in the distal SVC.,Port-A-Cath,right internal jugular,New,['files/p10/p10543994/s53418566/78383c35-b9b27e1d-2f9fa023-af32c4bc-0e8f6a90.jpg'],['files/p10/p10543994/s53186992/cd184740-11930719-2a8fc04b-c1076a05-9009709a.jpg\n']
s53418566_1,p10543994,s53418566,1,Impression,Interval placement of a single lead left-sided pacing device with the lead terminating over the expected location of the right ventricle. The cardiac and mediastinal contours are stable with left ventricular prominence. Interval placement of a right internal jugular Port-A-Cath with its tip in the distal SVC. No pneumothorax. Interval appearance of mild pulmonary edema.,The cardiac and mediastinal contours are stable with left ventricular prominence.,contours,cardiac and mediastinal,Stable,['files/p10/p10543994/s53418566/78383c35-b9b27e1d-2f9fa023-af32c4bc-0e8f6a90.jpg'],['files/p10/p10543994/s53186992/cd184740-11930719-2a8fc04b-c1076a05-9009709a.jpg\n']
s53418566_1,p10543994,s53418566,1,Impression,Interval placement of a single lead left-sided pacing device with the lead terminating over the expected location of the right ventricle. The cardiac and mediastinal contours are stable with left ventricular prominence. Interval placement of a right internal jugular Port-A-Cath with its tip in the distal SVC. No pneumothorax. Interval appearance of mild pulmonary edema.,Interval placement of a single lead left-sided pacing device with the lead terminating over the expected location of the right ventricle.,pacing device,left-sided,New,['files/p10/p10543994/s53418566/78383c35-b9b27e1d-2f9fa023-af32c4bc-0e8f6a90.jpg'],['files/p10/p10543994/s53186992/cd184740-11930719-2a8fc04b-c1076a05-9009709a.jpg\n']
s53418566_1,p10543994,s53418566,1,Impression,Interval placement of a single lead left-sided pacing device with the lead terminating over the expected location of the right ventricle. The cardiac and mediastinal contours are stable with left ventricular prominence. Interval placement of a right internal jugular Port-A-Cath with its tip in the distal SVC. No pneumothorax. Interval appearance of mild pulmonary edema.,Interval appearance of mild pulmonary edema.,pulmonary edema,,New,['files/p10/p10543994/s53418566/78383c35-b9b27e1d-2f9fa023-af32c4bc-0e8f6a90.jpg'],['files/p10/p10543994/s53186992/cd184740-11930719-2a8fc04b-c1076a05-9009709a.jpg\n']
s53437515_14,p17055995,s53437515,14,Findings,Comparison is made to previous study from ___. The right IJ central line has been removed. There is hardware within the lower cervical spine. The heart size is unchanged and stable. There is some atelectasis at the lung bases. There are no signs for overt pulmonary edema or definite consolidation. No pneumothoraces are present.,The heart size is unchanged and stable.,heart size,,Stable,['files/p17/p17055995/s53437515/84c6ebfe-211d33d7-178a645a-3526f767-a15ec657.jpg'],['files/p17/p17055995/s53400904/8b0af9e3-cf03e510-2238b168-0fcfeaaa-379dac24.jpg\n']
s53437515_14,p17055995,s53437515,14,Findings,Comparison is made to previous study from ___. The right IJ central line has been removed. There is hardware within the lower cervical spine. The heart size is unchanged and stable. There is some atelectasis at the lung bases. There are no signs for overt pulmonary edema or definite consolidation. No pneumothoraces are present.,The right IJ central line has been removed.,central line,right IJ,Resolve,['files/p17/p17055995/s53437515/84c6ebfe-211d33d7-178a645a-3526f767-a15ec657.jpg'],['files/p17/p17055995/s53400904/8b0af9e3-cf03e510-2238b168-0fcfeaaa-379dac24.jpg\n']
s53441107_0,p15732468,s53441107,0,Findings,"The lungs remain hyperinflated consistent with patient's history of underlying emphysema. Areas of calcified pleural plaques previously demonstrated on CT account for the focal calcific densities overlying bilateral lungs. There are no focal consolidations, effusions, or pneumothoraces. The cardiomediastinal silhouette is normal. No acute fractures are identified.",The lungs remain hyperinflated consistent with patient's history of underlying emphysema.,hyperinflated lungs,,Stable,"['files/p15/p15732468/s53441107/041edb3b-ccbe6942-fc19c0f4-cbed6880-a76a50e5.jpg', 'files/p15/p15732468/s53441107/1112d683-19c810c8-39aead7a-ebf7cff2-5b946e2f.jpg', 'files/p15/p15732468/s53441107/bca22183-8c2b4234-3bb8fbcf-d0f4efb0-678b48ae.jpg']",
s53444094_0,p16030469,s53444094,0,Impression,No previous images. Low lung volumes accentuate the transverse diameter of the heart. No evidence of acute pneumonia or old tuberculous disease.,No evidence of acute pneumonia or old tuberculous disease.,tuberculous disease,,Stable,"['files/p16/p16030469/s53444094/7c2060c9-723c255b-96db5163-14348cbe-52c84fe0.jpg', 'files/p16/p16030469/s53444094/f5749890-f4250cdd-2292cfd3-615f2be0-8af3bc3a.jpg']",
s53447884_8,p16319384,s53447884,8,Findings,Subtle heterogeneous opacity in the right lower lobe could reflect pneumonia in the appropriate clinical situation. Small amount of left lower lobe atelectasis. No pleural effusion or pneumothorax. The heart is normal in size. Aortic knob calcifications are unchanged. No acute osseous abnormality. Left-sided pacemaker wires are unchanged with 1 tip projecting over the right atrium and the other over the right ventricle.,Left-sided pacemaker wires are unchanged with 1 tip projecting over the right atrium and the other over the right ventricle.,Pacemaker wires,Left-sided,Stable,"['files/p16/p16319384/s53447884/69fad06e-4d630395-0c622820-20e6af98-5a01aaa4.jpg', 'files/p16/p16319384/s53447884/a564f5aa-11095b55-eb10d3ee-29363be4-e6a39536.jpg']","['files/p16/p16319384/s52386935/804b8d22-6d1eb472-77b4a9b3-2a62bd27-a1d390a9.jpg\n', 'files/p16/p16319384/s52386935/ada0238f-cfaaf77c-c0ff1c4c-fcb44ece-427e82d7.jpg\n', 'files/p16/p16319384/s52386935/f45462e0-afc7a83c-261958c5-a9f01910-d68468df.jpg\n']"
s53447884_8,p16319384,s53447884,8,Findings,Subtle heterogeneous opacity in the right lower lobe could reflect pneumonia in the appropriate clinical situation. Small amount of left lower lobe atelectasis. No pleural effusion or pneumothorax. The heart is normal in size. Aortic knob calcifications are unchanged. No acute osseous abnormality. Left-sided pacemaker wires are unchanged with 1 tip projecting over the right atrium and the other over the right ventricle.,Aortic knob calcifications are unchanged.,Calcifications,Aortic knob,Stable,"['files/p16/p16319384/s53447884/69fad06e-4d630395-0c622820-20e6af98-5a01aaa4.jpg', 'files/p16/p16319384/s53447884/a564f5aa-11095b55-eb10d3ee-29363be4-e6a39536.jpg']","['files/p16/p16319384/s52386935/804b8d22-6d1eb472-77b4a9b3-2a62bd27-a1d390a9.jpg\n', 'files/p16/p16319384/s52386935/ada0238f-cfaaf77c-c0ff1c4c-fcb44ece-427e82d7.jpg\n', 'files/p16/p16319384/s52386935/f45462e0-afc7a83c-261958c5-a9f01910-d68468df.jpg\n']"
s53452058_10,p11135350,s53452058,10,Impression,"The tip of the endotracheal tube again is low and is 1.4 cm above the carina. This could be pulled back for more optimal placement. Right IJ central line has the distal lead tip in the distal SVC, unchanged. Heart size is enlarged but stable. There is a left retrocardiac opacity and bilateral effusions. There has been mild improvement of the pulmonary interstitial edema.",The tip of the endotracheal tube again is low and is 1.4 cm above the carina.,endotracheal tube position,1.4 cm above the carina,Worse,['files/p11/p11135350/s53452058/317f2687-c3bf422b-70bb63ef-c094a677-6c81f799.jpg'],['files/p11/p11135350/s53277637/f3a27e2d-1d0d73bc-b7394f0c-7ed82c79-189ddee5.jpg\n']
s53452058_10,p11135350,s53452058,10,Impression,"The tip of the endotracheal tube again is low and is 1.4 cm above the carina. This could be pulled back for more optimal placement. Right IJ central line has the distal lead tip in the distal SVC, unchanged. Heart size is enlarged but stable. There is a left retrocardiac opacity and bilateral effusions. There has been mild improvement of the pulmonary interstitial edema.",Heart size is enlarged but stable.,Heart size,,Stable,['files/p11/p11135350/s53452058/317f2687-c3bf422b-70bb63ef-c094a677-6c81f799.jpg'],['files/p11/p11135350/s53277637/f3a27e2d-1d0d73bc-b7394f0c-7ed82c79-189ddee5.jpg\n']
s53452058_10,p11135350,s53452058,10,Impression,"The tip of the endotracheal tube again is low and is 1.4 cm above the carina. This could be pulled back for more optimal placement. Right IJ central line has the distal lead tip in the distal SVC, unchanged. Heart size is enlarged but stable. There is a left retrocardiac opacity and bilateral effusions. There has been mild improvement of the pulmonary interstitial edema.",There has been mild improvement of the pulmonary interstitial edema.,pulmonary interstitial edema,,Better,['files/p11/p11135350/s53452058/317f2687-c3bf422b-70bb63ef-c094a677-6c81f799.jpg'],['files/p11/p11135350/s53277637/f3a27e2d-1d0d73bc-b7394f0c-7ed82c79-189ddee5.jpg\n']
s53452058_10,p11135350,s53452058,10,Impression,"The tip of the endotracheal tube again is low and is 1.4 cm above the carina. This could be pulled back for more optimal placement. Right IJ central line has the distal lead tip in the distal SVC, unchanged. Heart size is enlarged but stable. There is a left retrocardiac opacity and bilateral effusions. There has been mild improvement of the pulmonary interstitial edema.","Right IJ central line has the distal lead tip in the distal SVC, unchanged.",Right IJ central line position,distal SVC,Stable,['files/p11/p11135350/s53452058/317f2687-c3bf422b-70bb63ef-c094a677-6c81f799.jpg'],['files/p11/p11135350/s53277637/f3a27e2d-1d0d73bc-b7394f0c-7ed82c79-189ddee5.jpg\n']
s53452152_0,p18552428,s53452152,0,Impression,Mild pulmonary vascular congestion. Bullet fragments are re- demonstrated.,Bullet fragments are re- demonstrated.,Bullet fragments,left humeral head,Stable,['files/p18/p18552428/s53452152/3b09934f-106f393a-5f3d7fda-81d7cd07-48d3b226.jpg'],
s53452442_12,p16033763,s53452442,12,Findings,"In comparison with study of ___, there is some increasing opacification at the left base consistent with some reaccumulation of pleural fluid. Diffuse nodular opacification persist.","In comparison with study of ___, there is some increasing opacification at the left base consistent with some reaccumulation of pleural fluid.",opacification,left base,Worse,['files/p16/p16033763/s53452442/12592f0d-a371e425-2f68a639-fe69e7f1-e085f4c4.jpg'],['files/p16/p16033763/s53415248/a1c0d864-60999f47-337df4cc-6a4a20eb-c78f73b8.jpg\n']
s53452442_12,p16033763,s53452442,12,Findings,"In comparison with study of ___, there is some increasing opacification at the left base consistent with some reaccumulation of pleural fluid. Diffuse nodular opacification persist.",Diffuse nodular opacification persist.,nodular opacification,diffuse,Stable,['files/p16/p16033763/s53452442/12592f0d-a371e425-2f68a639-fe69e7f1-e085f4c4.jpg'],['files/p16/p16033763/s53415248/a1c0d864-60999f47-337df4cc-6a4a20eb-c78f73b8.jpg\n']
s53464266_1,p14235184,s53464266,1,Findings,"The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidations. The heart is mildly to moderately enlarged but unchanged. There is no evidence for pulmonary edema. The mediastinal and hilar structures are unremarkable.",The heart is mildly to moderately enlarged but unchanged.,cardiac enlargement,,Stable,"['files/p14/p14235184/s53464266/38d09978-1abbe4ef-2d0291f6-b956da6f-733ce57c.jpg', 'files/p14/p14235184/s53464266/94e2c7bb-a81ac1fe-fce3a631-5677d6b2-605bd1fe.jpg']","['files/p14/p14235184/s51611847/22d4b5a3-c6744296-d4c6b985-335ebb8a-47b33809.jpg\n', 'files/p14/p14235184/s51611847/7d6fe30f-42aecf3a-84d0dded-03670447-9991474d.jpg\n']"
s53465460_3,p15902493,s53465460,3,Findings,"In comparison with the study of ___, the large right superior mediastinal mass is again seen displacing the trachea to the left. Monitoring and support devices remain in place. The right hemidiaphragm is not as sharply seen as on prior images. This could merely reflect atelectasis and effusion, though pneumonia would have to be considered in the appropriate clinical setting.","In comparison with the study of ___, the large right superior mediastinal mass is again seen displacing the trachea to the left. Monitoring and support devices remain in place. The right hemidiaphragm is not as sharply seen as on prior images. This could merely reflect atelectasis and effusion, though pneumonia would have to be considered in the appropriate clinical setting",Mass,Right superior mediastinal,Stable,['files/p15/p15902493/s53465460/f9036335-d38187db-397f1b39-3e749eed-e4c6307c.jpg'],['files/p15/p15902493/s53302727/6acb1d9f-c6550f88-03c6298f-563395d2-fbb64a14.jpg\n']
s53465460_3,p15902493,s53465460,3,Findings,"In comparison with the study of ___, the large right superior mediastinal mass is again seen displacing the trachea to the left. Monitoring and support devices remain in place. The right hemidiaphragm is not as sharply seen as on prior images. This could merely reflect atelectasis and effusion, though pneumonia would have to be considered in the appropriate clinical setting.","In comparison with the study of ___, the large right superior mediastinal mass is again seen displacing the trachea to the left. Monitoring and support devices remain in place. The right hemidiaphragm is not as sharply seen as on prior images. This could merely reflect atelectasis and effusion, though pneumonia would have to be considered in the appropriate clinical setting",,Monitoring and support devices,Stable,['files/p15/p15902493/s53465460/f9036335-d38187db-397f1b39-3e749eed-e4c6307c.jpg'],['files/p15/p15902493/s53302727/6acb1d9f-c6550f88-03c6298f-563395d2-fbb64a14.jpg\n']
s53482443_11,p10337896,s53482443,11,Impression,"Endotracheal tube and right internal jugular central line are unchanged position. Nasogastric tube is seen coursing to the level of the distal esophagus but the tip is not identified. Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection. Given the extensive parenchymal abnormality, this does limit the sensitivity of plain radiography. Bilateral apical pleural thickening, left greater than right, which is unchanged. There are stable bilateral layering effusions, left greater than right, with probable associated compressive atelectasis in the lower lobes. No overt pulmonary edema. Heart remains stably enlarged. Bilateral glenohumeral degenerative changes with deformity of the left humeral head.",Heart remains stably enlarged.,enlarged heart,,Stable,['files/p10/p10337896/s53482443/e7f2ad9b-a5698623-14f87c8b-47a99b0b-31959f7a.jpg'],['files/p10/p10337896/s53323373/15034ac9-409361f3-6164c82a-a854b0cb-06ae3a8d.jpg\n']
s53482443_11,p10337896,s53482443,11,Impression,"Endotracheal tube and right internal jugular central line are unchanged position. Nasogastric tube is seen coursing to the level of the distal esophagus but the tip is not identified. Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection. Given the extensive parenchymal abnormality, this does limit the sensitivity of plain radiography. Bilateral apical pleural thickening, left greater than right, which is unchanged. There are stable bilateral layering effusions, left greater than right, with probable associated compressive atelectasis in the lower lobes. No overt pulmonary edema. Heart remains stably enlarged. Bilateral glenohumeral degenerative changes with deformity of the left humeral head.","There are stable bilateral layering effusions, left greater than right, with probable associated compressive atelectasis in the lower lobes.",layering effusions,bilateral,Stable,['files/p10/p10337896/s53482443/e7f2ad9b-a5698623-14f87c8b-47a99b0b-31959f7a.jpg'],['files/p10/p10337896/s53323373/15034ac9-409361f3-6164c82a-a854b0cb-06ae3a8d.jpg\n']
s53482443_11,p10337896,s53482443,11,Impression,"Endotracheal tube and right internal jugular central line are unchanged position. Nasogastric tube is seen coursing to the level of the distal esophagus but the tip is not identified. Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection. Given the extensive parenchymal abnormality, this does limit the sensitivity of plain radiography. Bilateral apical pleural thickening, left greater than right, which is unchanged. There are stable bilateral layering effusions, left greater than right, with probable associated compressive atelectasis in the lower lobes. No overt pulmonary edema. Heart remains stably enlarged. Bilateral glenohumeral degenerative changes with deformity of the left humeral head.","Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection.",calcified parenchymal opacities and pleural calcifications,bilateral,Stable,['files/p10/p10337896/s53482443/e7f2ad9b-a5698623-14f87c8b-47a99b0b-31959f7a.jpg'],['files/p10/p10337896/s53323373/15034ac9-409361f3-6164c82a-a854b0cb-06ae3a8d.jpg\n']
s53482443_11,p10337896,s53482443,11,Impression,"Endotracheal tube and right internal jugular central line are unchanged position. Nasogastric tube is seen coursing to the level of the distal esophagus but the tip is not identified. Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection. Given the extensive parenchymal abnormality, this does limit the sensitivity of plain radiography. Bilateral apical pleural thickening, left greater than right, which is unchanged. There are stable bilateral layering effusions, left greater than right, with probable associated compressive atelectasis in the lower lobes. No overt pulmonary edema. Heart remains stably enlarged. Bilateral glenohumeral degenerative changes with deformity of the left humeral head.","Bilateral apical pleural thickening, left greater than right, which is unchanged.",pleural thickening,bilateral apical,Stable,['files/p10/p10337896/s53482443/e7f2ad9b-a5698623-14f87c8b-47a99b0b-31959f7a.jpg'],['files/p10/p10337896/s53323373/15034ac9-409361f3-6164c82a-a854b0cb-06ae3a8d.jpg\n']
s53482443_11,p10337896,s53482443,11,Impression,"Endotracheal tube and right internal jugular central line are unchanged position. Nasogastric tube is seen coursing to the level of the distal esophagus but the tip is not identified. Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection. Given the extensive parenchymal abnormality, this does limit the sensitivity of plain radiography. Bilateral apical pleural thickening, left greater than right, which is unchanged. There are stable bilateral layering effusions, left greater than right, with probable associated compressive atelectasis in the lower lobes. No overt pulmonary edema. Heart remains stably enlarged. Bilateral glenohumeral degenerative changes with deformity of the left humeral head.",Endotracheal tube and right internal jugular central line are unchanged position.,internal jugular central line,right,Stable,['files/p10/p10337896/s53482443/e7f2ad9b-a5698623-14f87c8b-47a99b0b-31959f7a.jpg'],['files/p10/p10337896/s53323373/15034ac9-409361f3-6164c82a-a854b0cb-06ae3a8d.jpg\n']
s53494114_0,p18926499,s53494114,0,Findings,Left lower lung opacity is re- demonstrated. Known small hemothorax blunts the left costophrenic sulcus. Heart size is normal. Known small left pneumothorax is not well seen. Non-displaced rib fractures are better seen on concurrent CT of the chest.,Non-displaced rib fractures are better seen on concurrent CT of the chest.,rib fractures,,Worse,"['files/p18/p18926499/s53494114/af474c68-0fb2d552-26f4cb34-74f1c5d1-8ade5ca4.jpg', 'files/p18/p18926499/s53494114/c5e42130-348838fa-de1e5517-65edefb9-a57952c4.jpg']",
s53494114_0,p18926499,s53494114,0,Findings,Left lower lung opacity is re- demonstrated. Known small hemothorax blunts the left costophrenic sulcus. Heart size is normal. Known small left pneumothorax is not well seen. Non-displaced rib fractures are better seen on concurrent CT of the chest.,Left lower lung opacity is re- demonstrated.,opacity,Left lower lung,Stable,"['files/p18/p18926499/s53494114/af474c68-0fb2d552-26f4cb34-74f1c5d1-8ade5ca4.jpg', 'files/p18/p18926499/s53494114/c5e42130-348838fa-de1e5517-65edefb9-a57952c4.jpg']",
s53494114_0,p18926499,s53494114,0,Impression,Known small left pneumothorax seen on CT is not appreciated on the radiograph. Left lower lobe contusions are also better seen on CT.,Left lower lobe contusions are also better seen on CT.,contusions,Left lower lobe,Worse,"['files/p18/p18926499/s53494114/af474c68-0fb2d552-26f4cb34-74f1c5d1-8ade5ca4.jpg', 'files/p18/p18926499/s53494114/c5e42130-348838fa-de1e5517-65edefb9-a57952c4.jpg']",
s53498120_6,p14544801,s53498120,6,Findings,"Frontal semi-erect view of the chest was obtained. Left internal jugular central catheter terminates in stable position, across the midline, in either the upper SVC or the left brachiocephalic vein. Known right upper lung abscess is not clearly visualized on this radiograph due to semi-erect position. Diffuse right hemithorax opacification remains, though aeration of the right lung appears slightly improved. The left costophrenic angle is excluded on this study.","Left internal jugular central catheter terminates in stable position, across the midline, in either the upper SVC or the left brachiocephalic vein.",central catheter,left internal jugular,Stable,['files/p14/p14544801/s53498120/1e200bbf-a4a3f4ef-5f5971f8-e0280c38-c5d317ef.jpg'],"['files/p14/p14544801/s52058445/21cbac6c-7ec4786e-2af89668-adb7df13-c60ee0fa.jpg\n', 'files/p14/p14544801/s52058445/70effb82-0a4851b9-8f2396e9-10a9c5c4-de49361b.jpg\n', 'files/p14/p14544801/s52058445/f6b773a4-96bacd3b-eafdaf27-b55f141b-30fbf197.jpg\n']"
s53498120_6,p14544801,s53498120,6,Impression,"Slight improvement in aeration of the right hemithorax, although diffuse opacification of the right hemithorax persists. Known cavitary lung abscess is not clearly visualized on this semi-upright radiograph.","Slight improvement in aeration of the right hemithorax, although diffuse opacification of the right hemithorax persists.",aeration,right hemithorax,Better,['files/p14/p14544801/s53498120/1e200bbf-a4a3f4ef-5f5971f8-e0280c38-c5d317ef.jpg'],"['files/p14/p14544801/s52058445/21cbac6c-7ec4786e-2af89668-adb7df13-c60ee0fa.jpg\n', 'files/p14/p14544801/s52058445/70effb82-0a4851b9-8f2396e9-10a9c5c4-de49361b.jpg\n', 'files/p14/p14544801/s52058445/f6b773a4-96bacd3b-eafdaf27-b55f141b-30fbf197.jpg\n']"
s53498120_6,p14544801,s53498120,6,Findings,"Frontal semi-erect view of the chest was obtained. Left internal jugular central catheter terminates in stable position, across the midline, in either the upper SVC or the left brachiocephalic vein. Known right upper lung abscess is not clearly visualized on this radiograph due to semi-erect position. Diffuse right hemithorax opacification remains, though aeration of the right lung appears slightly improved. The left costophrenic angle is excluded on this study.","Diffuse right hemithorax opacification remains, though aeration of the right lung appears slightly improved.",aeration,right lung,Better,['files/p14/p14544801/s53498120/1e200bbf-a4a3f4ef-5f5971f8-e0280c38-c5d317ef.jpg'],"['files/p14/p14544801/s52058445/21cbac6c-7ec4786e-2af89668-adb7df13-c60ee0fa.jpg\n', 'files/p14/p14544801/s52058445/70effb82-0a4851b9-8f2396e9-10a9c5c4-de49361b.jpg\n', 'files/p14/p14544801/s52058445/f6b773a4-96bacd3b-eafdaf27-b55f141b-30fbf197.jpg\n']"
s53501812_10,p15902493,s53501812,10,Impression,"AP chest compared to ___: Since ___, the volume of consolidation in the right mid and lower lung zone has decreased and mild pulmonary edema has largely cleared. The large cervicothoracic mass to the right of the trachea at the midline might be smaller, although this could be a function of patient rotation. Moderate cardiomegaly is stable. Pleural effusions are small if any. Nasogastric tube passes into the stomach and out of view. Left subclavian line ends in the upper SVC. ET tube tip is at the level of the aortic arch, unchanged.","ET tube tip is at the level of the aortic arch, unchanged.",ET tube tip,aortic arch,Stable,['files/p15/p15902493/s53501812/6b0e4cdc-b802b8a7-386a0412-cb6b2489-8015a3e9.jpg'],['files/p15/p15902493/s53465460/f9036335-d38187db-397f1b39-3e749eed-e4c6307c.jpg\n']
s53501812_10,p15902493,s53501812,10,Impression,"AP chest compared to ___: Since ___, the volume of consolidation in the right mid and lower lung zone has decreased and mild pulmonary edema has largely cleared. The large cervicothoracic mass to the right of the trachea at the midline might be smaller, although this could be a function of patient rotation. Moderate cardiomegaly is stable. Pleural effusions are small if any. Nasogastric tube passes into the stomach and out of view. Left subclavian line ends in the upper SVC. ET tube tip is at the level of the aortic arch, unchanged.","AP chest compared to ___: Since ___, the volume of consolidation in the right mid and lower lung zone has decreased and mild pulmonary edema has largely cleared.",consolidation,right mid and lower lung zone,Better,['files/p15/p15902493/s53501812/6b0e4cdc-b802b8a7-386a0412-cb6b2489-8015a3e9.jpg'],['files/p15/p15902493/s53465460/f9036335-d38187db-397f1b39-3e749eed-e4c6307c.jpg\n']
s53501812_10,p15902493,s53501812,10,Impression,"AP chest compared to ___: Since ___, the volume of consolidation in the right mid and lower lung zone has decreased and mild pulmonary edema has largely cleared. The large cervicothoracic mass to the right of the trachea at the midline might be smaller, although this could be a function of patient rotation. Moderate cardiomegaly is stable. Pleural effusions are small if any. Nasogastric tube passes into the stomach and out of view. Left subclavian line ends in the upper SVC. ET tube tip is at the level of the aortic arch, unchanged.","AP chest compared to ___: Since ___, the volume of consolidation in the right mid and lower lung zone has decreased and mild pulmonary edema has largely cleared.",mild pulmonary edema,lungs,Resolve,['files/p15/p15902493/s53501812/6b0e4cdc-b802b8a7-386a0412-cb6b2489-8015a3e9.jpg'],['files/p15/p15902493/s53465460/f9036335-d38187db-397f1b39-3e749eed-e4c6307c.jpg\n']
s53501812_10,p15902493,s53501812,10,Impression,"AP chest compared to ___: Since ___, the volume of consolidation in the right mid and lower lung zone has decreased and mild pulmonary edema has largely cleared. The large cervicothoracic mass to the right of the trachea at the midline might be smaller, although this could be a function of patient rotation. Moderate cardiomegaly is stable. Pleural effusions are small if any. Nasogastric tube passes into the stomach and out of view. Left subclavian line ends in the upper SVC. ET tube tip is at the level of the aortic arch, unchanged.",Moderate cardiomegaly is stable.,moderate cardiomegaly,heart,Stable,['files/p15/p15902493/s53501812/6b0e4cdc-b802b8a7-386a0412-cb6b2489-8015a3e9.jpg'],['files/p15/p15902493/s53465460/f9036335-d38187db-397f1b39-3e749eed-e4c6307c.jpg\n']
s53502057_2,p19950864,s53502057,2,Findings,Parenchymal abnormality including emphysema with mild interstitial disease appears stable. There is mild pulmonary vascular congestion and interstitial edema. Scarring at the left lung base also unchanged. No pleural effusion or pneumothorax. Mild cardiomegaly is noted. The aortic knob is calcified.,Scarring at the left lung base also unchanged.,Scarring,Left lung base,Stable,"['files/p19/p19950864/s53502057/1fc7bf88-79d4deaf-2efe8540-6361e421-37a2c6fa.jpg', 'files/p19/p19950864/s53502057/4e9a15d6-c451210c-9add77c8-20371722-8023beef.jpg']","['files/p19/p19950864/s52815959/16664421-34328b5d-6c0d94e2-71285361-4233fb85.jpg\n', 'files/p19/p19950864/s52815959/61b2e5b3-5192e298-d28244ef-a46613e7-13ff9c2e.jpg\n']"
s53502057_2,p19950864,s53502057,2,Findings,Parenchymal abnormality including emphysema with mild interstitial disease appears stable. There is mild pulmonary vascular congestion and interstitial edema. Scarring at the left lung base also unchanged. No pleural effusion or pneumothorax. Mild cardiomegaly is noted. The aortic knob is calcified.,Parenchymal abnormality including emphysema with mild interstitial disease appears stable.,Emphysema with mild interstitial disease,Parenchymal,Stable,"['files/p19/p19950864/s53502057/1fc7bf88-79d4deaf-2efe8540-6361e421-37a2c6fa.jpg', 'files/p19/p19950864/s53502057/4e9a15d6-c451210c-9add77c8-20371722-8023beef.jpg']","['files/p19/p19950864/s52815959/16664421-34328b5d-6c0d94e2-71285361-4233fb85.jpg\n', 'files/p19/p19950864/s52815959/61b2e5b3-5192e298-d28244ef-a46613e7-13ff9c2e.jpg\n']"
s53508597_1,p11520249,s53508597,1,Findings,Left-sided pacemaker device is noted with single lead terminating in the right ventricle. Moderate cardiomegaly persists. Aortic knob is densely calcified. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. Left basilar opacity likely reflects atelectasis. No large pleural effusion is seen though assessment for left-sided effusion is somewhat limited due to overlying pacemaker generator pack obscuring this region. And ill-defined 19 mm hazy nodular opacity within the right upper lung field is unchanged from ___. Calcified granuloma in the left lung apex is unchanged. No pneumothorax is identified. Degenerative changes are noted in the thoracic spine.,And ill-defined 19 mm hazy nodular opacity within the right upper lung field is unchanged from ___.,19 mm hazy nodular opacity,right upper lung field,Stable,['files/p11/p11520249/s53508597/046d4db0-ce1ff4f2-7995008c-6b054b3f-52e497a8.jpg'],"['files/p11/p11520249/s53310742/360077bf-5c45c46a-28dca0b6-44639e55-2a199832.jpg\n', 'files/p11/p11520249/s53310742/fe1456c8-170ff785-1bee6889-6f6bf616-b8bfe756.jpg\n']"
s53508597_1,p11520249,s53508597,1,Findings,Left-sided pacemaker device is noted with single lead terminating in the right ventricle. Moderate cardiomegaly persists. Aortic knob is densely calcified. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. Left basilar opacity likely reflects atelectasis. No large pleural effusion is seen though assessment for left-sided effusion is somewhat limited due to overlying pacemaker generator pack obscuring this region. And ill-defined 19 mm hazy nodular opacity within the right upper lung field is unchanged from ___. Calcified granuloma in the left lung apex is unchanged. No pneumothorax is identified. Degenerative changes are noted in the thoracic spine.,Moderate cardiomegaly persists.,moderate cardiomegaly,,Stable,['files/p11/p11520249/s53508597/046d4db0-ce1ff4f2-7995008c-6b054b3f-52e497a8.jpg'],"['files/p11/p11520249/s53310742/360077bf-5c45c46a-28dca0b6-44639e55-2a199832.jpg\n', 'files/p11/p11520249/s53310742/fe1456c8-170ff785-1bee6889-6f6bf616-b8bfe756.jpg\n']"
s53508597_1,p11520249,s53508597,1,Findings,Left-sided pacemaker device is noted with single lead terminating in the right ventricle. Moderate cardiomegaly persists. Aortic knob is densely calcified. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. Left basilar opacity likely reflects atelectasis. No large pleural effusion is seen though assessment for left-sided effusion is somewhat limited due to overlying pacemaker generator pack obscuring this region. And ill-defined 19 mm hazy nodular opacity within the right upper lung field is unchanged from ___. Calcified granuloma in the left lung apex is unchanged. No pneumothorax is identified. Degenerative changes are noted in the thoracic spine.,Calcified granuloma in the left lung apex is unchanged.,calcified granuloma,left lung apex,Stable,['files/p11/p11520249/s53508597/046d4db0-ce1ff4f2-7995008c-6b054b3f-52e497a8.jpg'],"['files/p11/p11520249/s53310742/360077bf-5c45c46a-28dca0b6-44639e55-2a199832.jpg\n', 'files/p11/p11520249/s53310742/fe1456c8-170ff785-1bee6889-6f6bf616-b8bfe756.jpg\n']"
s53508597_1,p11520249,s53508597,1,Findings,Left-sided pacemaker device is noted with single lead terminating in the right ventricle. Moderate cardiomegaly persists. Aortic knob is densely calcified. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. Left basilar opacity likely reflects atelectasis. No large pleural effusion is seen though assessment for left-sided effusion is somewhat limited due to overlying pacemaker generator pack obscuring this region. And ill-defined 19 mm hazy nodular opacity within the right upper lung field is unchanged from ___. Calcified granuloma in the left lung apex is unchanged. No pneumothorax is identified. Degenerative changes are noted in the thoracic spine.,Mediastinal and hilar contours are unchanged.,contours,mediastinal and hilar,Stable,['files/p11/p11520249/s53508597/046d4db0-ce1ff4f2-7995008c-6b054b3f-52e497a8.jpg'],"['files/p11/p11520249/s53310742/360077bf-5c45c46a-28dca0b6-44639e55-2a199832.jpg\n', 'files/p11/p11520249/s53310742/fe1456c8-170ff785-1bee6889-6f6bf616-b8bfe756.jpg\n']"
s53508597_1,p11520249,s53508597,1,Impression,"1. Retrocardiac opacity likely reflects atelectasis. Infection is difficult to exclude. 2. Persistent 19 mm subtle ill-defined nodular opacity in the right lung apex. Finding are concerning for a neoplastic process, and further assessment with a chest CT is recommended.","Persistent 19 mm subtle ill-defined nodular opacity in the right lung apex. Finding are concerning for a neoplastic process, and further assessment with a chest CT is recommended.",19 mm subtle ill-defined nodular opacity,right lung apex,Stable,['files/p11/p11520249/s53508597/046d4db0-ce1ff4f2-7995008c-6b054b3f-52e497a8.jpg'],"['files/p11/p11520249/s53310742/360077bf-5c45c46a-28dca0b6-44639e55-2a199832.jpg\n', 'files/p11/p11520249/s53310742/fe1456c8-170ff785-1bee6889-6f6bf616-b8bfe756.jpg\n']"
s53520081_39,p13894716,s53520081,39,Findings,A tracheostomy tube is present projecting over the thoracic inlet. The tip of a right central venous catheter projects over the cavoatrial junction. No focal consolidation or pneumothorax identified. A trace right pleural effusion is suspected. The size of the cardiac silhouette is enlarged but unchanged.,The size of the cardiac silhouette is enlarged but unchanged.,cardiac silhouette size,,Stable,['files/p13/p13894716/s53520081/fa919722-4eea7a12-2806e18f-f9050528-40aa3f3b.jpg'],['files/p13/p13894716/s53254456/b0cbece6-2b0b1434-9aa88346-46174a88-4cabb89d.jpg\n']
s53521127_7,p11226572,s53521127,7,Findings,"The lungs are hyperinflated. Multifocal bilateral opacities are concerning for multifocal pneumonia atypical infection or viral infection. No pleural effusion, edema, or pneumothorax. Heart size is normal. Hilar contours are unchanged. No mediastinal widening.",Hilar contours are unchanged.,appearance,Hilar contours,Stable,"['files/p11/p11226572/s53521127/48f65bd6-fd930f65-27b3123b-39cb33cc-049a89be.jpg', 'files/p11/p11226572/s53521127/7c3703a8-64b5649b-f5839d8c-3e2cf8e8-d0e6eee3.jpg']","['files/p11/p11226572/s51860612/967b665e-e9e89447-08613598-bfb8fc37-34638efc.jpg\n', 'files/p11/p11226572/s51860612/da9de99a-88589600-954a7bf7-b947b366-25d4cf16.jpg\n', 'files/p11/p11226572/s51860612/f2f96a77-ffa800e0-fe3c692c-487ed51b-87b84b10.jpg\n']"
s53527021_0,p19580750,s53527021,0,Findings,"A left chest wall pacemaker generator and leads are unchanged. The lungs are clear.The cardiac, hilar and mediastinal contours are stable, and the heart size is top normal.No pleural abnormality is seen.",A left chest wall pacemaker generator and leads are unchanged.,pacemaker generator and leads,left chest wall,Stable,"['files/p19/p19580750/s53527021/9f54785a-de190a20-dd1426ac-421ae5c7-cbfa9021.jpg', 'files/p19/p19580750/s53527021/e58282c4-fc8a5bed-aab4317b-f3dff9c8-40e5c04c.jpg']","['files/p19/p19580750/s52799543/31c50e15-4a244cac-11d33a37-6e57019b-63c5858f.jpg\n', 'files/p19/p19580750/s52799543/b5ff5541-31d765d8-cd2e6649-54d1b9d4-8fffaebf.jpg\n', 'files/p19/p19580750/s52799543/ffa3942d-8bd6dde2-202b09c9-c4a8018d-cd3be89c.jpg\n']"
s53527021_0,p19580750,s53527021,0,Findings,"A left chest wall pacemaker generator and leads are unchanged. The lungs are clear.The cardiac, hilar and mediastinal contours are stable, and the heart size is top normal.No pleural abnormality is seen.","The cardiac, hilar and mediastinal contours are stable, and the heart size is top normal.",,"cardiac, hilar and mediastinal contours",Stable,"['files/p19/p19580750/s53527021/9f54785a-de190a20-dd1426ac-421ae5c7-cbfa9021.jpg', 'files/p19/p19580750/s53527021/e58282c4-fc8a5bed-aab4317b-f3dff9c8-40e5c04c.jpg']","['files/p19/p19580750/s52799543/31c50e15-4a244cac-11d33a37-6e57019b-63c5858f.jpg\n', 'files/p19/p19580750/s52799543/b5ff5541-31d765d8-cd2e6649-54d1b9d4-8fffaebf.jpg\n', 'files/p19/p19580750/s52799543/ffa3942d-8bd6dde2-202b09c9-c4a8018d-cd3be89c.jpg\n']"
s53534976_69,p11717909,s53534976,69,Impression,"As compared to previous radiograph of 1 day earlier, multifocal opacities in the right lung show slight interval improvement in the right lower lobe. Left basilar opacities have slightly worsened. Small left pleural effusion is unchanged, and a small right pleural effusion has apparently decreased in size. No other relevant changes.","Small left pleural effusion is unchanged, and a small right pleural effusion has apparently decreased in size.",pleural effusion,right,Better,['files/p11/p11717909/s53534976/8e665747-30e84fad-114b57db-62a44a61-43ce1a8d.jpg'],['files/p11/p11717909/s53205436/7ee2c611-7652d0ee-f7552709-ffaf4671-7623d229.jpg\n']
s53534976_69,p11717909,s53534976,69,Impression,"As compared to previous radiograph of 1 day earlier, multifocal opacities in the right lung show slight interval improvement in the right lower lobe. Left basilar opacities have slightly worsened. Small left pleural effusion is unchanged, and a small right pleural effusion has apparently decreased in size. No other relevant changes.","Small left pleural effusion is unchanged, and a small right pleural effusion has apparently decreased in size.",pleural effusion,left,Stable,['files/p11/p11717909/s53534976/8e665747-30e84fad-114b57db-62a44a61-43ce1a8d.jpg'],['files/p11/p11717909/s53205436/7ee2c611-7652d0ee-f7552709-ffaf4671-7623d229.jpg\n']
s53534976_69,p11717909,s53534976,69,Impression,"As compared to previous radiograph of 1 day earlier, multifocal opacities in the right lung show slight interval improvement in the right lower lobe. Left basilar opacities have slightly worsened. Small left pleural effusion is unchanged, and a small right pleural effusion has apparently decreased in size. No other relevant changes.","As compared to previous radiograph of 1 day earlier, multifocal opacities in the right lung show slight interval improvement in the right lower lobe.",multifocal opacities,right lower lobe,Better,['files/p11/p11717909/s53534976/8e665747-30e84fad-114b57db-62a44a61-43ce1a8d.jpg'],['files/p11/p11717909/s53205436/7ee2c611-7652d0ee-f7552709-ffaf4671-7623d229.jpg\n']
s53534976_69,p11717909,s53534976,69,Impression,"As compared to previous radiograph of 1 day earlier, multifocal opacities in the right lung show slight interval improvement in the right lower lobe. Left basilar opacities have slightly worsened. Small left pleural effusion is unchanged, and a small right pleural effusion has apparently decreased in size. No other relevant changes.",Left basilar opacities have slightly worsened.,opacities,left basilar,Worse,['files/p11/p11717909/s53534976/8e665747-30e84fad-114b57db-62a44a61-43ce1a8d.jpg'],['files/p11/p11717909/s53205436/7ee2c611-7652d0ee-f7552709-ffaf4671-7623d229.jpg\n']
s53544633_5,p11068484,s53544633,5,Impression,"As compared to ___ radiograph, cardiomegaly is accompanied by improved pulmonary vascular congestion and decrease in size of left pleural effusion, now small. A moderate right pleural effusion persists with adjacent basilar atelectasis and or consolidation. Elevation of the right hemidiaphragm is a persistent finding since ___.",A moderate right pleural effusion persists with adjacent basilar atelectasis and or consolidation.,atelectasis,basilar,Stable,"['files/p11/p11068484/s53544633/2c072c9e-42b8fab0-a0fd256c-780bc612-53941594.jpg', 'files/p11/p11068484/s53544633/35626d65-acd62381-7a66c7ef-04150642-7e5e9b32.jpg']",['files/p11/p11068484/s52314386/9613d784-ef4fadd2-8b33b9c3-3db90fd4-6730c5d6.jpg\n']
s53544633_5,p11068484,s53544633,5,Impression,"As compared to ___ radiograph, cardiomegaly is accompanied by improved pulmonary vascular congestion and decrease in size of left pleural effusion, now small. A moderate right pleural effusion persists with adjacent basilar atelectasis and or consolidation. Elevation of the right hemidiaphragm is a persistent finding since ___.",A moderate right pleural effusion persists with adjacent basilar atelectasis and or consolidation.,pleural effusion,right pleural,Stable,"['files/p11/p11068484/s53544633/2c072c9e-42b8fab0-a0fd256c-780bc612-53941594.jpg', 'files/p11/p11068484/s53544633/35626d65-acd62381-7a66c7ef-04150642-7e5e9b32.jpg']",['files/p11/p11068484/s52314386/9613d784-ef4fadd2-8b33b9c3-3db90fd4-6730c5d6.jpg\n']
s53544633_5,p11068484,s53544633,5,Impression,"As compared to ___ radiograph, cardiomegaly is accompanied by improved pulmonary vascular congestion and decrease in size of left pleural effusion, now small. A moderate right pleural effusion persists with adjacent basilar atelectasis and or consolidation. Elevation of the right hemidiaphragm is a persistent finding since ___.","As compared to ___ radiograph, cardiomegaly is accompanied by improved pulmonary vascular congestion and decrease in size of left pleural effusion, now small.",pleural effusion,left pleural,Better,"['files/p11/p11068484/s53544633/2c072c9e-42b8fab0-a0fd256c-780bc612-53941594.jpg', 'files/p11/p11068484/s53544633/35626d65-acd62381-7a66c7ef-04150642-7e5e9b32.jpg']",['files/p11/p11068484/s52314386/9613d784-ef4fadd2-8b33b9c3-3db90fd4-6730c5d6.jpg\n']
s53544633_5,p11068484,s53544633,5,Impression,"As compared to ___ radiograph, cardiomegaly is accompanied by improved pulmonary vascular congestion and decrease in size of left pleural effusion, now small. A moderate right pleural effusion persists with adjacent basilar atelectasis and or consolidation. Elevation of the right hemidiaphragm is a persistent finding since ___.","As compared to ___ radiograph, cardiomegaly is accompanied by improved pulmonary vascular congestion and decrease in size of left pleural effusion, now small.",vascular congestion,pulmonary,Better,"['files/p11/p11068484/s53544633/2c072c9e-42b8fab0-a0fd256c-780bc612-53941594.jpg', 'files/p11/p11068484/s53544633/35626d65-acd62381-7a66c7ef-04150642-7e5e9b32.jpg']",['files/p11/p11068484/s52314386/9613d784-ef4fadd2-8b33b9c3-3db90fd4-6730c5d6.jpg\n']
s53544633_5,p11068484,s53544633,5,Impression,"As compared to ___ radiograph, cardiomegaly is accompanied by improved pulmonary vascular congestion and decrease in size of left pleural effusion, now small. A moderate right pleural effusion persists with adjacent basilar atelectasis and or consolidation. Elevation of the right hemidiaphragm is a persistent finding since ___.","As compared to ___ radiograph, cardiomegaly is accompanied by improved pulmonary vascular congestion and decrease in size of left pleural effusion, now small.",cardiomegaly,cardiac,Better,"['files/p11/p11068484/s53544633/2c072c9e-42b8fab0-a0fd256c-780bc612-53941594.jpg', 'files/p11/p11068484/s53544633/35626d65-acd62381-7a66c7ef-04150642-7e5e9b32.jpg']",['files/p11/p11068484/s52314386/9613d784-ef4fadd2-8b33b9c3-3db90fd4-6730c5d6.jpg\n']
s53544633_5,p11068484,s53544633,5,Impression,"As compared to ___ radiograph, cardiomegaly is accompanied by improved pulmonary vascular congestion and decrease in size of left pleural effusion, now small. A moderate right pleural effusion persists with adjacent basilar atelectasis and or consolidation. Elevation of the right hemidiaphragm is a persistent finding since ___.",Elevation of the right hemidiaphragm is a persistent finding since ___.,elevation,right hemidiaphragm,Stable,"['files/p11/p11068484/s53544633/2c072c9e-42b8fab0-a0fd256c-780bc612-53941594.jpg', 'files/p11/p11068484/s53544633/35626d65-acd62381-7a66c7ef-04150642-7e5e9b32.jpg']",['files/p11/p11068484/s52314386/9613d784-ef4fadd2-8b33b9c3-3db90fd4-6730c5d6.jpg\n']
s53550262_0,p12371823,s53550262,0,Findings,The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Height loss of several mid thoracic vertebral bodies is unchanged from prior.,Height loss of several mid thoracic vertebral bodies is unchanged from prior.,vertebral bodies height loss,mid thoracic,Stable,"['files/p12/p12371823/s53550262/25118890-fc44b48b-8e3d2980-31cb3356-13527ea4.jpg', 'files/p12/p12371823/s53550262/c58bc070-f7ebbe78-118de371-eb210cc8-fa6d8df7.jpg']",
s53561431_4,p15936884,s53561431,4,Impression,Dobhoff tube tip iscoiled in the stomach. Mild cardiomegaly and widened mediastinum are unchanged. Right PICC tip is in the upper to mid SVC. The lungs are clear. There is no pneumothorax or pleural effusion. . Sternal wires are aligned,Mild cardiomegaly and widened mediastinum are unchanged.,cardiomegaly,,Stable,['files/p15/p15936884/s53561431/e3d64e22-fb22f834-a727b3ff-c6c4c66f-5a5d4b5c.jpg'],['files/p15/p15936884/s53163844/9c117d65-7622dfb8-8d925586-8a37e8c7-aaa535de.jpg\n']
s53561431_4,p15936884,s53561431,4,Impression,Dobhoff tube tip iscoiled in the stomach. Mild cardiomegaly and widened mediastinum are unchanged. Right PICC tip is in the upper to mid SVC. The lungs are clear. There is no pneumothorax or pleural effusion. . Sternal wires are aligned,Mild cardiomegaly and widened mediastinum are unchanged.,widened mediastinum,,Stable,['files/p15/p15936884/s53561431/e3d64e22-fb22f834-a727b3ff-c6c4c66f-5a5d4b5c.jpg'],['files/p15/p15936884/s53163844/9c117d65-7622dfb8-8d925586-8a37e8c7-aaa535de.jpg\n']
s53579425_23,p19358609,s53579425,23,Impression,"In comparison with the study ___ ___, there is little change in the appearance of the heart and lungs and monitoring and support devices.","In comparison with the study ___, there is little change in the appearance of the heart and lungs and monitoring and support devices.",heart and lungs and monitoring and support devices,,Stable,['files/p19/p19358609/s53579425/960a353d-a835332d-fb31336b-b05f1fbf-749acc88.jpg'],['files/p19/p19358609/s53338001/e3b156eb-4c598a51-50f9b5e6-4c4dc426-84eee081.jpg\n']
s53588397_1,p12669344,s53588397,1,Impression,"As compared to previous radiograph of 1 day earlier, endotracheal tube now terminates about 7 cm above the carinal and could be advanced a few cm for standard positioning. Cardiomegaly is accompanied by pulmonary vascular congestion and improving pulmonary edema. Small bilateral pleural effusions are persistent findings.",Small bilateral pleural effusions are persistent findings.,Pleural effusions,bilateral,Stable,['files/p12/p12669344/s53588397/d88bc850-2681d230-e2d3bc84-ba0996c2-078fe63b.jpg'],['files/p12/p12669344/s51358230/7b4211fe-def2de24-c6991efa-026a3d44-2e4082f8.jpg\n']
s53588397_1,p12669344,s53588397,1,Impression,"As compared to previous radiograph of 1 day earlier, endotracheal tube now terminates about 7 cm above the carinal and could be advanced a few cm for standard positioning. Cardiomegaly is accompanied by pulmonary vascular congestion and improving pulmonary edema. Small bilateral pleural effusions are persistent findings.","As compared to previous radiograph of 1 day earlier, endotracheal tube now terminates about 7 cm above the carinal and could be advanced a few cm for standard positioning.",Endotracheal tube position,7 cm above the carinal,Worse,['files/p12/p12669344/s53588397/d88bc850-2681d230-e2d3bc84-ba0996c2-078fe63b.jpg'],['files/p12/p12669344/s51358230/7b4211fe-def2de24-c6991efa-026a3d44-2e4082f8.jpg\n']
s53588397_1,p12669344,s53588397,1,Impression,"As compared to previous radiograph of 1 day earlier, endotracheal tube now terminates about 7 cm above the carinal and could be advanced a few cm for standard positioning. Cardiomegaly is accompanied by pulmonary vascular congestion and improving pulmonary edema. Small bilateral pleural effusions are persistent findings.",Cardiomegaly is accompanied by pulmonary vascular congestion and improving pulmonary edema.,Pulmonary edema,,Better,['files/p12/p12669344/s53588397/d88bc850-2681d230-e2d3bc84-ba0996c2-078fe63b.jpg'],['files/p12/p12669344/s51358230/7b4211fe-def2de24-c6991efa-026a3d44-2e4082f8.jpg\n']
s53595687_4,p11888614,s53595687,4,Findings,There are some increased lung markings at both bases that have increased compared to the film from the prior day and could represent small infiltrates or areas of aspiration.,There are some increased lung markings at both bases that have increased compared to the film from the prior day and could represent small infiltrates or areas of aspiration.,lung markings,both bases,Worse,['files/p11/p11888614/s53595687/5544bf5f-cd726bd8-5b0bd5ab-c8c4b0f3-f296c7e7.jpg'],"['files/p11/p11888614/s53383243/66e06e1a-cbaf78cc-cfb43d10-c93987a3-a12d7bca.jpg\n', 'files/p11/p11888614/s53383243/f64e7f86-3a69ce7c-1bca8f45-3fb972a4-a7f54583.jpg\n']"
s53597344_1,p14954732,s53597344,1,Findings,Cardiac silhouette size is top normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Moderate size right pleural effusion is new from the previous radiograph with associated right basilar atelectasis. Left lung is clear. No pneumothorax is present. There are no acute osseous abnormalities.,Moderate size right pleural effusion is new from the previous radiograph with associated right basilar atelectasis.,Pleural Effusion,Right,New,"['files/p14/p14954732/s53597344/8e7e354e-77af2af7-3cf0db1f-e0d3671a-fc75ea03.jpg', 'files/p14/p14954732/s53597344/a45898be-7a277064-b3338345-c2044677-1b9cffa4.jpg']",
s53597344_1,p14954732,s53597344,1,Findings,Cardiac silhouette size is top normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Moderate size right pleural effusion is new from the previous radiograph with associated right basilar atelectasis. Left lung is clear. No pneumothorax is present. There are no acute osseous abnormalities.,Moderate size right pleural effusion is new from the previous radiograph with associated right basilar atelectasis.,Atelectasis,Right Basilar,New,"['files/p14/p14954732/s53597344/8e7e354e-77af2af7-3cf0db1f-e0d3671a-fc75ea03.jpg', 'files/p14/p14954732/s53597344/a45898be-7a277064-b3338345-c2044677-1b9cffa4.jpg']",
s53605255_5,p17933711,s53605255,5,Findings,AP portable upright view of the chest. Cardiomegaly is again seen. The mediastinal contour is unchanged from prior. The hila appear congested though there is no frank edema. No large effusion or pneumothorax. No convincing evidence for pneumonia. Bony structures are intact.,Cardiomegaly is again seen.,Cardiomegaly,,Stable,['files/p17/p17933711/s53605255/262aec66-02c3d815-9e02b897-1f697799-42735ce8.jpg'],"['files/p17/p17933711/s53274670/bae736e7-d18067d5-22628077-2c19a6a3-2b6ea80a.jpg\n', 'files/p17/p17933711/s53274670/ff0e266e-6a3934bd-5c43948a-9777d9c7-8195a8cb.jpg\n']"
s53605255_5,p17933711,s53605255,5,Findings,AP portable upright view of the chest. Cardiomegaly is again seen. The mediastinal contour is unchanged from prior. The hila appear congested though there is no frank edema. No large effusion or pneumothorax. No convincing evidence for pneumonia. Bony structures are intact.,The mediastinal contour is unchanged from prior.,Mediastinal contour,,Stable,['files/p17/p17933711/s53605255/262aec66-02c3d815-9e02b897-1f697799-42735ce8.jpg'],"['files/p17/p17933711/s53274670/bae736e7-d18067d5-22628077-2c19a6a3-2b6ea80a.jpg\n', 'files/p17/p17933711/s53274670/ff0e266e-6a3934bd-5c43948a-9777d9c7-8195a8cb.jpg\n']"
s53609513_21,p17055995,s53609513,21,Impression,New mild edema may obscure the previously questioned right aspiration/pneumonia.,New mild edema may obscure the previously questioned right aspiration/pneumonia.,edema,right,New,['files/p17/p17055995/s53609513/906e0eaa-60dfa37d-c7be4868-5d9613b9-f49fd253.jpg'],['files/p17/p17055995/s53437515/84c6ebfe-211d33d7-178a645a-3526f767-a15ec657.jpg\n']
s53609513_21,p17055995,s53609513,21,Findings,"Left IJ central line stable. Lung volumes are low compared to the prior radiograph. The previously identified right peribronchial consolidation has increased in density, likely secondary to new edema and vascular congestion. Heart size and mediastinal contours are stable. No pleural effusion.",Heart size and mediastinal contours are stable.,Heart size and mediastinal contours,,Stable,['files/p17/p17055995/s53609513/906e0eaa-60dfa37d-c7be4868-5d9613b9-f49fd253.jpg'],['files/p17/p17055995/s53437515/84c6ebfe-211d33d7-178a645a-3526f767-a15ec657.jpg\n']
s53609513_21,p17055995,s53609513,21,Findings,"Left IJ central line stable. Lung volumes are low compared to the prior radiograph. The previously identified right peribronchial consolidation has increased in density, likely secondary to new edema and vascular congestion. Heart size and mediastinal contours are stable. No pleural effusion.","The previously identified right peribronchial consolidation has increased in density, likely secondary to new edema and vascular congestion.",peribronchial consolidation,right,Worse,['files/p17/p17055995/s53609513/906e0eaa-60dfa37d-c7be4868-5d9613b9-f49fd253.jpg'],['files/p17/p17055995/s53437515/84c6ebfe-211d33d7-178a645a-3526f767-a15ec657.jpg\n']
s53609513_21,p17055995,s53609513,21,Findings,"Left IJ central line stable. Lung volumes are low compared to the prior radiograph. The previously identified right peribronchial consolidation has increased in density, likely secondary to new edema and vascular congestion. Heart size and mediastinal contours are stable. No pleural effusion.",Lung volumes are low compared to the prior radiograph.,Lung volumes,,Worse,['files/p17/p17055995/s53609513/906e0eaa-60dfa37d-c7be4868-5d9613b9-f49fd253.jpg'],['files/p17/p17055995/s53437515/84c6ebfe-211d33d7-178a645a-3526f767-a15ec657.jpg\n']
s53609513_21,p17055995,s53609513,21,Findings,"Left IJ central line stable. Lung volumes are low compared to the prior radiograph. The previously identified right peribronchial consolidation has increased in density, likely secondary to new edema and vascular congestion. Heart size and mediastinal contours are stable. No pleural effusion.",Left IJ central line stable.,central line,Left IJ,Stable,['files/p17/p17055995/s53609513/906e0eaa-60dfa37d-c7be4868-5d9613b9-f49fd253.jpg'],['files/p17/p17055995/s53437515/84c6ebfe-211d33d7-178a645a-3526f767-a15ec657.jpg\n']
s53610077_5,p11181748,s53610077,5,Findings,Right-sided pleural effusion has minimally decreased. Right-sided adjacent atelectasis and fluid along the fissure have also decreased. The left lung is clear. The cardiomediastinal silhouette is unchanged. Numerous calcified lesions in the right chest wall are stable.,The cardiomediastinal silhouette is unchanged.,cardiomediastinal silhouette,,Stable,"['files/p11/p11181748/s53610077/49d0865a-87d61b94-18e9e122-66f361aa-c8d164a6.jpg', 'files/p11/p11181748/s53610077/c75317be-225faf00-b7bccd06-b199a930-a4ef45ff.jpg']",['files/p11/p11181748/s53038461/a9f45db3-3320935c-32abfa1d-70c84639-f9d19d75.jpg\n']
s53610077_5,p11181748,s53610077,5,Findings,Right-sided pleural effusion has minimally decreased. Right-sided adjacent atelectasis and fluid along the fissure have also decreased. The left lung is clear. The cardiomediastinal silhouette is unchanged. Numerous calcified lesions in the right chest wall are stable.,Numerous calcified lesions in the right chest wall are stable.,calcified lesions,right chest wall,Stable,"['files/p11/p11181748/s53610077/49d0865a-87d61b94-18e9e122-66f361aa-c8d164a6.jpg', 'files/p11/p11181748/s53610077/c75317be-225faf00-b7bccd06-b199a930-a4ef45ff.jpg']",['files/p11/p11181748/s53038461/a9f45db3-3320935c-32abfa1d-70c84639-f9d19d75.jpg\n']
s53610077_5,p11181748,s53610077,5,Findings,Right-sided pleural effusion has minimally decreased. Right-sided adjacent atelectasis and fluid along the fissure have also decreased. The left lung is clear. The cardiomediastinal silhouette is unchanged. Numerous calcified lesions in the right chest wall are stable.,Right-sided adjacent atelectasis and fluid along the fissure have also decreased.,fluid along the fissure,Right-sided,Better,"['files/p11/p11181748/s53610077/49d0865a-87d61b94-18e9e122-66f361aa-c8d164a6.jpg', 'files/p11/p11181748/s53610077/c75317be-225faf00-b7bccd06-b199a930-a4ef45ff.jpg']",['files/p11/p11181748/s53038461/a9f45db3-3320935c-32abfa1d-70c84639-f9d19d75.jpg\n']
s53610077_5,p11181748,s53610077,5,Impression,Slight interval decrease in right-sided pleural effusion and atelectasis.,Slight interval decrease in right-sided pleural effusion and atelectasis.,atelectasis,Right-sided,Better,"['files/p11/p11181748/s53610077/49d0865a-87d61b94-18e9e122-66f361aa-c8d164a6.jpg', 'files/p11/p11181748/s53610077/c75317be-225faf00-b7bccd06-b199a930-a4ef45ff.jpg']",['files/p11/p11181748/s53038461/a9f45db3-3320935c-32abfa1d-70c84639-f9d19d75.jpg\n']
s53610077_5,p11181748,s53610077,5,Findings,Right-sided pleural effusion has minimally decreased. Right-sided adjacent atelectasis and fluid along the fissure have also decreased. The left lung is clear. The cardiomediastinal silhouette is unchanged. Numerous calcified lesions in the right chest wall are stable.,Right-sided adjacent atelectasis and fluid along the fissure have also decreased.,atelectasis,Right-sided,Better,"['files/p11/p11181748/s53610077/49d0865a-87d61b94-18e9e122-66f361aa-c8d164a6.jpg', 'files/p11/p11181748/s53610077/c75317be-225faf00-b7bccd06-b199a930-a4ef45ff.jpg']",['files/p11/p11181748/s53038461/a9f45db3-3320935c-32abfa1d-70c84639-f9d19d75.jpg\n']
s53610077_5,p11181748,s53610077,5,Findings,Right-sided pleural effusion has minimally decreased. Right-sided adjacent atelectasis and fluid along the fissure have also decreased. The left lung is clear. The cardiomediastinal silhouette is unchanged. Numerous calcified lesions in the right chest wall are stable.,Right-sided pleural effusion has minimally decreased.,pleural effusion,Right-sided,Better,"['files/p11/p11181748/s53610077/49d0865a-87d61b94-18e9e122-66f361aa-c8d164a6.jpg', 'files/p11/p11181748/s53610077/c75317be-225faf00-b7bccd06-b199a930-a4ef45ff.jpg']",['files/p11/p11181748/s53038461/a9f45db3-3320935c-32abfa1d-70c84639-f9d19d75.jpg\n']
s53610077_5,p11181748,s53610077,5,Impression,Slight interval decrease in right-sided pleural effusion and atelectasis.,Slight interval decrease in right-sided pleural effusion and atelectasis.,pleural effusion,Right-sided,Better,"['files/p11/p11181748/s53610077/49d0865a-87d61b94-18e9e122-66f361aa-c8d164a6.jpg', 'files/p11/p11181748/s53610077/c75317be-225faf00-b7bccd06-b199a930-a4ef45ff.jpg']",['files/p11/p11181748/s53038461/a9f45db3-3320935c-32abfa1d-70c84639-f9d19d75.jpg\n']
s53622016_0,p13770664,s53622016,0,Findings,"Low lung volumes accentuate the cardiac silhouette and bronchovascular structures. Calcified lymph nodes are present in the right hilar region as well as a calcified granuloma in the right upper lobe. Patchy opacity in left retrocardiac region is new, and may reflects patchy atelectasis in the setting of low lung volumes. Acute aspiration is an additional consideration in the appropriate clinical setting. Note is also made of apparent rightward deviation of the trachea, at the level of the thoracic inlet. This is difficult to evaluate on a portable radiograph, particularly as the patient's neck appears to be turned towards the right on this exam.","Patchy opacity in left retrocardiac region is new, and may reflects patchy atelectasis in the setting of low lung volumes.",patchy opacity,left retrocardiac region,New,['files/p13/p13770664/s53622016/0a10435e-e43147f5-c4986cba-35836a58-b4b70cd6.jpg'],
s53623762_1,p10924949,s53623762,1,Findings,Lung volumes are low and exaggerate pulmonary vascular markings. There are bibasilar atelectatic changes but the lungs are otherwise without a focal consolidation. The cardiac and mediastinal contours appears stable. Left ventriculoperitoneal shunt is again visualized traversing through the chest into the upper abdomen. No acute fractures are identified. Severe degenerative changes are noted at the right glenohumeral joint with moderate degenerative changes throughout the thoracolumbar spine.,The cardiac and mediastinal contours appears stable.,cardiac and mediastinal contours,,Stable,"['files/p10/p10924949/s53623762/74155497-e80ec02f-154721b7-bc76f816-069c92eb.jpg', 'files/p10/p10924949/s53623762/d1552af1-5b159d3e-4058cc59-8af87caf-375f46e7.jpg']",
s53624824_23,p17055995,s53624824,23,Impression,"As compared to ___ chest radiograph, cardiomediastinal contours are stable. Previously present opacities in the periphery of the right mid and lower lung have nearly resolved, more as opacities in the left suprahilar in retrocardiac region have worsened. Findings may reflect multifocal aspiration and or developing aspiration pneumonia. No other relevant","As compared to ___ chest radiograph, cardiomediastinal contours are stable.",cardiomediastinal contours,,Stable,['files/p17/p17055995/s53624824/d3640fc5-3d1186eb-94869353-5395e806-1c89a1fe.jpg'],['files/p17/p17055995/s53609513/906e0eaa-60dfa37d-c7be4868-5d9613b9-f49fd253.jpg\n']
s53624824_23,p17055995,s53624824,23,Impression,"As compared to ___ chest radiograph, cardiomediastinal contours are stable. Previously present opacities in the periphery of the right mid and lower lung have nearly resolved, more as opacities in the left suprahilar in retrocardiac region have worsened. Findings may reflect multifocal aspiration and or developing aspiration pneumonia. No other relevant","Previously present opacities in the periphery of the right mid and lower lung have nearly resolved, more as opacities in the left suprahilar in retrocardiac region have worsened.",opacities,periphery of the right mid and lower lung,Resolve,['files/p17/p17055995/s53624824/d3640fc5-3d1186eb-94869353-5395e806-1c89a1fe.jpg'],['files/p17/p17055995/s53609513/906e0eaa-60dfa37d-c7be4868-5d9613b9-f49fd253.jpg\n']
s53624824_23,p17055995,s53624824,23,Impression,"As compared to ___ chest radiograph, cardiomediastinal contours are stable. Previously present opacities in the periphery of the right mid and lower lung have nearly resolved, more as opacities in the left suprahilar in retrocardiac region have worsened. Findings may reflect multifocal aspiration and or developing aspiration pneumonia. No other relevant","Previously present opacities in the periphery of the right mid and lower lung have nearly resolved, more as opacities in the left suprahilar in retrocardiac region have worsened.",opacities,left suprahilar in retrocardiac region,Worse,['files/p17/p17055995/s53624824/d3640fc5-3d1186eb-94869353-5395e806-1c89a1fe.jpg'],['files/p17/p17055995/s53609513/906e0eaa-60dfa37d-c7be4868-5d9613b9-f49fd253.jpg\n']
s53644354_8,p12906762,s53644354,8,Impression,"Since the prior study there has been no change in the left chest wall subcutaneous air, pigtail catheter in overall appearance of the lungs","Since the prior study there has been no change in the left chest wall subcutaneous air, pigtail catheter in overall appearance of the lungs",subcutaneous air,left chest wall,Stable,"['files/p12/p12906762/s53644354/358852a7-514ec358-bee83f0f-d752d0e4-5fff244d.jpg', 'files/p12/p12906762/s53644354/8ab6990c-a800bfc0-d5f5ae92-26f3a84f-cfb69e0a.jpg']",['files/p12/p12906762/s52126280/699a2526-5b07de66-ef9bc72a-8995b427-76074026.jpg\n']
s53644354_8,p12906762,s53644354,8,Impression,"Since the prior study there has been no change in the left chest wall subcutaneous air, pigtail catheter in overall appearance of the lungs","Since the prior study there has been no change in the left chest wall subcutaneous air, pigtail catheter in overall appearance of the lungs",lungs,overall,Stable,"['files/p12/p12906762/s53644354/358852a7-514ec358-bee83f0f-d752d0e4-5fff244d.jpg', 'files/p12/p12906762/s53644354/8ab6990c-a800bfc0-d5f5ae92-26f3a84f-cfb69e0a.jpg']",['files/p12/p12906762/s52126280/699a2526-5b07de66-ef9bc72a-8995b427-76074026.jpg\n']
s53651103_62,p11717909,s53651103,62,Impression,Comparison to ___. Decrease in extent and severity of a pre-existing right lower lobe parenchymal opacity. A small atelectasis in the retrocardiac lung area is constant. Constant size of the cardiac silhouette. Stable normal size of the monitoring and support devices. The tip of the endotracheal tube continues to project approximately 5 cm above the carinal.,Constant size of the cardiac silhouette.,silhouette,cardiac,Stable,['files/p11/p11717909/s53651103/d6d51a18-a82e65e5-5faa935c-9054fe80-5c5545af.jpg'],['files/p11/p11717909/s53534976/8e665747-30e84fad-114b57db-62a44a61-43ce1a8d.jpg\n']
s53651103_62,p11717909,s53651103,62,Impression,Comparison to ___. Decrease in extent and severity of a pre-existing right lower lobe parenchymal opacity. A small atelectasis in the retrocardiac lung area is constant. Constant size of the cardiac silhouette. Stable normal size of the monitoring and support devices. The tip of the endotracheal tube continues to project approximately 5 cm above the carinal.,Stable normal size of the monitoring and support devices.,devices,monitoring and support,Stable,['files/p11/p11717909/s53651103/d6d51a18-a82e65e5-5faa935c-9054fe80-5c5545af.jpg'],['files/p11/p11717909/s53534976/8e665747-30e84fad-114b57db-62a44a61-43ce1a8d.jpg\n']
s53651103_62,p11717909,s53651103,62,Impression,Comparison to ___. Decrease in extent and severity of a pre-existing right lower lobe parenchymal opacity. A small atelectasis in the retrocardiac lung area is constant. Constant size of the cardiac silhouette. Stable normal size of the monitoring and support devices. The tip of the endotracheal tube continues to project approximately 5 cm above the carinal.,Decrease in extent and severity of a pre-existing right lower lobe parenchymal opacity.,parenchymal opacity,right lower lobe,Better,['files/p11/p11717909/s53651103/d6d51a18-a82e65e5-5faa935c-9054fe80-5c5545af.jpg'],['files/p11/p11717909/s53534976/8e665747-30e84fad-114b57db-62a44a61-43ce1a8d.jpg\n']
s53651103_62,p11717909,s53651103,62,Impression,Comparison to ___. Decrease in extent and severity of a pre-existing right lower lobe parenchymal opacity. A small atelectasis in the retrocardiac lung area is constant. Constant size of the cardiac silhouette. Stable normal size of the monitoring and support devices. The tip of the endotracheal tube continues to project approximately 5 cm above the carinal.,A small atelectasis in the retrocardiac lung area is constant.,atelectasis,retrocardiac lung area,Stable,['files/p11/p11717909/s53651103/d6d51a18-a82e65e5-5faa935c-9054fe80-5c5545af.jpg'],['files/p11/p11717909/s53534976/8e665747-30e84fad-114b57db-62a44a61-43ce1a8d.jpg\n']
s53660624_6,p17223574,s53660624,6,Impression,"Compared to chest radiographs since ___, most recently ___. Increased pulmonary vascular and mediastinal venous caliber suggests volume overload and/or biventricular cardiac decompensation. No focal pulmonary abnormality or pleural effusion.",Increased pulmonary vascular and mediastinal venous caliber suggests volume overload and/or biventricular cardiac decompensation.,venous caliber,pulmonary vascular and mediastinal,Worse,['files/p17/p17223574/s53660624/3999a847-88ce9e99-f417c320-d26274e2-e47cd770.jpg'],['files/p17/p17223574/s53272126/8af200b2-6d16d8b6-7cf5ca1c-30dfcdce-74779c42.jpg\n']
s53672228_25,p13421580,s53672228,25,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study obtained four hours earlier during the same day. During the interval, the patient has been extubated. Previously described right-sided internal jugular approach central venous line remains. Again noted is a feeding tube traversing the entire esophagus terminating in the abdomen. The present image covers the line only about 5 inches below the hiatal area. The more distal portion of the line could be followed further on the previous chest examination, still the tip of the Dobbhoff line was never included in the image. Precise location of the line is essential for patient's management. It is recommended to perform the study under fluoroscopic control. Comparison of the chest examinations does not reveal any new acute infiltrate. However, the pulmonary vascular pattern appears to be crowded, probably related to the high positioned diaphragms.",Previously described right-sided internal jugular approach central venous line remains.,internal jugular approach central venous line,right-sided,Stable,['files/p13/p13421580/s53672228/60999807-e9c65537-0be33d31-e1f2eb09-329bb2a8.jpg'],['files/p13/p13421580/s53500287/743258cc-ba82e88d-ec2100af-3da6c655-7afe0682.jpg\n']
s53672228_25,p13421580,s53672228,25,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study obtained four hours earlier during the same day. During the interval, the patient has been extubated. Previously described right-sided internal jugular approach central venous line remains. Again noted is a feeding tube traversing the entire esophagus terminating in the abdomen. The present image covers the line only about 5 inches below the hiatal area. The more distal portion of the line could be followed further on the previous chest examination, still the tip of the Dobbhoff line was never included in the image. Precise location of the line is essential for patient's management. It is recommended to perform the study under fluoroscopic control. Comparison of the chest examinations does not reveal any new acute infiltrate. However, the pulmonary vascular pattern appears to be crowded, probably related to the high positioned diaphragms.","During the interval, the patient has been extubated.",Endotracheal tube,,Resolve,['files/p13/p13421580/s53672228/60999807-e9c65537-0be33d31-e1f2eb09-329bb2a8.jpg'],['files/p13/p13421580/s53500287/743258cc-ba82e88d-ec2100af-3da6c655-7afe0682.jpg\n']
s53675993_1,p10580208,s53675993,1,Impression,"AP chest compared to ___, 1:15 a.m.: Moderately severe pulmonary edema has improved minimally in the mid and upper lung zones, not so in the lung bases where it is more severe, accompanied by moderate bilateral pleural effusion. Severe cardiomegaly has improved slightly. There is no pneumothorax. Transvenous right atrioventricular pacer defibrillator system in standard placement. Thoracic aorta is heavily calcified and mildly irregular in shape, due to heavy atherosclerotic plaque.",Severe cardiomegaly has improved slightly.,cardiomegaly,,Better,['files/p10/p10580208/s53675993/a7955cff-d2fccb0b-b49d4a97-71d64c98-d657a78b.jpg'],
s53675993_1,p10580208,s53675993,1,Impression,"AP chest compared to ___, 1:15 a.m.: Moderately severe pulmonary edema has improved minimally in the mid and upper lung zones, not so in the lung bases where it is more severe, accompanied by moderate bilateral pleural effusion. Severe cardiomegaly has improved slightly. There is no pneumothorax. Transvenous right atrioventricular pacer defibrillator system in standard placement. Thoracic aorta is heavily calcified and mildly irregular in shape, due to heavy atherosclerotic plaque.","Moderately severe pulmonary edema has improved minimally in the mid and upper lung zones, not so in the lung bases where it is more severe, accompanied by moderate bilateral pleural effusion.",pulmonary edema,mid and upper lung zones,Better,['files/p10/p10580208/s53675993/a7955cff-d2fccb0b-b49d4a97-71d64c98-d657a78b.jpg'],
s53675993_1,p10580208,s53675993,1,Impression,"AP chest compared to ___, 1:15 a.m.: Moderately severe pulmonary edema has improved minimally in the mid and upper lung zones, not so in the lung bases where it is more severe, accompanied by moderate bilateral pleural effusion. Severe cardiomegaly has improved slightly. There is no pneumothorax. Transvenous right atrioventricular pacer defibrillator system in standard placement. Thoracic aorta is heavily calcified and mildly irregular in shape, due to heavy atherosclerotic plaque.","Moderately severe pulmonary edema has improved minimally in the mid and upper lung zones, not so in the lung bases where it is more severe, accompanied by moderate bilateral pleural effusion.",pulmonary edema,lung bases,Worse,['files/p10/p10580208/s53675993/a7955cff-d2fccb0b-b49d4a97-71d64c98-d657a78b.jpg'],
s53678530_3,p10569231,s53678530,3,Findings,"Underpenetration of the lower chest, particularly on the left, is felt to be due to overlying soft tissue. No focal consolidation is seen on the lateral view. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable with persistent enlargement of the cardiac silhouette.",The cardiac and mediastinal silhouettes are stable with persistent enlargement of the cardiac silhouette.,Cardiac silhouette enlargement,,Stable,"['files/p10/p10569231/s53678530/d68f20ae-43c390c2-b66bf131-3528cedc-57f7e90f.jpg', 'files/p10/p10569231/s53678530/f81a519e-734afad4-3d6c87f8-6434f949-a7676b82.jpg']","['files/p10/p10569231/s51507599/08895756-28628f43-7bb6fa61-72737637-e90ef342.jpg\n', 'files/p10/p10569231/s51507599/3ef83336-7f67850f-4c481312-ec7c99d2-a874836a.jpg\n']"
s53685497_0,p11890444,s53685497,0,Findings,Heart size is normal. The aorta is unfolded. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities detected.,The mediastinal and hilar contours are unchanged.,contours,mediastinal and hilar,Stable,"['files/p11/p11890444/s53685497/a801e9d6-a80c7ee3-f0074930-698b1ee0-eca02fef.jpg', 'files/p11/p11890444/s53685497/edf1e5ad-e7249deb-2d881608-aa2878c8-e22288bd.jpg']","['files/p11/p11890444/s52548540/11dec88e-878b57f1-343fb940-c74959b5-0320dab9.jpg\n', 'files/p11/p11890444/s52548540/16ba2ebd-2cf0b27a-05a2c9ef-d72cf558-6c0b0bb2.jpg\n', 'files/p11/p11890444/s52548540/6f942e01-0ff2a009-37a3ba1a-9ac8cfa7-43910a68.jpg\n']"
s53692338_1,p13409440,s53692338,1,Impression,"As compared to ___ chest radiograph, left chest tubes have been removed with development of a very small left apical pneumothorax. Cardiomediastinal contours are stable in the postoperative. Small bilateral pleural effusions are new and accompanied bibasilar atelectasis, right greater than left.","Small bilateral pleural effusions are new and accompanied bibasilar atelectasis, right greater than left.",atelectasis,bibasilar,New,['files/p13/p13409440/s53692338/7db6c381-43097f53-27747acf-fdd4adc3-1d479213.jpg'],
s53692338_1,p13409440,s53692338,1,Impression,"As compared to ___ chest radiograph, left chest tubes have been removed with development of a very small left apical pneumothorax. Cardiomediastinal contours are stable in the postoperative. Small bilateral pleural effusions are new and accompanied bibasilar atelectasis, right greater than left.","Small bilateral pleural effusions are new and accompanied bibasilar atelectasis, right greater than left.",pleural effusions,bilateral,New,['files/p13/p13409440/s53692338/7db6c381-43097f53-27747acf-fdd4adc3-1d479213.jpg'],
s53692338_1,p13409440,s53692338,1,Impression,"As compared to ___ chest radiograph, left chest tubes have been removed with development of a very small left apical pneumothorax. Cardiomediastinal contours are stable in the postoperative. Small bilateral pleural effusions are new and accompanied bibasilar atelectasis, right greater than left.",Cardiomediastinal contours are stable in the postoperative.,Cardiomediastinal contours,,Stable,['files/p13/p13409440/s53692338/7db6c381-43097f53-27747acf-fdd4adc3-1d479213.jpg'],
s53692338_1,p13409440,s53692338,1,Impression,"As compared to ___ chest radiograph, left chest tubes have been removed with development of a very small left apical pneumothorax. Cardiomediastinal contours are stable in the postoperative. Small bilateral pleural effusions are new and accompanied bibasilar atelectasis, right greater than left.","As compared to ___ chest radiograph, left chest tubes have been removed with development of a very small left apical pneumothorax.",chest tubes,left,Resolve,['files/p13/p13409440/s53692338/7db6c381-43097f53-27747acf-fdd4adc3-1d479213.jpg'],
s53694115_7,p15793456,s53694115,7,Impression,Left PICC line tip is at the level of lower SVC. Heart size and mediastinum are stable. NG tube tip is in the stomach. Bibasal lucencies concerning for bullous disease are unchanged. No new consolidations.,Heart size and mediastinum are stable.,Heart size and mediastinum,,Stable,['files/p15/p15793456/s53694115/5100714a-7795bb79-6d9a8ab9-2ec22e74-610e28ef.jpg'],['files/p15/p15793456/s53169528/ddb6d871-83f1673f-96525527-40edfaa8-32689e38.jpg\n']
s53694115_7,p15793456,s53694115,7,Impression,Left PICC line tip is at the level of lower SVC. Heart size and mediastinum are stable. NG tube tip is in the stomach. Bibasal lucencies concerning for bullous disease are unchanged. No new consolidations.,Bibasal lucencies concerning for bullous disease are unchanged.,Lucencies concerning for bullous disease,Bibasal,Stable,['files/p15/p15793456/s53694115/5100714a-7795bb79-6d9a8ab9-2ec22e74-610e28ef.jpg'],['files/p15/p15793456/s53169528/ddb6d871-83f1673f-96525527-40edfaa8-32689e38.jpg\n']
s53694670_3,p17483408,s53694670,3,Impression,The patient was extubated in the meantime interval. The right internal jugular line tip is at the level of lower SVC. Heart size and mediastinum are unchanged in appearance. Bilateral pleural effusions and bibasilar areas of consolidation are unchanged. There is no evidence of pulmonary edema.,The patient was extubated in the meantime interval.,endotracheal tube,,Resolve,['files/p17/p17483408/s53694670/7ab4bbe7-3b408b7e-6b04c772-f84f0465-402304a0.jpg'],['files/p17/p17483408/s52798138/aaff472f-e41c0470-87efd349-ba763de2-55568bd8.jpg\n']
s53694670_3,p17483408,s53694670,3,Impression,The patient was extubated in the meantime interval. The right internal jugular line tip is at the level of lower SVC. Heart size and mediastinum are unchanged in appearance. Bilateral pleural effusions and bibasilar areas of consolidation are unchanged. There is no evidence of pulmonary edema.,Bilateral pleural effusions and bibasilar areas of consolidation are unchanged.,pleural effusions and bibasilar areas of consolidation,bilateral,Stable,['files/p17/p17483408/s53694670/7ab4bbe7-3b408b7e-6b04c772-f84f0465-402304a0.jpg'],['files/p17/p17483408/s52798138/aaff472f-e41c0470-87efd349-ba763de2-55568bd8.jpg\n']
s53694670_3,p17483408,s53694670,3,Impression,The patient was extubated in the meantime interval. The right internal jugular line tip is at the level of lower SVC. Heart size and mediastinum are unchanged in appearance. Bilateral pleural effusions and bibasilar areas of consolidation are unchanged. There is no evidence of pulmonary edema.,Heart size and mediastinum are unchanged in appearance.,Heart size and mediastinum,,Stable,['files/p17/p17483408/s53694670/7ab4bbe7-3b408b7e-6b04c772-f84f0465-402304a0.jpg'],['files/p17/p17483408/s52798138/aaff472f-e41c0470-87efd349-ba763de2-55568bd8.jpg\n']
s53696310_10,p10803114,s53696310,10,Findings,"In comparison with study of ___, there is little interval change in the appearance of the small residual effusion and atelectatic changes at the right base with Pleurx catheter in place. No evidence of pneumothorax.","In comparison with study of ___, there is little interval change in the appearance of the small residual effusion and atelectatic changes at the right base with Pleurx catheter in place.",atelectatic changes,right base,Stable,['files/p10/p10803114/s53696310/dd5da479-b1000fad-3146bb1a-6a6c7244-25e07794.jpg'],['files/p10/p10803114/s53287973/24dcc6bd-268da180-8371ae76-64cd7bcd-550a8701.jpg\n']
s53696310_10,p10803114,s53696310,10,Findings,"In comparison with study of ___, there is little interval change in the appearance of the small residual effusion and atelectatic changes at the right base with Pleurx catheter in place. No evidence of pneumothorax.","In comparison with study of ___, there is little interval change in the appearance of the small residual effusion and atelectatic changes at the right base with Pleurx catheter in place.",small residual effusion,right base,Stable,['files/p10/p10803114/s53696310/dd5da479-b1000fad-3146bb1a-6a6c7244-25e07794.jpg'],['files/p10/p10803114/s53287973/24dcc6bd-268da180-8371ae76-64cd7bcd-550a8701.jpg\n']
s53722061_36,p11717909,s53722061,36,Impression,"Compared to ___ radiograph, heterogeneous consolidation in the right middle and right lower lung have progressed, concerning for an evolving infectious pneumonia in the appropriate clinical setting. A possible new small right pleural effusion is also demonstrated. Exam is otherwise unchanged.","Compared to ___ radiograph, heterogeneous consolidation in the right middle and right lower lung have progressed, concerning for an evolving infectious pneumonia in the appropriate clinical setting.",heterogeneous consolidation,right middle and right lower lung,Worse,['files/p11/p11717909/s53722061/7c4ff21f-9a4daf55-86b77fbe-ca727f5f-3b43aeae.jpg'],['files/p11/p11717909/s53651103/d6d51a18-a82e65e5-5faa935c-9054fe80-5c5545af.jpg\n']
s53722061_36,p11717909,s53722061,36,Impression,"Compared to ___ radiograph, heterogeneous consolidation in the right middle and right lower lung have progressed, concerning for an evolving infectious pneumonia in the appropriate clinical setting. A possible new small right pleural effusion is also demonstrated. Exam is otherwise unchanged.",A possible new small right pleural effusion is also demonstrated.,small pleural effusion,right,New,['files/p11/p11717909/s53722061/7c4ff21f-9a4daf55-86b77fbe-ca727f5f-3b43aeae.jpg'],['files/p11/p11717909/s53651103/d6d51a18-a82e65e5-5faa935c-9054fe80-5c5545af.jpg\n']
s53743846_2,p13356814,s53743846,2,Impression,There is new complete collapse of the right middle lobe. Atelectasis in the lower lobes have increased. Small bilateral effusions are probably unchanged. Cardiomegaly cannot be assessed. There is no evident pneumothorax.,Atelectasis in the lower lobes have increased.,atelectasis,lower lobes,Worse,['files/p13/p13356814/s53743846/54ab854c-ec14b27b-d554c385-73da5922-3ea3d6ed.jpg'],"['files/p13/p13356814/s52613722/a9708514-d13caad4-67a5bd5b-50adf0b1-001133c9.jpg\n', 'files/p13/p13356814/s52613722/b9e0794f-128bc11f-687abd02-c3068507-8bd8cb3e.jpg\n']"
s53743846_2,p13356814,s53743846,2,Impression,There is new complete collapse of the right middle lobe. Atelectasis in the lower lobes have increased. Small bilateral effusions are probably unchanged. Cardiomegaly cannot be assessed. There is no evident pneumothorax.,Small bilateral effusions are probably unchanged.,effusions,bilateral,Stable,['files/p13/p13356814/s53743846/54ab854c-ec14b27b-d554c385-73da5922-3ea3d6ed.jpg'],"['files/p13/p13356814/s52613722/a9708514-d13caad4-67a5bd5b-50adf0b1-001133c9.jpg\n', 'files/p13/p13356814/s52613722/b9e0794f-128bc11f-687abd02-c3068507-8bd8cb3e.jpg\n']"
s53743846_2,p13356814,s53743846,2,Impression,There is new complete collapse of the right middle lobe. Atelectasis in the lower lobes have increased. Small bilateral effusions are probably unchanged. Cardiomegaly cannot be assessed. There is no evident pneumothorax.,There is new complete collapse of the right middle lobe.,collapse,right middle lobe,New,['files/p13/p13356814/s53743846/54ab854c-ec14b27b-d554c385-73da5922-3ea3d6ed.jpg'],"['files/p13/p13356814/s52613722/a9708514-d13caad4-67a5bd5b-50adf0b1-001133c9.jpg\n', 'files/p13/p13356814/s52613722/b9e0794f-128bc11f-687abd02-c3068507-8bd8cb3e.jpg\n']"
s53762826_2,p11135350,s53762826,2,Findings,"AP upright and lateral views of the chest provided. Tiny clips in the left axilla are again noted. The heart remains mildly enlarged. There is no focal consolidation, large effusion, or pneumothorax. A rounded density at the right pulmonary hilum likely represents a large vessel en face. No convincing signs of pneumonia or edema. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.",The heart remains mildly enlarged.,mild cardiomegaly,,Stable,"['files/p11/p11135350/s53762826/120e5b75-c3500201-4fcbcd62-51265bb3-e3371c84.jpg', 'files/p11/p11135350/s53762826/598d6145-85bfdcdc-b0cd756d-4d72d599-79e3f10a.jpg']",['files/p11/p11135350/s53452058/317f2687-c3bf422b-70bb63ef-c094a677-6c81f799.jpg\n']
s53762826_2,p11135350,s53762826,2,Findings,"AP upright and lateral views of the chest provided. Tiny clips in the left axilla are again noted. The heart remains mildly enlarged. There is no focal consolidation, large effusion, or pneumothorax. A rounded density at the right pulmonary hilum likely represents a large vessel en face. No convincing signs of pneumonia or edema. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.",Tiny clips in the left axilla are again noted.,clips,left axilla,Stable,"['files/p11/p11135350/s53762826/120e5b75-c3500201-4fcbcd62-51265bb3-e3371c84.jpg', 'files/p11/p11135350/s53762826/598d6145-85bfdcdc-b0cd756d-4d72d599-79e3f10a.jpg']",['files/p11/p11135350/s53452058/317f2687-c3bf422b-70bb63ef-c094a677-6c81f799.jpg\n']
s53764194_6,p11226572,s53764194,6,Findings,"Previously seen focal consolidation at the lingula is resolved and there is only minimal residual interstitial thickening. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouette are normal size and unchanged. There is no radiographic findings that suggests sarcoidosis. The lungs are mildly hyperinflated.",Previously seen focal consolidation at the lingula is resolved and there is only minimal residual interstitial thickening.,focal consolidation,lingula,Resolve,"['files/p11/p11226572/s53764194/23b9a601-50441467-c840ef98-cc20b3d9-0f1e89c8.jpg', 'files/p11/p11226572/s53764194/c7524a34-034ad3d1-e934a59f-85f18631-6f81adad.jpg']","['files/p11/p11226572/s53521127/48f65bd6-fd930f65-27b3123b-39cb33cc-049a89be.jpg\n', 'files/p11/p11226572/s53521127/7c3703a8-64b5649b-f5839d8c-3e2cf8e8-d0e6eee3.jpg\n']"
s53764194_6,p11226572,s53764194,6,Findings,"Previously seen focal consolidation at the lingula is resolved and there is only minimal residual interstitial thickening. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouette are normal size and unchanged. There is no radiographic findings that suggests sarcoidosis. The lungs are mildly hyperinflated.",Cardiomediastinal and hilar silhouette are normal size and unchanged.,size,Cardiomediastinal and hilar silhouette,Stable,"['files/p11/p11226572/s53764194/23b9a601-50441467-c840ef98-cc20b3d9-0f1e89c8.jpg', 'files/p11/p11226572/s53764194/c7524a34-034ad3d1-e934a59f-85f18631-6f81adad.jpg']","['files/p11/p11226572/s53521127/48f65bd6-fd930f65-27b3123b-39cb33cc-049a89be.jpg\n', 'files/p11/p11226572/s53521127/7c3703a8-64b5649b-f5839d8c-3e2cf8e8-d0e6eee3.jpg\n']"
s53769263_7,p11888614,s53769263,7,Impression,CHF with interstitial and pulmonary edema and small left effusion. Left lower lobe collapse and/or consolidation. Findings are significantly worse compared with ___ at 10:42 a.m.,Findings are significantly worse compared with ___ at 10:42 a.m.,Findings,,Worse,['files/p11/p11888614/s53769263/c963fac4-7f414f76-1fe5eb83-2bd75a14-f2dcd77e.jpg'],['files/p11/p11888614/s53595687/5544bf5f-cd726bd8-5b0bd5ab-c8c4b0f3-f296c7e7.jpg\n']
s53772313_13,p11135350,s53772313,13,Impression,"As compared to the previous image, no relevant change is seen. The endotracheal tube and the right internal jugular vein catheter are constant position. Moderate cardiomegaly. Unchanged mild enlargement of the right hilus. . Overall low lung volumes with mild fluid overload but no overt pulmonary edema. No evidence of pneumonia.","As compared to the previous image, no relevant change is seen.",,,Stable,['files/p11/p11135350/s53772313/cd3281a8-6fdf014d-d38263aa-913e7ac6-50920fae.jpg'],"['files/p11/p11135350/s53762826/120e5b75-c3500201-4fcbcd62-51265bb3-e3371c84.jpg\n', 'files/p11/p11135350/s53762826/598d6145-85bfdcdc-b0cd756d-4d72d599-79e3f10a.jpg\n']"
s53772313_13,p11135350,s53772313,13,Impression,"As compared to the previous image, no relevant change is seen. The endotracheal tube and the right internal jugular vein catheter are constant position. Moderate cardiomegaly. Unchanged mild enlargement of the right hilus. . Overall low lung volumes with mild fluid overload but no overt pulmonary edema. No evidence of pneumonia.",Unchanged mild enlargement of the right hilus.,hilus enlargement,right,Stable,['files/p11/p11135350/s53772313/cd3281a8-6fdf014d-d38263aa-913e7ac6-50920fae.jpg'],"['files/p11/p11135350/s53762826/120e5b75-c3500201-4fcbcd62-51265bb3-e3371c84.jpg\n', 'files/p11/p11135350/s53762826/598d6145-85bfdcdc-b0cd756d-4d72d599-79e3f10a.jpg\n']"
s53772313_13,p11135350,s53772313,13,Impression,"As compared to the previous image, no relevant change is seen. The endotracheal tube and the right internal jugular vein catheter are constant position. Moderate cardiomegaly. Unchanged mild enlargement of the right hilus. . Overall low lung volumes with mild fluid overload but no overt pulmonary edema. No evidence of pneumonia.",The endotracheal tube and the right internal jugular vein catheter are constant position.,endotracheal tube and right internal jugular vein catheter position,,Stable,['files/p11/p11135350/s53772313/cd3281a8-6fdf014d-d38263aa-913e7ac6-50920fae.jpg'],"['files/p11/p11135350/s53762826/120e5b75-c3500201-4fcbcd62-51265bb3-e3371c84.jpg\n', 'files/p11/p11135350/s53762826/598d6145-85bfdcdc-b0cd756d-4d72d599-79e3f10a.jpg\n']"
s53774641_2,p11888614,s53774641,2,Findings,"The heart is normal in size. The main pulmonary artery contour is slightly prominent, but stable. Central pulmonary arteries are also mildly enlarged. The pulmonary interstitium has a mildly coarsened appearance bilaterally, but without significant change. There is no pleural effusion or pneumothorax. Mild rightward convex curvatures centered along the mid thoracic spine appear similar.","The main pulmonary artery contour is slightly prominent, but stable.",prominence,main pulmonary artery,Stable,"['files/p11/p11888614/s53774641/4c484e73-4abd4329-ec10231a-56289fc3-aaed7d86.jpg', 'files/p11/p11888614/s53774641/eaf346b2-804fccf1-7b8edede-5553e418-701f2e75.jpg', 'files/p11/p11888614/s53774641/f9a46cab-b5aa6b75-05607b40-69ec7221-7cdb3866.jpg']",['files/p11/p11888614/s53769263/c963fac4-7f414f76-1fe5eb83-2bd75a14-f2dcd77e.jpg\n']
s53774641_2,p11888614,s53774641,2,Findings,"The heart is normal in size. The main pulmonary artery contour is slightly prominent, but stable. Central pulmonary arteries are also mildly enlarged. The pulmonary interstitium has a mildly coarsened appearance bilaterally, but without significant change. There is no pleural effusion or pneumothorax. Mild rightward convex curvatures centered along the mid thoracic spine appear similar.",Mild rightward convex curvatures centered along the mid thoracic spine appear similar.,rightward convex curvatures,mid thoracic spine,Stable,"['files/p11/p11888614/s53774641/4c484e73-4abd4329-ec10231a-56289fc3-aaed7d86.jpg', 'files/p11/p11888614/s53774641/eaf346b2-804fccf1-7b8edede-5553e418-701f2e75.jpg', 'files/p11/p11888614/s53774641/f9a46cab-b5aa6b75-05607b40-69ec7221-7cdb3866.jpg']",['files/p11/p11888614/s53769263/c963fac4-7f414f76-1fe5eb83-2bd75a14-f2dcd77e.jpg\n']
s53774641_2,p11888614,s53774641,2,Impression,"Similar central pulmonary artery enlargement, for which the possibility of pulmonary hypertension should be considered in the appropriate clinical setting.","Similar central pulmonary artery enlargement, for which the possibility of pulmonary hypertension should be considered in the appropriate clinical setting.",enlargement,central pulmonary artery,Stable,"['files/p11/p11888614/s53774641/4c484e73-4abd4329-ec10231a-56289fc3-aaed7d86.jpg', 'files/p11/p11888614/s53774641/eaf346b2-804fccf1-7b8edede-5553e418-701f2e75.jpg', 'files/p11/p11888614/s53774641/f9a46cab-b5aa6b75-05607b40-69ec7221-7cdb3866.jpg']",['files/p11/p11888614/s53769263/c963fac4-7f414f76-1fe5eb83-2bd75a14-f2dcd77e.jpg\n']
s53774641_2,p11888614,s53774641,2,Findings,"The heart is normal in size. The main pulmonary artery contour is slightly prominent, but stable. Central pulmonary arteries are also mildly enlarged. The pulmonary interstitium has a mildly coarsened appearance bilaterally, but without significant change. There is no pleural effusion or pneumothorax. Mild rightward convex curvatures centered along the mid thoracic spine appear similar.","The pulmonary interstitium has a mildly coarsened appearance bilaterally, but without significant change.",pulmonary interstitium coarsened appearance,bilaterally,Stable,"['files/p11/p11888614/s53774641/4c484e73-4abd4329-ec10231a-56289fc3-aaed7d86.jpg', 'files/p11/p11888614/s53774641/eaf346b2-804fccf1-7b8edede-5553e418-701f2e75.jpg', 'files/p11/p11888614/s53774641/f9a46cab-b5aa6b75-05607b40-69ec7221-7cdb3866.jpg']",['files/p11/p11888614/s53769263/c963fac4-7f414f76-1fe5eb83-2bd75a14-f2dcd77e.jpg\n']
s53778461_27,p10337896,s53778461,27,Impression,"Small bilateral pleural effusions with passive atelectasis. Developing bibasilar consolidations are difficult to exclude. Redemonstrated densities within the lung parenchyma and neck, possibly secondary to prior granulomatous disease.","Redemonstrated densities within the lung parenchyma and neck, possibly secondary to prior granulomatous disease.",densities,within the lung parenchyma and neck,Stable,['files/p10/p10337896/s53778461/58ac68b5-24c8cb7d-62f38524-4c03808a-0329f3c6.jpg'],['files/p10/p10337896/s53482443/e7f2ad9b-a5698623-14f87c8b-47a99b0b-31959f7a.jpg\n']
s53784524_23,p15911529,s53784524,23,Impression,"As compared to the previous image, a part of the right pleural effusion, notably in the intrafissural space, has Re accumulated. As a consequence, the lung volume on the right has decreased and atelectasis have. At the right lung base. Moderate cardiomegaly persists. No overt pulmonary edema. No change in appearance of the left lung.","As a consequence, the lung volume on the right has decreased and atelectasis have.",atelectasis,right,Worse,['files/p15/p15911529/s53784524/7ada4149-42025581-bd61e461-9719e7ba-1954ef82.jpg'],['files/p15/p15911529/s53140692/5063d302-87f10189-f63cd435-f9628cbb-ea776d10.jpg\n']
s53784524_23,p15911529,s53784524,23,Impression,"As compared to the previous image, a part of the right pleural effusion, notably in the intrafissural space, has Re accumulated. As a consequence, the lung volume on the right has decreased and atelectasis have. At the right lung base. Moderate cardiomegaly persists. No overt pulmonary edema. No change in appearance of the left lung.","As a consequence, the lung volume on the right has decreased and atelectasis have.",lung volume,right,Worse,['files/p15/p15911529/s53784524/7ada4149-42025581-bd61e461-9719e7ba-1954ef82.jpg'],['files/p15/p15911529/s53140692/5063d302-87f10189-f63cd435-f9628cbb-ea776d10.jpg\n']
s53784524_23,p15911529,s53784524,23,Impression,"As compared to the previous image, a part of the right pleural effusion, notably in the intrafissural space, has Re accumulated. As a consequence, the lung volume on the right has decreased and atelectasis have. At the right lung base. Moderate cardiomegaly persists. No overt pulmonary edema. No change in appearance of the left lung.","As compared to the previous image, a part of the right pleural effusion, notably in the intrafissural space, has Re accumulated.",pleural effusion,"right, intrafissural space",Worse,['files/p15/p15911529/s53784524/7ada4149-42025581-bd61e461-9719e7ba-1954ef82.jpg'],['files/p15/p15911529/s53140692/5063d302-87f10189-f63cd435-f9628cbb-ea776d10.jpg\n']
s53784524_23,p15911529,s53784524,23,Impression,"As compared to the previous image, a part of the right pleural effusion, notably in the intrafissural space, has Re accumulated. As a consequence, the lung volume on the right has decreased and atelectasis have. At the right lung base. Moderate cardiomegaly persists. No overt pulmonary edema. No change in appearance of the left lung.",Moderate cardiomegaly persists.,cardiomegaly,,Stable,['files/p15/p15911529/s53784524/7ada4149-42025581-bd61e461-9719e7ba-1954ef82.jpg'],['files/p15/p15911529/s53140692/5063d302-87f10189-f63cd435-f9628cbb-ea776d10.jpg\n']
s53784524_23,p15911529,s53784524,23,Impression,"As compared to the previous image, a part of the right pleural effusion, notably in the intrafissural space, has Re accumulated. As a consequence, the lung volume on the right has decreased and atelectasis have. At the right lung base. Moderate cardiomegaly persists. No overt pulmonary edema. No change in appearance of the left lung.",No change in appearance of the left lung.,lung appearance,left,Stable,['files/p15/p15911529/s53784524/7ada4149-42025581-bd61e461-9719e7ba-1954ef82.jpg'],['files/p15/p15911529/s53140692/5063d302-87f10189-f63cd435-f9628cbb-ea776d10.jpg\n']
s53790841_0,p10803114,s53790841,0,Impression,"Stable chest findings, no cardiomegaly, pulmonary congestion or interstitial abnormalities suspicious for amiodarone toxicity.","Stable chest findings, no cardiomegaly, pulmonary congestion or interstitial abnormalities suspicious for amiodarone toxicity.",Chest findings,,Stable,"['files/p10/p10803114/s53790841/3bcd0d92-81373a0a-8fb28e74-2cac5886-c8fd319b.jpg', 'files/p10/p10803114/s53790841/c3c8dab4-129cc1cd-e3818349-2e9417a3-50ceda9c.jpg']",['files/p10/p10803114/s53696310/dd5da479-b1000fad-3146bb1a-6a6c7244-25e07794.jpg\n']
s53790841_0,p10803114,s53790841,0,Findings,"PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. The heart size remains normal. No configurational abnormality is seen. Unremarkable appearance of thoracic aorta. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area on the frontal views. As already seen on the preceding study, there is a mild degree of right-sided convex scoliosis in the thoracic spine with moderate degree of degenerative changes, but no other skeletal abnormalities are identified.",The heart size remains normal.,Heart size,,Stable,"['files/p10/p10803114/s53790841/3bcd0d92-81373a0a-8fb28e74-2cac5886-c8fd319b.jpg', 'files/p10/p10803114/s53790841/c3c8dab4-129cc1cd-e3818349-2e9417a3-50ceda9c.jpg']",['files/p10/p10803114/s53696310/dd5da479-b1000fad-3146bb1a-6a6c7244-25e07794.jpg\n']
s53793106_1,p15634260,s53793106,1,Impression,"As compared to the previous radiograph, no relevant change is seen. The lung volumes have minimally increased, potentially reflecting improved ventilation. The monitoring and support devices are constant. Moderate cardiomegaly with mild fluid overload persists. Moderate retrocardiac atelectasis is unchanged. No evidence of pneumonia.",Moderate retrocardiac atelectasis is unchanged.,Atelectasis,Retrocardiac,Stable,['files/p15/p15634260/s53793106/8510d3ca-b0426e32-7dd8e6f5-6e0bc0d6-3f439a43.jpg'],
s53793106_1,p15634260,s53793106,1,Impression,"As compared to the previous radiograph, no relevant change is seen. The lung volumes have minimally increased, potentially reflecting improved ventilation. The monitoring and support devices are constant. Moderate cardiomegaly with mild fluid overload persists. Moderate retrocardiac atelectasis is unchanged. No evidence of pneumonia.","The lung volumes have minimally increased, potentially reflecting improved ventilation.",Lung volumes,,Better,['files/p15/p15634260/s53793106/8510d3ca-b0426e32-7dd8e6f5-6e0bc0d6-3f439a43.jpg'],
s53793106_1,p15634260,s53793106,1,Impression,"As compared to the previous radiograph, no relevant change is seen. The lung volumes have minimally increased, potentially reflecting improved ventilation. The monitoring and support devices are constant. Moderate cardiomegaly with mild fluid overload persists. Moderate retrocardiac atelectasis is unchanged. No evidence of pneumonia.",Moderate cardiomegaly with mild fluid overload persists.,Moderate cardiomegaly with mild fluid overload,,Stable,['files/p15/p15634260/s53793106/8510d3ca-b0426e32-7dd8e6f5-6e0bc0d6-3f439a43.jpg'],
s53799148_13,p10337896,s53799148,13,Impression,"Interval placement of an endotracheal tube which has its tip approximately 4.5 cm above the carina. Nasogastric tube appears to be coursing below the diaphragm with the tip not identified. Right internal jugular central line is unchanged in position. Overall stable cardiac mediastinal contours. No interval change in the bilateral multiple calcified lymph nodes and parenchymal and pleural opacities. Unchanged layering bilateral effusions. Asymmetric biapical pleural thickening, left greater than right, all is unchanged dating back to ___. No pneumothorax.",No interval change in the bilateral multiple calcified lymph nodes and parenchymal and pleural opacities.,calcified lymph nodes and parenchymal and pleural opacities,bilateral,Stable,['files/p10/p10337896/s53799148/c13cd8dd-8b083466-64564d12-69441e5d-7b8a2515.jpg'],['files/p10/p10337896/s53778461/58ac68b5-24c8cb7d-62f38524-4c03808a-0329f3c6.jpg\n']
s53799148_13,p10337896,s53799148,13,Impression,"Interval placement of an endotracheal tube which has its tip approximately 4.5 cm above the carina. Nasogastric tube appears to be coursing below the diaphragm with the tip not identified. Right internal jugular central line is unchanged in position. Overall stable cardiac mediastinal contours. No interval change in the bilateral multiple calcified lymph nodes and parenchymal and pleural opacities. Unchanged layering bilateral effusions. Asymmetric biapical pleural thickening, left greater than right, all is unchanged dating back to ___. No pneumothorax.",Overall stable cardiac mediastinal contours.,cardiac mediastinal contours,,Stable,['files/p10/p10337896/s53799148/c13cd8dd-8b083466-64564d12-69441e5d-7b8a2515.jpg'],['files/p10/p10337896/s53778461/58ac68b5-24c8cb7d-62f38524-4c03808a-0329f3c6.jpg\n']
s53799148_13,p10337896,s53799148,13,Impression,"Interval placement of an endotracheal tube which has its tip approximately 4.5 cm above the carina. Nasogastric tube appears to be coursing below the diaphragm with the tip not identified. Right internal jugular central line is unchanged in position. Overall stable cardiac mediastinal contours. No interval change in the bilateral multiple calcified lymph nodes and parenchymal and pleural opacities. Unchanged layering bilateral effusions. Asymmetric biapical pleural thickening, left greater than right, all is unchanged dating back to ___. No pneumothorax.",Right internal jugular central line is unchanged in position.,internal jugular central line,right,Stable,['files/p10/p10337896/s53799148/c13cd8dd-8b083466-64564d12-69441e5d-7b8a2515.jpg'],['files/p10/p10337896/s53778461/58ac68b5-24c8cb7d-62f38524-4c03808a-0329f3c6.jpg\n']
s53799148_13,p10337896,s53799148,13,Impression,"Interval placement of an endotracheal tube which has its tip approximately 4.5 cm above the carina. Nasogastric tube appears to be coursing below the diaphragm with the tip not identified. Right internal jugular central line is unchanged in position. Overall stable cardiac mediastinal contours. No interval change in the bilateral multiple calcified lymph nodes and parenchymal and pleural opacities. Unchanged layering bilateral effusions. Asymmetric biapical pleural thickening, left greater than right, all is unchanged dating back to ___. No pneumothorax.","Asymmetric biapical pleural thickening, left greater than right, all is unchanged dating back to ___.",pleural thickening,asymmetric biapical,Stable,['files/p10/p10337896/s53799148/c13cd8dd-8b083466-64564d12-69441e5d-7b8a2515.jpg'],['files/p10/p10337896/s53778461/58ac68b5-24c8cb7d-62f38524-4c03808a-0329f3c6.jpg\n']
s53799148_13,p10337896,s53799148,13,Impression,"Interval placement of an endotracheal tube which has its tip approximately 4.5 cm above the carina. Nasogastric tube appears to be coursing below the diaphragm with the tip not identified. Right internal jugular central line is unchanged in position. Overall stable cardiac mediastinal contours. No interval change in the bilateral multiple calcified lymph nodes and parenchymal and pleural opacities. Unchanged layering bilateral effusions. Asymmetric biapical pleural thickening, left greater than right, all is unchanged dating back to ___. No pneumothorax.",Unchanged layering bilateral effusions.,layering effusions,bilateral,Stable,['files/p10/p10337896/s53799148/c13cd8dd-8b083466-64564d12-69441e5d-7b8a2515.jpg'],['files/p10/p10337896/s53778461/58ac68b5-24c8cb7d-62f38524-4c03808a-0329f3c6.jpg\n']
s53814100_0,p12937037,s53814100,0,Impression,Subtle bibasilar opacities which raise concern for bilateral lower lobe pneumonia.,Subtle bibasilar opacities which raise concern for bilateral lower lobe pneumonia.,opacities,bibasilar,New,['files/p12/p12937037/s53814100/b6d528ca-2adc0b92-747b8c36-a0e0887d-6b962cec.jpg'],
s53814100_0,p12937037,s53814100,0,Findings,Single portable frontal chest. The lungs are well expanded. There are subtle bibasilar opacities which raise concern for bilateral lower lobe pneumonia. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.,There are subtle bibasilar opacities which raise concern for bilateral lower lobe pneumonia.,opacities,bibasilar,New,['files/p12/p12937037/s53814100/b6d528ca-2adc0b92-747b8c36-a0e0887d-6b962cec.jpg'],
s53814539_7,p13196707,s53814539,7,Impression,"1. Slight interval decrease in size of a small right pleural effusion, with persistent bibasilar pneumonia and/or atelectasis. 2. Multiple bilateral pulmonary metastases.","Slight interval decrease in size of a small right pleural effusion, with persistent bibasilar pneumonia and/or atelectasis.",pneumonia and/or atelectasis,bibasilar,Stable,['files/p13/p13196707/s53814539/2d271bb0-b719bae0-a9361b1b-16706831-41fc9798.jpg'],['files/p13/p13196707/s50564703/1ad7b193-ec7866e0-b028d0ab-58e2fd05-8da28ddd.jpg\n']
s53814539_7,p13196707,s53814539,7,Impression,"1. Slight interval decrease in size of a small right pleural effusion, with persistent bibasilar pneumonia and/or atelectasis. 2. Multiple bilateral pulmonary metastases.","Slight interval decrease in size of a small right pleural effusion, with persistent bibasilar pneumonia and/or atelectasis.",pleural effusion,right,Better,['files/p13/p13196707/s53814539/2d271bb0-b719bae0-a9361b1b-16706831-41fc9798.jpg'],['files/p13/p13196707/s50564703/1ad7b193-ec7866e0-b028d0ab-58e2fd05-8da28ddd.jpg\n']
s53814539_7,p13196707,s53814539,7,Findings,"Dobhoff tube terminates in the body of the stomach. Right subclavian line has been removed in the interim. SVC stent appears unchanged in position. Bibasilar consolidations may represent a combination of pneumonia and/ or atelectasis, not significantly changed. Multiple bilateral pulmonary metastases are known to the patient. Small right pleural effusion has decreased. No pneumothorax. Cardiomediastinal contours are stable. Right hemidiaphragm is persistently elevated.",Small right pleural effusion has decreased.,pleural effusion,right,Better,['files/p13/p13196707/s53814539/2d271bb0-b719bae0-a9361b1b-16706831-41fc9798.jpg'],['files/p13/p13196707/s50564703/1ad7b193-ec7866e0-b028d0ab-58e2fd05-8da28ddd.jpg\n']
s53814539_7,p13196707,s53814539,7,Findings,"Dobhoff tube terminates in the body of the stomach. Right subclavian line has been removed in the interim. SVC stent appears unchanged in position. Bibasilar consolidations may represent a combination of pneumonia and/ or atelectasis, not significantly changed. Multiple bilateral pulmonary metastases are known to the patient. Small right pleural effusion has decreased. No pneumothorax. Cardiomediastinal contours are stable. Right hemidiaphragm is persistently elevated.",Right hemidiaphragm is persistently elevated.,hemidiaphragm elevation,right,Stable,['files/p13/p13196707/s53814539/2d271bb0-b719bae0-a9361b1b-16706831-41fc9798.jpg'],['files/p13/p13196707/s50564703/1ad7b193-ec7866e0-b028d0ab-58e2fd05-8da28ddd.jpg\n']
s53814539_7,p13196707,s53814539,7,Findings,"Dobhoff tube terminates in the body of the stomach. Right subclavian line has been removed in the interim. SVC stent appears unchanged in position. Bibasilar consolidations may represent a combination of pneumonia and/ or atelectasis, not significantly changed. Multiple bilateral pulmonary metastases are known to the patient. Small right pleural effusion has decreased. No pneumothorax. Cardiomediastinal contours are stable. Right hemidiaphragm is persistently elevated.",Right subclavian line has been removed in the interim.,presence,right subclavian line,Resolve,['files/p13/p13196707/s53814539/2d271bb0-b719bae0-a9361b1b-16706831-41fc9798.jpg'],['files/p13/p13196707/s50564703/1ad7b193-ec7866e0-b028d0ab-58e2fd05-8da28ddd.jpg\n']
s53814539_7,p13196707,s53814539,7,Findings,"Dobhoff tube terminates in the body of the stomach. Right subclavian line has been removed in the interim. SVC stent appears unchanged in position. Bibasilar consolidations may represent a combination of pneumonia and/ or atelectasis, not significantly changed. Multiple bilateral pulmonary metastases are known to the patient. Small right pleural effusion has decreased. No pneumothorax. Cardiomediastinal contours are stable. Right hemidiaphragm is persistently elevated.",Cardiomediastinal contours are stable.,cardiomediastinal contours,,Stable,['files/p13/p13196707/s53814539/2d271bb0-b719bae0-a9361b1b-16706831-41fc9798.jpg'],['files/p13/p13196707/s50564703/1ad7b193-ec7866e0-b028d0ab-58e2fd05-8da28ddd.jpg\n']
s53814539_7,p13196707,s53814539,7,Findings,"Dobhoff tube terminates in the body of the stomach. Right subclavian line has been removed in the interim. SVC stent appears unchanged in position. Bibasilar consolidations may represent a combination of pneumonia and/ or atelectasis, not significantly changed. Multiple bilateral pulmonary metastases are known to the patient. Small right pleural effusion has decreased. No pneumothorax. Cardiomediastinal contours are stable. Right hemidiaphragm is persistently elevated.",SVC stent appears unchanged in position.,position,SVC stent,Stable,['files/p13/p13196707/s53814539/2d271bb0-b719bae0-a9361b1b-16706831-41fc9798.jpg'],['files/p13/p13196707/s50564703/1ad7b193-ec7866e0-b028d0ab-58e2fd05-8da28ddd.jpg\n']
s53814539_7,p13196707,s53814539,7,Findings,"Dobhoff tube terminates in the body of the stomach. Right subclavian line has been removed in the interim. SVC stent appears unchanged in position. Bibasilar consolidations may represent a combination of pneumonia and/ or atelectasis, not significantly changed. Multiple bilateral pulmonary metastases are known to the patient. Small right pleural effusion has decreased. No pneumothorax. Cardiomediastinal contours are stable. Right hemidiaphragm is persistently elevated.","Bibasilar consolidations may represent a combination of pneumonia and/ or atelectasis, not significantly changed.",consolidations,bibasilar,Stable,['files/p13/p13196707/s53814539/2d271bb0-b719bae0-a9361b1b-16706831-41fc9798.jpg'],['files/p13/p13196707/s50564703/1ad7b193-ec7866e0-b028d0ab-58e2fd05-8da28ddd.jpg\n']
s53836463_3,p10003502,s53836463,3,Findings,"The bilateral pleural effusions, lower lobe volume loss, and dense lower lobe opacity compatible with a combination of volume loss/infiltrate/effusion. The heart continues to be moderately enlarged. There is mild vascular redistribution.",The heart continues to be moderately enlarged.,moderately enlarged heart,,Stable,['files/p10/p10003502/s53836463/371aaea8-195e21b2-ba5a2856-54803ecf-1b72d88b.jpg'],['files/p10/p10003502/s53282957/eb2fabb7-4bbc8aab-d7371282-08e5bcb5-de2e430a.jpg\n']
s53836463_3,p10003502,s53836463,3,Impression,"CHF, slightly worse than on the prior study.","CHF, slightly worse than on the prior study.",CHF,,Worse,['files/p10/p10003502/s53836463/371aaea8-195e21b2-ba5a2856-54803ecf-1b72d88b.jpg'],['files/p10/p10003502/s53282957/eb2fabb7-4bbc8aab-d7371282-08e5bcb5-de2e430a.jpg\n']
s53839366_21,p19358609,s53839366,21,Impression,"In comparison with the earlier study of this date, the nasogastric tube extends to the mid to upper stomach. Other monitoring and support devices are unchanged. The degree of pulmonary vascular congestion appears to have improved. Extensive opacification is again seen involving much of the left hemithorax.",Extensive opacification is again seen involving much of the left hemithorax.,extensive opacification,left hemithorax,Stable,['files/p19/p19358609/s53839366/2b50b42f-50c05b8c-99e75eff-0b02afd4-9ceb9ef7.jpg'],['files/p19/p19358609/s53579425/960a353d-a835332d-fb31336b-b05f1fbf-749acc88.jpg\n']
s53839366_21,p19358609,s53839366,21,Impression,"In comparison with the earlier study of this date, the nasogastric tube extends to the mid to upper stomach. Other monitoring and support devices are unchanged. The degree of pulmonary vascular congestion appears to have improved. Extensive opacification is again seen involving much of the left hemithorax.",The degree of pulmonary vascular congestion appears to have improved.,pulmonary vascular congestion,,Better,['files/p19/p19358609/s53839366/2b50b42f-50c05b8c-99e75eff-0b02afd4-9ceb9ef7.jpg'],['files/p19/p19358609/s53579425/960a353d-a835332d-fb31336b-b05f1fbf-749acc88.jpg\n']
s53839366_21,p19358609,s53839366,21,Impression,"In comparison with the earlier study of this date, the nasogastric tube extends to the mid to upper stomach. Other monitoring and support devices are unchanged. The degree of pulmonary vascular congestion appears to have improved. Extensive opacification is again seen involving much of the left hemithorax.",Other monitoring and support devices are unchanged.,monitoring and support devices,,Stable,['files/p19/p19358609/s53839366/2b50b42f-50c05b8c-99e75eff-0b02afd4-9ceb9ef7.jpg'],['files/p19/p19358609/s53579425/960a353d-a835332d-fb31336b-b05f1fbf-749acc88.jpg\n']
s53857831_7,p19358609,s53857831,7,Findings,"Portable AP upright view of the chest was provided. There is again noted to be post-surgical change of the left lung apex with volume loss and leftward retraction of the mediastinal structures. There is also evidence of prior left upper rib cage resection with chest wall deformity evident. The right lung is hyperinflated with upper lobe lucency, likely reflecting underlying emphysema. Coarsened interstitial markings with micronodular opacity in the right lower lung likely reflect scarring and appears stable from prior exam. The left CP angle is excluded thus limiting evaluation. No definite new consolidation in the left lung to suggest the presence of pneumonia. The heart size appears stable.",There is again noted to be post-surgical change of the left lung apex with volume loss and leftward retraction of the mediastinal structures.,post-surgical changes,left lung apex,Stable,['files/p19/p19358609/s53857831/5a9c035a-33267a29-76c4b71b-04e91d63-e786f0ab.jpg'],['files/p19/p19358609/s53839366/2b50b42f-50c05b8c-99e75eff-0b02afd4-9ceb9ef7.jpg\n']
s53857831_7,p19358609,s53857831,7,Findings,"Portable AP upright view of the chest was provided. There is again noted to be post-surgical change of the left lung apex with volume loss and leftward retraction of the mediastinal structures. There is also evidence of prior left upper rib cage resection with chest wall deformity evident. The right lung is hyperinflated with upper lobe lucency, likely reflecting underlying emphysema. Coarsened interstitial markings with micronodular opacity in the right lower lung likely reflect scarring and appears stable from prior exam. The left CP angle is excluded thus limiting evaluation. No definite new consolidation in the left lung to suggest the presence of pneumonia. The heart size appears stable.",The heart size appears stable.,size,heart,Stable,['files/p19/p19358609/s53857831/5a9c035a-33267a29-76c4b71b-04e91d63-e786f0ab.jpg'],['files/p19/p19358609/s53839366/2b50b42f-50c05b8c-99e75eff-0b02afd4-9ceb9ef7.jpg\n']
s53857831_7,p19358609,s53857831,7,Findings,"Portable AP upright view of the chest was provided. There is again noted to be post-surgical change of the left lung apex with volume loss and leftward retraction of the mediastinal structures. There is also evidence of prior left upper rib cage resection with chest wall deformity evident. The right lung is hyperinflated with upper lobe lucency, likely reflecting underlying emphysema. Coarsened interstitial markings with micronodular opacity in the right lower lung likely reflect scarring and appears stable from prior exam. The left CP angle is excluded thus limiting evaluation. No definite new consolidation in the left lung to suggest the presence of pneumonia. The heart size appears stable.",Coarsened interstitial markings with micronodular opacity in the right lower lung likely reflect scarring and appears stable from prior exam.,coarsened interstitial markings; micronodular opacity,right lower lung,Stable,['files/p19/p19358609/s53857831/5a9c035a-33267a29-76c4b71b-04e91d63-e786f0ab.jpg'],['files/p19/p19358609/s53839366/2b50b42f-50c05b8c-99e75eff-0b02afd4-9ceb9ef7.jpg\n']
s53857831_7,p19358609,s53857831,7,Findings,"Portable AP upright view of the chest was provided. There is again noted to be post-surgical change of the left lung apex with volume loss and leftward retraction of the mediastinal structures. There is also evidence of prior left upper rib cage resection with chest wall deformity evident. The right lung is hyperinflated with upper lobe lucency, likely reflecting underlying emphysema. Coarsened interstitial markings with micronodular opacity in the right lower lung likely reflect scarring and appears stable from prior exam. The left CP angle is excluded thus limiting evaluation. No definite new consolidation in the left lung to suggest the presence of pneumonia. The heart size appears stable.",There is also evidence of prior left upper rib cage resection with chest wall deformity evident.,resection,left upper rib cage,Stable,['files/p19/p19358609/s53857831/5a9c035a-33267a29-76c4b71b-04e91d63-e786f0ab.jpg'],['files/p19/p19358609/s53839366/2b50b42f-50c05b8c-99e75eff-0b02afd4-9ceb9ef7.jpg\n']
s53861968_1,p18057037,s53861968,1,Impression,1. New mild interstitial pulmonary edema. Chronic mild cardiomegaly. 2. New right middle lobe atelectasis.,New right middle lobe atelectasis.,atelectasis,right middle lobe,New,"['files/p18/p18057037/s53861968/129f413f-93ad3c02-078798e4-098743e5-4749e33b.jpg', 'files/p18/p18057037/s53861968/85604290-253019dd-ee982de0-5c5f6fd8-a32ec0d3.jpg']",['files/p18/p18057037/s53273352/d37198a2-d588ccee-08feb12c-5d4942b3-98453d12.jpg\n']
s53861968_1,p18057037,s53861968,1,Impression,1. New mild interstitial pulmonary edema. Chronic mild cardiomegaly. 2. New right middle lobe atelectasis.,New mild interstitial pulmonary edema. Chronic mild cardiomegaly.,mild cardiomegaly,,Stable,"['files/p18/p18057037/s53861968/129f413f-93ad3c02-078798e4-098743e5-4749e33b.jpg', 'files/p18/p18057037/s53861968/85604290-253019dd-ee982de0-5c5f6fd8-a32ec0d3.jpg']",['files/p18/p18057037/s53273352/d37198a2-d588ccee-08feb12c-5d4942b3-98453d12.jpg\n']
s53861968_1,p18057037,s53861968,1,Impression,1. New mild interstitial pulmonary edema. Chronic mild cardiomegaly. 2. New right middle lobe atelectasis.,New mild interstitial pulmonary edema. Chronic mild cardiomegaly.,mild interstitial pulmonary edema,,New,"['files/p18/p18057037/s53861968/129f413f-93ad3c02-078798e4-098743e5-4749e33b.jpg', 'files/p18/p18057037/s53861968/85604290-253019dd-ee982de0-5c5f6fd8-a32ec0d3.jpg']",['files/p18/p18057037/s53273352/d37198a2-d588ccee-08feb12c-5d4942b3-98453d12.jpg\n']
s53861968_1,p18057037,s53861968,1,Findings,"There is new pulmonary vascular cephalization and mild interstitial pulmonary edema, compared to the prior radiograph from ___. Atelectasis in the right middle lobe is substantial No pneumothorax or large pleural effusion is seen. Mild cardiomegaly is chronic. The mediastinal contours are otherwise normal. Multiple surgical clips project over the left mid-to-upper abdomen. There is levoscoliosis of the thoracolumbar spine.","There is new pulmonary vascular cephalization and mild interstitial pulmonary edema, compared to the prior radiograph from ___.",mild interstitial pulmonary edema,,New,"['files/p18/p18057037/s53861968/129f413f-93ad3c02-078798e4-098743e5-4749e33b.jpg', 'files/p18/p18057037/s53861968/85604290-253019dd-ee982de0-5c5f6fd8-a32ec0d3.jpg']",['files/p18/p18057037/s53273352/d37198a2-d588ccee-08feb12c-5d4942b3-98453d12.jpg\n']
s53861968_1,p18057037,s53861968,1,Findings,"There is new pulmonary vascular cephalization and mild interstitial pulmonary edema, compared to the prior radiograph from ___. Atelectasis in the right middle lobe is substantial No pneumothorax or large pleural effusion is seen. Mild cardiomegaly is chronic. The mediastinal contours are otherwise normal. Multiple surgical clips project over the left mid-to-upper abdomen. There is levoscoliosis of the thoracolumbar spine.","There is new pulmonary vascular cephalization and mild interstitial pulmonary edema, compared to the prior radiograph from ___.",pulmonary vascular cephalization,,New,"['files/p18/p18057037/s53861968/129f413f-93ad3c02-078798e4-098743e5-4749e33b.jpg', 'files/p18/p18057037/s53861968/85604290-253019dd-ee982de0-5c5f6fd8-a32ec0d3.jpg']",['files/p18/p18057037/s53273352/d37198a2-d588ccee-08feb12c-5d4942b3-98453d12.jpg\n']
s53862674_2,p15732468,s53862674,2,Findings,"Stable small calcified granuloma in the right lower lung. The lungs are hyper-expanded with associated flattening of the diaphragms. No focal consolidation, pneumothorax, pleural effusion, or pulmonary edema. Stable normal-appearing cardiomediastinal silhouette and hila. Calcified pleural plaques are unchanged from the prior exam. No acute rib fracture.",Stable normal-appearing cardiomediastinal silhouette and hila.,cardiomediastinal silhouette and hila,,Stable,"['files/p15/p15732468/s53862674/2da4bc59-601fa386-1d07436a-cbde67df-54495e0d.jpg', 'files/p15/p15732468/s53862674/3c38c379-9e5cc827-771ffeb4-b5d722d4-127b3224.jpg', 'files/p15/p15732468/s53862674/8d8a83b1-f5d26f88-bf5fc2bc-b3dd668b-33861d97.jpg']","['files/p15/p15732468/s53686865/a9e93c6f-04f9e839-999c9508-6890b550-8f0ee880.jpg\n', 'files/p15/p15732468/s53686865/d11dac47-eb411965-10a6bda4-51bf83b2-47e0aa38.jpg\n']"
s53862674_2,p15732468,s53862674,2,Findings,"Stable small calcified granuloma in the right lower lung. The lungs are hyper-expanded with associated flattening of the diaphragms. No focal consolidation, pneumothorax, pleural effusion, or pulmonary edema. Stable normal-appearing cardiomediastinal silhouette and hila. Calcified pleural plaques are unchanged from the prior exam. No acute rib fracture.",Calcified pleural plaques are unchanged from the prior exam.,calcified pleural plaques,,Stable,"['files/p15/p15732468/s53862674/2da4bc59-601fa386-1d07436a-cbde67df-54495e0d.jpg', 'files/p15/p15732468/s53862674/3c38c379-9e5cc827-771ffeb4-b5d722d4-127b3224.jpg', 'files/p15/p15732468/s53862674/8d8a83b1-f5d26f88-bf5fc2bc-b3dd668b-33861d97.jpg']","['files/p15/p15732468/s53686865/a9e93c6f-04f9e839-999c9508-6890b550-8f0ee880.jpg\n', 'files/p15/p15732468/s53686865/d11dac47-eb411965-10a6bda4-51bf83b2-47e0aa38.jpg\n']"
s53862674_2,p15732468,s53862674,2,Findings,"Stable small calcified granuloma in the right lower lung. The lungs are hyper-expanded with associated flattening of the diaphragms. No focal consolidation, pneumothorax, pleural effusion, or pulmonary edema. Stable normal-appearing cardiomediastinal silhouette and hila. Calcified pleural plaques are unchanged from the prior exam. No acute rib fracture.",Stable small calcified granuloma in the right lower lung.,small calcified granuloma,right lower lung,Stable,"['files/p15/p15732468/s53862674/2da4bc59-601fa386-1d07436a-cbde67df-54495e0d.jpg', 'files/p15/p15732468/s53862674/3c38c379-9e5cc827-771ffeb4-b5d722d4-127b3224.jpg', 'files/p15/p15732468/s53862674/8d8a83b1-f5d26f88-bf5fc2bc-b3dd668b-33861d97.jpg']","['files/p15/p15732468/s53686865/a9e93c6f-04f9e839-999c9508-6890b550-8f0ee880.jpg\n', 'files/p15/p15732468/s53686865/d11dac47-eb411965-10a6bda4-51bf83b2-47e0aa38.jpg\n']"
s53870146_2,p13421580,s53870146,2,Findings,Comparison is made to previous study from ___. There has been placement of a left-sided PICC line with distal lead tip in the mid SVC. There is a nasogastric tube with tip of the side port below the GE junction. There are low lung volumes. There is prominence of the pulmonary vascular markings with atelectasis at the lung bases. No overt pulmonary edema is seen. There are no pneumothoraces.,There has been placement of a left-sided PICC line with distal lead tip in the mid SVC.,PICC line,left-sided,New,['files/p13/p13421580/s53870146/0b336535-040e4914-3827c41e-c9f96093-d6f5d54a.jpg'],['files/p13/p13421580/s53672228/60999807-e9c65537-0be33d31-e1f2eb09-329bb2a8.jpg\n']
s53870816_7,p14482820,s53870816,7,Findings,"Since ___, with tip of a new endotracheal tube is a 1.5 cm above the carina. Mild pulmonary congestion, small left pleural effusion, and left basilar atelectasis is unchanged. Heart size is top normal. Positioning of the right internal jugular venous line is unchanged. No pneumothorax.","Mild pulmonary congestion, small left pleural effusion, and left basilar atelectasis is unchanged.",pleural effusion,left,Stable,['files/p14/p14482820/s53870816/bbe7847a-18f0d974-62009a61-82ad2ee0-91ca809e.jpg'],['files/p14/p14482820/s52063223/86ab6668-1230eeac-ba4ca749-b4cf6c76-9bbae0dd.jpg\n']
s53870816_7,p14482820,s53870816,7,Findings,"Since ___, with tip of a new endotracheal tube is a 1.5 cm above the carina. Mild pulmonary congestion, small left pleural effusion, and left basilar atelectasis is unchanged. Heart size is top normal. Positioning of the right internal jugular venous line is unchanged. No pneumothorax.","Mild pulmonary congestion, small left pleural effusion, and left basilar atelectasis is unchanged.",atelectasis,left basilar,Stable,['files/p14/p14482820/s53870816/bbe7847a-18f0d974-62009a61-82ad2ee0-91ca809e.jpg'],['files/p14/p14482820/s52063223/86ab6668-1230eeac-ba4ca749-b4cf6c76-9bbae0dd.jpg\n']
s53870816_7,p14482820,s53870816,7,Findings,"Since ___, with tip of a new endotracheal tube is a 1.5 cm above the carina. Mild pulmonary congestion, small left pleural effusion, and left basilar atelectasis is unchanged. Heart size is top normal. Positioning of the right internal jugular venous line is unchanged. No pneumothorax.","Mild pulmonary congestion, small left pleural effusion, and left basilar atelectasis is unchanged.",pulmonary congestion,left,Stable,['files/p14/p14482820/s53870816/bbe7847a-18f0d974-62009a61-82ad2ee0-91ca809e.jpg'],['files/p14/p14482820/s52063223/86ab6668-1230eeac-ba4ca749-b4cf6c76-9bbae0dd.jpg\n']
s53870816_7,p14482820,s53870816,7,Findings,"Since ___, with tip of a new endotracheal tube is a 1.5 cm above the carina. Mild pulmonary congestion, small left pleural effusion, and left basilar atelectasis is unchanged. Heart size is top normal. Positioning of the right internal jugular venous line is unchanged. No pneumothorax.",Positioning of the right internal jugular venous line is unchanged.,internal jugular venous line,right,Stable,['files/p14/p14482820/s53870816/bbe7847a-18f0d974-62009a61-82ad2ee0-91ca809e.jpg'],['files/p14/p14482820/s52063223/86ab6668-1230eeac-ba4ca749-b4cf6c76-9bbae0dd.jpg\n']
s53878159_13,p15911529,s53878159,13,Impression,"Right basilar pleural pigtail catheter remains in place. There is a tiny right apical pneumothorax. The heart remains enlarged. Mediastinal contours are stable. A left-sided pacer remains in place. There is patchy opacity at the right base which may reflect re-expansion pulmonary edema, although patchy ateclectasis or pneumonia should also be considered. A rounded contour to the right medial lung base may reflect prominent epicardial fat when correlated with abdominal CT studies from ___ and ___, although a medial lung nodule cannot be entirely excluded. This can be re-assessed on followup imaging. No large effusions.",Mediastinal contours are stable.,mediastinal contours,,Stable,['files/p15/p15911529/s53878159/a8cb181d-36d8820a-91ffab5c-09e53515-1aaf369c.jpg'],['files/p15/p15911529/s53784524/7ada4149-42025581-bd61e461-9719e7ba-1954ef82.jpg\n']
s53878159_13,p15911529,s53878159,13,Impression,"Right basilar pleural pigtail catheter remains in place. There is a tiny right apical pneumothorax. The heart remains enlarged. Mediastinal contours are stable. A left-sided pacer remains in place. There is patchy opacity at the right base which may reflect re-expansion pulmonary edema, although patchy ateclectasis or pneumonia should also be considered. A rounded contour to the right medial lung base may reflect prominent epicardial fat when correlated with abdominal CT studies from ___ and ___, although a medial lung nodule cannot be entirely excluded. This can be re-assessed on followup imaging. No large effusions.",A left-sided pacer remains in place.,pacer,left-sided,Stable,['files/p15/p15911529/s53878159/a8cb181d-36d8820a-91ffab5c-09e53515-1aaf369c.jpg'],['files/p15/p15911529/s53784524/7ada4149-42025581-bd61e461-9719e7ba-1954ef82.jpg\n']
s53878159_13,p15911529,s53878159,13,Impression,"Right basilar pleural pigtail catheter remains in place. There is a tiny right apical pneumothorax. The heart remains enlarged. Mediastinal contours are stable. A left-sided pacer remains in place. There is patchy opacity at the right base which may reflect re-expansion pulmonary edema, although patchy ateclectasis or pneumonia should also be considered. A rounded contour to the right medial lung base may reflect prominent epicardial fat when correlated with abdominal CT studies from ___ and ___, although a medial lung nodule cannot be entirely excluded. This can be re-assessed on followup imaging. No large effusions.",Right basilar pleural pigtail catheter remains in place.,pleural pigtail catheter,right basilar,Stable,['files/p15/p15911529/s53878159/a8cb181d-36d8820a-91ffab5c-09e53515-1aaf369c.jpg'],['files/p15/p15911529/s53784524/7ada4149-42025581-bd61e461-9719e7ba-1954ef82.jpg\n']
s53878159_13,p15911529,s53878159,13,Impression,"Right basilar pleural pigtail catheter remains in place. There is a tiny right apical pneumothorax. The heart remains enlarged. Mediastinal contours are stable. A left-sided pacer remains in place. There is patchy opacity at the right base which may reflect re-expansion pulmonary edema, although patchy ateclectasis or pneumonia should also be considered. A rounded contour to the right medial lung base may reflect prominent epicardial fat when correlated with abdominal CT studies from ___ and ___, although a medial lung nodule cannot be entirely excluded. This can be re-assessed on followup imaging. No large effusions.",The heart remains enlarged.,heart,,Stable,['files/p15/p15911529/s53878159/a8cb181d-36d8820a-91ffab5c-09e53515-1aaf369c.jpg'],['files/p15/p15911529/s53784524/7ada4149-42025581-bd61e461-9719e7ba-1954ef82.jpg\n']
s53880874_16,p11932181,s53880874,16,Findings,The cardiomediastinal silhouettes are stable and within normal limits. The hila are within normal limits. There is volume loss of the left upper lung. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion. Deformity of the left posterior sixth rib is again noted.,Deformity of the left posterior sixth rib is again noted.,Deformity,left posterior sixth rib,Stable,"['files/p11/p11932181/s53880874/3938b32d-934d824e-3e75f809-d61dd89f-ad22b1a3.jpg', 'files/p11/p11932181/s53880874/57eb3bc1-e545c54d-119c0054-14d0f8cd-7d46d994.jpg']","['files/p11/p11932181/s53371051/2bcf27dd-d6846a19-17a50f81-e265b7ff-00892752.jpg\n', 'files/p11/p11932181/s53371051/6e7d1634-c7ec6214-ab2d08c7-5f964d50-7fcebc90.jpg\n']"
s53880874_16,p11932181,s53880874,16,Findings,The cardiomediastinal silhouettes are stable and within normal limits. The hila are within normal limits. There is volume loss of the left upper lung. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion. Deformity of the left posterior sixth rib is again noted.,The cardiomediastinal silhouettes are stable and within normal limits.,,cardiomediastinal silhouettes,Stable,"['files/p11/p11932181/s53880874/3938b32d-934d824e-3e75f809-d61dd89f-ad22b1a3.jpg', 'files/p11/p11932181/s53880874/57eb3bc1-e545c54d-119c0054-14d0f8cd-7d46d994.jpg']","['files/p11/p11932181/s53371051/2bcf27dd-d6846a19-17a50f81-e265b7ff-00892752.jpg\n', 'files/p11/p11932181/s53371051/6e7d1634-c7ec6214-ab2d08c7-5f964d50-7fcebc90.jpg\n']"
s53912941_23,p18057037,s53912941,23,Findings,"The cardiac, mediastinal, and hilar contours appear stable including enlargement of the heart and main pulmonary artery contour. The lung volumes are low. There are somewhat increased patchy densities at both lung bases which are not specific but which can probably be explained by atelectasis; particularly on the left, also perhaps coinciding small pleural effusion. There is similar mild interstitial abnormality, although vasculature appears more distinct, suggesting improvement.","There is similar mild interstitial abnormality, although vasculature appears more distinct, suggesting improvement.",mild interstitial abnormality,,Better,['files/p18/p18057037/s53912941/e7159328-08569709-798aa964-ee7f2027-c51daa27.jpg'],"['files/p18/p18057037/s53861968/129f413f-93ad3c02-078798e4-098743e5-4749e33b.jpg\n', 'files/p18/p18057037/s53861968/85604290-253019dd-ee982de0-5c5f6fd8-a32ec0d3.jpg\n']"
s53912941_23,p18057037,s53912941,23,Findings,"The cardiac, mediastinal, and hilar contours appear stable including enlargement of the heart and main pulmonary artery contour. The lung volumes are low. There are somewhat increased patchy densities at both lung bases which are not specific but which can probably be explained by atelectasis; particularly on the left, also perhaps coinciding small pleural effusion. There is similar mild interstitial abnormality, although vasculature appears more distinct, suggesting improvement.","The cardiac, mediastinal, and hilar contours appear stable including enlargement of the heart and main pulmonary artery contour.","cardiac, mediastinal, and hilar contours",,Stable,['files/p18/p18057037/s53912941/e7159328-08569709-798aa964-ee7f2027-c51daa27.jpg'],"['files/p18/p18057037/s53861968/129f413f-93ad3c02-078798e4-098743e5-4749e33b.jpg\n', 'files/p18/p18057037/s53861968/85604290-253019dd-ee982de0-5c5f6fd8-a32ec0d3.jpg\n']"
s53912941_23,p18057037,s53912941,23,Findings,"The cardiac, mediastinal, and hilar contours appear stable including enlargement of the heart and main pulmonary artery contour. The lung volumes are low. There are somewhat increased patchy densities at both lung bases which are not specific but which can probably be explained by atelectasis; particularly on the left, also perhaps coinciding small pleural effusion. There is similar mild interstitial abnormality, although vasculature appears more distinct, suggesting improvement.","The cardiac, mediastinal, and hilar contours appear stable including enlargement of the heart and main pulmonary artery contour.",enlargement of the heart and main pulmonary artery contour,,Stable,['files/p18/p18057037/s53912941/e7159328-08569709-798aa964-ee7f2027-c51daa27.jpg'],"['files/p18/p18057037/s53861968/129f413f-93ad3c02-078798e4-098743e5-4749e33b.jpg\n', 'files/p18/p18057037/s53861968/85604290-253019dd-ee982de0-5c5f6fd8-a32ec0d3.jpg\n']"
s53923822_90,p11717909,s53923822,90,Impression,"In comparison with the study of ___, the Swan-Ganz catheter has been removed. Slightly improved lung volumes with continued cardiomegaly with left ventricular configuration. Opacification at the right base persists, most likely reflecting a combination of pleural fluid and atelectatic changes. No evidence of pulmonary edema. No definite acute focal pneumonia. However, there is mild asymmetry in the mid to lower zones with opacification on the right. In the appropriate clinical setting, this could represent a developing consolidation.","In comparison with the study of ___, the Swan-Ganz catheter has been removed.",Swan-Ganz catheter,,Resolve,['files/p11/p11717909/s53923822/d0ca3617-41955c1f-01c01461-5785bb86-ea5d99a9.jpg'],['files/p11/p11717909/s53722061/7c4ff21f-9a4daf55-86b77fbe-ca727f5f-3b43aeae.jpg\n']
s53923822_90,p11717909,s53923822,90,Impression,"In comparison with the study of ___, the Swan-Ganz catheter has been removed. Slightly improved lung volumes with continued cardiomegaly with left ventricular configuration. Opacification at the right base persists, most likely reflecting a combination of pleural fluid and atelectatic changes. No evidence of pulmonary edema. No definite acute focal pneumonia. However, there is mild asymmetry in the mid to lower zones with opacification on the right. In the appropriate clinical setting, this could represent a developing consolidation.","Opacification at the right base persists, most likely reflecting a combination of pleural fluid and atelectatic changes.",Opacification,right base,Stable,['files/p11/p11717909/s53923822/d0ca3617-41955c1f-01c01461-5785bb86-ea5d99a9.jpg'],['files/p11/p11717909/s53722061/7c4ff21f-9a4daf55-86b77fbe-ca727f5f-3b43aeae.jpg\n']
s53923822_90,p11717909,s53923822,90,Impression,"In comparison with the study of ___, the Swan-Ganz catheter has been removed. Slightly improved lung volumes with continued cardiomegaly with left ventricular configuration. Opacification at the right base persists, most likely reflecting a combination of pleural fluid and atelectatic changes. No evidence of pulmonary edema. No definite acute focal pneumonia. However, there is mild asymmetry in the mid to lower zones with opacification on the right. In the appropriate clinical setting, this could represent a developing consolidation.",Slightly improved lung volumes with continued cardiomegaly with left ventricular configuration.,cardiomegaly with left ventricular configuration,,Stable,['files/p11/p11717909/s53923822/d0ca3617-41955c1f-01c01461-5785bb86-ea5d99a9.jpg'],['files/p11/p11717909/s53722061/7c4ff21f-9a4daf55-86b77fbe-ca727f5f-3b43aeae.jpg\n']
s53931664_3,p18536624,s53931664,3,Impression,"As compared to the previous examination, the miniscule left pneumothorax has completely resolved. The pre-existing right pneumothorax is smaller but still clearly visualized. There is no evidence of tension. Improved transparent see of the lung parenchyma reflect improved ventilation. The size of the cardiac silhouette has decreased. Increased density at the lateral aspect of the seventh right rib is unchanged.",The pre-existing right pneumothorax is smaller but still clearly visualized.,pneumothorax,Right,Better,"['files/p18/p18536624/s53931664/1fecc345-461c6463-4ea2e256-3b0e71b4-931d5568.jpg', 'files/p18/p18536624/s53931664/ceb961ba-2ced940d-471b2b09-087e5b3f-b9118db0.jpg']",
s53931664_3,p18536624,s53931664,3,Impression,"As compared to the previous examination, the miniscule left pneumothorax has completely resolved. The pre-existing right pneumothorax is smaller but still clearly visualized. There is no evidence of tension. Improved transparent see of the lung parenchyma reflect improved ventilation. The size of the cardiac silhouette has decreased. Increased density at the lateral aspect of the seventh right rib is unchanged.","As compared to the previous examination, the miniscule left pneumothorax has completely resolved.",pneumothorax,Left,Resolve,"['files/p18/p18536624/s53931664/1fecc345-461c6463-4ea2e256-3b0e71b4-931d5568.jpg', 'files/p18/p18536624/s53931664/ceb961ba-2ced940d-471b2b09-087e5b3f-b9118db0.jpg']",
s53931664_3,p18536624,s53931664,3,Impression,"As compared to the previous examination, the miniscule left pneumothorax has completely resolved. The pre-existing right pneumothorax is smaller but still clearly visualized. There is no evidence of tension. Improved transparent see of the lung parenchyma reflect improved ventilation. The size of the cardiac silhouette has decreased. Increased density at the lateral aspect of the seventh right rib is unchanged.",Increased density at the lateral aspect of the seventh right rib is unchanged.,Increased density,Seventh right rib,Stable,"['files/p18/p18536624/s53931664/1fecc345-461c6463-4ea2e256-3b0e71b4-931d5568.jpg', 'files/p18/p18536624/s53931664/ceb961ba-2ced940d-471b2b09-087e5b3f-b9118db0.jpg']",
s53931664_3,p18536624,s53931664,3,Impression,"As compared to the previous examination, the miniscule left pneumothorax has completely resolved. The pre-existing right pneumothorax is smaller but still clearly visualized. There is no evidence of tension. Improved transparent see of the lung parenchyma reflect improved ventilation. The size of the cardiac silhouette has decreased. Increased density at the lateral aspect of the seventh right rib is unchanged.",The size of the cardiac silhouette has decreased.,Size,Cardiac silhouette,Better,"['files/p18/p18536624/s53931664/1fecc345-461c6463-4ea2e256-3b0e71b4-931d5568.jpg', 'files/p18/p18536624/s53931664/ceb961ba-2ced940d-471b2b09-087e5b3f-b9118db0.jpg']",
s53942433_3,p13306067,s53942433,3,Findings,Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion. Skin ___ are again noted,Skin ___ are again noted,,Skin,Stable,['files/p13/p13306067/s53942433/3d973084-61d4b944-76a7f29f-472d0b0e-74563711.jpg'],['files/p13/p13306067/s51241123/253a953d-7bebbd7b-cd68e5bc-7c48ae74-fb8a2ccd.jpg\n']
s53945155_2,p15187487,s53945155,2,Findings,"Left-sided pacer defibrillator and single lead are in unchanged position. Cardiomediastinal and hilar contours are within normal limits unstable. Lung volumes are low. There is no focal consolidation, effusion or pneumothorax. Left costophrenic pleural thickening is stable.",Left costophrenic pleural thickening is stable.,Pleural thickening,Left costophrenic,Stable,"['files/p15/p15187487/s53945155/845dbe09-60b23e8a-ea4f7a81-4c73113d-656e1cc6.jpg', 'files/p15/p15187487/s53945155/ce90119b-f1d03bb8-42218616-235c6432-9277af77.jpg']","['files/p15/p15187487/s50734654/834becd5-de7cc7de-4f498574-c769c7a2-c31ee980.jpg\n', 'files/p15/p15187487/s50734654/b478446e-3a6b9edb-b60dfd6a-d173894d-cc7f116d.jpg\n', 'files/p15/p15187487/s50734654/bdf52938-8cefb7d7-cfd86285-f8f1537b-7224f6fe.jpg\n']"
s53945155_2,p15187487,s53945155,2,Findings,"Left-sided pacer defibrillator and single lead are in unchanged position. Cardiomediastinal and hilar contours are within normal limits unstable. Lung volumes are low. There is no focal consolidation, effusion or pneumothorax. Left costophrenic pleural thickening is stable.",Left-sided pacer defibrillator and single lead are in unchanged position.,Pacer defibrillator and single lead,Left-sided,Stable,"['files/p15/p15187487/s53945155/845dbe09-60b23e8a-ea4f7a81-4c73113d-656e1cc6.jpg', 'files/p15/p15187487/s53945155/ce90119b-f1d03bb8-42218616-235c6432-9277af77.jpg']","['files/p15/p15187487/s50734654/834becd5-de7cc7de-4f498574-c769c7a2-c31ee980.jpg\n', 'files/p15/p15187487/s50734654/b478446e-3a6b9edb-b60dfd6a-d173894d-cc7f116d.jpg\n', 'files/p15/p15187487/s50734654/bdf52938-8cefb7d7-cfd86285-f8f1537b-7224f6fe.jpg\n']"
s53950117_2,p10072167,s53950117,2,Findings,"Heart size is normal. Aorta is tortuous. Decrease in lung volume. However, the Lungs are clear. There is no pleural effusion or pneumothorax.",Decrease in lung volume.,lung volume,,Worse,"['files/p10/p10072167/s53950117/0f3224d0-b72c37a0-b9d8b5e4-ec922787-44f841ac.jpg', 'files/p10/p10072167/s53950117/4359fd68-d9a2137b-df64aa37-2868a0c5-f0febbee.jpg', 'files/p10/p10072167/s53950117/495dc914-9cc72534-5879a916-28e2fc86-52f8538a.jpg']","['files/p10/p10072167/s53625240/bb1271cc-7277bff8-a8c65a03-bda28c48-ac5cb4aa.jpg\n', 'files/p10/p10072167/s53625240/dbfae7df-b7dbcc37-68913aab-30e376cd-945a3d35.jpg\n', 'files/p10/p10072167/s53625240/dfc90a8a-8c3ddac2-d97b03d5-33d87b92-cba96991.jpg\n']"
s53956979_1,p11181748,s53956979,1,Findings,Cardiomediastinal silhouette is stable. Moderate right pleural effusion has decreased in size with better aeration of the right lung. The left lung is clear. There is no left pleural effusion. No pneumothorax.,Moderate right pleural effusion has decreased in size with better aeration of the right lung.,pleural effusion,right,Better,"['files/p11/p11181748/s53956979/7a54f39f-f199adbd-22bd79bc-f9ef8f44-0ee9682f.jpg', 'files/p11/p11181748/s53956979/febddc5e-2a9cf23a-7c6c7b4b-227c0ad3-96a82b0d.jpg']","['files/p11/p11181748/s53610077/49d0865a-87d61b94-18e9e122-66f361aa-c8d164a6.jpg\n', 'files/p11/p11181748/s53610077/c75317be-225faf00-b7bccd06-b199a930-a4ef45ff.jpg\n']"
s53956979_1,p11181748,s53956979,1,Findings,Cardiomediastinal silhouette is stable. Moderate right pleural effusion has decreased in size with better aeration of the right lung. The left lung is clear. There is no left pleural effusion. No pneumothorax.,Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p11/p11181748/s53956979/7a54f39f-f199adbd-22bd79bc-f9ef8f44-0ee9682f.jpg', 'files/p11/p11181748/s53956979/febddc5e-2a9cf23a-7c6c7b4b-227c0ad3-96a82b0d.jpg']","['files/p11/p11181748/s53610077/49d0865a-87d61b94-18e9e122-66f361aa-c8d164a6.jpg\n', 'files/p11/p11181748/s53610077/c75317be-225faf00-b7bccd06-b199a930-a4ef45ff.jpg\n']"
s53956979_1,p11181748,s53956979,1,Impression,Interval decreased moderate right pleural effusion.,Interval decreased moderate right pleural effusion.,pleural effusion,right,Better,"['files/p11/p11181748/s53956979/7a54f39f-f199adbd-22bd79bc-f9ef8f44-0ee9682f.jpg', 'files/p11/p11181748/s53956979/febddc5e-2a9cf23a-7c6c7b4b-227c0ad3-96a82b0d.jpg']","['files/p11/p11181748/s53610077/49d0865a-87d61b94-18e9e122-66f361aa-c8d164a6.jpg\n', 'files/p11/p11181748/s53610077/c75317be-225faf00-b7bccd06-b199a930-a4ef45ff.jpg\n']"
s53962747_13,p19358609,s53962747,13,Impression,"Substantial distortion of the chest in particular left hemi thorax with chronic changes in the right apex and in the left upper lung are noted. On the other hand there is new right basal and to lesser extent left basal opacity, findings concerning for pneumonia. No definitive evidence of pulmonary edema is present. No pleural effusion demonstrated. Nodular opacity as part of the scarring is demonstrated in the right apex, slightly more conspicuous on current examination and should be reassessed with chest CT to exclude the possibility of growing malignancy","On the other hand there is new right basal and to lesser extent left basal opacity, findings concerning for pneumonia.",opacity,right basal,New,"['files/p19/p19358609/s53962747/30cd4597-152ce976-4d8610c8-3ef5b4e6-5ba36ff8.jpg', 'files/p19/p19358609/s53962747/a1f65d5b-9e03494b-9a28f79a-cd20821a-d860e1d6.jpg', 'files/p19/p19358609/s53962747/a3c6daf4-a1f8a440-b76bea37-642515bf-da5c72bd.jpg']",['files/p19/p19358609/s53857831/5a9c035a-33267a29-76c4b71b-04e91d63-e786f0ab.jpg\n']
s53962747_13,p19358609,s53962747,13,Impression,"Substantial distortion of the chest in particular left hemi thorax with chronic changes in the right apex and in the left upper lung are noted. On the other hand there is new right basal and to lesser extent left basal opacity, findings concerning for pneumonia. No definitive evidence of pulmonary edema is present. No pleural effusion demonstrated. Nodular opacity as part of the scarring is demonstrated in the right apex, slightly more conspicuous on current examination and should be reassessed with chest CT to exclude the possibility of growing malignancy","Nodular opacity as part of the scarring is demonstrated in the right apex, slightly more conspicuous on current examination and should be reassessed with chest CT to exclude the possibility of growing malignancy",nodular opacity,right apex,Worse,"['files/p19/p19358609/s53962747/30cd4597-152ce976-4d8610c8-3ef5b4e6-5ba36ff8.jpg', 'files/p19/p19358609/s53962747/a1f65d5b-9e03494b-9a28f79a-cd20821a-d860e1d6.jpg', 'files/p19/p19358609/s53962747/a3c6daf4-a1f8a440-b76bea37-642515bf-da5c72bd.jpg']",['files/p19/p19358609/s53857831/5a9c035a-33267a29-76c4b71b-04e91d63-e786f0ab.jpg\n']
s53962747_13,p19358609,s53962747,13,Impression,"Substantial distortion of the chest in particular left hemi thorax with chronic changes in the right apex and in the left upper lung are noted. On the other hand there is new right basal and to lesser extent left basal opacity, findings concerning for pneumonia. No definitive evidence of pulmonary edema is present. No pleural effusion demonstrated. Nodular opacity as part of the scarring is demonstrated in the right apex, slightly more conspicuous on current examination and should be reassessed with chest CT to exclude the possibility of growing malignancy","On the other hand there is new right basal and to lesser extent left basal opacity, findings concerning for pneumonia.",opacity,left basal,New,"['files/p19/p19358609/s53962747/30cd4597-152ce976-4d8610c8-3ef5b4e6-5ba36ff8.jpg', 'files/p19/p19358609/s53962747/a1f65d5b-9e03494b-9a28f79a-cd20821a-d860e1d6.jpg', 'files/p19/p19358609/s53962747/a3c6daf4-a1f8a440-b76bea37-642515bf-da5c72bd.jpg']",['files/p19/p19358609/s53857831/5a9c035a-33267a29-76c4b71b-04e91d63-e786f0ab.jpg\n']
s53966206_6,p13722528,s53966206,6,Findings,"Increased interstitial markings seen at the periphery of the lung, right greater than left compatible with previously noted subpleural fibrotic changes. There is no new focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.","Increased interstitial markings seen at the periphery of the lung, right greater than left compatible with previously noted subpleural fibrotic changes.",interstitial markings,"periphery of the lung, right greater than left",Worse,"['files/p13/p13722528/s53966206/5b257a97-dad6f2e3-a20a3c51-1c6250d0-7024d6d4.jpg', 'files/p13/p13722528/s53966206/d32f47ef-e58a672f-861f3eff-c37a113c-d426926f.jpg', 'files/p13/p13722528/s53966206/da1e8877-ddaa6388-3f825099-88a1ca8d-da46da3f.jpg']","['files/p13/p13722528/s53126282/2e226c3f-39058bce-2bf559f3-119d4b1c-3b18c1e4.jpg\n', 'files/p13/p13722528/s53126282/bcfdab4a-41f56a9d-969a736a-88b92d25-0b313cc1.jpg\n']"
s53966206_6,p13722528,s53966206,6,Findings,"Increased interstitial markings seen at the periphery of the lung, right greater than left compatible with previously noted subpleural fibrotic changes. There is no new focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.",Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p13/p13722528/s53966206/5b257a97-dad6f2e3-a20a3c51-1c6250d0-7024d6d4.jpg', 'files/p13/p13722528/s53966206/d32f47ef-e58a672f-861f3eff-c37a113c-d426926f.jpg', 'files/p13/p13722528/s53966206/da1e8877-ddaa6388-3f825099-88a1ca8d-da46da3f.jpg']","['files/p13/p13722528/s53126282/2e226c3f-39058bce-2bf559f3-119d4b1c-3b18c1e4.jpg\n', 'files/p13/p13722528/s53126282/bcfdab4a-41f56a9d-969a736a-88b92d25-0b313cc1.jpg\n']"
s53967898_6,p14319319,s53967898,6,Findings,"Heart size, mediastinal and hilar contours are stable compared to prior studies dating back to ___. Lungs are clear, and there are no pleural effusions or acute skeletal findings.","Heart size, mediastinal and hilar contours are stable compared to prior studies dating back to ___.",,"heart, mediastinal and hilar contours",Stable,"['files/p14/p14319319/s53967898/7a3aaa9f-1b3cecc6-299f7821-79ea2dfd-b5ea2337.jpg', 'files/p14/p14319319/s53967898/80d9b2ed-78a45dda-a5de2d9e-64e077c3-9c07a278.jpg']","['files/p14/p14319319/s52924184/809c72b2-39df536d-93ec5dbf-ac5f8f71-95414ea7.jpg\n', 'files/p14/p14319319/s52924184/e544d6d1-92416c58-191077f7-1849aedb-7096c34a.jpg\n']"
s53975230_2,p18137951,s53975230,2,Findings,"In comparison with the study of ___, there are lower lung volumes. No vascular congestion or pleural effusion. There is a faint suggestion of some increased opacification at the right base medially. This most likely represents merely atelectasis or crowding of pulmonary vessels. In the appropriate clinical setting, this could conceivably represent the early stages of aspiration.","In comparison with the study of ___, there are lower lung volumes.",Lung volumes,,Worse,['files/p18/p18137951/s53975230/17f90d58-ab2032f6-2a154aae-fe200888-93cc7dcb.jpg'],
s53975230_2,p18137951,s53975230,2,Findings,"In comparison with the study of ___, there are lower lung volumes. No vascular congestion or pleural effusion. There is a faint suggestion of some increased opacification at the right base medially. This most likely represents merely atelectasis or crowding of pulmonary vessels. In the appropriate clinical setting, this could conceivably represent the early stages of aspiration.","There is a faint suggestion of some increased opacification at the right base medially. This most likely represents merely atelectasis or crowding of pulmonary vessels. In the appropriate clinical setting, this could conceivably represent the early stages of aspiration.",Opacification,Right base medially,Worse,['files/p18/p18137951/s53975230/17f90d58-ab2032f6-2a154aae-fe200888-93cc7dcb.jpg'],
s53979892_7,p14798972,s53979892,7,Findings,"In comparison with study of ___, the Port-A-Cath has turned on itself so that it extends into the right jugular and then has its tip pointing downward. Lungs are clear.","In comparison with study of ___, the Port-A-Cath has turned on itself so that it extends into the right jugular and then has its tip pointing downward.",Port-A-Cath,right jugular,Worse,"['files/p14/p14798972/s53979892/57dd280e-66b834fd-411e60fb-2264a0f9-7a3c7b24.jpg', 'files/p14/p14798972/s53979892/f353557c-c5c77676-0355d9f8-f6ec8a6a-15084cd3.jpg']","['files/p14/p14798972/s53647601/b5379d3a-84715e82-c0b8a323-4bae9a9b-15125251.jpg\n', 'files/p14/p14798972/s53647601/c1baddfe-c5fb89e0-f89fcd8e-46d628ca-81ab567f.jpg\n']"
s54003094_2,p19598137,s54003094,2,Findings,"Compared with the prior radiograph, moderate cardiomegaly is unchanged, without pleural effusions or pneumothorax. Edema has improved. Course of the feeding tube is unchanged. A faint right lower lobe opacity is new.",A faint right lower lobe opacity is new.,Opacity,Right lower lobe,New,['files/p19/p19598137/s54003094/2eccb67e-a8677000-bc5af537-c58f2e49-f4234ef1.jpg'],['files/p19/p19598137/s52070310/6f9b4419-458e6f28-c82d6907-73e32753-6c0c1e05.jpg\n']
s54003094_2,p19598137,s54003094,2,Findings,"Compared with the prior radiograph, moderate cardiomegaly is unchanged, without pleural effusions or pneumothorax. Edema has improved. Course of the feeding tube is unchanged. A faint right lower lobe opacity is new.",Course of the feeding tube is unchanged.,Feeding tube,Unknown,Stable,['files/p19/p19598137/s54003094/2eccb67e-a8677000-bc5af537-c58f2e49-f4234ef1.jpg'],['files/p19/p19598137/s52070310/6f9b4419-458e6f28-c82d6907-73e32753-6c0c1e05.jpg\n']
s54003094_2,p19598137,s54003094,2,Impression,"A very faint right lower lobe opacity is new, and PA and lateral radiographs may be helpful to evaluate, when the patient is able to tolerate. Edema has improved.",Edema has improved.,Edema,Unknown,Better,['files/p19/p19598137/s54003094/2eccb67e-a8677000-bc5af537-c58f2e49-f4234ef1.jpg'],['files/p19/p19598137/s52070310/6f9b4419-458e6f28-c82d6907-73e32753-6c0c1e05.jpg\n']
s54003094_2,p19598137,s54003094,2,Impression,"A very faint right lower lobe opacity is new, and PA and lateral radiographs may be helpful to evaluate, when the patient is able to tolerate. Edema has improved.","A very faint right lower lobe opacity is new, and PA and lateral radiographs may be helpful to evaluate, when the patient is able to tolerate.",Opacity,Right lower lobe,New,['files/p19/p19598137/s54003094/2eccb67e-a8677000-bc5af537-c58f2e49-f4234ef1.jpg'],['files/p19/p19598137/s52070310/6f9b4419-458e6f28-c82d6907-73e32753-6c0c1e05.jpg\n']
s54003094_2,p19598137,s54003094,2,Findings,"Compared with the prior radiograph, moderate cardiomegaly is unchanged, without pleural effusions or pneumothorax. Edema has improved. Course of the feeding tube is unchanged. A faint right lower lobe opacity is new.","Compared with the prior radiograph, moderate cardiomegaly is unchanged, without pleural effusions or pneumothorax.",Moderate cardiomegaly,Unknown,Stable,['files/p19/p19598137/s54003094/2eccb67e-a8677000-bc5af537-c58f2e49-f4234ef1.jpg'],['files/p19/p19598137/s52070310/6f9b4419-458e6f28-c82d6907-73e32753-6c0c1e05.jpg\n']
s54003094_2,p19598137,s54003094,2,Findings,"Compared with the prior radiograph, moderate cardiomegaly is unchanged, without pleural effusions or pneumothorax. Edema has improved. Course of the feeding tube is unchanged. A faint right lower lobe opacity is new.",Edema has improved.,Edema,Unknown,Better,['files/p19/p19598137/s54003094/2eccb67e-a8677000-bc5af537-c58f2e49-f4234ef1.jpg'],['files/p19/p19598137/s52070310/6f9b4419-458e6f28-c82d6907-73e32753-6c0c1e05.jpg\n']
s54015727_13,p11614040,s54015727,13,Impression,"1. Interval placement of ET tube in satisfactory position. Other lines as described. 2. Stable cardiomegaly. 3. Findings suggestive of CHF with interstitial edema. This is likely superimposed on background COPD. 4. Small left effusion, with left lower lobe collapse and/or consolidation. 5. New fluid or atelectasis in the right mid zone. No fluid seen in the right costophrenic sulcus.",Stable cardiomegaly.,cardiomegaly,,Stable,"['files/p11/p11614040/s54015727/45707eca-99bf58cc-cefc31b3-28749819-720469b4.jpg', 'files/p11/p11614040/s54015727/bdb97138-b120be67-8b9c2ad3-d5187876-17f2143d.jpg']",['files/p11/p11614040/s52884720/77990ff0-f8347f9e-fa7dbb3d-d8c3086d-ef0f6f92.jpg\n']
s54026889_4,p17055995,s54026889,4,Findings,"AP semi-upright and lateral views of the chest were obtained. There are low lung volumes, though allowing for this, the lungs are clear bilaterally with no focal consolidation, effusion, or pneumothorax. A small calcified granuloma in the right lower lung is re-demonstrated with a stable appearance. There is no evidence of CHF. Cardiomediastinal silhouette is normal. Fixation hardware is noted in the lower C-spine. Bony structures appear intact.",A small calcified granuloma in the right lower lung is re-demonstrated with a stable appearance.,calcified granuloma,right lower lung,Stable,"['files/p17/p17055995/s54026889/503519a9-27880621-f7f5d51c-348734b7-d6b70e30.jpg', 'files/p17/p17055995/s54026889/639a09fa-d71c9ec9-825e615e-eabc6326-ddd33f2e.jpg', 'files/p17/p17055995/s54026889/eb496f4c-741d24e7-3fded885-0de89352-634e6cca.jpg']",['files/p17/p17055995/s53624824/d3640fc5-3d1186eb-94869353-5395e806-1c89a1fe.jpg\n']
s54031658_18,p10337896,s54031658,18,Impression,"As compared to the previous radiograph, the parenchymal opacities ___ notably on the left, have moderately decreased in severity. The monitoring and support devices are unchanged. Unchanged moderate cardiomegaly. Unchanged known intra and extra thoracic lymph node calcifications.",Unchanged known intra and extra thoracic lymph node calcifications.,Lymph node calcifications,Intra and extra thoracic,Stable,['files/p10/p10337896/s54031658/ffde91fb-1eb2b3c1-48e6008b-c16bd376-8a771f1b.jpg'],['files/p10/p10337896/s53799148/c13cd8dd-8b083466-64564d12-69441e5d-7b8a2515.jpg\n']
s54031658_18,p10337896,s54031658,18,Impression,"As compared to the previous radiograph, the parenchymal opacities ___ notably on the left, have moderately decreased in severity. The monitoring and support devices are unchanged. Unchanged moderate cardiomegaly. Unchanged known intra and extra thoracic lymph node calcifications.",Unchanged moderate cardiomegaly.,Cardiomegaly,,Stable,['files/p10/p10337896/s54031658/ffde91fb-1eb2b3c1-48e6008b-c16bd376-8a771f1b.jpg'],['files/p10/p10337896/s53799148/c13cd8dd-8b083466-64564d12-69441e5d-7b8a2515.jpg\n']
s54031658_18,p10337896,s54031658,18,Impression,"As compared to the previous radiograph, the parenchymal opacities ___ notably on the left, have moderately decreased in severity. The monitoring and support devices are unchanged. Unchanged moderate cardiomegaly. Unchanged known intra and extra thoracic lymph node calcifications.",The monitoring and support devices are unchanged.,Monitoring and support devices,,Stable,['files/p10/p10337896/s54031658/ffde91fb-1eb2b3c1-48e6008b-c16bd376-8a771f1b.jpg'],['files/p10/p10337896/s53799148/c13cd8dd-8b083466-64564d12-69441e5d-7b8a2515.jpg\n']
s54031658_18,p10337896,s54031658,18,Impression,"As compared to the previous radiograph, the parenchymal opacities ___ notably on the left, have moderately decreased in severity. The monitoring and support devices are unchanged. Unchanged moderate cardiomegaly. Unchanged known intra and extra thoracic lymph node calcifications.","As compared to the previous radiograph, the parenchymal opacities notably on the left, have moderately decreased in severity.",Parenchymal opacities,Left,Better,['files/p10/p10337896/s54031658/ffde91fb-1eb2b3c1-48e6008b-c16bd376-8a771f1b.jpg'],['files/p10/p10337896/s53799148/c13cd8dd-8b083466-64564d12-69441e5d-7b8a2515.jpg\n']
s54047608_4,p11068484,s54047608,4,Findings,"Lung volumes remain low. Silhouetting of the left hemidiaphragm and blunting of the left costophrenic angle is new compared to the prior exam and suggest presence of small pleural effusion. Is probably also atelectasis. There is moderate pulmonary edema. Heart size is probably a moderate to severely enlarged, even in the setting of low lung volumes and portable technique. Elevation of the right hemidiaphragm is unchanged. Severe pulmonary vascular engorgement is overall unchanged. Right infrahilar opacity may reflect combination of atelectasis, edema. Concurrent infection cannot be excluded. No pneumothorax. Extensive aortic knob calcifications are unchanged.",Silhouetting of the left hemidiaphragm and blunting of the left costophrenic angle is new compared to the prior exam and suggest presence of small pleural effusion.,pleural effusion,left,New,['files/p11/p11068484/s54047608/5a686ceb-f01792db-cdba870c-da79a22f-f34265ea.jpg'],"['files/p11/p11068484/s53544633/2c072c9e-42b8fab0-a0fd256c-780bc612-53941594.jpg\n', 'files/p11/p11068484/s53544633/35626d65-acd62381-7a66c7ef-04150642-7e5e9b32.jpg\n']"
s54047608_4,p11068484,s54047608,4,Findings,"Lung volumes remain low. Silhouetting of the left hemidiaphragm and blunting of the left costophrenic angle is new compared to the prior exam and suggest presence of small pleural effusion. Is probably also atelectasis. There is moderate pulmonary edema. Heart size is probably a moderate to severely enlarged, even in the setting of low lung volumes and portable technique. Elevation of the right hemidiaphragm is unchanged. Severe pulmonary vascular engorgement is overall unchanged. Right infrahilar opacity may reflect combination of atelectasis, edema. Concurrent infection cannot be excluded. No pneumothorax. Extensive aortic knob calcifications are unchanged.",Lung volumes remain low.,Lung volumes,,Stable,['files/p11/p11068484/s54047608/5a686ceb-f01792db-cdba870c-da79a22f-f34265ea.jpg'],"['files/p11/p11068484/s53544633/2c072c9e-42b8fab0-a0fd256c-780bc612-53941594.jpg\n', 'files/p11/p11068484/s53544633/35626d65-acd62381-7a66c7ef-04150642-7e5e9b32.jpg\n']"
s54047608_4,p11068484,s54047608,4,Findings,"Lung volumes remain low. Silhouetting of the left hemidiaphragm and blunting of the left costophrenic angle is new compared to the prior exam and suggest presence of small pleural effusion. Is probably also atelectasis. There is moderate pulmonary edema. Heart size is probably a moderate to severely enlarged, even in the setting of low lung volumes and portable technique. Elevation of the right hemidiaphragm is unchanged. Severe pulmonary vascular engorgement is overall unchanged. Right infrahilar opacity may reflect combination of atelectasis, edema. Concurrent infection cannot be excluded. No pneumothorax. Extensive aortic knob calcifications are unchanged.",Extensive aortic knob calcifications are unchanged.,aortic knob calcifications,,Stable,['files/p11/p11068484/s54047608/5a686ceb-f01792db-cdba870c-da79a22f-f34265ea.jpg'],"['files/p11/p11068484/s53544633/2c072c9e-42b8fab0-a0fd256c-780bc612-53941594.jpg\n', 'files/p11/p11068484/s53544633/35626d65-acd62381-7a66c7ef-04150642-7e5e9b32.jpg\n']"
s54047608_4,p11068484,s54047608,4,Findings,"Lung volumes remain low. Silhouetting of the left hemidiaphragm and blunting of the left costophrenic angle is new compared to the prior exam and suggest presence of small pleural effusion. Is probably also atelectasis. There is moderate pulmonary edema. Heart size is probably a moderate to severely enlarged, even in the setting of low lung volumes and portable technique. Elevation of the right hemidiaphragm is unchanged. Severe pulmonary vascular engorgement is overall unchanged. Right infrahilar opacity may reflect combination of atelectasis, edema. Concurrent infection cannot be excluded. No pneumothorax. Extensive aortic knob calcifications are unchanged.",Severe pulmonary vascular engorgement is overall unchanged.,Severe pulmonary vascular engorgement,,Stable,['files/p11/p11068484/s54047608/5a686ceb-f01792db-cdba870c-da79a22f-f34265ea.jpg'],"['files/p11/p11068484/s53544633/2c072c9e-42b8fab0-a0fd256c-780bc612-53941594.jpg\n', 'files/p11/p11068484/s53544633/35626d65-acd62381-7a66c7ef-04150642-7e5e9b32.jpg\n']"
s54047608_4,p11068484,s54047608,4,Findings,"Lung volumes remain low. Silhouetting of the left hemidiaphragm and blunting of the left costophrenic angle is new compared to the prior exam and suggest presence of small pleural effusion. Is probably also atelectasis. There is moderate pulmonary edema. Heart size is probably a moderate to severely enlarged, even in the setting of low lung volumes and portable technique. Elevation of the right hemidiaphragm is unchanged. Severe pulmonary vascular engorgement is overall unchanged. Right infrahilar opacity may reflect combination of atelectasis, edema. Concurrent infection cannot be excluded. No pneumothorax. Extensive aortic knob calcifications are unchanged.",Elevation of the right hemidiaphragm is unchanged.,hemidiaphragm elevation,right,Stable,['files/p11/p11068484/s54047608/5a686ceb-f01792db-cdba870c-da79a22f-f34265ea.jpg'],"['files/p11/p11068484/s53544633/2c072c9e-42b8fab0-a0fd256c-780bc612-53941594.jpg\n', 'files/p11/p11068484/s53544633/35626d65-acd62381-7a66c7ef-04150642-7e5e9b32.jpg\n']"
s54056728_1,p16617702,s54056728,1,Findings,"Left PICC line ends approximately at mid SVC. Small left pleural effusion is new since ___. There is no pleural abnormality on the right side. Lungs are well expanded and without any opacities concerning for pneumonia. Heart size, mediastinal and hilar contours are normal.",Small left pleural effusion is new since ___.,pleural effusion,left,New,"['files/p16/p16617702/s54056728/61057192-2a26a2e2-8145ae0c-1295cf36-5ac93c98.jpg', 'files/p16/p16617702/s54056728/b75e4086-9352431d-f07e12b0-a8669ac7-28a1f693.jpg', 'files/p16/p16617702/s54056728/c5d1f913-cd636274-029bb314-6f1e9d2b-d2593f75.jpg']",['files/p16/p16617702/s51858819/7524da00-43628bf8-818b42cf-2083bd53-a0229b69.jpg\n']
s54056728_1,p16617702,s54056728,1,Impression,1. Left PICC line ends at mid SVC. No pneumothorax. 2. Small left pleural effusion is new since ___.,2. Small left pleural effusion is new since ___.,pleural effusion,left,New,"['files/p16/p16617702/s54056728/61057192-2a26a2e2-8145ae0c-1295cf36-5ac93c98.jpg', 'files/p16/p16617702/s54056728/b75e4086-9352431d-f07e12b0-a8669ac7-28a1f693.jpg', 'files/p16/p16617702/s54056728/c5d1f913-cd636274-029bb314-6f1e9d2b-d2593f75.jpg']",['files/p16/p16617702/s51858819/7524da00-43628bf8-818b42cf-2083bd53-a0229b69.jpg\n']
s54060552_89,p11717909,s54060552,89,Impression,Compared to chest radiographs ___ through ___. Small right pleural effusion is new. No pneumothorax. Very low lung volumes and subsegmental atelectasis right mid and lower lung zones unchanged. No pulmonary edema. Stable and normal cardiomediastinal silhouette. Swan-Ganz catheter ends in the right pulmonary artery.,Small right pleural effusion is new.,pleural effusion,right,New,['files/p11/p11717909/s54060552/efa94d5d-74a20d4d-31e24085-919dcc5d-f9e926ad.jpg'],['files/p11/p11717909/s53923822/d0ca3617-41955c1f-01c01461-5785bb86-ea5d99a9.jpg\n']
s54060552_89,p11717909,s54060552,89,Impression,Compared to chest radiographs ___ through ___. Small right pleural effusion is new. No pneumothorax. Very low lung volumes and subsegmental atelectasis right mid and lower lung zones unchanged. No pulmonary edema. Stable and normal cardiomediastinal silhouette. Swan-Ganz catheter ends in the right pulmonary artery.,Very low lung volumes and subsegmental atelectasis right mid and lower lung zones unchanged.,subsegmental atelectasis,right mid and lower lung zones,Stable,['files/p11/p11717909/s54060552/efa94d5d-74a20d4d-31e24085-919dcc5d-f9e926ad.jpg'],['files/p11/p11717909/s53923822/d0ca3617-41955c1f-01c01461-5785bb86-ea5d99a9.jpg\n']
s54060552_89,p11717909,s54060552,89,Impression,Compared to chest radiographs ___ through ___. Small right pleural effusion is new. No pneumothorax. Very low lung volumes and subsegmental atelectasis right mid and lower lung zones unchanged. No pulmonary edema. Stable and normal cardiomediastinal silhouette. Swan-Ganz catheter ends in the right pulmonary artery.,Stable and normal cardiomediastinal silhouette.,,cardiomediastinal silhouette,Stable,['files/p11/p11717909/s54060552/efa94d5d-74a20d4d-31e24085-919dcc5d-f9e926ad.jpg'],['files/p11/p11717909/s53923822/d0ca3617-41955c1f-01c01461-5785bb86-ea5d99a9.jpg\n']
s54064052_2,p18057037,s54064052,2,Findings,"Diffuse interstitial prominence with moderate cardiomegaly is consistent with moderate pulmonary edema. More linear area of focal consolidation within the right lower lobe is unchanged and is thought to reflect scarring/atelectasis. There is chronic elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. While the patient has known mediastinal lymphadenopathy, this and mediastinal lipomatosis, are better appreciated on the prior CT. Clips within the left upper abdomen are unchanged.","While the patient has known mediastinal lymphadenopathy, this and mediastinal lipomatosis, are better appreciated on the prior CT.",mediastinal lymphadenopathy,,Stable,['files/p18/p18057037/s54064052/af3f9a0c-07676bf2-1d617e8f-3296d7ff-7c04924a.jpg'],['files/p18/p18057037/s53912941/e7159328-08569709-798aa964-ee7f2027-c51daa27.jpg\n']
s54064052_2,p18057037,s54064052,2,Findings,"Diffuse interstitial prominence with moderate cardiomegaly is consistent with moderate pulmonary edema. More linear area of focal consolidation within the right lower lobe is unchanged and is thought to reflect scarring/atelectasis. There is chronic elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. While the patient has known mediastinal lymphadenopathy, this and mediastinal lipomatosis, are better appreciated on the prior CT. Clips within the left upper abdomen are unchanged.",More linear area of focal consolidation within the right lower lobe is unchanged and is thought to reflect scarring/atelectasis.,focal consolidation,right lower lobe,Stable,['files/p18/p18057037/s54064052/af3f9a0c-07676bf2-1d617e8f-3296d7ff-7c04924a.jpg'],['files/p18/p18057037/s53912941/e7159328-08569709-798aa964-ee7f2027-c51daa27.jpg\n']
s54064052_2,p18057037,s54064052,2,Findings,"Diffuse interstitial prominence with moderate cardiomegaly is consistent with moderate pulmonary edema. More linear area of focal consolidation within the right lower lobe is unchanged and is thought to reflect scarring/atelectasis. There is chronic elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. While the patient has known mediastinal lymphadenopathy, this and mediastinal lipomatosis, are better appreciated on the prior CT. Clips within the left upper abdomen are unchanged.","While the patient has known mediastinal lymphadenopathy, this and mediastinal lipomatosis, are better appreciated on the prior CT.",mediastinal lipomatosis,,Stable,['files/p18/p18057037/s54064052/af3f9a0c-07676bf2-1d617e8f-3296d7ff-7c04924a.jpg'],['files/p18/p18057037/s53912941/e7159328-08569709-798aa964-ee7f2027-c51daa27.jpg\n']
s54064052_2,p18057037,s54064052,2,Findings,"Diffuse interstitial prominence with moderate cardiomegaly is consistent with moderate pulmonary edema. More linear area of focal consolidation within the right lower lobe is unchanged and is thought to reflect scarring/atelectasis. There is chronic elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. While the patient has known mediastinal lymphadenopathy, this and mediastinal lipomatosis, are better appreciated on the prior CT. Clips within the left upper abdomen are unchanged.",Clips within the left upper abdomen are unchanged.,clips,left upper abdomen,Stable,['files/p18/p18057037/s54064052/af3f9a0c-07676bf2-1d617e8f-3296d7ff-7c04924a.jpg'],['files/p18/p18057037/s53912941/e7159328-08569709-798aa964-ee7f2027-c51daa27.jpg\n']
s54064544_8,p18711952,s54064544,8,Findings,"PA and lateral views of the chest provided. Chronic scarring in the left lower lobe accounts for retrocardiac opacity. No new consolidation is seen. No evidence of edema, large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm",Cardiomediastinal silhouette is stable.,cardiomediastinal silhouette,,Stable,"['files/p18/p18711952/s54064544/525265e0-632682b1-62667b47-0c4fc1d2-9649b24c.jpg', 'files/p18/p18711952/s54064544/ac1c8deb-4d1a48db-00b1f8e6-74207e6d-aca12386.jpg']","['files/p18/p18711952/s52755969/6769fd0c-b51ad36a-54e19d93-66fec455-aa13b0da.jpg\n', 'files/p18/p18711952/s52755969/a22177ff-0eb9fd65-82ec3a76-021caec9-20987989.jpg\n']"
s54064544_8,p18711952,s54064544,8,Impression,No acute findings. Stable retrocardiac opacity compatible with scarring in the left lower lobe.,Stable retrocardiac opacity compatible with scarring in the left lower lobe.,retrocardiac opacity,left lower lobe,Stable,"['files/p18/p18711952/s54064544/525265e0-632682b1-62667b47-0c4fc1d2-9649b24c.jpg', 'files/p18/p18711952/s54064544/ac1c8deb-4d1a48db-00b1f8e6-74207e6d-aca12386.jpg']","['files/p18/p18711952/s52755969/6769fd0c-b51ad36a-54e19d93-66fec455-aa13b0da.jpg\n', 'files/p18/p18711952/s52755969/a22177ff-0eb9fd65-82ec3a76-021caec9-20987989.jpg\n']"
s54070533_4,p11307058,s54070533,4,Findings,Patient is status post median sternotomy. The appearance of the cardiac and mediastinal silhouettes is stable ; patient has reported history of known thoracic aortic dissection and descending aortic dilatation. There is a likely hiatal hernia. No focal consolidation is seen. No large pleural effusion or pneumothorax. No overt pulmonary edema.,The appearance of the cardiac and mediastinal silhouettes is stable; patient has reported history of known thoracic aortic dissection and descending aortic dilatation.,Cardiac and mediastinal silhouettes with thoracic aortic dissection and descending aortic dilatation,,Stable,"['files/p11/p11307058/s54070533/1b56958d-2db30a47-c149a47c-5161435f-f70948bd.jpg', 'files/p11/p11307058/s54070533/5f053b2c-56f23cae-42d6a64d-cc58332c-8a49a6fe.jpg']","['files/p11/p11307058/s53295563/46b08c80-0eb26002-cc7cf75e-53e1fc13-b61343b1.jpg\n', 'files/p11/p11307058/s53295563/ab25e52b-e8eebab5-500ce27e-c39b6376-71e6f3f1.jpg\n', 'files/p11/p11307058/s53295563/b040bf26-e5aa5364-1a53b33b-6aea1bb0-89637102.jpg\n']"
s54070533_4,p11307058,s54070533,4,Impression,No acute cardiopulmonary process. Stable appearance of the mediastinum.,Stable appearance of the mediastinum.,Mediastinum appearance,,Stable,"['files/p11/p11307058/s54070533/1b56958d-2db30a47-c149a47c-5161435f-f70948bd.jpg', 'files/p11/p11307058/s54070533/5f053b2c-56f23cae-42d6a64d-cc58332c-8a49a6fe.jpg']","['files/p11/p11307058/s53295563/46b08c80-0eb26002-cc7cf75e-53e1fc13-b61343b1.jpg\n', 'files/p11/p11307058/s53295563/ab25e52b-e8eebab5-500ce27e-c39b6376-71e6f3f1.jpg\n', 'files/p11/p11307058/s53295563/b040bf26-e5aa5364-1a53b33b-6aea1bb0-89637102.jpg\n']"
s54071279_10,p17559288,s54071279,10,Findings,"A right IJ approach central line again terminates in the mid-to-distal SVC. There is a new Dobbhoff feeding tube, which is coiled within the stomach. Bilateral multifocal parenchymal opacities are little changed from prior study. No new effusion or pneumothorax. Stable cardiomediastinal silhouette.",Stable cardiomediastinal silhouette.,cardiomediastinal silhouette,,Stable,['files/p17/p17559288/s54071279/0cae2952-def96aa7-1e84fd97-cf21d3d3-341189c9.jpg'],['files/p17/p17559288/s52687222/56381c64-278c220e-719702c4-6e5d4bf7-193da1ab.jpg\n']
s54071279_10,p17559288,s54071279,10,Findings,"A right IJ approach central line again terminates in the mid-to-distal SVC. There is a new Dobbhoff feeding tube, which is coiled within the stomach. Bilateral multifocal parenchymal opacities are little changed from prior study. No new effusion or pneumothorax. Stable cardiomediastinal silhouette.","There is a new Dobbhoff feeding tube, which is coiled within the stomach.",Dobbhoff feeding tube,within the stomach,New,['files/p17/p17559288/s54071279/0cae2952-def96aa7-1e84fd97-cf21d3d3-341189c9.jpg'],['files/p17/p17559288/s52687222/56381c64-278c220e-719702c4-6e5d4bf7-193da1ab.jpg\n']
s54071279_10,p17559288,s54071279,10,Findings,"A right IJ approach central line again terminates in the mid-to-distal SVC. There is a new Dobbhoff feeding tube, which is coiled within the stomach. Bilateral multifocal parenchymal opacities are little changed from prior study. No new effusion or pneumothorax. Stable cardiomediastinal silhouette.",Bilateral multifocal parenchymal opacities are little changed from prior study.,multifocal parenchymal opacities,bilateral,Stable,['files/p17/p17559288/s54071279/0cae2952-def96aa7-1e84fd97-cf21d3d3-341189c9.jpg'],['files/p17/p17559288/s52687222/56381c64-278c220e-719702c4-6e5d4bf7-193da1ab.jpg\n']
s54071279_10,p17559288,s54071279,10,Impression,"New Dobbhoff tube extends into the stomach, coiled within. Little other interval change.","New Dobbhoff tube extends into the stomach, coiled within.",Dobbhoff tube,into the stomach,New,['files/p17/p17559288/s54071279/0cae2952-def96aa7-1e84fd97-cf21d3d3-341189c9.jpg'],['files/p17/p17559288/s52687222/56381c64-278c220e-719702c4-6e5d4bf7-193da1ab.jpg\n']
s54072113_0,p13196707,s54072113,0,Findings,"AP upright and lateral views of the chest provided. Elevation of the right hemidiaphragm is again noted. The heart appears top-normal in size. There is a SVC stent in place. Known right suprahilar mass is better assessed on recent prior CT exam. Multiple pulmonary nodules are also better assessed on prior CT. There is no new consolidation, large effusion or pneumothorax seen. Bony structures appear intact.",Multiple pulmonary nodules are also better assessed on prior CT.,Nodules,pulmonary,Stable,"['files/p13/p13196707/s54072113/1286de61-eb3da8d2-2f6eb5d4-b32deb19-ebe3581d.jpg', 'files/p13/p13196707/s54072113/bdd0f372-e708b3b0-e9328838-c9a7f29f-f68971d0.jpg']",['files/p13/p13196707/s53814539/2d271bb0-b719bae0-a9361b1b-16706831-41fc9798.jpg\n']
s54072113_0,p13196707,s54072113,0,Findings,"AP upright and lateral views of the chest provided. Elevation of the right hemidiaphragm is again noted. The heart appears top-normal in size. There is a SVC stent in place. Known right suprahilar mass is better assessed on recent prior CT exam. Multiple pulmonary nodules are also better assessed on prior CT. There is no new consolidation, large effusion or pneumothorax seen. Bony structures appear intact.",Known right suprahilar mass is better assessed on recent prior CT exam.,Mass,right suprahilar,Stable,"['files/p13/p13196707/s54072113/1286de61-eb3da8d2-2f6eb5d4-b32deb19-ebe3581d.jpg', 'files/p13/p13196707/s54072113/bdd0f372-e708b3b0-e9328838-c9a7f29f-f68971d0.jpg']",['files/p13/p13196707/s53814539/2d271bb0-b719bae0-a9361b1b-16706831-41fc9798.jpg\n']
s54072113_0,p13196707,s54072113,0,Findings,"AP upright and lateral views of the chest provided. Elevation of the right hemidiaphragm is again noted. The heart appears top-normal in size. There is a SVC stent in place. Known right suprahilar mass is better assessed on recent prior CT exam. Multiple pulmonary nodules are also better assessed on prior CT. There is no new consolidation, large effusion or pneumothorax seen. Bony structures appear intact.",Elevation of the right hemidiaphragm is again noted.,Elevation,right hemidiaphragm,Stable,"['files/p13/p13196707/s54072113/1286de61-eb3da8d2-2f6eb5d4-b32deb19-ebe3581d.jpg', 'files/p13/p13196707/s54072113/bdd0f372-e708b3b0-e9328838-c9a7f29f-f68971d0.jpg']",['files/p13/p13196707/s53814539/2d271bb0-b719bae0-a9361b1b-16706831-41fc9798.jpg\n']
s54079675_2,p19175595,s54079675,2,Findings,"In comparison with study of ___, there is little change in the degree of left pneumothorax. Persistent atelectatic changes are seen at the left base. On the lateral view, there is an air-fluid level posteriorly, consistent with some degree of hydropneumothorax, possibly loculated. Dilatation of gas-filled loops of bowel is consistent with adynamic ileus.","In comparison with study of ___, there is little change in the degree of left pneumothorax.",pneumothorax,left,Stable,"['files/p19/p19175595/s54079675/deb37379-032473c6-622ef262-94526850-6baecd52.jpg', 'files/p19/p19175595/s54079675/f9e9f170-19e813d2-a7c0fbe9-2610a969-b3913c3c.jpg']","['files/p19/p19175595/s52873579/6f50e12e-0dcd33c3-ae2d6fa8-24696640-f1e54f40.jpg\n', 'files/p19/p19175595/s52873579/756771db-5805a998-08667cd8-f505ae42-22e2414b.jpg\n']"
s54079675_2,p19175595,s54079675,2,Findings,"In comparison with study of ___, there is little change in the degree of left pneumothorax. Persistent atelectatic changes are seen at the left base. On the lateral view, there is an air-fluid level posteriorly, consistent with some degree of hydropneumothorax, possibly loculated. Dilatation of gas-filled loops of bowel is consistent with adynamic ileus.",Persistent atelectatic changes are seen at the left base.,atelectasis,left base,Stable,"['files/p19/p19175595/s54079675/deb37379-032473c6-622ef262-94526850-6baecd52.jpg', 'files/p19/p19175595/s54079675/f9e9f170-19e813d2-a7c0fbe9-2610a969-b3913c3c.jpg']","['files/p19/p19175595/s52873579/6f50e12e-0dcd33c3-ae2d6fa8-24696640-f1e54f40.jpg\n', 'files/p19/p19175595/s52873579/756771db-5805a998-08667cd8-f505ae42-22e2414b.jpg\n']"
s54089316_2,p13381744,s54089316,2,Impression,"Cardiac and mediastinal contours appear stable. Lungs are well inflated. There is a subtle patchy opacity in the left base which is somewhat linear in configuration which favors partial lobar atelectasis rather than pneumonia. However, clinical correlation is advised and followup imaging should be performed based on the clinical assessment. No pleural effusions or pneumothoraces are seen. The left hilum superiorly remains mildly prominent but is stable and this is known to correspond to the area of a previous malignancy first imaged in ___. No acute bony abnormality is appreciated.",The left hilum superiorly remains mildly prominent but is stable and this is known to correspond to the area of a previous malignancy first imaged in ___.,prominence,left hilum superiorly,Stable,['files/p13/p13381744/s54089316/6e555900-99f382ba-b591657f-13bd9561-ea8c28da.jpg'],"['files/p13/p13381744/s51165747/2b0b6551-63df3acf-bd952f14-a822b4bc-cc265710.jpg\n', 'files/p13/p13381744/s51165747/bbb2e4df-1d15a889-8564aab3-d508c496-2f8083dd.jpg\n', 'files/p13/p13381744/s51165747/e50a0991-3848adb7-ad6f8944-80c7d026-4124cf2f.jpg\n']"
s54089316_2,p13381744,s54089316,2,Impression,"Cardiac and mediastinal contours appear stable. Lungs are well inflated. There is a subtle patchy opacity in the left base which is somewhat linear in configuration which favors partial lobar atelectasis rather than pneumonia. However, clinical correlation is advised and followup imaging should be performed based on the clinical assessment. No pleural effusions or pneumothoraces are seen. The left hilum superiorly remains mildly prominent but is stable and this is known to correspond to the area of a previous malignancy first imaged in ___. No acute bony abnormality is appreciated.",Cardiac and mediastinal contours appear stable.,appearance,cardiac and mediastinal contours,Stable,['files/p13/p13381744/s54089316/6e555900-99f382ba-b591657f-13bd9561-ea8c28da.jpg'],"['files/p13/p13381744/s51165747/2b0b6551-63df3acf-bd952f14-a822b4bc-cc265710.jpg\n', 'files/p13/p13381744/s51165747/bbb2e4df-1d15a889-8564aab3-d508c496-2f8083dd.jpg\n', 'files/p13/p13381744/s51165747/e50a0991-3848adb7-ad6f8944-80c7d026-4124cf2f.jpg\n']"
s54099371_1,p11177224,s54099371,1,Findings,"Single frontal view of the chest. Heart size and mediastinal contours are stable. Left lower lobe atelectasis persists. Pulmonary vascular markings have increased and the hila appear indistinct and hazy, findings consistent with interval worsening of pulmonary edema. In addition, multiple widely distributed small rounded opacities were not seen on ___ and, given the short time interval, likely represent vascular structures.","Pulmonary vascular markings have increased and the hila appear indistinct and hazy, findings consistent with interval worsening of pulmonary edema.",pulmonary edema,pulmonary vascular markings and hila,Worse,['files/p11/p11177224/s54099371/f9624358-214a129c-dc05b026-e49885ed-66224bdb.jpg'],
s54099371_1,p11177224,s54099371,1,Findings,"Single frontal view of the chest. Heart size and mediastinal contours are stable. Left lower lobe atelectasis persists. Pulmonary vascular markings have increased and the hila appear indistinct and hazy, findings consistent with interval worsening of pulmonary edema. In addition, multiple widely distributed small rounded opacities were not seen on ___ and, given the short time interval, likely represent vascular structures.",Left lower lobe atelectasis persists.,atelectasis,Left lower lobe,Stable,['files/p11/p11177224/s54099371/f9624358-214a129c-dc05b026-e49885ed-66224bdb.jpg'],
s54099371_1,p11177224,s54099371,1,Impression,"Slight interval worsening of pulmonary edema with persistent left lower lobe atelectasis. Multiple bilateral small rounded opacities, new since ___, are most likely engorged vessels, but follow-up is recommended after resolution of pulmonary edema.",Slight interval worsening of pulmonary edema with persistent left lower lobe atelectasis.,edema,pulmonary,Worse,['files/p11/p11177224/s54099371/f9624358-214a129c-dc05b026-e49885ed-66224bdb.jpg'],
s54099371_1,p11177224,s54099371,1,Impression,"Slight interval worsening of pulmonary edema with persistent left lower lobe atelectasis. Multiple bilateral small rounded opacities, new since ___, are most likely engorged vessels, but follow-up is recommended after resolution of pulmonary edema.",Slight interval worsening of pulmonary edema with persistent left lower lobe atelectasis.,atelectasis,Left lower lobe,Stable,['files/p11/p11177224/s54099371/f9624358-214a129c-dc05b026-e49885ed-66224bdb.jpg'],
s54099371_1,p11177224,s54099371,1,Impression,"Slight interval worsening of pulmonary edema with persistent left lower lobe atelectasis. Multiple bilateral small rounded opacities, new since ___, are most likely engorged vessels, but follow-up is recommended after resolution of pulmonary edema.","Multiple bilateral small rounded opacities, new since ___, are most likely engorged vessels, but follow-up is recommended after resolution of pulmonary edema.",small rounded opacities,bilateral,New,['files/p11/p11177224/s54099371/f9624358-214a129c-dc05b026-e49885ed-66224bdb.jpg'],
s54099371_1,p11177224,s54099371,1,Findings,"Single frontal view of the chest. Heart size and mediastinal contours are stable. Left lower lobe atelectasis persists. Pulmonary vascular markings have increased and the hila appear indistinct and hazy, findings consistent with interval worsening of pulmonary edema. In addition, multiple widely distributed small rounded opacities were not seen on ___ and, given the short time interval, likely represent vascular structures.",Heart size and mediastinal contours are stable.,,Heart size and mediastinal contours,Stable,['files/p11/p11177224/s54099371/f9624358-214a129c-dc05b026-e49885ed-66224bdb.jpg'],
s54123605_14,p19890030,s54123605,14,Impression,"In comparison with the earlier film of this date, the Swan-Ganz catheter tip has been pulled back to the proximal portion of the right pulmonary artery. Nasogastric tube extends into the stomach. Endotracheal tube is unchanged. Bilateral chest tubes are in place without evidence of pneumothorax. Improved aeration in the retrocardiac region with sharp demonstration of the hemidiaphragm. Improvement in pulmonary vascular congestion.",Improved aeration in the retrocardiac region with sharp demonstration of the hemidiaphragm.,aeration,retrocardiac region,Better,['files/p19/p19890030/s54123605/4ba74541-1812cc99-3b99acbf-6b40a2bd-03715cdd.jpg'],['files/p19/p19890030/s53194989/6df0cd0f-91dd20ee-536b79af-b3e50b34-32f3f9b1.jpg\n']
s54123605_14,p19890030,s54123605,14,Impression,"In comparison with the earlier film of this date, the Swan-Ganz catheter tip has been pulled back to the proximal portion of the right pulmonary artery. Nasogastric tube extends into the stomach. Endotracheal tube is unchanged. Bilateral chest tubes are in place without evidence of pneumothorax. Improved aeration in the retrocardiac region with sharp demonstration of the hemidiaphragm. Improvement in pulmonary vascular congestion.",Improvement in pulmonary vascular congestion.,pulmonary vascular congestion,,Better,['files/p19/p19890030/s54123605/4ba74541-1812cc99-3b99acbf-6b40a2bd-03715cdd.jpg'],['files/p19/p19890030/s53194989/6df0cd0f-91dd20ee-536b79af-b3e50b34-32f3f9b1.jpg\n']
s54123605_14,p19890030,s54123605,14,Impression,"In comparison with the earlier film of this date, the Swan-Ganz catheter tip has been pulled back to the proximal portion of the right pulmonary artery. Nasogastric tube extends into the stomach. Endotracheal tube is unchanged. Bilateral chest tubes are in place without evidence of pneumothorax. Improved aeration in the retrocardiac region with sharp demonstration of the hemidiaphragm. Improvement in pulmonary vascular congestion.",Endotracheal tube is unchanged.,Endotracheal tube,,Stable,['files/p19/p19890030/s54123605/4ba74541-1812cc99-3b99acbf-6b40a2bd-03715cdd.jpg'],['files/p19/p19890030/s53194989/6df0cd0f-91dd20ee-536b79af-b3e50b34-32f3f9b1.jpg\n']
s54130761_88,p11717909,s54130761,88,Impression,"In comparison with the study of ___, the cardio mediastinal silhouette is stable and the right IJ Swan-Ganz catheter extends to the right pulmonary artery. Continued low lung volumes. There again is increased opacification in the right mid and lower lung zones, most likely related to atelectasis above the elevated hemidiaphragmatic contour. However, in the appropriate clinical setting, superimposed pneumonia would have to be considered. No evidence of pulmonary vascular congestion or pneumothorax. Mild atelectatic changes are seen at the left base.","There again is increased opacification in the right mid and lower lung zones, most likely related to atelectasis above the elevated hemidiaphragmatic contour.",opacification,right mid and lower lung zones,Worse,['files/p11/p11717909/s54130761/ca478dcf-175c3fb5-2c0d1d03-58bb12ac-8b86f479.jpg'],['files/p11/p11717909/s54060552/efa94d5d-74a20d4d-31e24085-919dcc5d-f9e926ad.jpg\n']
s54130761_88,p11717909,s54130761,88,Impression,"In comparison with the study of ___, the cardio mediastinal silhouette is stable and the right IJ Swan-Ganz catheter extends to the right pulmonary artery. Continued low lung volumes. There again is increased opacification in the right mid and lower lung zones, most likely related to atelectasis above the elevated hemidiaphragmatic contour. However, in the appropriate clinical setting, superimposed pneumonia would have to be considered. No evidence of pulmonary vascular congestion or pneumothorax. Mild atelectatic changes are seen at the left base.",The cardio mediastinal silhouette is stable and the right IJ Swan-Ganz catheter extends to the right pulmonary artery.,,cardio mediastinal silhouette,Stable,['files/p11/p11717909/s54130761/ca478dcf-175c3fb5-2c0d1d03-58bb12ac-8b86f479.jpg'],['files/p11/p11717909/s54060552/efa94d5d-74a20d4d-31e24085-919dcc5d-f9e926ad.jpg\n']
s54148272_2,p15793456,s54148272,2,Impression,"Compared to chest radiographs since ___, most recently ___. Bullous emphysema is extremely severe, with basal predominance raising possibility of panacinar emphysema due to alpha one antitrypsin deficiency. There is a very small region of possible peribronchial opacification projecting over the lower pole of the left hilus on the frontal view, and over the descending thoracic aorta on the lateral. This could be a very small pneumonia. Oblique views would be helpful in evaluation. Blunting of the pleural sulci is due to inversion of the displaced diaphragm, not pleural effusion. Cardiomediastinal silhouette is normal.","Compared to chest radiographs since ___, most recently ___. Bullous emphysema is extremely severe, with basal predominance raising possibility of panacinar emphysema due to alpha one antitrypsin deficiency.",bullous emphysema,basal,Worse,"['files/p15/p15793456/s54148272/07c73a03-a9bda92e-7ca2562e-9c47a7bc-1de9e5a8.jpg', 'files/p15/p15793456/s54148272/86b7942d-6aafab5f-acb47e68-1fff0868-437f35ea.jpg', 'files/p15/p15793456/s54148272/eb42c509-de7007b3-0995401c-0f46cbd8-5be1551f.jpg']",['files/p15/p15793456/s53694115/5100714a-7795bb79-6d9a8ab9-2ec22e74-610e28ef.jpg\n']
s54149564_19,p17055995,s54149564,19,Impression,No relevant change as compared to the previous image. Low lung volumes. Mild cardiomegaly. Platelike atelectasis at the left lung bases. New left internal jugular vein catheter in correct position. No pneumothorax.,New left internal jugular vein catheter in correct position.,catheter,left internal jugular vein,New,['files/p17/p17055995/s54149564/c6ba4cd5-16b6db55-ebf864d7-0988ad61-6d88b72a.jpg'],"['files/p17/p17055995/s54026889/503519a9-27880621-f7f5d51c-348734b7-d6b70e30.jpg\n', 'files/p17/p17055995/s54026889/639a09fa-d71c9ec9-825e615e-eabc6326-ddd33f2e.jpg\n', 'files/p17/p17055995/s54026889/eb496f4c-741d24e7-3fded885-0de89352-634e6cca.jpg\n']"
s54154294_0,p18573829,s54154294,0,Findings,"PA and lateral views of the chest were provided. Midline sternotomy wires are again seen along with mediastinal clips. There is a tiny right pleural effusion. Otherwise, the lungs are clear. No signs of edema or pneumonia. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.",There is a tiny right pleural effusion.,pleural effusion,right,New,['files/p18/p18573829/s54154294/a6a98f2d-89802254-926441f1-5a5948d5-7c207a91.jpg'],['files/p18/p18573829/s52255209/51cd61fb-702bc603-25a5fc14-7ed07e7e-4628c152.jpg\n']
s54154294_0,p18573829,s54154294,0,Impression,"Small right pleural effusion. Otherwise, normal.",Small right pleural effusion.,pleural effusion,right,New,['files/p18/p18573829/s54154294/a6a98f2d-89802254-926441f1-5a5948d5-7c207a91.jpg'],['files/p18/p18573829/s52255209/51cd61fb-702bc603-25a5fc14-7ed07e7e-4628c152.jpg\n']
s54159511_0,p17096560,s54159511,0,Findings,"As compared to the previous radiograph, the distribution of the left pleural effusion is slightly changed, but the overall extent is not. The bases of the right lung are better ventilated than on the previous image. The size of the cardiac silhouette continues to be enlarged. No evidence of pneumothorax. Unchanged left pectoral Port-A-Cath.",Unchanged left pectoral Port-A-Cath.,Port-A-Cath,left pectoral,Stable,['files/p17/p17096560/s54159511/1d8b6f1b-f2623043-0b88aff3-36ffde7e-aba0484f.jpg'],"['files/p17/p17096560/s51658352/0615d7dd-3b5b225b-dfe7b687-a299a0e3-7dcfae33.jpg\n', 'files/p17/p17096560/s51658352/c6ff3b8e-07a7eb38-b89bf998-27af7b34-4c8df007.jpg\n']"
s54159511_0,p17096560,s54159511,0,Findings,"As compared to the previous radiograph, the distribution of the left pleural effusion is slightly changed, but the overall extent is not. The bases of the right lung are better ventilated than on the previous image. The size of the cardiac silhouette continues to be enlarged. No evidence of pneumothorax. Unchanged left pectoral Port-A-Cath.",The size of the cardiac silhouette continues to be enlarged.,enlargement,cardiac silhouette,Stable,['files/p17/p17096560/s54159511/1d8b6f1b-f2623043-0b88aff3-36ffde7e-aba0484f.jpg'],"['files/p17/p17096560/s51658352/0615d7dd-3b5b225b-dfe7b687-a299a0e3-7dcfae33.jpg\n', 'files/p17/p17096560/s51658352/c6ff3b8e-07a7eb38-b89bf998-27af7b34-4c8df007.jpg\n']"
s54159511_0,p17096560,s54159511,0,Findings,"As compared to the previous radiograph, the distribution of the left pleural effusion is slightly changed, but the overall extent is not. The bases of the right lung are better ventilated than on the previous image. The size of the cardiac silhouette continues to be enlarged. No evidence of pneumothorax. Unchanged left pectoral Port-A-Cath.",The bases of the right lung are better ventilated than on the previous image.,ventilation,right lung bases,Better,['files/p17/p17096560/s54159511/1d8b6f1b-f2623043-0b88aff3-36ffde7e-aba0484f.jpg'],"['files/p17/p17096560/s51658352/0615d7dd-3b5b225b-dfe7b687-a299a0e3-7dcfae33.jpg\n', 'files/p17/p17096560/s51658352/c6ff3b8e-07a7eb38-b89bf998-27af7b34-4c8df007.jpg\n']"
s54159511_0,p17096560,s54159511,0,Findings,"As compared to the previous radiograph, the distribution of the left pleural effusion is slightly changed, but the overall extent is not. The bases of the right lung are better ventilated than on the previous image. The size of the cardiac silhouette continues to be enlarged. No evidence of pneumothorax. Unchanged left pectoral Port-A-Cath.","As compared to the previous radiograph, the distribution of the left pleural effusion is slightly changed, but the overall extent is not.",pleural effusion,left,Worse,['files/p17/p17096560/s54159511/1d8b6f1b-f2623043-0b88aff3-36ffde7e-aba0484f.jpg'],"['files/p17/p17096560/s51658352/0615d7dd-3b5b225b-dfe7b687-a299a0e3-7dcfae33.jpg\n', 'files/p17/p17096560/s51658352/c6ff3b8e-07a7eb38-b89bf998-27af7b34-4c8df007.jpg\n']"
s54161539_1,p12056668,s54161539,1,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. Unchanged bilateral pleural effusions, with a tendency to increase, and resultant areas of atelectasis. The air collection in the bilateral soft tissues is slightly decreased. Unchanged right PICC line. No definite evidence of pneumothorax.","As compared to the previous radiograph, the monitoring and support devices are unchanged.",monitoring and support devices,,Stable,['files/p12/p12056668/s54161539/23a5cd3b-6bb29875-b1984d7c-7987bdb4-cff71cef.jpg'],['files/p12/p12056668/s53195010/4861b3fb-a6f7f90a-54624d89-31cc606f-beab81a7.jpg\n']
s54161539_1,p12056668,s54161539,1,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. Unchanged bilateral pleural effusions, with a tendency to increase, and resultant areas of atelectasis. The air collection in the bilateral soft tissues is slightly decreased. Unchanged right PICC line. No definite evidence of pneumothorax.","Unchanged bilateral pleural effusions, with a tendency to increase, and resultant areas of atelectasis.",pleural effusions,bilateral,Stable,['files/p12/p12056668/s54161539/23a5cd3b-6bb29875-b1984d7c-7987bdb4-cff71cef.jpg'],['files/p12/p12056668/s53195010/4861b3fb-a6f7f90a-54624d89-31cc606f-beab81a7.jpg\n']
s54161539_1,p12056668,s54161539,1,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. Unchanged bilateral pleural effusions, with a tendency to increase, and resultant areas of atelectasis. The air collection in the bilateral soft tissues is slightly decreased. Unchanged right PICC line. No definite evidence of pneumothorax.",The air collection in the bilateral soft tissues is slightly decreased.,air collection,bilateral soft tissues,Better,['files/p12/p12056668/s54161539/23a5cd3b-6bb29875-b1984d7c-7987bdb4-cff71cef.jpg'],['files/p12/p12056668/s53195010/4861b3fb-a6f7f90a-54624d89-31cc606f-beab81a7.jpg\n']
s54161539_1,p12056668,s54161539,1,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. Unchanged bilateral pleural effusions, with a tendency to increase, and resultant areas of atelectasis. The air collection in the bilateral soft tissues is slightly decreased. Unchanged right PICC line. No definite evidence of pneumothorax.",Unchanged right PICC line.,PICC line,right,Stable,['files/p12/p12056668/s54161539/23a5cd3b-6bb29875-b1984d7c-7987bdb4-cff71cef.jpg'],['files/p12/p12056668/s53195010/4861b3fb-a6f7f90a-54624d89-31cc606f-beab81a7.jpg\n']
s54161955_14,p16033763,s54161955,14,Impression,"1. Two left chest tubes and a single-lead left-sided pacer remain in place. There are multiple parenchymal pulmonary nodules consistent with known metastatic disease. Small bilateral effusions, left greater than right again are seen. In addition, there is a more focal patchy opacity at the left base which could reflect compressive atelectasis but also raises the possibility of pneumonia or aspiration. Overall cardiac and mediastinal contours are stable. No pneumothorax is appreciated.","Small bilateral effusions, left greater than right again are seen.",effusions,bilateral,Stable,['files/p16/p16033763/s54161955/d330d6ff-0193072b-e04fbffe-53b12b62-596738d1.jpg'],"['files/p16/p16033763/s53913303/0c7700b8-19401338-187bcaf9-bf35ab7d-5ffed660.jpg\n', 'files/p16/p16033763/s53913303/2f2f1da0-4c2671bd-4b0324fd-ac4b0e0e-de4884ec.jpg\n']"
s54161955_14,p16033763,s54161955,14,Impression,"1. Two left chest tubes and a single-lead left-sided pacer remain in place. There are multiple parenchymal pulmonary nodules consistent with known metastatic disease. Small bilateral effusions, left greater than right again are seen. In addition, there is a more focal patchy opacity at the left base which could reflect compressive atelectasis but also raises the possibility of pneumonia or aspiration. Overall cardiac and mediastinal contours are stable. No pneumothorax is appreciated.",Two left chest tubes and a single-lead left-sided pacer remain in place.,chest tubes and pacer,left,Stable,['files/p16/p16033763/s54161955/d330d6ff-0193072b-e04fbffe-53b12b62-596738d1.jpg'],"['files/p16/p16033763/s53913303/0c7700b8-19401338-187bcaf9-bf35ab7d-5ffed660.jpg\n', 'files/p16/p16033763/s53913303/2f2f1da0-4c2671bd-4b0324fd-ac4b0e0e-de4884ec.jpg\n']"
s54161955_14,p16033763,s54161955,14,Impression,"1. Two left chest tubes and a single-lead left-sided pacer remain in place. There are multiple parenchymal pulmonary nodules consistent with known metastatic disease. Small bilateral effusions, left greater than right again are seen. In addition, there is a more focal patchy opacity at the left base which could reflect compressive atelectasis but also raises the possibility of pneumonia or aspiration. Overall cardiac and mediastinal contours are stable. No pneumothorax is appreciated.",Overall cardiac and mediastinal contours are stable.,,cardiac and mediastinal contours,Stable,['files/p16/p16033763/s54161955/d330d6ff-0193072b-e04fbffe-53b12b62-596738d1.jpg'],"['files/p16/p16033763/s53913303/0c7700b8-19401338-187bcaf9-bf35ab7d-5ffed660.jpg\n', 'files/p16/p16033763/s53913303/2f2f1da0-4c2671bd-4b0324fd-ac4b0e0e-de4884ec.jpg\n']"
s54167022_7,p17055995,s54167022,7,Impression,"1. No acute cardiopulmonary process. 2. PICC terminates in the low SVC. 3. Stable mild cardiomegaly. 3. Prominent loops of air-filled bowel are partially imaged, and stable. If further evaluation is necessary, could obtain a dedicated abdominal radiograph.",Stable mild cardiomegaly.,mild cardiomegaly,,Stable,"['files/p17/p17055995/s54167022/2c2d37dc-72ce751c-11056009-510e46bd-65967968.jpg', 'files/p17/p17055995/s54167022/66e87912-67944022-478d3e89-9e031955-97e93818.jpg', 'files/p17/p17055995/s54167022/c39a2d49-30932027-84dcf97f-63bfe5de-f9b1bbf5.jpg']",['files/p17/p17055995/s54149564/c6ba4cd5-16b6db55-ebf864d7-0988ad61-6d88b72a.jpg\n']
s54167022_7,p17055995,s54167022,7,Impression,"1. No acute cardiopulmonary process. 2. PICC terminates in the low SVC. 3. Stable mild cardiomegaly. 3. Prominent loops of air-filled bowel are partially imaged, and stable. If further evaluation is necessary, could obtain a dedicated abdominal radiograph.","Prominent loops of air-filled bowel are partially imaged, and stable. If further evaluation is necessary, could obtain a dedicated abdominal radiograph.",air-filled loops of bowel,,Stable,"['files/p17/p17055995/s54167022/2c2d37dc-72ce751c-11056009-510e46bd-65967968.jpg', 'files/p17/p17055995/s54167022/66e87912-67944022-478d3e89-9e031955-97e93818.jpg', 'files/p17/p17055995/s54167022/c39a2d49-30932027-84dcf97f-63bfe5de-f9b1bbf5.jpg']",['files/p17/p17055995/s54149564/c6ba4cd5-16b6db55-ebf864d7-0988ad61-6d88b72a.jpg\n']
s54167022_7,p17055995,s54167022,7,Findings,"In comparison to the prior x-ray and CT, the predominantly left upper and mid lung zone opacities have resolved. There is no definite consolidation. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is mildly enlarged. A right PICC terminates in the low SVC. Cervical hardware is present in the neck and incompletely evaluated. Prominent air-filled loops of bowel are noted below the hemidiaphragms, and not significantly changed from the prior exam.","In comparison to the prior x-ray and CT, the predominantly left upper and mid lung zone opacities have resolved.",opacities,left upper and mid lung zone,Resolve,"['files/p17/p17055995/s54167022/2c2d37dc-72ce751c-11056009-510e46bd-65967968.jpg', 'files/p17/p17055995/s54167022/66e87912-67944022-478d3e89-9e031955-97e93818.jpg', 'files/p17/p17055995/s54167022/c39a2d49-30932027-84dcf97f-63bfe5de-f9b1bbf5.jpg']",['files/p17/p17055995/s54149564/c6ba4cd5-16b6db55-ebf864d7-0988ad61-6d88b72a.jpg\n']
s54167022_7,p17055995,s54167022,7,Findings,"In comparison to the prior x-ray and CT, the predominantly left upper and mid lung zone opacities have resolved. There is no definite consolidation. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is mildly enlarged. A right PICC terminates in the low SVC. Cervical hardware is present in the neck and incompletely evaluated. Prominent air-filled loops of bowel are noted below the hemidiaphragms, and not significantly changed from the prior exam.","Prominent air-filled loops of bowel are noted below the hemidiaphragms, and not significantly changed from the prior exam.",air-filled loops of bowel,below the hemidiaphragms,Stable,"['files/p17/p17055995/s54167022/2c2d37dc-72ce751c-11056009-510e46bd-65967968.jpg', 'files/p17/p17055995/s54167022/66e87912-67944022-478d3e89-9e031955-97e93818.jpg', 'files/p17/p17055995/s54167022/c39a2d49-30932027-84dcf97f-63bfe5de-f9b1bbf5.jpg']",['files/p17/p17055995/s54149564/c6ba4cd5-16b6db55-ebf864d7-0988ad61-6d88b72a.jpg\n']
s54173236_0,p10893902,s54173236,0,Findings,"The cardiac, mediastinal and hilar contours are normal and unchanged from ___. Bilateral low lung volumes are again noted with crowding of bronchovascular markings. No focal consolidation or superimposed edema is noted. Calcification of the aortic arch is noted. No definite effusion or pneumothorax is seen.","The cardiac, mediastinal and hilar contours are normal and unchanged from ___",normal contours,"cardiac, mediastinal, hilar contours",Stable,"['files/p10/p10893902/s54173236/4432d858-426db8ec-8226951b-4df0ed71-68761d4e.jpg', 'files/p10/p10893902/s54173236/8a5f12a9-223bb9c6-bbd5b9fd-ca751b7a-ba6e910c.jpg', 'files/p10/p10893902/s54173236/c04b6f75-8752b210-1173c5e6-fcf5e8bb-45da6d34.jpg', 'files/p10/p10893902/s54173236/e9ba6f0f-a9ac57e5-4e7a4cfa-4bae2994-2398514c.jpg']",
s54173931_8,p11717909,s54173931,8,Findings,Portable supine radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. The left lower lobe has improved aeration and there has been interval clearing of mild interstitial edema. Chest tubes project over the left hemithorax. Severe cardiomegaly is stable. No pneumothorax. The endotracheal tube ends 3.2 cm from the carina. The left ventricular assist device is in unchanged position. Swan-Ganz catheter tip ends in the right pulmonary artery.,Severe cardiomegaly is stable.,severe cardiomegaly,,Stable,['files/p11/p11717909/s54173931/54df276e-3a7668b9-583c36a0-d858ee7e-e7d57d25.jpg'],['files/p11/p11717909/s54130761/ca478dcf-175c3fb5-2c0d1d03-58bb12ac-8b86f479.jpg\n']
s54173931_8,p11717909,s54173931,8,Findings,Portable supine radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. The left lower lobe has improved aeration and there has been interval clearing of mild interstitial edema. Chest tubes project over the left hemithorax. Severe cardiomegaly is stable. No pneumothorax. The endotracheal tube ends 3.2 cm from the carina. The left ventricular assist device is in unchanged position. Swan-Ganz catheter tip ends in the right pulmonary artery.,The left ventricular assist device is in unchanged position.,left ventricular assist device,,Stable,['files/p11/p11717909/s54173931/54df276e-3a7668b9-583c36a0-d858ee7e-e7d57d25.jpg'],['files/p11/p11717909/s54130761/ca478dcf-175c3fb5-2c0d1d03-58bb12ac-8b86f479.jpg\n']
s54173931_8,p11717909,s54173931,8,Impression,1. The left lower lobe has improved aeration and there has been interval clearing of mild interstitial edema. 2. No pneumothorax or pleural effusion.,1. The left lower lobe has improved aeration and there has been interval clearing of mild interstitial edema.,aeration,left lower lobe,Better,['files/p11/p11717909/s54173931/54df276e-3a7668b9-583c36a0-d858ee7e-e7d57d25.jpg'],['files/p11/p11717909/s54130761/ca478dcf-175c3fb5-2c0d1d03-58bb12ac-8b86f479.jpg\n']
s54173931_8,p11717909,s54173931,8,Impression,1. The left lower lobe has improved aeration and there has been interval clearing of mild interstitial edema. 2. No pneumothorax or pleural effusion.,1. The left lower lobe has improved aeration and there has been interval clearing of mild interstitial edema.,clearing,mild interstitial edema,Better,['files/p11/p11717909/s54173931/54df276e-3a7668b9-583c36a0-d858ee7e-e7d57d25.jpg'],['files/p11/p11717909/s54130761/ca478dcf-175c3fb5-2c0d1d03-58bb12ac-8b86f479.jpg\n']
s54173931_8,p11717909,s54173931,8,Findings,Portable supine radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. The left lower lobe has improved aeration and there has been interval clearing of mild interstitial edema. Chest tubes project over the left hemithorax. Severe cardiomegaly is stable. No pneumothorax. The endotracheal tube ends 3.2 cm from the carina. The left ventricular assist device is in unchanged position. Swan-Ganz catheter tip ends in the right pulmonary artery.,The left lower lobe has improved aeration and there has been interval clearing of mild interstitial edema.,clearing,mild interstitial edema,Better,['files/p11/p11717909/s54173931/54df276e-3a7668b9-583c36a0-d858ee7e-e7d57d25.jpg'],['files/p11/p11717909/s54130761/ca478dcf-175c3fb5-2c0d1d03-58bb12ac-8b86f479.jpg\n']
s54173931_8,p11717909,s54173931,8,Findings,Portable supine radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. The left lower lobe has improved aeration and there has been interval clearing of mild interstitial edema. Chest tubes project over the left hemithorax. Severe cardiomegaly is stable. No pneumothorax. The endotracheal tube ends 3.2 cm from the carina. The left ventricular assist device is in unchanged position. Swan-Ganz catheter tip ends in the right pulmonary artery.,The left lower lobe has improved aeration and there has been interval clearing of mild interstitial edema.,aeration,left lower lobe,Better,['files/p11/p11717909/s54173931/54df276e-3a7668b9-583c36a0-d858ee7e-e7d57d25.jpg'],['files/p11/p11717909/s54130761/ca478dcf-175c3fb5-2c0d1d03-58bb12ac-8b86f479.jpg\n']
s54190932_22,p15911529,s54190932,22,Impression,No relevant change in extent and distribution of the known pleural effusion on the right. The position of the right pigtail catheter is also unchanged. Moderate cardiomegaly and low lung volumes persist. No pulmonary edema. No pneumothorax.,The position of the right pigtail catheter is also unchanged.,pigtail catheter,right,Stable,['files/p15/p15911529/s54190932/09f9cee5-f285e400-c4fe605a-dde10cac-e5d3eb0e.jpg'],['files/p15/p15911529/s53878159/a8cb181d-36d8820a-91ffab5c-09e53515-1aaf369c.jpg\n']
s54190932_22,p15911529,s54190932,22,Impression,No relevant change in extent and distribution of the known pleural effusion on the right. The position of the right pigtail catheter is also unchanged. Moderate cardiomegaly and low lung volumes persist. No pulmonary edema. No pneumothorax.,Moderate cardiomegaly and low lung volumes persist.,low lung volumes,,Stable,['files/p15/p15911529/s54190932/09f9cee5-f285e400-c4fe605a-dde10cac-e5d3eb0e.jpg'],['files/p15/p15911529/s53878159/a8cb181d-36d8820a-91ffab5c-09e53515-1aaf369c.jpg\n']
s54190932_22,p15911529,s54190932,22,Impression,No relevant change in extent and distribution of the known pleural effusion on the right. The position of the right pigtail catheter is also unchanged. Moderate cardiomegaly and low lung volumes persist. No pulmonary edema. No pneumothorax.,No relevant change in extent and distribution of the known pleural effusion on the right.,pleural effusion,right,Stable,['files/p15/p15911529/s54190932/09f9cee5-f285e400-c4fe605a-dde10cac-e5d3eb0e.jpg'],['files/p15/p15911529/s53878159/a8cb181d-36d8820a-91ffab5c-09e53515-1aaf369c.jpg\n']
s54190932_22,p15911529,s54190932,22,Impression,No relevant change in extent and distribution of the known pleural effusion on the right. The position of the right pigtail catheter is also unchanged. Moderate cardiomegaly and low lung volumes persist. No pulmonary edema. No pneumothorax.,Moderate cardiomegaly and low lung volumes persist.,cardiomegaly,,Stable,['files/p15/p15911529/s54190932/09f9cee5-f285e400-c4fe605a-dde10cac-e5d3eb0e.jpg'],['files/p15/p15911529/s53878159/a8cb181d-36d8820a-91ffab5c-09e53515-1aaf369c.jpg\n']
s54191170_2,p18827738,s54191170,2,Findings,A portable frontal chest radiograph initially demonstrate a Dobbhoff tube looped back upon itself projecting over the mid chest. Subsequent images demonstrate interval removal of the Dobbhoff tube. A nasoenteric tube is looped within a hiatal hernia. The tip of the endotracheal tube is approximately 3 cm above the carina. The cardiomediastinal silhouette is unchanged and the lungs are without focal consolidation. There is no pleural effusion or pneumothorax.,Subsequent images demonstrate interval removal of the Dobbhoff tube.,Dobbhoff tube,,Resolve,"['files/p18/p18827738/s54191170/67f234c1-478fd442-029776c8-c5f0b2d1-d6e0b994.jpg', 'files/p18/p18827738/s54191170/ca4ee096-74120228-b98bdda3-8a6b881a-616b1793.jpg']",
s54191170_2,p18827738,s54191170,2,Findings,A portable frontal chest radiograph initially demonstrate a Dobbhoff tube looped back upon itself projecting over the mid chest. Subsequent images demonstrate interval removal of the Dobbhoff tube. A nasoenteric tube is looped within a hiatal hernia. The tip of the endotracheal tube is approximately 3 cm above the carina. The cardiomediastinal silhouette is unchanged and the lungs are without focal consolidation. There is no pleural effusion or pneumothorax.,The cardiomediastinal silhouette is unchanged and the lungs are without focal consolidation.,cardiomediastinal silhouette,,Stable,"['files/p18/p18827738/s54191170/67f234c1-478fd442-029776c8-c5f0b2d1-d6e0b994.jpg', 'files/p18/p18827738/s54191170/ca4ee096-74120228-b98bdda3-8a6b881a-616b1793.jpg']",
s54191170_2,p18827738,s54191170,2,Impression,"1. Unchanged chest radiograph. 2. The tip of the endotracheal tube is 3 cm above the carina. These findings were communicated to the covering team at approximately ___ on ___, at which time the patient had already been extubated.",Unchanged chest radiograph.,chest radiograph,,Stable,"['files/p18/p18827738/s54191170/67f234c1-478fd442-029776c8-c5f0b2d1-d6e0b994.jpg', 'files/p18/p18827738/s54191170/ca4ee096-74120228-b98bdda3-8a6b881a-616b1793.jpg']",
s54197091_12,p11932181,s54197091,12,Impression,"AP chest compared to ___: There is still considerable volume loss in the postoperative left hemithorax, with no pneumothorax or appreciable pleural effusion. Right lung is clear. Heart is normal size. Extent of left suprahilar atelectasis and elevation of the left hemidiaphragm unchanged.",Extent of left suprahilar atelectasis and elevation of the left hemidiaphragm unchanged.,elevation,left hemidiaphragm,Stable,"['files/p11/p11932181/s54197091/533e10b2-a8dcfde7-b7e21125-3adb9a2b-ddfde194.jpg', 'files/p11/p11932181/s54197091/9e73fe4b-87d3e7cf-7daf5e9a-5ec42b51-6f1d44eb.jpg']","['files/p11/p11932181/s53880874/3938b32d-934d824e-3e75f809-d61dd89f-ad22b1a3.jpg\n', 'files/p11/p11932181/s53880874/57eb3bc1-e545c54d-119c0054-14d0f8cd-7d46d994.jpg\n']"
s54197091_12,p11932181,s54197091,12,Impression,"AP chest compared to ___: There is still considerable volume loss in the postoperative left hemithorax, with no pneumothorax or appreciable pleural effusion. Right lung is clear. Heart is normal size. Extent of left suprahilar atelectasis and elevation of the left hemidiaphragm unchanged.",Extent of left suprahilar atelectasis and elevation of the left hemidiaphragm unchanged.,atelectasis,left suprahilar,Stable,"['files/p11/p11932181/s54197091/533e10b2-a8dcfde7-b7e21125-3adb9a2b-ddfde194.jpg', 'files/p11/p11932181/s54197091/9e73fe4b-87d3e7cf-7daf5e9a-5ec42b51-6f1d44eb.jpg']","['files/p11/p11932181/s53880874/3938b32d-934d824e-3e75f809-d61dd89f-ad22b1a3.jpg\n', 'files/p11/p11932181/s53880874/57eb3bc1-e545c54d-119c0054-14d0f8cd-7d46d994.jpg\n']"
s54197597_5,p11287042,s54197597,5,Impression,Clear lungs with no evidence of pneumothorax. Stable small right pleural effusion.,Stable small right pleural effusion.,pleural effusion,right,Stable,['files/p11/p11287042/s54197597/b8084cc6-129daa21-5e7278cf-1038961e-a964e354.jpg'],"['files/p11/p11287042/s53208211/a0baf1bf-063bb5ba-1044c1ee-23f0b7ed-24b8169a.jpg\n', 'files/p11/p11287042/s53208211/d3e2e4d5-85f72646-4f703a66-df6941af-3344c515.jpg\n']"
s54197597_5,p11287042,s54197597,5,Findings,The lungs are clear. A small right pleural effusion is stable. The heart and mediastinum are within normal limits despite the projection. There is no pneumothorax.,A small right pleural effusion is stable.,pleural effusion,right,Stable,['files/p11/p11287042/s54197597/b8084cc6-129daa21-5e7278cf-1038961e-a964e354.jpg'],"['files/p11/p11287042/s53208211/a0baf1bf-063bb5ba-1044c1ee-23f0b7ed-24b8169a.jpg\n', 'files/p11/p11287042/s53208211/d3e2e4d5-85f72646-4f703a66-df6941af-3344c515.jpg\n']"
s54215495_0,p16139394,s54215495,0,Findings,PA and & lateral views of the chest were provided. The lung volumes are low limiting assessment with bronchovascular crowding atelectasis in the lower lungs. No convincing evidence of pneumonia. No effusion or pneumothorax is seen. The heart and mediastinal contours stable. Bony structures are intact.,The heart and mediastinal contours stable.,heart and mediastinal contours,,Stable,"['files/p16/p16139394/s54215495/4dd888d7-5b44d24e-8c4900e9-9cdfc9ca-955574e9.jpg', 'files/p16/p16139394/s54215495/aeeedb41-57ddfc8b-adfe8c04-c411349c-697bf972.jpg']",
s54238302_0,p13171410,s54238302,0,Findings,"As compared to the previous radiograph, there is evidence of a newly appeared parenchymal opacity at both the right lung base and in the left lung, notably in the perihilar areas in the retrocardiac space. The distribution suggests pneumonia rather than pulmonary edema, notably given the absence of pleural effusions and the absence of other findings indicative of fluid overload. Borderline size of the cardiac silhouette. Status post CABG. No hilar or mediastinal changes. At the time of dictation the referring physician, ___. ___, was paged for notification at 10:23 a.m., on ___. Findings were subsequently discussed over the telephone.","As compared to the previous radiograph, there is evidence of a newly appeared parenchymal opacity at both the right lung base and in the left lung, notably in the perihilar areas in the retrocardiac space.",parenchymal opacity,right lung base,New,['files/p13/p13171410/s54238302/1a93c3ba-b683fe20-b0710462-cf40c34d-136cf408.jpg'],['files/p13/p13171410/s53888975/5f64b9e7-1cf1f315-28b9eab7-0b2da5bd-d5b1bd6d.jpg\n']
s54238302_0,p13171410,s54238302,0,Findings,"As compared to the previous radiograph, there is evidence of a newly appeared parenchymal opacity at both the right lung base and in the left lung, notably in the perihilar areas in the retrocardiac space. The distribution suggests pneumonia rather than pulmonary edema, notably given the absence of pleural effusions and the absence of other findings indicative of fluid overload. Borderline size of the cardiac silhouette. Status post CABG. No hilar or mediastinal changes. At the time of dictation the referring physician, ___. ___, was paged for notification at 10:23 a.m., on ___. Findings were subsequently discussed over the telephone.","As compared to the previous radiograph, there is evidence of a newly appeared parenchymal opacity at both the right lung base and in the left lung, notably in the perihilar areas in the retrocardiac space.",parenchymal opacity,left lung perihilar area,New,['files/p13/p13171410/s54238302/1a93c3ba-b683fe20-b0710462-cf40c34d-136cf408.jpg'],['files/p13/p13171410/s53888975/5f64b9e7-1cf1f315-28b9eab7-0b2da5bd-d5b1bd6d.jpg\n']
s54238427_8,p16522757,s54238427,8,Impression,"Since the prior radiograph of 1 day earlier, left pleural catheter has been removed, with no definite pneumothorax. No other relevant changes.","Since the prior radiograph of 1 day earlier, left pleural catheter has been removed, with no definite pneumothorax.",catheter,Left pleural,Resolve,['files/p16/p16522757/s54238427/a4060ee2-06d52bb2-d1195cc1-7e491888-4882ae4c.jpg'],"['files/p16/p16522757/s53588718/17d945bb-f9fd399c-2d63d4dd-ac6d7f53-b2d6ffbe.jpg\n', 'files/p16/p16522757/s53588718/2bd5ea71-b28fd182-1af6ec2a-b56ec699-3601e432.jpg\n']"
s54249174_2,p13312840,s54249174,2,Findings,The lungs are only partially visualized on this study. Lower lungs appear unchanged without wall focal consolidations or pleural effusions. The partially visualized cardiomediastinal contours appear stable. The NG tube is visualized in the thorax likely coiled in the mid esophagus.,Lower lungs appear unchanged without wall focal consolidations or pleural effusions.,focal consolidations and pleural effusions,Lower lungs,Stable,['files/p13/p13312840/s54249174/b29bb966-45c209b8-1dee89af-5f791df9-481fe9f4.jpg'],
s54249174_2,p13312840,s54249174,2,Findings,The lungs are only partially visualized on this study. Lower lungs appear unchanged without wall focal consolidations or pleural effusions. The partially visualized cardiomediastinal contours appear stable. The NG tube is visualized in the thorax likely coiled in the mid esophagus.,The partially visualized cardiomediastinal contours appear stable.,cardiomediastinal contours,,Stable,['files/p13/p13312840/s54249174/b29bb966-45c209b8-1dee89af-5f791df9-481fe9f4.jpg'],
s54252168_14,p15911529,s54252168,14,Findings,"Since a recent radiograph of 1 day earlier, a right pigtail pleural catheter has been removed. Small right apical pneumothorax is not changed, but a small right pleural effusion has increased in size following tube removal. No additional relevant change since recent study","Since a recent radiograph of 1 day earlier, a right pigtail pleural catheter has been removed.",pigtail pleural catheter,right,Resolve,['files/p15/p15911529/s54252168/5817a4b8-c4f832fb-7a33cc26-b05e9ff5-80a03cbc.jpg'],['files/p15/p15911529/s54190932/09f9cee5-f285e400-c4fe605a-dde10cac-e5d3eb0e.jpg\n']
s54252168_14,p15911529,s54252168,14,Findings,"Since a recent radiograph of 1 day earlier, a right pigtail pleural catheter has been removed. Small right apical pneumothorax is not changed, but a small right pleural effusion has increased in size following tube removal. No additional relevant change since recent study","Small right apical pneumothorax is not changed, but a small right pleural effusion has increased in size following tube removal.",pleural effusion,right,Worse,['files/p15/p15911529/s54252168/5817a4b8-c4f832fb-7a33cc26-b05e9ff5-80a03cbc.jpg'],['files/p15/p15911529/s54190932/09f9cee5-f285e400-c4fe605a-dde10cac-e5d3eb0e.jpg\n']
s54252168_14,p15911529,s54252168,14,Findings,"Since a recent radiograph of 1 day earlier, a right pigtail pleural catheter has been removed. Small right apical pneumothorax is not changed, but a small right pleural effusion has increased in size following tube removal. No additional relevant change since recent study","Small right apical pneumothorax is not changed, but a small right pleural effusion has increased in size following tube removal.",pneumothorax,right apical,Stable,['files/p15/p15911529/s54252168/5817a4b8-c4f832fb-7a33cc26-b05e9ff5-80a03cbc.jpg'],['files/p15/p15911529/s54190932/09f9cee5-f285e400-c4fe605a-dde10cac-e5d3eb0e.jpg\n']
s54253905_2,p12671922,s54253905,2,Findings,Compared to the prior radiograph of ___ the lung volumes have improve. The left pleural effusion has decreased and is now small. Linear opacities in the left lung base represents platelike atelectasis. There is no new opacity or pneumothorax. The cardiac and mediastinal contours are normal. Nipple rings are noted.,The left pleural effusion has decreased and is now small.,pleural effusion,left,Better,"['files/p12/p12671922/s54253905/576ea30f-0b6d676e-4fb00e65-c319c423-7445e215.jpg', 'files/p12/p12671922/s54253905/ea4d9952-427fe1f1-211bede7-853d99dc-eaaa4a79.jpg']",
s54253905_2,p12671922,s54253905,2,Impression,No new opacity concerning for pneumonia. Interval improvement in lung volumes and decrease in size of a now small left pleural effusion and atelectasis.,Interval improvement in lung volumes and decrease in size of a now small left pleural effusion and atelectasis.,lung volumes,,Better,"['files/p12/p12671922/s54253905/576ea30f-0b6d676e-4fb00e65-c319c423-7445e215.jpg', 'files/p12/p12671922/s54253905/ea4d9952-427fe1f1-211bede7-853d99dc-eaaa4a79.jpg']",
s54253905_2,p12671922,s54253905,2,Findings,Compared to the prior radiograph of ___ the lung volumes have improve. The left pleural effusion has decreased and is now small. Linear opacities in the left lung base represents platelike atelectasis. There is no new opacity or pneumothorax. The cardiac and mediastinal contours are normal. Nipple rings are noted.,"Compared to the prior radiograph of ___, the lung volumes have improved.",lung volumes,,Better,"['files/p12/p12671922/s54253905/576ea30f-0b6d676e-4fb00e65-c319c423-7445e215.jpg', 'files/p12/p12671922/s54253905/ea4d9952-427fe1f1-211bede7-853d99dc-eaaa4a79.jpg']",
s54253905_2,p12671922,s54253905,2,Impression,No new opacity concerning for pneumonia. Interval improvement in lung volumes and decrease in size of a now small left pleural effusion and atelectasis.,Interval improvement in lung volumes and decrease in size of a now small left pleural effusion and atelectasis.,pleural effusion,left,Better,"['files/p12/p12671922/s54253905/576ea30f-0b6d676e-4fb00e65-c319c423-7445e215.jpg', 'files/p12/p12671922/s54253905/ea4d9952-427fe1f1-211bede7-853d99dc-eaaa4a79.jpg']",
s54257177_3,p15793456,s54257177,3,Impression,"Compared to chest radiographs since ___, most recently ___ at 05:45. Emphysema is severe ; distribution suggests alpha one antitrypsin deficiency. . There is no definite focal pulmonary abnormality. Heart size normal. No pleural effusion or pneumothorax.","Compared to chest radiographs since ___, most recently ___ at 05:45. Emphysema is severe ; distribution suggests alpha one antitrypsin deficiency.",emphysema,,Worse,"['files/p15/p15793456/s54257177/4d72f890-5a8da612-a2cde4cf-35c04b76-3f62548f.jpg', 'files/p15/p15793456/s54257177/d3b11384-e58823ae-545b2484-70475db9-e638bd89.jpg']","['files/p15/p15793456/s54148272/07c73a03-a9bda92e-7ca2562e-9c47a7bc-1de9e5a8.jpg\n', 'files/p15/p15793456/s54148272/86b7942d-6aafab5f-acb47e68-1fff0868-437f35ea.jpg\n', 'files/p15/p15793456/s54148272/eb42c509-de7007b3-0995401c-0f46cbd8-5be1551f.jpg\n']"
s54266284_6,p11135350,s54266284,6,Impression,"Since ___, the patient has been intubated, with tip of endotracheal tube terminating within 2 cm of the carina. This can be withdrawn a few cm for standard positioning. Additionally, the cuff of the tube is apparently over distended. Cardiomegaly is accompanied by improved pulmonary vascular congestion and near resolution of interstitial edema. Small pleural effusions have also decreased in size in the interval.",Cardiomegaly is accompanied by improved pulmonary vascular congestion and near resolution of interstitial edema.,interstitial edema,,Resolve,['files/p11/p11135350/s54266284/2d945b0a-0962f1ea-b9f44bcd-83adc688-3a74a962.jpg'],['files/p11/p11135350/s53772313/cd3281a8-6fdf014d-d38263aa-913e7ac6-50920fae.jpg\n']
s54266284_6,p11135350,s54266284,6,Impression,"Since ___, the patient has been intubated, with tip of endotracheal tube terminating within 2 cm of the carina. This can be withdrawn a few cm for standard positioning. Additionally, the cuff of the tube is apparently over distended. Cardiomegaly is accompanied by improved pulmonary vascular congestion and near resolution of interstitial edema. Small pleural effusions have also decreased in size in the interval.",Small pleural effusions have also decreased in size in the interval.,pleural effusions,,Better,['files/p11/p11135350/s54266284/2d945b0a-0962f1ea-b9f44bcd-83adc688-3a74a962.jpg'],['files/p11/p11135350/s53772313/cd3281a8-6fdf014d-d38263aa-913e7ac6-50920fae.jpg\n']
s54266284_6,p11135350,s54266284,6,Impression,"Since ___, the patient has been intubated, with tip of endotracheal tube terminating within 2 cm of the carina. This can be withdrawn a few cm for standard positioning. Additionally, the cuff of the tube is apparently over distended. Cardiomegaly is accompanied by improved pulmonary vascular congestion and near resolution of interstitial edema. Small pleural effusions have also decreased in size in the interval.",Cardiomegaly is accompanied by improved pulmonary vascular congestion and near resolution of interstitial edema.,pulmonary vascular congestion,,Better,['files/p11/p11135350/s54266284/2d945b0a-0962f1ea-b9f44bcd-83adc688-3a74a962.jpg'],['files/p11/p11135350/s53772313/cd3281a8-6fdf014d-d38263aa-913e7ac6-50920fae.jpg\n']
s54296371_1,p10198310,s54296371,1,Impression,"Comparison to ___. The pacemaker leads are in correct position. No complications, notably no pneumothorax. Stable moderate cardiomegaly. Stable mild elongation of the descending aorta and minimal retrocardiac atelectasis. No pneumothorax. No larger pleural effusions.",Stable moderate cardiomegaly.,Cardiomegaly,Heart,Stable,"['files/p10/p10198310/s54296371/5a8fcedb-981bd585-b30bbaba-5e36877b-1546d35c.jpg', 'files/p10/p10198310/s54296371/c4231749-4328dd96-eabe1197-d473f365-9b6602bc.jpg']","['files/p10/p10198310/s53321855/52051de6-12f425a6-7e6e8a6e-8b8c4176-b5d56a2b.jpg\n', 'files/p10/p10198310/s53321855/b0957f5e-2da32f5e-3f46e685-8b05a23b-25c97471.jpg\n']"
s54296371_1,p10198310,s54296371,1,Impression,"Comparison to ___. The pacemaker leads are in correct position. No complications, notably no pneumothorax. Stable moderate cardiomegaly. Stable mild elongation of the descending aorta and minimal retrocardiac atelectasis. No pneumothorax. No larger pleural effusions.",Stable mild elongation of the descending aorta and minimal retrocardiac atelectasis.,Elongation,Descending aorta,Stable,"['files/p10/p10198310/s54296371/5a8fcedb-981bd585-b30bbaba-5e36877b-1546d35c.jpg', 'files/p10/p10198310/s54296371/c4231749-4328dd96-eabe1197-d473f365-9b6602bc.jpg']","['files/p10/p10198310/s53321855/52051de6-12f425a6-7e6e8a6e-8b8c4176-b5d56a2b.jpg\n', 'files/p10/p10198310/s53321855/b0957f5e-2da32f5e-3f46e685-8b05a23b-25c97471.jpg\n']"
s54296371_1,p10198310,s54296371,1,Impression,"Comparison to ___. The pacemaker leads are in correct position. No complications, notably no pneumothorax. Stable moderate cardiomegaly. Stable mild elongation of the descending aorta and minimal retrocardiac atelectasis. No pneumothorax. No larger pleural effusions.",Stable mild elongation of the descending aorta and minimal retrocardiac atelectasis.,Atelectasis,Retrocardiac,Stable,"['files/p10/p10198310/s54296371/5a8fcedb-981bd585-b30bbaba-5e36877b-1546d35c.jpg', 'files/p10/p10198310/s54296371/c4231749-4328dd96-eabe1197-d473f365-9b6602bc.jpg']","['files/p10/p10198310/s53321855/52051de6-12f425a6-7e6e8a6e-8b8c4176-b5d56a2b.jpg\n', 'files/p10/p10198310/s53321855/b0957f5e-2da32f5e-3f46e685-8b05a23b-25c97471.jpg\n']"
s54296756_9,p11932181,s54296756,9,Findings,"Compared to the study from earlier the same day, there is no significant interval change.","Compared to the study from earlier the same day, there is no significant interval change.",,,Stable,['files/p11/p11932181/s54296756/4e25f2e7-4ab07975-e5a9f14c-acc20f75-9fa89750.jpg'],"['files/p11/p11932181/s54197091/533e10b2-a8dcfde7-b7e21125-3adb9a2b-ddfde194.jpg\n', 'files/p11/p11932181/s54197091/9e73fe4b-87d3e7cf-7daf5e9a-5ec42b51-6f1d44eb.jpg\n']"
s54302400_5,p15693523,s54302400,5,Impression,"Support lines and tubes are unchanged in position. The left-sided airway stent is unchanged. There is again seen complete collapse of the left lung with shifting of mediastinal structures to the left. Known pulmonary nodules in the right side are better characterized on prior CT scan. The right lung appears well aerated. There are no pneumothoraces. Overall, the findings appear unchanged.",Support lines and tubes are unchanged in position.,Support lines and tubes,,Stable,['files/p15/p15693523/s54302400/32b62c2a-3374dbc2-f1fe4be4-9119f9a8-af2df168.jpg'],"['files/p15/p15693523/s52654474/06a14fd9-8f89607b-b20836e4-7b3477f4-8434d888.jpg\n', 'files/p15/p15693523/s52654474/116fcb38-1309dd16-16643cd1-262b2801-bcc0a0bf.jpg\n', 'files/p15/p15693523/s52654474/61fee867-8392b680-a5aba632-e3f3b946-900eddd5.jpg\n']"
s54302400_5,p15693523,s54302400,5,Impression,"Support lines and tubes are unchanged in position. The left-sided airway stent is unchanged. There is again seen complete collapse of the left lung with shifting of mediastinal structures to the left. Known pulmonary nodules in the right side are better characterized on prior CT scan. The right lung appears well aerated. There are no pneumothoraces. Overall, the findings appear unchanged.",The left-sided airway stent is unchanged.,airway stent,left-sided,Stable,['files/p15/p15693523/s54302400/32b62c2a-3374dbc2-f1fe4be4-9119f9a8-af2df168.jpg'],"['files/p15/p15693523/s52654474/06a14fd9-8f89607b-b20836e4-7b3477f4-8434d888.jpg\n', 'files/p15/p15693523/s52654474/116fcb38-1309dd16-16643cd1-262b2801-bcc0a0bf.jpg\n', 'files/p15/p15693523/s52654474/61fee867-8392b680-a5aba632-e3f3b946-900eddd5.jpg\n']"
s54302400_5,p15693523,s54302400,5,Impression,"Support lines and tubes are unchanged in position. The left-sided airway stent is unchanged. There is again seen complete collapse of the left lung with shifting of mediastinal structures to the left. Known pulmonary nodules in the right side are better characterized on prior CT scan. The right lung appears well aerated. There are no pneumothoraces. Overall, the findings appear unchanged.","Overall, the findings appear unchanged.",findings,,Stable,['files/p15/p15693523/s54302400/32b62c2a-3374dbc2-f1fe4be4-9119f9a8-af2df168.jpg'],"['files/p15/p15693523/s52654474/06a14fd9-8f89607b-b20836e4-7b3477f4-8434d888.jpg\n', 'files/p15/p15693523/s52654474/116fcb38-1309dd16-16643cd1-262b2801-bcc0a0bf.jpg\n', 'files/p15/p15693523/s52654474/61fee867-8392b680-a5aba632-e3f3b946-900eddd5.jpg\n']"
s54308320_6,p13894716,s54308320,6,Impression,Comparison to ___. The monitoring and support devices are in stable correct position. Mild to moderate bilateral pleural effusions with areas of atelectasis at both the left and the right lung basis. Mild cardiomegaly. No overt pulmonary edema. No newly appeared focal parenchymal opacities.,Comparison to ___. The monitoring and support devices are in stable correct position.,monitoring and support devices,,Stable,"['files/p13/p13894716/s54308320/55c75c58-72cc96b7-ada6940e-272e5b55-0d27a523.jpg', 'files/p13/p13894716/s54308320/6ebbc752-645a64ed-ac355db9-ccca6ae4-31fbb894.jpg']",['files/p13/p13894716/s53520081/fa919722-4eea7a12-2806e18f-f9050528-40aa3f3b.jpg\n']
s54345212_7,p19932024,s54345212,7,Impression,"As compared to the previous image, the Swan-Ganz catheter has been pulled back. The tip now projects over the proximal parts of the right pulmonary artery. The other monitoring and support devices are constant. Low lung volumes and moderate cardiomegaly persists. Mild pulmonary edema is present on today's image. No pneumonia.",The other monitoring and support devices are constant.,Monitoring and support devices,,Stable,['files/p19/p19932024/s54345212/68ccd799-61e98428-3c7d8e41-6cbc342c-3426519b.jpg'],"['files/p19/p19932024/s52421327/7d918df3-b51f08b1-b7c9a415-2be08ec7-a1b1bd81.jpg\n', 'files/p19/p19932024/s52421327/a9e13b36-9f15b5ec-c6da8ece-3f40651b-6efa91f1.jpg\n']"
s54345212_7,p19932024,s54345212,7,Impression,"As compared to the previous image, the Swan-Ganz catheter has been pulled back. The tip now projects over the proximal parts of the right pulmonary artery. The other monitoring and support devices are constant. Low lung volumes and moderate cardiomegaly persists. Mild pulmonary edema is present on today's image. No pneumonia.",Low lung volumes and moderate cardiomegaly persists.,Low lung volumes,,Stable,['files/p19/p19932024/s54345212/68ccd799-61e98428-3c7d8e41-6cbc342c-3426519b.jpg'],"['files/p19/p19932024/s52421327/7d918df3-b51f08b1-b7c9a415-2be08ec7-a1b1bd81.jpg\n', 'files/p19/p19932024/s52421327/a9e13b36-9f15b5ec-c6da8ece-3f40651b-6efa91f1.jpg\n']"
s54345212_7,p19932024,s54345212,7,Impression,"As compared to the previous image, the Swan-Ganz catheter has been pulled back. The tip now projects over the proximal parts of the right pulmonary artery. The other monitoring and support devices are constant. Low lung volumes and moderate cardiomegaly persists. Mild pulmonary edema is present on today's image. No pneumonia.",Low lung volumes and moderate cardiomegaly persists.,Moderate cardiomegaly,,Stable,['files/p19/p19932024/s54345212/68ccd799-61e98428-3c7d8e41-6cbc342c-3426519b.jpg'],"['files/p19/p19932024/s52421327/7d918df3-b51f08b1-b7c9a415-2be08ec7-a1b1bd81.jpg\n', 'files/p19/p19932024/s52421327/a9e13b36-9f15b5ec-c6da8ece-3f40651b-6efa91f1.jpg\n']"
s54346165_26,p10337896,s54346165,26,Findings,AP portable semi upright view of the chest. Multiple calcified lymph nodes again seen projecting over the chest and neck. The previously noted tracheostomy tube is no longer seen. Calcified pleural plaque along the right hemidiaphragm noted along with multiple bilateral calcified pulmonary nodules. A small right pleural effusion is likely present. No convincing signs of pneumonia. The cardiomediastinal silhouette appears grossly within normal limits. Severe degenerative disease at both shoulders is again noted.,Multiple calcified lymph nodes again seen projecting over the chest and neck.,calcified lymph nodes,over the chest and neck,Stable,['files/p10/p10337896/s54346165/ad80e2eb-b3f466b2-05747a4a-6bceb507-5d3748ba.jpg'],['files/p10/p10337896/s54031658/ffde91fb-1eb2b3c1-48e6008b-c16bd376-8a771f1b.jpg\n']
s54346165_26,p10337896,s54346165,26,Findings,AP portable semi upright view of the chest. Multiple calcified lymph nodes again seen projecting over the chest and neck. The previously noted tracheostomy tube is no longer seen. Calcified pleural plaque along the right hemidiaphragm noted along with multiple bilateral calcified pulmonary nodules. A small right pleural effusion is likely present. No convincing signs of pneumonia. The cardiomediastinal silhouette appears grossly within normal limits. Severe degenerative disease at both shoulders is again noted.,The previously noted tracheostomy tube is no longer seen.,tracheostomy tube,,Resolve,['files/p10/p10337896/s54346165/ad80e2eb-b3f466b2-05747a4a-6bceb507-5d3748ba.jpg'],['files/p10/p10337896/s54031658/ffde91fb-1eb2b3c1-48e6008b-c16bd376-8a771f1b.jpg\n']
s54346165_26,p10337896,s54346165,26,Findings,AP portable semi upright view of the chest. Multiple calcified lymph nodes again seen projecting over the chest and neck. The previously noted tracheostomy tube is no longer seen. Calcified pleural plaque along the right hemidiaphragm noted along with multiple bilateral calcified pulmonary nodules. A small right pleural effusion is likely present. No convincing signs of pneumonia. The cardiomediastinal silhouette appears grossly within normal limits. Severe degenerative disease at both shoulders is again noted.,Severe degenerative disease at both shoulders is again noted.,degenerative disease,both shoulders,Stable,['files/p10/p10337896/s54346165/ad80e2eb-b3f466b2-05747a4a-6bceb507-5d3748ba.jpg'],['files/p10/p10337896/s54031658/ffde91fb-1eb2b3c1-48e6008b-c16bd376-8a771f1b.jpg\n']
s54348250_5,p11226572,s54348250,5,Impression,"Persistent lingular opacity, but markedly reduced, so possibly due to scarring; although perhaps unlikely recurrent pneumonia at the site is not entirely excluded, however. No radiographic findings particularly suggestive of active sarcoid.","Persistent lingular opacity, but markedly reduced, so possibly due to scarring; although perhaps unlikely recurrent pneumonia at the site is not entirely excluded, however.",opacity,lingula,Stable,"['files/p11/p11226572/s54348250/648ee6d5-cb5e79fb-b7aca47b-5b20049b-042b1f8a.jpg', 'files/p11/p11226572/s54348250/efa7ce32-9434194a-c88b2633-833bc1e5-4b39a4fc.jpg']","['files/p11/p11226572/s53764194/23b9a601-50441467-c840ef98-cc20b3d9-0f1e89c8.jpg\n', 'files/p11/p11226572/s53764194/c7524a34-034ad3d1-e934a59f-85f18631-6f81adad.jpg\n']"
s54348250_5,p11226572,s54348250,5,Findings,"The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The chest appears somewhat hyperinflated. There is no pleural effusion or pneumothorax. There is no indication of lymphadenopathy or parenchymal interstitial disease that would be likely to reflect sarcoidosis. In the lingula, there is persistent minor opacification, but considerably reduced so possibly due to scarring from a prior process.","In the lingula, there is persistent minor opacification, but considerably reduced so possibly due to scarring from a prior process.",opacification,lingula,Stable,"['files/p11/p11226572/s54348250/648ee6d5-cb5e79fb-b7aca47b-5b20049b-042b1f8a.jpg', 'files/p11/p11226572/s54348250/efa7ce32-9434194a-c88b2633-833bc1e5-4b39a4fc.jpg']","['files/p11/p11226572/s53764194/23b9a601-50441467-c840ef98-cc20b3d9-0f1e89c8.jpg\n', 'files/p11/p11226572/s53764194/c7524a34-034ad3d1-e934a59f-85f18631-6f81adad.jpg\n']"
s54350778_47,p11717909,s54350778,47,Impression,Comparison to ___. No relevant change. The extensive right and mild left parenchymal opacities are constant. Constant size of the moderately enlarged cardiac silhouette. The monitoring and support devices are in stable position.,The extensive right and mild left parenchymal opacities are constant.,parenchymal opacities,left,Stable,['files/p11/p11717909/s54350778/3d5c1b0f-46f03f74-eb5beae3-88ef8b4f-7e463c51.jpg'],['files/p11/p11717909/s54173931/54df276e-3a7668b9-583c36a0-d858ee7e-e7d57d25.jpg\n']
s54350778_47,p11717909,s54350778,47,Impression,Comparison to ___. No relevant change. The extensive right and mild left parenchymal opacities are constant. Constant size of the moderately enlarged cardiac silhouette. The monitoring and support devices are in stable position.,Constant size of the moderately enlarged cardiac silhouette.,moderately enlarged cardiac silhouette,,Stable,['files/p11/p11717909/s54350778/3d5c1b0f-46f03f74-eb5beae3-88ef8b4f-7e463c51.jpg'],['files/p11/p11717909/s54173931/54df276e-3a7668b9-583c36a0-d858ee7e-e7d57d25.jpg\n']
s54350778_47,p11717909,s54350778,47,Impression,Comparison to ___. No relevant change. The extensive right and mild left parenchymal opacities are constant. Constant size of the moderately enlarged cardiac silhouette. The monitoring and support devices are in stable position.,The extensive right and mild left parenchymal opacities are constant.,parenchymal opacities,right,Stable,['files/p11/p11717909/s54350778/3d5c1b0f-46f03f74-eb5beae3-88ef8b4f-7e463c51.jpg'],['files/p11/p11717909/s54173931/54df276e-3a7668b9-583c36a0-d858ee7e-e7d57d25.jpg\n']
s54350778_47,p11717909,s54350778,47,Impression,Comparison to ___. No relevant change. The extensive right and mild left parenchymal opacities are constant. Constant size of the moderately enlarged cardiac silhouette. The monitoring and support devices are in stable position.,The monitoring and support devices are in stable position.,monitoring and support devices,,Stable,['files/p11/p11717909/s54350778/3d5c1b0f-46f03f74-eb5beae3-88ef8b4f-7e463c51.jpg'],['files/p11/p11717909/s54173931/54df276e-3a7668b9-583c36a0-d858ee7e-e7d57d25.jpg\n']
s54353558_1,p19045192,s54353558,1,Findings,Low lung volumes accentuate the cardiomediastinal contours and result in crowding of bronchovascular structures. There are no focal areas of consolidation to suggest the presence of pneumonia. . Cardiomediastinal silhouette is stable. No pleural effusion or pneumothorax is seen.,Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p19/p19045192/s54353558/3694d980-dfbab221-6c09fb9f-436a7848-8fc1c1f9.jpg', 'files/p19/p19045192/s54353558/51ccd2f2-81bd59a9-10d57832-76910dd4-9757fbf3.jpg', 'files/p19/p19045192/s54353558/61ed2e08-84121124-35df49c3-878c724d-9e148da6.jpg']","['files/p19/p19045192/s52704228/42d1d942-0aefbde6-c54835e3-15294715-8113041e.jpg\n', 'files/p19/p19045192/s52704228/7fc62039-7d07c76e-bed2b1d5-5c06a0b3-c6684d07.jpg\n']"
s54358320_2,p18043502,s54358320,2,Impression,Hardware is seen within the lower cervical spine. Cardiomediastinal silhouette is within normal limits. There has been improved aeration since the prior study. There remains atelectasis at the lung bases and likely a small left-sided pleural effusion. There are no pneumothoraces. Severe scoliosis of the thoracolumbar spine is again seen.,Severe scoliosis of the thoracolumbar spine is again seen.,Scoliosis,Thoracolumbar spine,Stable,['files/p18/p18043502/s54358320/c3429ad6-8e5e462a-4c90cdef-f2d92103-a0820652.jpg'],"['files/p18/p18043502/s53197078/41d626a4-3a5576a4-30e9d1a1-e3bec23f-0a4059ac.jpg\n', 'files/p18/p18043502/s53197078/aab8ed85-7c745624-f394ec76-c26844b8-15d892b9.jpg\n']"
s54358320_2,p18043502,s54358320,2,Impression,Hardware is seen within the lower cervical spine. Cardiomediastinal silhouette is within normal limits. There has been improved aeration since the prior study. There remains atelectasis at the lung bases and likely a small left-sided pleural effusion. There are no pneumothoraces. Severe scoliosis of the thoracolumbar spine is again seen.,There has been improved aeration since the prior study.,Aeration,,Better,['files/p18/p18043502/s54358320/c3429ad6-8e5e462a-4c90cdef-f2d92103-a0820652.jpg'],"['files/p18/p18043502/s53197078/41d626a4-3a5576a4-30e9d1a1-e3bec23f-0a4059ac.jpg\n', 'files/p18/p18043502/s53197078/aab8ed85-7c745624-f394ec76-c26844b8-15d892b9.jpg\n']"
s54358320_2,p18043502,s54358320,2,Impression,Hardware is seen within the lower cervical spine. Cardiomediastinal silhouette is within normal limits. There has been improved aeration since the prior study. There remains atelectasis at the lung bases and likely a small left-sided pleural effusion. There are no pneumothoraces. Severe scoliosis of the thoracolumbar spine is again seen.,There remains atelectasis at the lung bases and likely a small left-sided pleural effusion.,Atelectasis,Lung bases,Stable,['files/p18/p18043502/s54358320/c3429ad6-8e5e462a-4c90cdef-f2d92103-a0820652.jpg'],"['files/p18/p18043502/s53197078/41d626a4-3a5576a4-30e9d1a1-e3bec23f-0a4059ac.jpg\n', 'files/p18/p18043502/s53197078/aab8ed85-7c745624-f394ec76-c26844b8-15d892b9.jpg\n']"
s54358320_2,p18043502,s54358320,2,Impression,Hardware is seen within the lower cervical spine. Cardiomediastinal silhouette is within normal limits. There has been improved aeration since the prior study. There remains atelectasis at the lung bases and likely a small left-sided pleural effusion. There are no pneumothoraces. Severe scoliosis of the thoracolumbar spine is again seen.,There remains atelectasis at the lung bases and likely a small left-sided pleural effusion.,Pleural effusion,Left-sided,Stable,['files/p18/p18043502/s54358320/c3429ad6-8e5e462a-4c90cdef-f2d92103-a0820652.jpg'],"['files/p18/p18043502/s53197078/41d626a4-3a5576a4-30e9d1a1-e3bec23f-0a4059ac.jpg\n', 'files/p18/p18043502/s53197078/aab8ed85-7c745624-f394ec76-c26844b8-15d892b9.jpg\n']"
s54358600_0,p17934731,s54358600,0,Findings,"Compared with most recent prior radiographs, pleural effusions and associated atelectasis have resolved. There is no change in severe leftward thoracic scoliosis and hiatal hernia. Lungs are clear. No pleural effusion or pneumothorax.",There is no change in severe leftward thoracic scoliosis and hiatal hernia.,severe leftward thoracic scoliosis,,Stable,"['files/p17/p17934731/s54358600/04358d55-af10b770-d5efc878-5cb699d1-4c208ccc.jpg', 'files/p17/p17934731/s54358600/ac273887-927e791a-6efc8cbb-9e16bd27-f2fc65cc.jpg', 'files/p17/p17934731/s54358600/bce446cd-5484d7a1-e01136e6-9239033a-61d060b6.jpg', 'files/p17/p17934731/s54358600/eb808317-349b706d-2c307946-be5fc3c1-9ee02e5e.jpg']",['files/p17/p17934731/s52852563/b08aaf75-27433984-2f2fe0d6-12a22932-c87cc8d7.jpg\n']
s54358600_0,p17934731,s54358600,0,Findings,"Compared with most recent prior radiographs, pleural effusions and associated atelectasis have resolved. There is no change in severe leftward thoracic scoliosis and hiatal hernia. Lungs are clear. No pleural effusion or pneumothorax.","Compared with most recent prior radiographs, pleural effusions and associated atelectasis have resolved.",pleural effusions and associated atelectasis,,Resolve,"['files/p17/p17934731/s54358600/04358d55-af10b770-d5efc878-5cb699d1-4c208ccc.jpg', 'files/p17/p17934731/s54358600/ac273887-927e791a-6efc8cbb-9e16bd27-f2fc65cc.jpg', 'files/p17/p17934731/s54358600/bce446cd-5484d7a1-e01136e6-9239033a-61d060b6.jpg', 'files/p17/p17934731/s54358600/eb808317-349b706d-2c307946-be5fc3c1-9ee02e5e.jpg']",['files/p17/p17934731/s52852563/b08aaf75-27433984-2f2fe0d6-12a22932-c87cc8d7.jpg\n']
s54358600_0,p17934731,s54358600,0,Findings,"Compared with most recent prior radiographs, pleural effusions and associated atelectasis have resolved. There is no change in severe leftward thoracic scoliosis and hiatal hernia. Lungs are clear. No pleural effusion or pneumothorax.",There is no change in severe leftward thoracic scoliosis and hiatal hernia.,hiatal hernia,,Stable,"['files/p17/p17934731/s54358600/04358d55-af10b770-d5efc878-5cb699d1-4c208ccc.jpg', 'files/p17/p17934731/s54358600/ac273887-927e791a-6efc8cbb-9e16bd27-f2fc65cc.jpg', 'files/p17/p17934731/s54358600/bce446cd-5484d7a1-e01136e6-9239033a-61d060b6.jpg', 'files/p17/p17934731/s54358600/eb808317-349b706d-2c307946-be5fc3c1-9ee02e5e.jpg']",['files/p17/p17934731/s52852563/b08aaf75-27433984-2f2fe0d6-12a22932-c87cc8d7.jpg\n']
s54360882_64,p11717909,s54360882,64,Impression,"In comparison with these study of ___, the patient has taken a slightly better inspiration. The monitoring and support devices are stable. The degree of opacification in the right hemithorax appears to have decreased, though much of this could merely represent the better inspiration. Poor definition of the hemidiaphragm on the right is consistent with layering pleural fluid. The opacification at the left base has decreased and most likely represents atelectasis.",The monitoring and support devices are stable.,devices,monitoring and support,Stable,['files/p11/p11717909/s54360882/68415db4-13599d5d-876aef44-c3907c31-1b429bba.jpg'],['files/p11/p11717909/s54350778/3d5c1b0f-46f03f74-eb5beae3-88ef8b4f-7e463c51.jpg\n']
s54360882_64,p11717909,s54360882,64,Impression,"In comparison with these study of ___, the patient has taken a slightly better inspiration. The monitoring and support devices are stable. The degree of opacification in the right hemithorax appears to have decreased, though much of this could merely represent the better inspiration. Poor definition of the hemidiaphragm on the right is consistent with layering pleural fluid. The opacification at the left base has decreased and most likely represents atelectasis.",The opacification at the left base has decreased and most likely represents atelectasis.,opacification,left base,Better,['files/p11/p11717909/s54360882/68415db4-13599d5d-876aef44-c3907c31-1b429bba.jpg'],['files/p11/p11717909/s54350778/3d5c1b0f-46f03f74-eb5beae3-88ef8b4f-7e463c51.jpg\n']
s54360882_64,p11717909,s54360882,64,Impression,"In comparison with these study of ___, the patient has taken a slightly better inspiration. The monitoring and support devices are stable. The degree of opacification in the right hemithorax appears to have decreased, though much of this could merely represent the better inspiration. Poor definition of the hemidiaphragm on the right is consistent with layering pleural fluid. The opacification at the left base has decreased and most likely represents atelectasis.","The degree of opacification in the right hemithorax appears to have decreased, though much of this could merely represent the better inspiration.",opacification,right hemithorax,Better,['files/p11/p11717909/s54360882/68415db4-13599d5d-876aef44-c3907c31-1b429bba.jpg'],['files/p11/p11717909/s54350778/3d5c1b0f-46f03f74-eb5beae3-88ef8b4f-7e463c51.jpg\n']
s54368456_26,p15911529,s54368456,26,Impression,"As compared to the previous radiograph, there is no change in position of the right chest tube. No pneumothorax. A minimal right pleural effusion is constant. Mild right basilar atelectasis. Unchanged moderate cardiomegaly. Unchanged left pectoral pacemaker.",Unchanged moderate cardiomegaly.,cardiomegaly,cardiac,Stable,['files/p15/p15911529/s54368456/51314394-a4c9c16e-9c4046f5-27fb7589-de68759f.jpg'],['files/p15/p15911529/s54252168/5817a4b8-c4f832fb-7a33cc26-b05e9ff5-80a03cbc.jpg\n']
s54368456_26,p15911529,s54368456,26,Impression,"As compared to the previous radiograph, there is no change in position of the right chest tube. No pneumothorax. A minimal right pleural effusion is constant. Mild right basilar atelectasis. Unchanged moderate cardiomegaly. Unchanged left pectoral pacemaker.","As compared to the previous radiograph, there is no change in position of the right chest tube.",chest tube,right chest,Stable,['files/p15/p15911529/s54368456/51314394-a4c9c16e-9c4046f5-27fb7589-de68759f.jpg'],['files/p15/p15911529/s54252168/5817a4b8-c4f832fb-7a33cc26-b05e9ff5-80a03cbc.jpg\n']
s54368456_26,p15911529,s54368456,26,Impression,"As compared to the previous radiograph, there is no change in position of the right chest tube. No pneumothorax. A minimal right pleural effusion is constant. Mild right basilar atelectasis. Unchanged moderate cardiomegaly. Unchanged left pectoral pacemaker.",A minimal right pleural effusion is constant.,effusion,right pleural,Stable,['files/p15/p15911529/s54368456/51314394-a4c9c16e-9c4046f5-27fb7589-de68759f.jpg'],['files/p15/p15911529/s54252168/5817a4b8-c4f832fb-7a33cc26-b05e9ff5-80a03cbc.jpg\n']
s54368456_26,p15911529,s54368456,26,Impression,"As compared to the previous radiograph, there is no change in position of the right chest tube. No pneumothorax. A minimal right pleural effusion is constant. Mild right basilar atelectasis. Unchanged moderate cardiomegaly. Unchanged left pectoral pacemaker.",Unchanged left pectoral pacemaker.,pacemaker,left pectoral,Stable,['files/p15/p15911529/s54368456/51314394-a4c9c16e-9c4046f5-27fb7589-de68759f.jpg'],['files/p15/p15911529/s54252168/5817a4b8-c4f832fb-7a33cc26-b05e9ff5-80a03cbc.jpg\n']
s54369648_15,p11717909,s54369648,15,Findings,Right IJ Swan-Ganz catheter has been removed and no pneumothorax seen. Left-sided PICC line and left ventricular assist device appear unchanged radiographically. Cardiac silhouette is large with unchanged splayed carina. Obscuration of the left hemidiaphragm and right cardiophrenic angle indicate associated basilar consolidation the findings do not suggest increase in pleural fluid on either side.,Cardiac silhouette is large with unchanged splayed carina.,Cardiac silhouette,,Stable,['files/p11/p11717909/s54369648/075c5fad-cfbf7397-05bfb8fc-55ed0999-6c4abf11.jpg'],['files/p11/p11717909/s54360882/68415db4-13599d5d-876aef44-c3907c31-1b429bba.jpg\n']
s54369648_15,p11717909,s54369648,15,Findings,Right IJ Swan-Ganz catheter has been removed and no pneumothorax seen. Left-sided PICC line and left ventricular assist device appear unchanged radiographically. Cardiac silhouette is large with unchanged splayed carina. Obscuration of the left hemidiaphragm and right cardiophrenic angle indicate associated basilar consolidation the findings do not suggest increase in pleural fluid on either side.,Right IJ Swan-Ganz catheter has been removed and no pneumothorax seen.,Swan-Ganz catheter,Right IJ,Resolve,['files/p11/p11717909/s54369648/075c5fad-cfbf7397-05bfb8fc-55ed0999-6c4abf11.jpg'],['files/p11/p11717909/s54360882/68415db4-13599d5d-876aef44-c3907c31-1b429bba.jpg\n']
s54369648_15,p11717909,s54369648,15,Findings,Right IJ Swan-Ganz catheter has been removed and no pneumothorax seen. Left-sided PICC line and left ventricular assist device appear unchanged radiographically. Cardiac silhouette is large with unchanged splayed carina. Obscuration of the left hemidiaphragm and right cardiophrenic angle indicate associated basilar consolidation the findings do not suggest increase in pleural fluid on either side.,Cardiac silhouette is large with unchanged splayed carina.,splayed carina,,Stable,['files/p11/p11717909/s54369648/075c5fad-cfbf7397-05bfb8fc-55ed0999-6c4abf11.jpg'],['files/p11/p11717909/s54360882/68415db4-13599d5d-876aef44-c3907c31-1b429bba.jpg\n']
s54369648_15,p11717909,s54369648,15,Findings,Right IJ Swan-Ganz catheter has been removed and no pneumothorax seen. Left-sided PICC line and left ventricular assist device appear unchanged radiographically. Cardiac silhouette is large with unchanged splayed carina. Obscuration of the left hemidiaphragm and right cardiophrenic angle indicate associated basilar consolidation the findings do not suggest increase in pleural fluid on either side.,Left-sided PICC line and left ventricular assist device appear unchanged radiographically.,PICC line,Left-sided,Stable,['files/p11/p11717909/s54369648/075c5fad-cfbf7397-05bfb8fc-55ed0999-6c4abf11.jpg'],['files/p11/p11717909/s54360882/68415db4-13599d5d-876aef44-c3907c31-1b429bba.jpg\n']
s54369648_15,p11717909,s54369648,15,Impression,No pneumothorax status post removal of right-sided Swan-Ganz catheter. No specific findings to account for new increase in tachycardia,No pneumothorax status post removal of right-sided Swan-Ganz catheter.,Swan-Ganz catheter,Right-sided,Resolve,['files/p11/p11717909/s54369648/075c5fad-cfbf7397-05bfb8fc-55ed0999-6c4abf11.jpg'],['files/p11/p11717909/s54360882/68415db4-13599d5d-876aef44-c3907c31-1b429bba.jpg\n']
s54369648_15,p11717909,s54369648,15,Findings,Right IJ Swan-Ganz catheter has been removed and no pneumothorax seen. Left-sided PICC line and left ventricular assist device appear unchanged radiographically. Cardiac silhouette is large with unchanged splayed carina. Obscuration of the left hemidiaphragm and right cardiophrenic angle indicate associated basilar consolidation the findings do not suggest increase in pleural fluid on either side.,Left-sided PICC line and left ventricular assist device appear unchanged radiographically.,ventricular assist device,Left,Stable,['files/p11/p11717909/s54369648/075c5fad-cfbf7397-05bfb8fc-55ed0999-6c4abf11.jpg'],['files/p11/p11717909/s54360882/68415db4-13599d5d-876aef44-c3907c31-1b429bba.jpg\n']
s54372785_1,p16702545,s54372785,1,Impression,Previous borderline pulmonary edema and pulmonary and mediastinal vascular congestion have resolved. Lung volumes are quite low. Heart size top-normal. ET tube in standard placement. Nasogastric tube ends passes into the upper stomach and out of view. No pneumothorax.,Previous borderline pulmonary edema and pulmonary and mediastinal vascular congestion have resolved.,Mediastinal vascular congestion,,Resolve,['files/p16/p16702545/s54372785/fda8d8a6-20e3b495-7f496ea3-e6ecb7c6-864a11c4.jpg'],"['files/p16/p16702545/s53411092/25eef2b8-203a6f5d-ed3bca06-5b1e873c-0cbbbc20.jpg\n', 'files/p16/p16702545/s53411092/c1e4e895-66af7b86-0fc1918b-2dc76aaf-49aee7c5.jpg\n']"
s54372785_1,p16702545,s54372785,1,Impression,Previous borderline pulmonary edema and pulmonary and mediastinal vascular congestion have resolved. Lung volumes are quite low. Heart size top-normal. ET tube in standard placement. Nasogastric tube ends passes into the upper stomach and out of view. No pneumothorax.,Previous borderline pulmonary edema and pulmonary and mediastinal vascular congestion have resolved.,Pulmonary edema,,Resolve,['files/p16/p16702545/s54372785/fda8d8a6-20e3b495-7f496ea3-e6ecb7c6-864a11c4.jpg'],"['files/p16/p16702545/s53411092/25eef2b8-203a6f5d-ed3bca06-5b1e873c-0cbbbc20.jpg\n', 'files/p16/p16702545/s53411092/c1e4e895-66af7b86-0fc1918b-2dc76aaf-49aee7c5.jpg\n']"
s54397816_4,p10750092,s54397816,4,Findings,"Portable upright chest radiograph demonstrates no change in aeration accounting for differences in positioning. The patient remains intubated, with the tip of the endotracheal tube positioned 3.5 cm from the level of the carina. An NG tube is in place with its tip projecting over the expected position of the stomach, and sidehole projecting over the expected position of the distal esophagus. There is mild pulmonary edema. Cardiac and mediastinal contours are unchanged.",Cardiac and mediastinal contours are unchanged.,contours,cardiac and mediastinal,Stable,['files/p10/p10750092/s54397816/0467c521-bdba9798-87b7c0cf-b1e76b40-5fcd1444.jpg'],['files/p10/p10750092/s52347962/f9f2994d-0072f6aa-32cf61c7-af016a0a-5e32b37a.jpg\n']
s54397816_4,p10750092,s54397816,4,Findings,"Portable upright chest radiograph demonstrates no change in aeration accounting for differences in positioning. The patient remains intubated, with the tip of the endotracheal tube positioned 3.5 cm from the level of the carina. An NG tube is in place with its tip projecting over the expected position of the stomach, and sidehole projecting over the expected position of the distal esophagus. There is mild pulmonary edema. Cardiac and mediastinal contours are unchanged.","The patient remains intubated, with the tip of the endotracheal tube positioned 3.5 cm from the level of the carina.",endotracheal tube,3.5 cm from the level of the carina,Stable,['files/p10/p10750092/s54397816/0467c521-bdba9798-87b7c0cf-b1e76b40-5fcd1444.jpg'],['files/p10/p10750092/s52347962/f9f2994d-0072f6aa-32cf61c7-af016a0a-5e32b37a.jpg\n']
s54397816_4,p10750092,s54397816,4,Findings,"Portable upright chest radiograph demonstrates no change in aeration accounting for differences in positioning. The patient remains intubated, with the tip of the endotracheal tube positioned 3.5 cm from the level of the carina. An NG tube is in place with its tip projecting over the expected position of the stomach, and sidehole projecting over the expected position of the distal esophagus. There is mild pulmonary edema. Cardiac and mediastinal contours are unchanged.",Portable upright chest radiograph demonstrates no change in aeration accounting for differences in positioning.,aeration,chest,Stable,['files/p10/p10750092/s54397816/0467c521-bdba9798-87b7c0cf-b1e76b40-5fcd1444.jpg'],['files/p10/p10750092/s52347962/f9f2994d-0072f6aa-32cf61c7-af016a0a-5e32b37a.jpg\n']
s54397816_4,p10750092,s54397816,4,Impression,"1. Unchanged mild pulmonary edema. 2. NG tube sidehole in the distal esophagus, could be advanced several centimeters to decrease the risk of aspiration.",1. Unchanged mild pulmonary edema.,mild pulmonary edema,lungs,Stable,['files/p10/p10750092/s54397816/0467c521-bdba9798-87b7c0cf-b1e76b40-5fcd1444.jpg'],['files/p10/p10750092/s52347962/f9f2994d-0072f6aa-32cf61c7-af016a0a-5e32b37a.jpg\n']
s54403374_8,p13722528,s54403374,8,Findings,Large airspace opacity in the left upper lung is grossly unchanged. Patchy opacities in the right lung are stable as well. No pleural effusions or pneumothorax. The hila and cardial mediastinal silhouette are otherwise unchanged.,Large airspace opacity in the left upper lung is grossly unchanged.,Large airspace opacity,left upper lung,Stable,"['files/p13/p13722528/s54403374/cd910d90-c7ce8292-427f0761-508b8be8-83629e20.jpg', 'files/p13/p13722528/s54403374/db3d74d0-432e6e64-779f03be-e3057859-33eab1d4.jpg']","['files/p13/p13722528/s53966206/5b257a97-dad6f2e3-a20a3c51-1c6250d0-7024d6d4.jpg\n', 'files/p13/p13722528/s53966206/d32f47ef-e58a672f-861f3eff-c37a113c-d426926f.jpg\n', 'files/p13/p13722528/s53966206/da1e8877-ddaa6388-3f825099-88a1ca8d-da46da3f.jpg\n']"
s54403374_8,p13722528,s54403374,8,Findings,Large airspace opacity in the left upper lung is grossly unchanged. Patchy opacities in the right lung are stable as well. No pleural effusions or pneumothorax. The hila and cardial mediastinal silhouette are otherwise unchanged.,Patchy opacities in the right lung are stable as well.,Patchy opacities,right lung,Stable,"['files/p13/p13722528/s54403374/cd910d90-c7ce8292-427f0761-508b8be8-83629e20.jpg', 'files/p13/p13722528/s54403374/db3d74d0-432e6e64-779f03be-e3057859-33eab1d4.jpg']","['files/p13/p13722528/s53966206/5b257a97-dad6f2e3-a20a3c51-1c6250d0-7024d6d4.jpg\n', 'files/p13/p13722528/s53966206/d32f47ef-e58a672f-861f3eff-c37a113c-d426926f.jpg\n', 'files/p13/p13722528/s53966206/da1e8877-ddaa6388-3f825099-88a1ca8d-da46da3f.jpg\n']"
s54403374_8,p13722528,s54403374,8,Findings,Large airspace opacity in the left upper lung is grossly unchanged. Patchy opacities in the right lung are stable as well. No pleural effusions or pneumothorax. The hila and cardial mediastinal silhouette are otherwise unchanged.,The hila and cardial mediastinal silhouette are otherwise unchanged.,The hila and cardial mediastinal silhouette,,Stable,"['files/p13/p13722528/s54403374/cd910d90-c7ce8292-427f0761-508b8be8-83629e20.jpg', 'files/p13/p13722528/s54403374/db3d74d0-432e6e64-779f03be-e3057859-33eab1d4.jpg']","['files/p13/p13722528/s53966206/5b257a97-dad6f2e3-a20a3c51-1c6250d0-7024d6d4.jpg\n', 'files/p13/p13722528/s53966206/d32f47ef-e58a672f-861f3eff-c37a113c-d426926f.jpg\n', 'files/p13/p13722528/s53966206/da1e8877-ddaa6388-3f825099-88a1ca8d-da46da3f.jpg\n']"
s54403374_8,p13722528,s54403374,8,Impression,Persistent severe left lung opacity. No new consolidation.,Persistent severe left lung opacity. No new consolidation.,severe opacity,left lung,Worse,"['files/p13/p13722528/s54403374/cd910d90-c7ce8292-427f0761-508b8be8-83629e20.jpg', 'files/p13/p13722528/s54403374/db3d74d0-432e6e64-779f03be-e3057859-33eab1d4.jpg']","['files/p13/p13722528/s53966206/5b257a97-dad6f2e3-a20a3c51-1c6250d0-7024d6d4.jpg\n', 'files/p13/p13722528/s53966206/d32f47ef-e58a672f-861f3eff-c37a113c-d426926f.jpg\n', 'files/p13/p13722528/s53966206/da1e8877-ddaa6388-3f825099-88a1ca8d-da46da3f.jpg\n']"
s54405868_25,p11717909,s54405868,25,Impression,"As compared to the previous radiograph, no relevant change is seen. The patient has been extubated and the nasogastric tube was removed. The other monitoring and support devices, including the cardio vascular assistance device and the left chest tube are in unchanged position. There might be minimal increase of a left pleural effusion, with subsequent areas of atelectasis at the basal and basal lateral left lung. No change in appearance of the right lung and of the cardiac silhouette.","There might be minimal increase of a left pleural effusion, with subsequent areas of atelectasis at the basal and basal lateral left lung.",pleural effusion,left,Worse,['files/p11/p11717909/s54405868/b780e69e-01fe1577-1c8d166a-40f8c788-8f9f1115.jpg'],['files/p11/p11717909/s54369648/075c5fad-cfbf7397-05bfb8fc-55ed0999-6c4abf11.jpg\n']
s54405868_25,p11717909,s54405868,25,Impression,"As compared to the previous radiograph, no relevant change is seen. The patient has been extubated and the nasogastric tube was removed. The other monitoring and support devices, including the cardio vascular assistance device and the left chest tube are in unchanged position. There might be minimal increase of a left pleural effusion, with subsequent areas of atelectasis at the basal and basal lateral left lung. No change in appearance of the right lung and of the cardiac silhouette.",The patient has been extubated and the nasogastric tube was removed.,nasogastric tube,,Resolve,['files/p11/p11717909/s54405868/b780e69e-01fe1577-1c8d166a-40f8c788-8f9f1115.jpg'],['files/p11/p11717909/s54369648/075c5fad-cfbf7397-05bfb8fc-55ed0999-6c4abf11.jpg\n']
s54405868_25,p11717909,s54405868,25,Impression,"As compared to the previous radiograph, no relevant change is seen. The patient has been extubated and the nasogastric tube was removed. The other monitoring and support devices, including the cardio vascular assistance device and the left chest tube are in unchanged position. There might be minimal increase of a left pleural effusion, with subsequent areas of atelectasis at the basal and basal lateral left lung. No change in appearance of the right lung and of the cardiac silhouette.","There might be minimal increase of a left pleural effusion, with subsequent areas of atelectasis at the basal and basal lateral left lung.",atelectasis,basal and basal lateral left,New,['files/p11/p11717909/s54405868/b780e69e-01fe1577-1c8d166a-40f8c788-8f9f1115.jpg'],['files/p11/p11717909/s54369648/075c5fad-cfbf7397-05bfb8fc-55ed0999-6c4abf11.jpg\n']
s54415831_2,p15658321,s54415831,2,Findings,"A very large hiatal hernia is again demonstrated, unchanged in configuration since the ___ radiographs. The heart size remains within normal limits. The hilar and mediastinal contours are normal. There is no focal consolidation, pneumothorax, or pleural effusion.",The heart size remains within normal limits.,Heart size,,Stable,"['files/p15/p15658321/s54415831/08705aac-020b2766-2515394a-84a9a685-4fab305b.jpg', 'files/p15/p15658321/s54415831/2334929e-1e2a581e-82ff2163-5a51b1f9-316bc604.jpg']","['files/p15/p15658321/s53093195/123fc641-feb28310-ea95c2e3-ba1f1635-bc669e55.jpg\n', 'files/p15/p15658321/s53093195/eea74349-5461aadf-23d886d2-2d1cc279-a753eb82.jpg\n']"
s54415831_2,p15658321,s54415831,2,Findings,"A very large hiatal hernia is again demonstrated, unchanged in configuration since the ___ radiographs. The heart size remains within normal limits. The hilar and mediastinal contours are normal. There is no focal consolidation, pneumothorax, or pleural effusion.","A very large hiatal hernia is again demonstrated, unchanged in configuration since the ___ radiographs.",Hiatal hernia,,Stable,"['files/p15/p15658321/s54415831/08705aac-020b2766-2515394a-84a9a685-4fab305b.jpg', 'files/p15/p15658321/s54415831/2334929e-1e2a581e-82ff2163-5a51b1f9-316bc604.jpg']","['files/p15/p15658321/s53093195/123fc641-feb28310-ea95c2e3-ba1f1635-bc669e55.jpg\n', 'files/p15/p15658321/s53093195/eea74349-5461aadf-23d886d2-2d1cc279-a753eb82.jpg\n']"
s54415831_2,p15658321,s54415831,2,Impression,No acute intrathoracic process. Unchanged large hiatal hernia.,Unchanged large hiatal hernia.,Hiatal hernia,,Stable,"['files/p15/p15658321/s54415831/08705aac-020b2766-2515394a-84a9a685-4fab305b.jpg', 'files/p15/p15658321/s54415831/2334929e-1e2a581e-82ff2163-5a51b1f9-316bc604.jpg']","['files/p15/p15658321/s53093195/123fc641-feb28310-ea95c2e3-ba1f1635-bc669e55.jpg\n', 'files/p15/p15658321/s53093195/eea74349-5461aadf-23d886d2-2d1cc279-a753eb82.jpg\n']"
s54419841_2,p18580594,s54419841,2,Impression,"As compared to the prior examination, lung volumes are decreased. There is crowding of previously seen bilateral nodular opacities due to decreased lung volumes, however there is likely superimposed fluid overload. There may be minimal increase in cardiac size however the majority of the apparent increase is due to differences in technique.",There may be minimal increase in cardiac size however the majority of the apparent increase is due to differences in technique.,cardiac size,,Worse,['files/p18/p18580594/s54419841/c5c3a5a3-5e5063e6-7ebc4940-55888e2a-27a9bf62.jpg'],['files/p18/p18580594/s52783924/79d26270-6ac0b789-8f537c71-f31636b6-652a10b8.jpg\n']
s54419841_2,p18580594,s54419841,2,Impression,"As compared to the prior examination, lung volumes are decreased. There is crowding of previously seen bilateral nodular opacities due to decreased lung volumes, however there is likely superimposed fluid overload. There may be minimal increase in cardiac size however the majority of the apparent increase is due to differences in technique.","There is crowding of previously seen bilateral nodular opacities due to decreased lung volumes, however there is likely superimposed fluid overload.",nodular opacities,bilateral,Stable,['files/p18/p18580594/s54419841/c5c3a5a3-5e5063e6-7ebc4940-55888e2a-27a9bf62.jpg'],['files/p18/p18580594/s52783924/79d26270-6ac0b789-8f537c71-f31636b6-652a10b8.jpg\n']
s54419841_2,p18580594,s54419841,2,Impression,"As compared to the prior examination, lung volumes are decreased. There is crowding of previously seen bilateral nodular opacities due to decreased lung volumes, however there is likely superimposed fluid overload. There may be minimal increase in cardiac size however the majority of the apparent increase is due to differences in technique.","As compared to the prior examination, lung volumes are decreased.",lung volumes,,Worse,['files/p18/p18580594/s54419841/c5c3a5a3-5e5063e6-7ebc4940-55888e2a-27a9bf62.jpg'],['files/p18/p18580594/s52783924/79d26270-6ac0b789-8f537c71-f31636b6-652a10b8.jpg\n']
s54421674_1,p18783450,s54421674,1,Impression,"AP chest compared to preoperative chest radiograph ___: In addition to new interstitial abnormality, there is uniform opacification in the right lower hemithorax due in part to moderate pleural effusion but potentially concealing pneumonia. Careful followup with conventional chest radiographs if possible should be obtained. There is no pneumothorax. Right central venous infusion line ends low in the SVC. Findings were discussed by telephone with the staff physician covering this patient at 11am.","AP chest compared to preoperative chest radiograph ___: In addition to new interstitial abnormality, there is uniform opacification in the right lower hemithorax due in part to moderate pleural effusion but potentially concealing pneumonia.",interstitial abnormality,right lower hemithorax,New,['files/p18/p18783450/s54421674/08f2e527-aed6e0fd-7613e553-eebf480b-65419307.jpg'],"['files/p18/p18783450/s53467295/024cc0c3-67fb5ac5-621d954e-656314f7-e8ceed76.jpg\n', 'files/p18/p18783450/s53467295/2bce0faf-d8f186be-2b15d6e3-a0339a41-170ec289.jpg\n']"
s54421674_1,p18783450,s54421674,1,Impression,"AP chest compared to preoperative chest radiograph ___: In addition to new interstitial abnormality, there is uniform opacification in the right lower hemithorax due in part to moderate pleural effusion but potentially concealing pneumonia. Careful followup with conventional chest radiographs if possible should be obtained. There is no pneumothorax. Right central venous infusion line ends low in the SVC. Findings were discussed by telephone with the staff physician covering this patient at 11am.","AP chest compared to preoperative chest radiograph ___: In addition to new interstitial abnormality, there is uniform opacification in the right lower hemithorax due in part to moderate pleural effusion but potentially concealing pneumonia.",pleural effusion,right lower hemithorax,Worse,['files/p18/p18783450/s54421674/08f2e527-aed6e0fd-7613e553-eebf480b-65419307.jpg'],"['files/p18/p18783450/s53467295/024cc0c3-67fb5ac5-621d954e-656314f7-e8ceed76.jpg\n', 'files/p18/p18783450/s53467295/2bce0faf-d8f186be-2b15d6e3-a0339a41-170ec289.jpg\n']"
s54450581_0,p14290919,s54450581,0,Impression,Compared to prior chest radiographs Swan-Ganz catheter is still coiled in the main pulmonary artery. Normal postoperative cardiomediastinal silhouette. Lungs clear. No pneumothorax. No appreciable pleural effusion.,Compared to prior chest radiographs Swan-Ganz catheter is still coiled in the main pulmonary artery.,Swan-Ganz catheter coiled,main pulmonary artery,Stable,['files/p14/p14290919/s54450581/e5b700c3-c3a48c0c-b4bc2257-c1d5699b-795692cf.jpg'],"['files/p14/p14290919/s51170595/3da8fb2d-0e0a1796-4b98b571-78e0bad7-04a32511.jpg\n', 'files/p14/p14290919/s51170595/847c21bb-510fafaf-521bf5df-050341c5-f7275410.jpg\n']"
s54458579_85,p11717909,s54458579,85,Impression,The Swan Ganz tip is in the right pulmonary artery. There is stable linear atelectasis in the right lung base. There is no pneumothorax or CHF.,There is stable linear atelectasis in the right lung base.,linear atelectasis,right lung base,Stable,['files/p11/p11717909/s54458579/dd25eb4c-0385059d-450c8977-dd3049b5-5c1790be.jpg'],['files/p11/p11717909/s54405868/b780e69e-01fe1577-1c8d166a-40f8c788-8f9f1115.jpg\n']
s54463242_2,p10569231,s54463242,2,Findings,Moderate enlargement of the cardiac silhouette persists. The lung bases are underpenetrated due to overlying soft tissue. Increased opacity projecting over the inferior thoracic spine on the lateral view may be due to atelectasis although an early consolidation due to aspiration or infection is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. Mediastinal contours are stable. No pulmonary edema is seen.,Moderate enlargement of the cardiac silhouette persists.,Cardiac silhouette enlargement,,Stable,"['files/p10/p10569231/s54463242/70a1de7a-ced6544b-f6c703aa-f806951c-c1fc887d.jpg', 'files/p10/p10569231/s54463242/781476c8-b3ceae84-5bca3f05-15064709-53236d2f.jpg', 'files/p10/p10569231/s54463242/c9537d32-fb8e976f-0128f837-6f009881-56b28f56.jpg']","['files/p10/p10569231/s53678530/d68f20ae-43c390c2-b66bf131-3528cedc-57f7e90f.jpg\n', 'files/p10/p10569231/s53678530/f81a519e-734afad4-3d6c87f8-6434f949-a7676b82.jpg\n']"
s54463242_2,p10569231,s54463242,2,Impression,Persistent enlargement of the cardiac silhouette. No pulmonary edema. The lung bases are underpenetrated due to overlying soft tissue. Increased opacity projecting over the inferior thoracic spine on the lateral view may be due to atelectasis although an early consolidation due to aspiration or infection is not excluded in the appropriate clinical setting.,Persistent enlargement of the cardiac silhouette.,Cardiac silhouette enlargement,,Stable,"['files/p10/p10569231/s54463242/70a1de7a-ced6544b-f6c703aa-f806951c-c1fc887d.jpg', 'files/p10/p10569231/s54463242/781476c8-b3ceae84-5bca3f05-15064709-53236d2f.jpg', 'files/p10/p10569231/s54463242/c9537d32-fb8e976f-0128f837-6f009881-56b28f56.jpg']","['files/p10/p10569231/s53678530/d68f20ae-43c390c2-b66bf131-3528cedc-57f7e90f.jpg\n', 'files/p10/p10569231/s53678530/f81a519e-734afad4-3d6c87f8-6434f949-a7676b82.jpg\n']"
s54463242_2,p10569231,s54463242,2,Findings,Moderate enlargement of the cardiac silhouette persists. The lung bases are underpenetrated due to overlying soft tissue. Increased opacity projecting over the inferior thoracic spine on the lateral view may be due to atelectasis although an early consolidation due to aspiration or infection is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. Mediastinal contours are stable. No pulmonary edema is seen.,Mediastinal contours are stable.,Mediastinal contours,,Stable,"['files/p10/p10569231/s54463242/70a1de7a-ced6544b-f6c703aa-f806951c-c1fc887d.jpg', 'files/p10/p10569231/s54463242/781476c8-b3ceae84-5bca3f05-15064709-53236d2f.jpg', 'files/p10/p10569231/s54463242/c9537d32-fb8e976f-0128f837-6f009881-56b28f56.jpg']","['files/p10/p10569231/s53678530/d68f20ae-43c390c2-b66bf131-3528cedc-57f7e90f.jpg\n', 'files/p10/p10569231/s53678530/f81a519e-734afad4-3d6c87f8-6434f949-a7676b82.jpg\n']"
s54487013_1,p14290919,s54487013,1,Impression,"In comparison with the study of ___, the Swan-Ganz catheter has been removed. There is a moderate left effusion and minimal right effusion. No vascular congestion or acute focal pneumonia.","In comparison with the study of ___, the Swan-Ganz catheter has been removed.",Swan-Ganz catheter,,Resolve,"['files/p14/p14290919/s54487013/0fc2d99b-eff0623b-d049fa31-204e4774-d1cf3168.jpg', 'files/p14/p14290919/s54487013/cf93eaa8-246c2d54-99361712-29f491cb-b5dc78fb.jpg']",['files/p14/p14290919/s54450581/e5b700c3-c3a48c0c-b4bc2257-c1d5699b-795692cf.jpg\n']
s54487320_5,p11925631,s54487320,5,Impression,"AP chest compared to ___: There has been little change since ___ except for decrease in previous small right pleural effusion. Substantial atelectasis persists at the base of the right lung and the left lower lobe is still completely consolidated or collapsed. Upper lungs are grossly clear. The extent of gaseous distention of the intestinal tract as seen in the upper abdomen has improved. No pneumothorax. Mild-to-moderate cardiomegaly, improved.",AP chest compared to ___: There has been little change since ___ except for decrease in previous small right pleural effusion.,pleural effusion,right,Better,"['files/p11/p11925631/s54487320/760e6240-20f68239-d7c2ad3f-8343eaf8-cd5f770d.jpg', 'files/p11/p11925631/s54487320/9dbd6a42-6f6b8a99-892e0d7d-b0765810-57292428.jpg']","['files/p11/p11925631/s53470281/05c2b852-a35ee509-a9f34a45-c9bbf8d7-7ac02c4e.jpg\n', 'files/p11/p11925631/s53470281/d2e0417d-0927bf1c-fc00dc39-d522902d-24e9e4d4.jpg\n']"
s54487320_5,p11925631,s54487320,5,Impression,"AP chest compared to ___: There has been little change since ___ except for decrease in previous small right pleural effusion. Substantial atelectasis persists at the base of the right lung and the left lower lobe is still completely consolidated or collapsed. Upper lungs are grossly clear. The extent of gaseous distention of the intestinal tract as seen in the upper abdomen has improved. No pneumothorax. Mild-to-moderate cardiomegaly, improved.",Substantial atelectasis persists at the base of the right lung and the left lower lobe is still completely consolidated or collapsed.,atelectasis,base of the right lung,Stable,"['files/p11/p11925631/s54487320/760e6240-20f68239-d7c2ad3f-8343eaf8-cd5f770d.jpg', 'files/p11/p11925631/s54487320/9dbd6a42-6f6b8a99-892e0d7d-b0765810-57292428.jpg']","['files/p11/p11925631/s53470281/05c2b852-a35ee509-a9f34a45-c9bbf8d7-7ac02c4e.jpg\n', 'files/p11/p11925631/s53470281/d2e0417d-0927bf1c-fc00dc39-d522902d-24e9e4d4.jpg\n']"
s54487320_5,p11925631,s54487320,5,Impression,"AP chest compared to ___: There has been little change since ___ except for decrease in previous small right pleural effusion. Substantial atelectasis persists at the base of the right lung and the left lower lobe is still completely consolidated or collapsed. Upper lungs are grossly clear. The extent of gaseous distention of the intestinal tract as seen in the upper abdomen has improved. No pneumothorax. Mild-to-moderate cardiomegaly, improved.","Mild-to-moderate cardiomegaly, improved.",cardiomegaly,,Better,"['files/p11/p11925631/s54487320/760e6240-20f68239-d7c2ad3f-8343eaf8-cd5f770d.jpg', 'files/p11/p11925631/s54487320/9dbd6a42-6f6b8a99-892e0d7d-b0765810-57292428.jpg']","['files/p11/p11925631/s53470281/05c2b852-a35ee509-a9f34a45-c9bbf8d7-7ac02c4e.jpg\n', 'files/p11/p11925631/s53470281/d2e0417d-0927bf1c-fc00dc39-d522902d-24e9e4d4.jpg\n']"
s54487320_5,p11925631,s54487320,5,Impression,"AP chest compared to ___: There has been little change since ___ except for decrease in previous small right pleural effusion. Substantial atelectasis persists at the base of the right lung and the left lower lobe is still completely consolidated or collapsed. Upper lungs are grossly clear. The extent of gaseous distention of the intestinal tract as seen in the upper abdomen has improved. No pneumothorax. Mild-to-moderate cardiomegaly, improved.",The extent of gaseous distention of the intestinal tract as seen in the upper abdomen has improved.,gaseous distention,upper abdomen,Better,"['files/p11/p11925631/s54487320/760e6240-20f68239-d7c2ad3f-8343eaf8-cd5f770d.jpg', 'files/p11/p11925631/s54487320/9dbd6a42-6f6b8a99-892e0d7d-b0765810-57292428.jpg']","['files/p11/p11925631/s53470281/05c2b852-a35ee509-a9f34a45-c9bbf8d7-7ac02c4e.jpg\n', 'files/p11/p11925631/s53470281/d2e0417d-0927bf1c-fc00dc39-d522902d-24e9e4d4.jpg\n']"
s54487320_5,p11925631,s54487320,5,Impression,"AP chest compared to ___: There has been little change since ___ except for decrease in previous small right pleural effusion. Substantial atelectasis persists at the base of the right lung and the left lower lobe is still completely consolidated or collapsed. Upper lungs are grossly clear. The extent of gaseous distention of the intestinal tract as seen in the upper abdomen has improved. No pneumothorax. Mild-to-moderate cardiomegaly, improved.",Substantial atelectasis persists at the base of the right lung and the left lower lobe is still completely consolidated or collapsed.,consolidation,left lower lobe,Stable,"['files/p11/p11925631/s54487320/760e6240-20f68239-d7c2ad3f-8343eaf8-cd5f770d.jpg', 'files/p11/p11925631/s54487320/9dbd6a42-6f6b8a99-892e0d7d-b0765810-57292428.jpg']","['files/p11/p11925631/s53470281/05c2b852-a35ee509-a9f34a45-c9bbf8d7-7ac02c4e.jpg\n', 'files/p11/p11925631/s53470281/d2e0417d-0927bf1c-fc00dc39-d522902d-24e9e4d4.jpg\n']"
s54489741_4,p14319319,s54489741,4,Findings,"PA and lateral views of the chest were provided. There is vague opacity in the left perihilar region, which is concerning for pneumonia. In addition, there is subtle increased opacity in the right lower lobe, which also may represent a focus of pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. A screw is partially imaged in the right humeral head.",Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p14/p14319319/s54489741/2ae82330-8aa965f5-a811c7b7-73cf5c80-f2006ab9.jpg', 'files/p14/p14319319/s54489741/ff7c119a-c56d5ce6-ebef3ba0-b55c554f-c89b48ba.jpg']","['files/p14/p14319319/s53967898/7a3aaa9f-1b3cecc6-299f7821-79ea2dfd-b5ea2337.jpg\n', 'files/p14/p14319319/s53967898/80d9b2ed-78a45dda-a5de2d9e-64e077c3-9c07a278.jpg\n']"
s54489741_4,p14319319,s54489741,4,Findings,"PA and lateral views of the chest were provided. There is vague opacity in the left perihilar region, which is concerning for pneumonia. In addition, there is subtle increased opacity in the right lower lobe, which also may represent a focus of pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. A screw is partially imaged in the right humeral head.","In addition, there is subtle increased opacity in the right lower lobe, which also may represent a focus of pneumonia.",pneumonia,right lower lobe,New,"['files/p14/p14319319/s54489741/2ae82330-8aa965f5-a811c7b7-73cf5c80-f2006ab9.jpg', 'files/p14/p14319319/s54489741/ff7c119a-c56d5ce6-ebef3ba0-b55c554f-c89b48ba.jpg']","['files/p14/p14319319/s53967898/7a3aaa9f-1b3cecc6-299f7821-79ea2dfd-b5ea2337.jpg\n', 'files/p14/p14319319/s53967898/80d9b2ed-78a45dda-a5de2d9e-64e077c3-9c07a278.jpg\n']"
s54489741_4,p14319319,s54489741,4,Impression,Left perihilar and right lower lobe opacities concerning for pneumonia.,Left perihilar and right lower lobe opacities concerning for pneumonia.,pneumonia,left perihilar and right lower lobe,New,"['files/p14/p14319319/s54489741/2ae82330-8aa965f5-a811c7b7-73cf5c80-f2006ab9.jpg', 'files/p14/p14319319/s54489741/ff7c119a-c56d5ce6-ebef3ba0-b55c554f-c89b48ba.jpg']","['files/p14/p14319319/s53967898/7a3aaa9f-1b3cecc6-299f7821-79ea2dfd-b5ea2337.jpg\n', 'files/p14/p14319319/s53967898/80d9b2ed-78a45dda-a5de2d9e-64e077c3-9c07a278.jpg\n']"
s54489741_4,p14319319,s54489741,4,Findings,"PA and lateral views of the chest were provided. There is vague opacity in the left perihilar region, which is concerning for pneumonia. In addition, there is subtle increased opacity in the right lower lobe, which also may represent a focus of pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. A screw is partially imaged in the right humeral head.","There is vague opacity in the left perihilar region, which is concerning for pneumonia.",pneumonia,left perihilar region,New,"['files/p14/p14319319/s54489741/2ae82330-8aa965f5-a811c7b7-73cf5c80-f2006ab9.jpg', 'files/p14/p14319319/s54489741/ff7c119a-c56d5ce6-ebef3ba0-b55c554f-c89b48ba.jpg']","['files/p14/p14319319/s53967898/7a3aaa9f-1b3cecc6-299f7821-79ea2dfd-b5ea2337.jpg\n', 'files/p14/p14319319/s53967898/80d9b2ed-78a45dda-a5de2d9e-64e077c3-9c07a278.jpg\n']"
s54489908_10,p10543994,s54489908,10,Impression,Widespread parenchymal opacities have demonstrate no substantial change since the prior study. Heart size and mediastinum are unchanged including 1 moderate cardiomegaly. No pleural effusion or pneumothorax is seen. Port-A-Cath catheter tip is at the level of the cavoatrial junction.,Widespread parenchymal opacities have demonstrate no substantial change since the prior study.,parenchymal opacities,Widespread,Stable,['files/p10/p10543994/s54489908/7abd173d-1d1b5df7-ff08e42a-7d346b58-6e49dcec.jpg'],['files/p10/p10543994/s53418566/78383c35-b9b27e1d-2f9fa023-af32c4bc-0e8f6a90.jpg\n']
s54489908_10,p10543994,s54489908,10,Impression,Widespread parenchymal opacities have demonstrate no substantial change since the prior study. Heart size and mediastinum are unchanged including 1 moderate cardiomegaly. No pleural effusion or pneumothorax is seen. Port-A-Cath catheter tip is at the level of the cavoatrial junction.,Heart size and mediastinum are unchanged including 1 moderate cardiomegaly.,moderate cardiomegaly,Heart,Stable,['files/p10/p10543994/s54489908/7abd173d-1d1b5df7-ff08e42a-7d346b58-6e49dcec.jpg'],['files/p10/p10543994/s53418566/78383c35-b9b27e1d-2f9fa023-af32c4bc-0e8f6a90.jpg\n']
s54490035_10,p17945610,s54490035,10,Findings,"Obscuration of the right heart border with wedge opacity projecting over the right middle lobe is noted. Lungs are otherwise notable for increased interstitial markings, overall improved since priors. There is no effusion. Mild cardiomegaly is again seen. Left chest wall dual lead pacing device is again noted. IVC filter visualized within the abdomen.",Mild cardiomegaly is again seen.,Cardiomegaly,,Stable,"['files/p17/p17945610/s54490035/9302ed70-b3b573ff-41f32027-d4a641c9-04b09ba9.jpg', 'files/p17/p17945610/s54490035/ab618eee-2a493884-a478b561-100f5f42-562e5657.jpg']",['files/p17/p17945610/s53456512/ba6dbc8f-1a49e9ff-024c2020-64ad895a-bca8cb55.jpg\n']
s54490035_10,p17945610,s54490035,10,Findings,"Obscuration of the right heart border with wedge opacity projecting over the right middle lobe is noted. Lungs are otherwise notable for increased interstitial markings, overall improved since priors. There is no effusion. Mild cardiomegaly is again seen. Left chest wall dual lead pacing device is again noted. IVC filter visualized within the abdomen.","Lungs are otherwise notable for increased interstitial markings, overall improved since priors.",Markings,Interstitial,Better,"['files/p17/p17945610/s54490035/9302ed70-b3b573ff-41f32027-d4a641c9-04b09ba9.jpg', 'files/p17/p17945610/s54490035/ab618eee-2a493884-a478b561-100f5f42-562e5657.jpg']",['files/p17/p17945610/s53456512/ba6dbc8f-1a49e9ff-024c2020-64ad895a-bca8cb55.jpg\n']
s54490035_10,p17945610,s54490035,10,Findings,"Obscuration of the right heart border with wedge opacity projecting over the right middle lobe is noted. Lungs are otherwise notable for increased interstitial markings, overall improved since priors. There is no effusion. Mild cardiomegaly is again seen. Left chest wall dual lead pacing device is again noted. IVC filter visualized within the abdomen.",Left chest wall dual lead pacing device is again noted.,Dual lead pacing device,Left chest wall,Stable,"['files/p17/p17945610/s54490035/9302ed70-b3b573ff-41f32027-d4a641c9-04b09ba9.jpg', 'files/p17/p17945610/s54490035/ab618eee-2a493884-a478b561-100f5f42-562e5657.jpg']",['files/p17/p17945610/s53456512/ba6dbc8f-1a49e9ff-024c2020-64ad895a-bca8cb55.jpg\n']
s54496719_4,p11932181,s54496719,4,Impression,"1. Small left apical pneumothorax. 2. Interval re-expansion of the right upper lobe, with residual atelectasis adjacent to the fissure. These findings were communicated via telephone by Dr. ___ to Dr. ___ at ___ on ___, ___ min after discovery.","2. Interval re-expansion of the right upper lobe, with residual atelectasis adjacent to the fissure.",atelectasis,right upper lobe,Better,"['files/p11/p11932181/s54496719/01426485-8678cd3e-09df30bc-44f2929a-dcae524c.jpg', 'files/p11/p11932181/s54496719/2e8f09c5-490b580f-3d8c66a1-baec541c-5a0c5908.jpg']",['files/p11/p11932181/s54296756/4e25f2e7-4ab07975-e5a9f14c-acc20f75-9fa89750.jpg\n']
s54496719_4,p11932181,s54496719,4,Findings,"Frontal and lateral chest radiographs demonstrate a left chest tube in unchanged position and normal cardiomediastinal silhouette. There has been interval re-expansion of the right upper lobe, with residual atelectasis adjacent to the fissure. There is no focal consolidation or pleural effusion. There is a small left apical pneumothorax. This pneumothorax is more obvious on today's exam and may be minimally bigger, but was likely present on prior radiograph.",Frontal and lateral chest radiographs demonstrate a left chest tube in unchanged position and normal cardiomediastinal silhouette.,silhouette,cardiomediastinal,Stable,"['files/p11/p11932181/s54496719/01426485-8678cd3e-09df30bc-44f2929a-dcae524c.jpg', 'files/p11/p11932181/s54496719/2e8f09c5-490b580f-3d8c66a1-baec541c-5a0c5908.jpg']",['files/p11/p11932181/s54296756/4e25f2e7-4ab07975-e5a9f14c-acc20f75-9fa89750.jpg\n']
s54496719_4,p11932181,s54496719,4,Findings,"Frontal and lateral chest radiographs demonstrate a left chest tube in unchanged position and normal cardiomediastinal silhouette. There has been interval re-expansion of the right upper lobe, with residual atelectasis adjacent to the fissure. There is no focal consolidation or pleural effusion. There is a small left apical pneumothorax. This pneumothorax is more obvious on today's exam and may be minimally bigger, but was likely present on prior radiograph.","This pneumothorax is more obvious on today's exam and may be minimally bigger, but was likely present on prior radiograph.",pneumothorax,left apical,Worse,"['files/p11/p11932181/s54496719/01426485-8678cd3e-09df30bc-44f2929a-dcae524c.jpg', 'files/p11/p11932181/s54496719/2e8f09c5-490b580f-3d8c66a1-baec541c-5a0c5908.jpg']",['files/p11/p11932181/s54296756/4e25f2e7-4ab07975-e5a9f14c-acc20f75-9fa89750.jpg\n']
s54496719_4,p11932181,s54496719,4,Findings,"Frontal and lateral chest radiographs demonstrate a left chest tube in unchanged position and normal cardiomediastinal silhouette. There has been interval re-expansion of the right upper lobe, with residual atelectasis adjacent to the fissure. There is no focal consolidation or pleural effusion. There is a small left apical pneumothorax. This pneumothorax is more obvious on today's exam and may be minimally bigger, but was likely present on prior radiograph.",Frontal and lateral chest radiographs demonstrate a left chest tube in unchanged position and normal cardiomediastinal silhouette.,chest tube,left chest,Stable,"['files/p11/p11932181/s54496719/01426485-8678cd3e-09df30bc-44f2929a-dcae524c.jpg', 'files/p11/p11932181/s54496719/2e8f09c5-490b580f-3d8c66a1-baec541c-5a0c5908.jpg']",['files/p11/p11932181/s54296756/4e25f2e7-4ab07975-e5a9f14c-acc20f75-9fa89750.jpg\n']
s54496719_4,p11932181,s54496719,4,Findings,"Frontal and lateral chest radiographs demonstrate a left chest tube in unchanged position and normal cardiomediastinal silhouette. There has been interval re-expansion of the right upper lobe, with residual atelectasis adjacent to the fissure. There is no focal consolidation or pleural effusion. There is a small left apical pneumothorax. This pneumothorax is more obvious on today's exam and may be minimally bigger, but was likely present on prior radiograph.","There has been interval re-expansion of the right upper lobe, with residual atelectasis adjacent to the fissure.",atelectasis,right upper lobe,Better,"['files/p11/p11932181/s54496719/01426485-8678cd3e-09df30bc-44f2929a-dcae524c.jpg', 'files/p11/p11932181/s54496719/2e8f09c5-490b580f-3d8c66a1-baec541c-5a0c5908.jpg']",['files/p11/p11932181/s54296756/4e25f2e7-4ab07975-e5a9f14c-acc20f75-9fa89750.jpg\n']
s54526426_1,p11989878,s54526426,1,Impression,"ET tube and midline and pleural drains have been removed. Left lower lobe collapse has worsened accompanied by increasing moderate left pleural effusion. Cardiomediastinal silhouette is slightly wider, including mediastinal vascular engorgement. There is no pneumothorax or pulmonary edema. Moderate right basal atelectasis is unchanged. Right jugular line ends in the low SVC.",Moderate right basal atelectasis is unchanged.,atelectasis,Right basal,Stable,['files/p11/p11989878/s54526426/1a210276-bc14011e-b4575d45-690d73e9-5a5f4b36.jpg'],"['files/p11/p11989878/s52887996/0c29ea1e-848c7739-b7f4844c-aac23b7c-cd7ec5f4.jpg\n', 'files/p11/p11989878/s52887996/41d5a498-07091ca9-2cd74297-047f091c-c2d1cd58.jpg\n', 'files/p11/p11989878/s52887996/852705e9-03fd0c8e-b6bc57f1-af9bc1ab-9cb988cb.jpg\n']"
s54526426_1,p11989878,s54526426,1,Impression,"ET tube and midline and pleural drains have been removed. Left lower lobe collapse has worsened accompanied by increasing moderate left pleural effusion. Cardiomediastinal silhouette is slightly wider, including mediastinal vascular engorgement. There is no pneumothorax or pulmonary edema. Moderate right basal atelectasis is unchanged. Right jugular line ends in the low SVC.",ET tube and midline and pleural drains have been removed.,ET tube and midline and pleural drains,,Resolve,['files/p11/p11989878/s54526426/1a210276-bc14011e-b4575d45-690d73e9-5a5f4b36.jpg'],"['files/p11/p11989878/s52887996/0c29ea1e-848c7739-b7f4844c-aac23b7c-cd7ec5f4.jpg\n', 'files/p11/p11989878/s52887996/41d5a498-07091ca9-2cd74297-047f091c-c2d1cd58.jpg\n', 'files/p11/p11989878/s52887996/852705e9-03fd0c8e-b6bc57f1-af9bc1ab-9cb988cb.jpg\n']"
s54526426_1,p11989878,s54526426,1,Impression,"ET tube and midline and pleural drains have been removed. Left lower lobe collapse has worsened accompanied by increasing moderate left pleural effusion. Cardiomediastinal silhouette is slightly wider, including mediastinal vascular engorgement. There is no pneumothorax or pulmonary edema. Moderate right basal atelectasis is unchanged. Right jugular line ends in the low SVC.",Left lower lobe collapse has worsened accompanied by increasing moderate left pleural effusion.,collapse,Left lower lobe,Worse,['files/p11/p11989878/s54526426/1a210276-bc14011e-b4575d45-690d73e9-5a5f4b36.jpg'],"['files/p11/p11989878/s52887996/0c29ea1e-848c7739-b7f4844c-aac23b7c-cd7ec5f4.jpg\n', 'files/p11/p11989878/s52887996/41d5a498-07091ca9-2cd74297-047f091c-c2d1cd58.jpg\n', 'files/p11/p11989878/s52887996/852705e9-03fd0c8e-b6bc57f1-af9bc1ab-9cb988cb.jpg\n']"
s54526426_1,p11989878,s54526426,1,Impression,"ET tube and midline and pleural drains have been removed. Left lower lobe collapse has worsened accompanied by increasing moderate left pleural effusion. Cardiomediastinal silhouette is slightly wider, including mediastinal vascular engorgement. There is no pneumothorax or pulmonary edema. Moderate right basal atelectasis is unchanged. Right jugular line ends in the low SVC.",Left lower lobe collapse has worsened accompanied by increasing moderate left pleural effusion.,moderate pleural effusion,Left,New,['files/p11/p11989878/s54526426/1a210276-bc14011e-b4575d45-690d73e9-5a5f4b36.jpg'],"['files/p11/p11989878/s52887996/0c29ea1e-848c7739-b7f4844c-aac23b7c-cd7ec5f4.jpg\n', 'files/p11/p11989878/s52887996/41d5a498-07091ca9-2cd74297-047f091c-c2d1cd58.jpg\n', 'files/p11/p11989878/s52887996/852705e9-03fd0c8e-b6bc57f1-af9bc1ab-9cb988cb.jpg\n']"
s54526699_6,p13196707,s54526699,6,Findings,"Right subclavian line has its tip in projected over the cavoatrial junction, unchanged from prior. Dobbhoff tube has its tip projecting over the stomach. There are small-to-moderate bilateral pleural effusions, right greater than left, unchanged from prior. There has been interval improvement in the diffuse haziness throughout both lungs likely represent improving pulmonary edema. There is persistent consolidative opacities in both lower lobes, that could represent atelectasis, however pneumonia cannot be excluded. Mildly enlarged cardiomediastinal silhouette is unchanged.","Right subclavian line has its tip in projected over the cavoatrial junction, unchanged from prior.",position,right subclavian line,Stable,"['files/p13/p13196707/s54526699/81a0dd10-9675bcc3-97f75def-6373f508-ab005bf0.jpg', 'files/p13/p13196707/s54526699/81e49d35-cb37d4ba-9cbace45-72adbd5d-f1cb41ad.jpg']","['files/p13/p13196707/s54072113/1286de61-eb3da8d2-2f6eb5d4-b32deb19-ebe3581d.jpg\n', 'files/p13/p13196707/s54072113/bdd0f372-e708b3b0-e9328838-c9a7f29f-f68971d0.jpg\n']"
s54526699_6,p13196707,s54526699,6,Impression,"1. Right subclavian line has its tip in projected over the cavoatrial junction, unchanged from prior. 2. Dobbhoff tube has its tip projecting over the stomach. 3. Unchanged small-to-moderate bilateral pleural effusions, right greater than left, unchanged from prior. 3. Interval improvement in diffuse bilateral pulmonary edema. 4. Persistent consolidative opacities in both lower lobes, that could represent atelectasis, however pneumonia cannot be excluded. Findings were discussed with ___.","Unchanged small-to-moderate bilateral pleural effusions, right greater than left, unchanged from prior.",pleural effusions,bilateral,Stable,"['files/p13/p13196707/s54526699/81a0dd10-9675bcc3-97f75def-6373f508-ab005bf0.jpg', 'files/p13/p13196707/s54526699/81e49d35-cb37d4ba-9cbace45-72adbd5d-f1cb41ad.jpg']","['files/p13/p13196707/s54072113/1286de61-eb3da8d2-2f6eb5d4-b32deb19-ebe3581d.jpg\n', 'files/p13/p13196707/s54072113/bdd0f372-e708b3b0-e9328838-c9a7f29f-f68971d0.jpg\n']"
s54526699_6,p13196707,s54526699,6,Impression,"1. Right subclavian line has its tip in projected over the cavoatrial junction, unchanged from prior. 2. Dobbhoff tube has its tip projecting over the stomach. 3. Unchanged small-to-moderate bilateral pleural effusions, right greater than left, unchanged from prior. 3. Interval improvement in diffuse bilateral pulmonary edema. 4. Persistent consolidative opacities in both lower lobes, that could represent atelectasis, however pneumonia cannot be excluded. Findings were discussed with ___.","Right subclavian line has its tip in projected over the cavoatrial junction, unchanged from prior.",position,right subclavian line,Stable,"['files/p13/p13196707/s54526699/81a0dd10-9675bcc3-97f75def-6373f508-ab005bf0.jpg', 'files/p13/p13196707/s54526699/81e49d35-cb37d4ba-9cbace45-72adbd5d-f1cb41ad.jpg']","['files/p13/p13196707/s54072113/1286de61-eb3da8d2-2f6eb5d4-b32deb19-ebe3581d.jpg\n', 'files/p13/p13196707/s54072113/bdd0f372-e708b3b0-e9328838-c9a7f29f-f68971d0.jpg\n']"
s54526699_6,p13196707,s54526699,6,Findings,"Right subclavian line has its tip in projected over the cavoatrial junction, unchanged from prior. Dobbhoff tube has its tip projecting over the stomach. There are small-to-moderate bilateral pleural effusions, right greater than left, unchanged from prior. There has been interval improvement in the diffuse haziness throughout both lungs likely represent improving pulmonary edema. There is persistent consolidative opacities in both lower lobes, that could represent atelectasis, however pneumonia cannot be excluded. Mildly enlarged cardiomediastinal silhouette is unchanged.",Mildly enlarged cardiomediastinal silhouette is unchanged.,cardiomediastinal silhouette enlargement,,Stable,"['files/p13/p13196707/s54526699/81a0dd10-9675bcc3-97f75def-6373f508-ab005bf0.jpg', 'files/p13/p13196707/s54526699/81e49d35-cb37d4ba-9cbace45-72adbd5d-f1cb41ad.jpg']","['files/p13/p13196707/s54072113/1286de61-eb3da8d2-2f6eb5d4-b32deb19-ebe3581d.jpg\n', 'files/p13/p13196707/s54072113/bdd0f372-e708b3b0-e9328838-c9a7f29f-f68971d0.jpg\n']"
s54526699_6,p13196707,s54526699,6,Impression,"1. Right subclavian line has its tip in projected over the cavoatrial junction, unchanged from prior. 2. Dobbhoff tube has its tip projecting over the stomach. 3. Unchanged small-to-moderate bilateral pleural effusions, right greater than left, unchanged from prior. 3. Interval improvement in diffuse bilateral pulmonary edema. 4. Persistent consolidative opacities in both lower lobes, that could represent atelectasis, however pneumonia cannot be excluded. Findings were discussed with ___.",Interval improvement in diffuse bilateral pulmonary edema.,pulmonary edema,bilateral,Better,"['files/p13/p13196707/s54526699/81a0dd10-9675bcc3-97f75def-6373f508-ab005bf0.jpg', 'files/p13/p13196707/s54526699/81e49d35-cb37d4ba-9cbace45-72adbd5d-f1cb41ad.jpg']","['files/p13/p13196707/s54072113/1286de61-eb3da8d2-2f6eb5d4-b32deb19-ebe3581d.jpg\n', 'files/p13/p13196707/s54072113/bdd0f372-e708b3b0-e9328838-c9a7f29f-f68971d0.jpg\n']"
s54526699_6,p13196707,s54526699,6,Impression,"1. Right subclavian line has its tip in projected over the cavoatrial junction, unchanged from prior. 2. Dobbhoff tube has its tip projecting over the stomach. 3. Unchanged small-to-moderate bilateral pleural effusions, right greater than left, unchanged from prior. 3. Interval improvement in diffuse bilateral pulmonary edema. 4. Persistent consolidative opacities in both lower lobes, that could represent atelectasis, however pneumonia cannot be excluded. Findings were discussed with ___.","Persistent consolidative opacities in both lower lobes, that could represent atelectasis, however pneumonia cannot be excluded.",consolidative opacities,both lower lobes,Stable,"['files/p13/p13196707/s54526699/81a0dd10-9675bcc3-97f75def-6373f508-ab005bf0.jpg', 'files/p13/p13196707/s54526699/81e49d35-cb37d4ba-9cbace45-72adbd5d-f1cb41ad.jpg']","['files/p13/p13196707/s54072113/1286de61-eb3da8d2-2f6eb5d4-b32deb19-ebe3581d.jpg\n', 'files/p13/p13196707/s54072113/bdd0f372-e708b3b0-e9328838-c9a7f29f-f68971d0.jpg\n']"
s54526699_6,p13196707,s54526699,6,Findings,"Right subclavian line has its tip in projected over the cavoatrial junction, unchanged from prior. Dobbhoff tube has its tip projecting over the stomach. There are small-to-moderate bilateral pleural effusions, right greater than left, unchanged from prior. There has been interval improvement in the diffuse haziness throughout both lungs likely represent improving pulmonary edema. There is persistent consolidative opacities in both lower lobes, that could represent atelectasis, however pneumonia cannot be excluded. Mildly enlarged cardiomediastinal silhouette is unchanged.","There is persistent consolidative opacities in both lower lobes, that could represent atelectasis, however pneumonia cannot be excluded.",consolidative opacities,both lower lobes,Stable,"['files/p13/p13196707/s54526699/81a0dd10-9675bcc3-97f75def-6373f508-ab005bf0.jpg', 'files/p13/p13196707/s54526699/81e49d35-cb37d4ba-9cbace45-72adbd5d-f1cb41ad.jpg']","['files/p13/p13196707/s54072113/1286de61-eb3da8d2-2f6eb5d4-b32deb19-ebe3581d.jpg\n', 'files/p13/p13196707/s54072113/bdd0f372-e708b3b0-e9328838-c9a7f29f-f68971d0.jpg\n']"
s54526699_6,p13196707,s54526699,6,Findings,"Right subclavian line has its tip in projected over the cavoatrial junction, unchanged from prior. Dobbhoff tube has its tip projecting over the stomach. There are small-to-moderate bilateral pleural effusions, right greater than left, unchanged from prior. There has been interval improvement in the diffuse haziness throughout both lungs likely represent improving pulmonary edema. There is persistent consolidative opacities in both lower lobes, that could represent atelectasis, however pneumonia cannot be excluded. Mildly enlarged cardiomediastinal silhouette is unchanged.",There has been interval improvement in the diffuse haziness throughout both lungs likely represent improving pulmonary edema.,pulmonary edema,both lungs,Better,"['files/p13/p13196707/s54526699/81a0dd10-9675bcc3-97f75def-6373f508-ab005bf0.jpg', 'files/p13/p13196707/s54526699/81e49d35-cb37d4ba-9cbace45-72adbd5d-f1cb41ad.jpg']","['files/p13/p13196707/s54072113/1286de61-eb3da8d2-2f6eb5d4-b32deb19-ebe3581d.jpg\n', 'files/p13/p13196707/s54072113/bdd0f372-e708b3b0-e9328838-c9a7f29f-f68971d0.jpg\n']"
s54526699_6,p13196707,s54526699,6,Findings,"Right subclavian line has its tip in projected over the cavoatrial junction, unchanged from prior. Dobbhoff tube has its tip projecting over the stomach. There are small-to-moderate bilateral pleural effusions, right greater than left, unchanged from prior. There has been interval improvement in the diffuse haziness throughout both lungs likely represent improving pulmonary edema. There is persistent consolidative opacities in both lower lobes, that could represent atelectasis, however pneumonia cannot be excluded. Mildly enlarged cardiomediastinal silhouette is unchanged.","There are small-to-moderate bilateral pleural effusions, right greater than left, unchanged from prior.",pleural effusions,bilateral,Stable,"['files/p13/p13196707/s54526699/81a0dd10-9675bcc3-97f75def-6373f508-ab005bf0.jpg', 'files/p13/p13196707/s54526699/81e49d35-cb37d4ba-9cbace45-72adbd5d-f1cb41ad.jpg']","['files/p13/p13196707/s54072113/1286de61-eb3da8d2-2f6eb5d4-b32deb19-ebe3581d.jpg\n', 'files/p13/p13196707/s54072113/bdd0f372-e708b3b0-e9328838-c9a7f29f-f68971d0.jpg\n']"
s54534488_3,p10773739,s54534488,3,Impression,2 left-sided chest tubes are again seen. There continues to be a moderate left effusion. There is left sided pulmonary vascular redistribution and alveolar edema that is slightly increased compared to the study from the prior day. The right lung is clear.,There is left sided pulmonary vascular redistribution and alveolar edema that is slightly increased compared to the study from the prior day.,alveolar edema,left,Worse,"['files/p10/p10773739/s54534488/b9fdfdc1-42d67c45-63b38c7e-de4fa8e6-5a9cbd11.jpg', 'files/p10/p10773739/s54534488/bdf8a413-f48f8e5a-6915b2b1-3bd1bc9e-8540ec99.jpg', 'files/p10/p10773739/s54534488/e6f661d0-3ef9f93a-c00603f2-8e7d049d-6a3a0581.jpg']","['files/p10/p10773739/s53225875/05aa533c-2feb184d-ecec6546-ea655419-8dfdb025.jpg\n', 'files/p10/p10773739/s53225875/7ce067b7-43b86b45-28974414-6f1c4688-b7f94e66.jpg\n']"
s54534488_3,p10773739,s54534488,3,Impression,2 left-sided chest tubes are again seen. There continues to be a moderate left effusion. There is left sided pulmonary vascular redistribution and alveolar edema that is slightly increased compared to the study from the prior day. The right lung is clear.,2 left-sided chest tubes are again seen.,chest tubes,left-sided,Stable,"['files/p10/p10773739/s54534488/b9fdfdc1-42d67c45-63b38c7e-de4fa8e6-5a9cbd11.jpg', 'files/p10/p10773739/s54534488/bdf8a413-f48f8e5a-6915b2b1-3bd1bc9e-8540ec99.jpg', 'files/p10/p10773739/s54534488/e6f661d0-3ef9f93a-c00603f2-8e7d049d-6a3a0581.jpg']","['files/p10/p10773739/s53225875/05aa533c-2feb184d-ecec6546-ea655419-8dfdb025.jpg\n', 'files/p10/p10773739/s53225875/7ce067b7-43b86b45-28974414-6f1c4688-b7f94e66.jpg\n']"
s54534488_3,p10773739,s54534488,3,Impression,2 left-sided chest tubes are again seen. There continues to be a moderate left effusion. There is left sided pulmonary vascular redistribution and alveolar edema that is slightly increased compared to the study from the prior day. The right lung is clear.,There continues to be a moderate left effusion.,effusion,left,Stable,"['files/p10/p10773739/s54534488/b9fdfdc1-42d67c45-63b38c7e-de4fa8e6-5a9cbd11.jpg', 'files/p10/p10773739/s54534488/bdf8a413-f48f8e5a-6915b2b1-3bd1bc9e-8540ec99.jpg', 'files/p10/p10773739/s54534488/e6f661d0-3ef9f93a-c00603f2-8e7d049d-6a3a0581.jpg']","['files/p10/p10773739/s53225875/05aa533c-2feb184d-ecec6546-ea655419-8dfdb025.jpg\n', 'files/p10/p10773739/s53225875/7ce067b7-43b86b45-28974414-6f1c4688-b7f94e66.jpg\n']"
s54534488_3,p10773739,s54534488,3,Impression,2 left-sided chest tubes are again seen. There continues to be a moderate left effusion. There is left sided pulmonary vascular redistribution and alveolar edema that is slightly increased compared to the study from the prior day. The right lung is clear.,There is left sided pulmonary vascular redistribution and alveolar edema that is slightly increased compared to the study from the prior day.,pulmonary vascular redistribution,left,Worse,"['files/p10/p10773739/s54534488/b9fdfdc1-42d67c45-63b38c7e-de4fa8e6-5a9cbd11.jpg', 'files/p10/p10773739/s54534488/bdf8a413-f48f8e5a-6915b2b1-3bd1bc9e-8540ec99.jpg', 'files/p10/p10773739/s54534488/e6f661d0-3ef9f93a-c00603f2-8e7d049d-6a3a0581.jpg']","['files/p10/p10773739/s53225875/05aa533c-2feb184d-ecec6546-ea655419-8dfdb025.jpg\n', 'files/p10/p10773739/s53225875/7ce067b7-43b86b45-28974414-6f1c4688-b7f94e66.jpg\n']"
s54535542_0,p17660889,s54535542,0,Findings,"Frontal and lateral views of the chest are obtained. A right-sided central venous dialysis catheter is again seen without significant change in position, terminating in the right atrium, without evidence of pneumothorax. The patient is status post median sternotomy and mitral valve repair. Curvilinear structure projecting over the left hilum has been present since at least ___, unchanged. No new focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette remains enlarged. The aorta is calcified and tortuous.","Curvilinear structure projecting over the left hilum has been present since at least ___, unchanged.",Curvilinear structure,left hilum,Stable,"['files/p17/p17660889/s54535542/0c83ebb9-3b2d3376-23088ab5-17419c9b-b7f42c1f.jpg', 'files/p17/p17660889/s54535542/8e974cb3-d8d829a1-1c0c5cce-714549df-c626020e.jpg']",['files/p17/p17660889/s52835139/082b7c54-b543f7eb-6131a843-2ad68a17-26f98ca2.jpg\n']
s54535542_0,p17660889,s54535542,0,Findings,"Frontal and lateral views of the chest are obtained. A right-sided central venous dialysis catheter is again seen without significant change in position, terminating in the right atrium, without evidence of pneumothorax. The patient is status post median sternotomy and mitral valve repair. Curvilinear structure projecting over the left hilum has been present since at least ___, unchanged. No new focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette remains enlarged. The aorta is calcified and tortuous.",The cardiac silhouette remains enlarged.,cardiac silhouette enlargement,,Stable,"['files/p17/p17660889/s54535542/0c83ebb9-3b2d3376-23088ab5-17419c9b-b7f42c1f.jpg', 'files/p17/p17660889/s54535542/8e974cb3-d8d829a1-1c0c5cce-714549df-c626020e.jpg']",['files/p17/p17660889/s52835139/082b7c54-b543f7eb-6131a843-2ad68a17-26f98ca2.jpg\n']
s54535542_0,p17660889,s54535542,0,Findings,"Frontal and lateral views of the chest are obtained. A right-sided central venous dialysis catheter is again seen without significant change in position, terminating in the right atrium, without evidence of pneumothorax. The patient is status post median sternotomy and mitral valve repair. Curvilinear structure projecting over the left hilum has been present since at least ___, unchanged. No new focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette remains enlarged. The aorta is calcified and tortuous.","A right-sided central venous dialysis catheter is again seen without significant change in position, terminating in the right atrium, without evidence of pneumothorax.",central venous dialysis catheter,right atrium,Stable,"['files/p17/p17660889/s54535542/0c83ebb9-3b2d3376-23088ab5-17419c9b-b7f42c1f.jpg', 'files/p17/p17660889/s54535542/8e974cb3-d8d829a1-1c0c5cce-714549df-c626020e.jpg']",['files/p17/p17660889/s52835139/082b7c54-b543f7eb-6131a843-2ad68a17-26f98ca2.jpg\n']
s54535542_0,p17660889,s54535542,0,Impression,1. No acute cardiopulmonary process. Persistent cardiac silhouette enlargement. Central dialysis catheter terminates in the right atrium.,Persistent cardiac silhouette enlargement.,cardiac silhouette enlargement,,Stable,"['files/p17/p17660889/s54535542/0c83ebb9-3b2d3376-23088ab5-17419c9b-b7f42c1f.jpg', 'files/p17/p17660889/s54535542/8e974cb3-d8d829a1-1c0c5cce-714549df-c626020e.jpg']",['files/p17/p17660889/s52835139/082b7c54-b543f7eb-6131a843-2ad68a17-26f98ca2.jpg\n']
s54557642_1,p15655633,s54557642,1,Findings,"AP and lateral radiographs of the chest demonstrate interval improvement of the opacity in the right lung. No other areas of focal consolidation are seen. The left hemidiaphragm remains elevated, consistent with the prior examination. No pleural effusion is seen. Normal cardiac silhouette is noted.","The left hemidiaphragm remains elevated, consistent with the prior examination.",elevated hemidiaphragm,left,Stable,"['files/p15/p15655633/s54557642/23400c85-a9248b01-0b55c196-55c9fcec-3420c556.jpg', 'files/p15/p15655633/s54557642/ffe23760-121f380d-c2ffbfd0-765ade56-1f4d55ce.jpg']",['files/p15/p15655633/s50971251/bb01346b-489ad7a1-de494939-c17e4691-af4f04af.jpg\n']
s54557642_1,p15655633,s54557642,1,Findings,"AP and lateral radiographs of the chest demonstrate interval improvement of the opacity in the right lung. No other areas of focal consolidation are seen. The left hemidiaphragm remains elevated, consistent with the prior examination. No pleural effusion is seen. Normal cardiac silhouette is noted.",AP and lateral radiographs of the chest demonstrate interval improvement of the opacity in the right lung.,opacity,right lung,Better,"['files/p15/p15655633/s54557642/23400c85-a9248b01-0b55c196-55c9fcec-3420c556.jpg', 'files/p15/p15655633/s54557642/ffe23760-121f380d-c2ffbfd0-765ade56-1f4d55ce.jpg']",['files/p15/p15655633/s50971251/bb01346b-489ad7a1-de494939-c17e4691-af4f04af.jpg\n']
s54557642_1,p15655633,s54557642,1,Impression,"Interval improvement of right lung consolidation, with a small amount of consolidation persisting.","Interval improvement of right lung consolidation, with a small amount of consolidation persisting.",consolidation,right lung,Better,"['files/p15/p15655633/s54557642/23400c85-a9248b01-0b55c196-55c9fcec-3420c556.jpg', 'files/p15/p15655633/s54557642/ffe23760-121f380d-c2ffbfd0-765ade56-1f4d55ce.jpg']",['files/p15/p15655633/s50971251/bb01346b-489ad7a1-de494939-c17e4691-af4f04af.jpg\n']
s54560211_2,p13453133,s54560211,2,Impression,"As compared to the previous radiograph, the right chest tube has been removed. There is mild elevation of the right hemidiaphragm but no evidence of right pneumothorax. Unchanged appearance of the cardiac silhouette. A pre-existing small retrocardiac atelectasis has resolved.",A pre-existing small retrocardiac atelectasis has resolved.,atelectasis,small retrocardiac,Resolve,"['files/p13/p13453133/s54560211/06360ca2-31e36539-fbdf3e11-15fbfaf9-925f3477.jpg', 'files/p13/p13453133/s54560211/d79ce993-34d446c9-a42868d4-53ecd790-f07cb168.jpg']","['files/p13/p13453133/s52354768/10e4458b-93d9edd0-16e36870-28b04f58-25205862.jpg\n', 'files/p13/p13453133/s52354768/386e8915-c0072f29-206ebd92-18525c1d-07c487f4.jpg\n']"
s54560211_2,p13453133,s54560211,2,Impression,"As compared to the previous radiograph, the right chest tube has been removed. There is mild elevation of the right hemidiaphragm but no evidence of right pneumothorax. Unchanged appearance of the cardiac silhouette. A pre-existing small retrocardiac atelectasis has resolved.","As compared to the previous radiograph, the right chest tube has been removed.",chest tube,right,Resolve,"['files/p13/p13453133/s54560211/06360ca2-31e36539-fbdf3e11-15fbfaf9-925f3477.jpg', 'files/p13/p13453133/s54560211/d79ce993-34d446c9-a42868d4-53ecd790-f07cb168.jpg']","['files/p13/p13453133/s52354768/10e4458b-93d9edd0-16e36870-28b04f58-25205862.jpg\n', 'files/p13/p13453133/s52354768/386e8915-c0072f29-206ebd92-18525c1d-07c487f4.jpg\n']"
s54560211_2,p13453133,s54560211,2,Impression,"As compared to the previous radiograph, the right chest tube has been removed. There is mild elevation of the right hemidiaphragm but no evidence of right pneumothorax. Unchanged appearance of the cardiac silhouette. A pre-existing small retrocardiac atelectasis has resolved.",Unchanged appearance of the cardiac silhouette.,cardiac silhouette,,Stable,"['files/p13/p13453133/s54560211/06360ca2-31e36539-fbdf3e11-15fbfaf9-925f3477.jpg', 'files/p13/p13453133/s54560211/d79ce993-34d446c9-a42868d4-53ecd790-f07cb168.jpg']","['files/p13/p13453133/s52354768/10e4458b-93d9edd0-16e36870-28b04f58-25205862.jpg\n', 'files/p13/p13453133/s52354768/386e8915-c0072f29-206ebd92-18525c1d-07c487f4.jpg\n']"
s54565799_14,p18057037,s54565799,14,Impression,"AP chest compared to ___: Atelectasis or consolidation in the right middle lobe is increased since ___, and lateral view showed small bilateral pleural effusions, probably unchanged. Mild cardiomegaly and mediastinal vascular engorgement stable. Upper lungs grossly clear. No pneumothorax.","AP chest compared to ___: Atelectasis or consolidation in the right middle lobe is increased since ___, and lateral view showed small bilateral pleural effusions, probably unchanged.",atelectasis or consolidation,right middle lobe,Worse,['files/p18/p18057037/s54565799/d41856c5-443e32f5-5cb1c4d7-e56e908c-563ca827.jpg'],['files/p18/p18057037/s54064052/af3f9a0c-07676bf2-1d617e8f-3296d7ff-7c04924a.jpg\n']
s54565799_14,p18057037,s54565799,14,Impression,"AP chest compared to ___: Atelectasis or consolidation in the right middle lobe is increased since ___, and lateral view showed small bilateral pleural effusions, probably unchanged. Mild cardiomegaly and mediastinal vascular engorgement stable. Upper lungs grossly clear. No pneumothorax.",Mild cardiomegaly and mediastinal vascular engorgement stable.,mediastinal vascular engorgement,,Stable,['files/p18/p18057037/s54565799/d41856c5-443e32f5-5cb1c4d7-e56e908c-563ca827.jpg'],['files/p18/p18057037/s54064052/af3f9a0c-07676bf2-1d617e8f-3296d7ff-7c04924a.jpg\n']
s54565799_14,p18057037,s54565799,14,Impression,"AP chest compared to ___: Atelectasis or consolidation in the right middle lobe is increased since ___, and lateral view showed small bilateral pleural effusions, probably unchanged. Mild cardiomegaly and mediastinal vascular engorgement stable. Upper lungs grossly clear. No pneumothorax.",Mild cardiomegaly and mediastinal vascular engorgement stable.,mild cardiomegaly,,Stable,['files/p18/p18057037/s54565799/d41856c5-443e32f5-5cb1c4d7-e56e908c-563ca827.jpg'],['files/p18/p18057037/s54064052/af3f9a0c-07676bf2-1d617e8f-3296d7ff-7c04924a.jpg\n']
s54582114_0,p12998617,s54582114,0,Findings,"There is an asymmetric left lower lung opacity, which could be due to infection in the correct clinical setting. The right lung is clear. The cardiomediastinal and hilar contours are normal. No pneumothorax or large effusions.","There is an asymmetric left lower lung opacity, which could be due to infection in the correct clinical setting.",opacity,left lower lung,New,['files/p12/p12998617/s54582114/4213580d-ac255044-99dbadbe-876a28fe-69c13044.jpg'],"['files/p12/p12998617/s53111457/14ca8f98-3b8cc136-42e4fd22-e44b2da1-e390b60b.jpg\n', 'files/p12/p12998617/s53111457/197a7aed-7ea6e597-f69224f2-04b68fe1-0148a45f.jpg\n']"
s54582114_0,p12998617,s54582114,0,Impression,Left lower lung opacity may be due to pneumonia in the correct clinical setting.,Left lower lung opacity may be due to pneumonia in the correct clinical setting.,opacity,left lower lung,New,['files/p12/p12998617/s54582114/4213580d-ac255044-99dbadbe-876a28fe-69c13044.jpg'],"['files/p12/p12998617/s53111457/14ca8f98-3b8cc136-42e4fd22-e44b2da1-e390b60b.jpg\n', 'files/p12/p12998617/s53111457/197a7aed-7ea6e597-f69224f2-04b68fe1-0148a45f.jpg\n']"
s54588794_1,p13312840,s54588794,1,Impression,"NG tube tip is in the stomach, with its tip being below the inferior margin of the film. Heart size and mediastinum are stable. Lungs are overall clear. There is no appreciable pleural effusion. There is no pneumothorax.",Heart size and mediastinum are stable.,Heart size and mediastinum,,Stable,['files/p13/p13312840/s54588794/8950f771-ba1f85b9-43178d85-6143c89f-ee7be17d.jpg'],['files/p13/p13312840/s54249174/b29bb966-45c209b8-1dee89af-5f791df9-481fe9f4.jpg\n']
s54592417_4,p11181748,s54592417,4,Impression,New atelectasis right middle lobe probably due to increased small right pleural effusion. Left lung clear. Heart size normal.,New atelectasis right middle lobe probably due to increased small right pleural effusion.,atelectasis,right middle lobe,New,"['files/p11/p11181748/s54592417/226c776c-bb7f8c0e-6a33a669-bd0554c7-40b178b0.jpg', 'files/p11/p11181748/s54592417/589ad56b-158c86eb-cb95283c-8452b1ed-44503295.jpg']","['files/p11/p11181748/s53956979/7a54f39f-f199adbd-22bd79bc-f9ef8f44-0ee9682f.jpg\n', 'files/p11/p11181748/s53956979/febddc5e-2a9cf23a-7c6c7b4b-227c0ad3-96a82b0d.jpg\n']"
s54614197_12,p17559288,s54614197,12,Findings,"As compared to the previous radiograph, the nasogastric tube has been removed. Internal jugular vein catheter remains in unchanged position. The pre-existing bilateral diffuse parenchymal alveolar opacities with air bronchograms show a further slight increase in severity. There is no evidence of interval pleural effusions. Minimal bilateral, left more than right areas of atelectasis. No pneumothorax, no pneumomediastinum.",Internal jugular vein catheter remains in unchanged position.,Internal jugular vein catheter,,Stable,['files/p17/p17559288/s54614197/7e6df081-ae0880f5-c5c3aba7-77eaa2c1-d46f09a8.jpg'],['files/p17/p17559288/s54071279/0cae2952-def96aa7-1e84fd97-cf21d3d3-341189c9.jpg\n']
s54614197_12,p17559288,s54614197,12,Findings,"As compared to the previous radiograph, the nasogastric tube has been removed. Internal jugular vein catheter remains in unchanged position. The pre-existing bilateral diffuse parenchymal alveolar opacities with air bronchograms show a further slight increase in severity. There is no evidence of interval pleural effusions. Minimal bilateral, left more than right areas of atelectasis. No pneumothorax, no pneumomediastinum.",The pre-existing bilateral diffuse parenchymal alveolar opacities with air bronchograms show a further slight increase in severity.,diffuse parenchymal alveolar opacities with air bronchograms,bilateral,Worse,['files/p17/p17559288/s54614197/7e6df081-ae0880f5-c5c3aba7-77eaa2c1-d46f09a8.jpg'],['files/p17/p17559288/s54071279/0cae2952-def96aa7-1e84fd97-cf21d3d3-341189c9.jpg\n']
s54614197_12,p17559288,s54614197,12,Findings,"As compared to the previous radiograph, the nasogastric tube has been removed. Internal jugular vein catheter remains in unchanged position. The pre-existing bilateral diffuse parenchymal alveolar opacities with air bronchograms show a further slight increase in severity. There is no evidence of interval pleural effusions. Minimal bilateral, left more than right areas of atelectasis. No pneumothorax, no pneumomediastinum.","As compared to the previous radiograph, the nasogastric tube has been removed.",nasogastric tube,,Resolve,['files/p17/p17559288/s54614197/7e6df081-ae0880f5-c5c3aba7-77eaa2c1-d46f09a8.jpg'],['files/p17/p17559288/s54071279/0cae2952-def96aa7-1e84fd97-cf21d3d3-341189c9.jpg\n']
s54620855_2,p11614040,s54620855,2,Findings,"AP single view of the chest is obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Cardiac enlargement and right-sided Port-A-Cath system via internal jugular approach as before. There is now marked congestive pulmonary vascular pattern with distended vessels and perivascular haze. Centrally located parenchymal densities are indicative of pulmonary edema. In comparison with the previous study, a sizeable left-sided pleural effusion has developed reaching up to the hilar level. The right-sided lateral pleural sinus, however, remains free.",Cardiac enlargement and right-sided Port-A-Cath system via internal jugular approach as before.,Port-A-Cath system via internal jugular approach,right-sided,Stable,['files/p11/p11614040/s54620855/003fd23c-264ac00a-8e8225c5-d7f3543f-6ba3ef81.jpg'],"['files/p11/p11614040/s54498314/81e9d226-e7e5071f-d482f16e-fd218ac1-29df4021.jpg\n', 'files/p11/p11614040/s54498314/cb4af14c-7c3258e3-157f685e-c1cc0471-fe3eb0ec.jpg\n']"
s54620855_2,p11614040,s54620855,2,Findings,"AP single view of the chest is obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Cardiac enlargement and right-sided Port-A-Cath system via internal jugular approach as before. There is now marked congestive pulmonary vascular pattern with distended vessels and perivascular haze. Centrally located parenchymal densities are indicative of pulmonary edema. In comparison with the previous study, a sizeable left-sided pleural effusion has developed reaching up to the hilar level. The right-sided lateral pleural sinus, however, remains free.","In comparison with the previous study, a sizeable left-sided pleural effusion has developed reaching up to the hilar level.",pleural effusion,left-sided,New,['files/p11/p11614040/s54620855/003fd23c-264ac00a-8e8225c5-d7f3543f-6ba3ef81.jpg'],"['files/p11/p11614040/s54498314/81e9d226-e7e5071f-d482f16e-fd218ac1-29df4021.jpg\n', 'files/p11/p11614040/s54498314/cb4af14c-7c3258e3-157f685e-c1cc0471-fe3eb0ec.jpg\n']"
s54620855_2,p11614040,s54620855,2,Findings,"AP single view of the chest is obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Cardiac enlargement and right-sided Port-A-Cath system via internal jugular approach as before. There is now marked congestive pulmonary vascular pattern with distended vessels and perivascular haze. Centrally located parenchymal densities are indicative of pulmonary edema. In comparison with the previous study, a sizeable left-sided pleural effusion has developed reaching up to the hilar level. The right-sided lateral pleural sinus, however, remains free.","The right-sided lateral pleural sinus, however, remains free.",pleural sinus,right-sided lateral,Stable,['files/p11/p11614040/s54620855/003fd23c-264ac00a-8e8225c5-d7f3543f-6ba3ef81.jpg'],"['files/p11/p11614040/s54498314/81e9d226-e7e5071f-d482f16e-fd218ac1-29df4021.jpg\n', 'files/p11/p11614040/s54498314/cb4af14c-7c3258e3-157f685e-c1cc0471-fe3eb0ec.jpg\n']"
s54635186_1,p19932024,s54635186,1,Impression,Despite the low lung volumes. The increase in the perihilar interstitial opacities and increase in the azygos vein is consistent with interstitial pulmonary edema. Small bilateral pleural effusions are most likely present.,The increase in the perihilar interstitial opacities and increase in the azygos vein is consistent with interstitial pulmonary edema.,interstitial pulmonary edema,azygos vein,Worse,['files/p19/p19932024/s54635186/63632dd8-b728b108-982f3619-2ca6f6b2-61729c7f.jpg'],['files/p19/p19932024/s54345212/68ccd799-61e98428-3c7d8e41-6cbc342c-3426519b.jpg\n']
s54635186_1,p19932024,s54635186,1,Impression,Despite the low lung volumes. The increase in the perihilar interstitial opacities and increase in the azygos vein is consistent with interstitial pulmonary edema. Small bilateral pleural effusions are most likely present.,The increase in the perihilar interstitial opacities and increase in the azygos vein is consistent with interstitial pulmonary edema.,interstitial opacities,perihilar,Worse,['files/p19/p19932024/s54635186/63632dd8-b728b108-982f3619-2ca6f6b2-61729c7f.jpg'],['files/p19/p19932024/s54345212/68ccd799-61e98428-3c7d8e41-6cbc342c-3426519b.jpg\n']
s54647674_0,p10377744,s54647674,0,Findings,"Frontal and lateral views of the chest were obtained. New subtle opacity at the right lung base in the setting of similar lung volumes with increased opacity on the lateral view may be atelectasis, but could represent early or developing pneumonia in the appropriate clinical setting. Cardiac and mediastinal silhouettes are normal. No acute osseous abnormality is identified.","New subtle opacity at the right lung base in the setting of similar lung volumes with increased opacity on the lateral view may be atelectasis, but could represent early or developing pneumonia in the appropriate clinical setting.",opacity,right lung base,New,"['files/p10/p10377744/s54647674/658a8ccf-a63adc9e-66351e99-f15af5f2-8e2e00b1.jpg', 'files/p10/p10377744/s54647674/8af1b630-3ace08e2-edeb0783-ae2ef2e3-07f5576b.jpg']",
s54647674_0,p10377744,s54647674,0,Findings,"Frontal and lateral views of the chest were obtained. New subtle opacity at the right lung base in the setting of similar lung volumes with increased opacity on the lateral view may be atelectasis, but could represent early or developing pneumonia in the appropriate clinical setting. Cardiac and mediastinal silhouettes are normal. No acute osseous abnormality is identified.","New subtle opacity at the right lung base in the setting of similar lung volumes with increased opacity on the lateral view may be atelectasis, but could represent early or developing pneumonia in the appropriate clinical setting.",opacity,lateral view,Worse,"['files/p10/p10377744/s54647674/658a8ccf-a63adc9e-66351e99-f15af5f2-8e2e00b1.jpg', 'files/p10/p10377744/s54647674/8af1b630-3ace08e2-edeb0783-ae2ef2e3-07f5576b.jpg']",
s54652992_1,p15004141,s54652992,1,Findings,The inspiratory lung volume is improved from the most recent prior study. There is persistent pulmonary vascular congestion/interstitial edema. A moderate-to-large right and small left pleural effusion are unchanged with underlying bibasilar opacification most likely reflecting atelectasis. The cardiomediastinal silhouette remains enlarged but stable.,The cardiomediastinal silhouette remains enlarged but stable.,Enlarged cardiomediastinal silhouette,Cardiomediasinum,Stable,['files/p15/p15004141/s54652992/3e286a0f-e9daa593-c7a41a0e-9e3594d6-d8f7394f.jpg'],
s54652992_1,p15004141,s54652992,1,Findings,The inspiratory lung volume is improved from the most recent prior study. There is persistent pulmonary vascular congestion/interstitial edema. A moderate-to-large right and small left pleural effusion are unchanged with underlying bibasilar opacification most likely reflecting atelectasis. The cardiomediastinal silhouette remains enlarged but stable.,A moderate-to-large right and small left pleural effusion are unchanged with underlying bibasilar opacification most likely reflecting atelectasis.,Moderate-to-large right and small left pleural effusion,Pleura,Stable,['files/p15/p15004141/s54652992/3e286a0f-e9daa593-c7a41a0e-9e3594d6-d8f7394f.jpg'],
s54652992_1,p15004141,s54652992,1,Impression,"Unchanged pulmonary vascular congestion, bilateral pleural effusions and underlying atelectasis.","Unchanged pulmonary vascular congestion, bilateral pleural effusions and underlying atelectasis.",Pulmonary vascular congestion,Lungs,Stable,['files/p15/p15004141/s54652992/3e286a0f-e9daa593-c7a41a0e-9e3594d6-d8f7394f.jpg'],
s54652992_1,p15004141,s54652992,1,Impression,"Unchanged pulmonary vascular congestion, bilateral pleural effusions and underlying atelectasis.","Unchanged pulmonary vascular congestion, bilateral pleural effusions and underlying atelectasis.",Underlying atelectasis,Lungs,Stable,['files/p15/p15004141/s54652992/3e286a0f-e9daa593-c7a41a0e-9e3594d6-d8f7394f.jpg'],
s54652992_1,p15004141,s54652992,1,Findings,The inspiratory lung volume is improved from the most recent prior study. There is persistent pulmonary vascular congestion/interstitial edema. A moderate-to-large right and small left pleural effusion are unchanged with underlying bibasilar opacification most likely reflecting atelectasis. The cardiomediastinal silhouette remains enlarged but stable.,The inspiratory lung volume is improved from the most recent prior study.,Inspiratory lung volume,Lungs,Better,['files/p15/p15004141/s54652992/3e286a0f-e9daa593-c7a41a0e-9e3594d6-d8f7394f.jpg'],
s54652992_1,p15004141,s54652992,1,Impression,"Unchanged pulmonary vascular congestion, bilateral pleural effusions and underlying atelectasis.","Unchanged pulmonary vascular congestion, bilateral pleural effusions and underlying atelectasis.",Bilateral pleural effusions,Pleura,Stable,['files/p15/p15004141/s54652992/3e286a0f-e9daa593-c7a41a0e-9e3594d6-d8f7394f.jpg'],
s54652992_1,p15004141,s54652992,1,Findings,The inspiratory lung volume is improved from the most recent prior study. There is persistent pulmonary vascular congestion/interstitial edema. A moderate-to-large right and small left pleural effusion are unchanged with underlying bibasilar opacification most likely reflecting atelectasis. The cardiomediastinal silhouette remains enlarged but stable.,There is persistent pulmonary vascular congestion/interstitial edema.,Pulmonary vascular congestion/interstitial edema,Lungs,Stable,['files/p15/p15004141/s54652992/3e286a0f-e9daa593-c7a41a0e-9e3594d6-d8f7394f.jpg'],
s54656635_0,p13318908,s54656635,0,Findings,"The tip of the right internal jugular central venous catheter projects over the right atrium. Low bilateral lung volumes and. There is a new retrocardiac opacity likely reflective of atelectasis. No pleural effusion or pneumothorax identified. The size the cardiac silhouette is enlarged, likely exaggerated by the low lung volumes and AP technique.",There is a new retrocardiac opacity likely reflective of atelectasis.,opacity,retrocardiac,New,['files/p13/p13318908/s54656635/c3a30ee6-a23b54c0-6b4d9444-3703233d-1f7a5a46.jpg'],
s54664886_9,p15902493,s54664886,9,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. Unchanged appearance of a right apical mass and right basal opacity likely to suggest atelectasis. Unchanged elevation of the right hemidiaphragm. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta. No substantial fluid overload. No pleural effusions.","As compared to the previous radiograph, the monitoring and support devices are unchanged.",monitoring and support devices,,Stable,['files/p15/p15902493/s54664886/f67ab78a-c83676b8-efebc7a0-7b79e9df-d200dca1.jpg'],['files/p15/p15902493/s53501812/6b0e4cdc-b802b8a7-386a0412-cb6b2489-8015a3e9.jpg\n']
s54664886_9,p15902493,s54664886,9,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. Unchanged appearance of a right apical mass and right basal opacity likely to suggest atelectasis. Unchanged elevation of the right hemidiaphragm. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta. No substantial fluid overload. No pleural effusions.",Unchanged appearance of a right apical mass and right basal opacity likely to suggest atelectasis.,mass,right apical,Stable,['files/p15/p15902493/s54664886/f67ab78a-c83676b8-efebc7a0-7b79e9df-d200dca1.jpg'],['files/p15/p15902493/s53501812/6b0e4cdc-b802b8a7-386a0412-cb6b2489-8015a3e9.jpg\n']
s54664886_9,p15902493,s54664886,9,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. Unchanged appearance of a right apical mass and right basal opacity likely to suggest atelectasis. Unchanged elevation of the right hemidiaphragm. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta. No substantial fluid overload. No pleural effusions.",Unchanged appearance of a right apical mass and right basal opacity likely to suggest atelectasis.,opacity,right basal,Stable,['files/p15/p15902493/s54664886/f67ab78a-c83676b8-efebc7a0-7b79e9df-d200dca1.jpg'],['files/p15/p15902493/s53501812/6b0e4cdc-b802b8a7-386a0412-cb6b2489-8015a3e9.jpg\n']
s54664886_9,p15902493,s54664886,9,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. Unchanged appearance of a right apical mass and right basal opacity likely to suggest atelectasis. Unchanged elevation of the right hemidiaphragm. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta. No substantial fluid overload. No pleural effusions.",Unchanged elevation of the right hemidiaphragm.,hemidiaphragm elevation,right,Stable,['files/p15/p15902493/s54664886/f67ab78a-c83676b8-efebc7a0-7b79e9df-d200dca1.jpg'],['files/p15/p15902493/s53501812/6b0e4cdc-b802b8a7-386a0412-cb6b2489-8015a3e9.jpg\n']
s54668084_3,p17266832,s54668084,3,Findings,"Lung volumes are low. The cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta. There is again mild relative elevation of the right hemidiaphragm. Calcified nodule in the right lower lobe is again visible. The lungs appear otherwise clear. There are no pleural effusions or pneumothorax. Surgical clips project over each axillary region. There has been no definite change.","The cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta.",cardiomegaly,thoracic,Stable,"['files/p17/p17266832/s54668084/09e51f9b-6149243e-70660f6d-66092f8e-b5342668.jpg', 'files/p17/p17266832/s54668084/c21ee586-84ee8466-fb0b0020-2c9730df-4f04867f.jpg']","['files/p17/p17266832/s50033879/08d3b0e9-3f6dfcf8-d9219b83-4c89a45a-7c6e8389.jpg\n', 'files/p17/p17266832/s50033879/3e9f6639-0bc202dc-db3c1fdf-420f69f1-dd068bc5.jpg\n']"
s54668084_3,p17266832,s54668084,3,Findings,"Lung volumes are low. The cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta. There is again mild relative elevation of the right hemidiaphragm. Calcified nodule in the right lower lobe is again visible. The lungs appear otherwise clear. There are no pleural effusions or pneumothorax. Surgical clips project over each axillary region. There has been no definite change.",Calcified nodule in the right lower lobe is again visible.,calcified nodule,right lower lobe,Stable,"['files/p17/p17266832/s54668084/09e51f9b-6149243e-70660f6d-66092f8e-b5342668.jpg', 'files/p17/p17266832/s54668084/c21ee586-84ee8466-fb0b0020-2c9730df-4f04867f.jpg']","['files/p17/p17266832/s50033879/08d3b0e9-3f6dfcf8-d9219b83-4c89a45a-7c6e8389.jpg\n', 'files/p17/p17266832/s50033879/3e9f6639-0bc202dc-db3c1fdf-420f69f1-dd068bc5.jpg\n']"
s54668084_3,p17266832,s54668084,3,Findings,"Lung volumes are low. The cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta. There is again mild relative elevation of the right hemidiaphragm. Calcified nodule in the right lower lobe is again visible. The lungs appear otherwise clear. There are no pleural effusions or pneumothorax. Surgical clips project over each axillary region. There has been no definite change.",There is again mild relative elevation of the right hemidiaphragm.,hemidiaphragm elevation,right,Stable,"['files/p17/p17266832/s54668084/09e51f9b-6149243e-70660f6d-66092f8e-b5342668.jpg', 'files/p17/p17266832/s54668084/c21ee586-84ee8466-fb0b0020-2c9730df-4f04867f.jpg']","['files/p17/p17266832/s50033879/08d3b0e9-3f6dfcf8-d9219b83-4c89a45a-7c6e8389.jpg\n', 'files/p17/p17266832/s50033879/3e9f6639-0bc202dc-db3c1fdf-420f69f1-dd068bc5.jpg\n']"
s54668084_3,p17266832,s54668084,3,Findings,"Lung volumes are low. The cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta. There is again mild relative elevation of the right hemidiaphragm. Calcified nodule in the right lower lobe is again visible. The lungs appear otherwise clear. There are no pleural effusions or pneumothorax. Surgical clips project over each axillary region. There has been no definite change.","The cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta.",aorta,thoracic,Stable,"['files/p17/p17266832/s54668084/09e51f9b-6149243e-70660f6d-66092f8e-b5342668.jpg', 'files/p17/p17266832/s54668084/c21ee586-84ee8466-fb0b0020-2c9730df-4f04867f.jpg']","['files/p17/p17266832/s50033879/08d3b0e9-3f6dfcf8-d9219b83-4c89a45a-7c6e8389.jpg\n', 'files/p17/p17266832/s50033879/3e9f6639-0bc202dc-db3c1fdf-420f69f1-dd068bc5.jpg\n']"
s54668084_3,p17266832,s54668084,3,Findings,"Lung volumes are low. The cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta. There is again mild relative elevation of the right hemidiaphragm. Calcified nodule in the right lower lobe is again visible. The lungs appear otherwise clear. There are no pleural effusions or pneumothorax. Surgical clips project over each axillary region. There has been no definite change.","The cardiac, mediastinal and hilar contours appear stable including stable cardiomegaly and tortuosity of the thoracic aorta.",contours,"cardiac, mediastinal and hilar",Stable,"['files/p17/p17266832/s54668084/09e51f9b-6149243e-70660f6d-66092f8e-b5342668.jpg', 'files/p17/p17266832/s54668084/c21ee586-84ee8466-fb0b0020-2c9730df-4f04867f.jpg']","['files/p17/p17266832/s50033879/08d3b0e9-3f6dfcf8-d9219b83-4c89a45a-7c6e8389.jpg\n', 'files/p17/p17266832/s50033879/3e9f6639-0bc202dc-db3c1fdf-420f69f1-dd068bc5.jpg\n']"
s54668319_5,p19254322,s54668319,5,Impression,"PA and lateral chest compared to ___, 8:50 a.m.: Small left pneumothorax has decreased since 8:50 a.m. following removal of the left pleural drain, and there is no appreciable left pleural effusion. Bibasilar atelectasis is more pronounced. Heart size is normal. Bulging mediastinal contour in the region of the ascending thoracic aorta is stable, and unexplained. Stomach remains severely distended with gas, and one can see in the right upper quadrant that the colon is appreciably distended as well. Dr. ___ was paged at 11:55 as soon as the findings were recognized.","PA and lateral chest compared to ___, 8:50 a.m.: Small left pneumothorax has decreased since 8:50 a.m. following removal of the left pleural drain, and there is no appreciable left pleural effusion.",pneumothorax,left,Better,"['files/p19/p19254322/s54668319/5f1ef7ee-7c715b55-8ca97da1-9f7f932d-8c7368fb.jpg', 'files/p19/p19254322/s54668319/a4b57af4-37bac109-55bac67d-13e0f20d-48344f6e.jpg']",['files/p19/p19254322/s54219769/89f3149c-f6f200a1-5dbedfd8-3206d746-7401ee75.jpg\n']
s54668319_5,p19254322,s54668319,5,Impression,"PA and lateral chest compared to ___, 8:50 a.m.: Small left pneumothorax has decreased since 8:50 a.m. following removal of the left pleural drain, and there is no appreciable left pleural effusion. Bibasilar atelectasis is more pronounced. Heart size is normal. Bulging mediastinal contour in the region of the ascending thoracic aorta is stable, and unexplained. Stomach remains severely distended with gas, and one can see in the right upper quadrant that the colon is appreciably distended as well. Dr. ___ was paged at 11:55 as soon as the findings were recognized.","PA and lateral chest compared to ___, 8:50 a.m.: Small left pneumothorax has decreased since 8:50 a.m. following removal of the left pleural drain, and there is no appreciable left pleural effusion.",pleural effusion,left,Resolve,"['files/p19/p19254322/s54668319/5f1ef7ee-7c715b55-8ca97da1-9f7f932d-8c7368fb.jpg', 'files/p19/p19254322/s54668319/a4b57af4-37bac109-55bac67d-13e0f20d-48344f6e.jpg']",['files/p19/p19254322/s54219769/89f3149c-f6f200a1-5dbedfd8-3206d746-7401ee75.jpg\n']
s54668319_5,p19254322,s54668319,5,Impression,"PA and lateral chest compared to ___, 8:50 a.m.: Small left pneumothorax has decreased since 8:50 a.m. following removal of the left pleural drain, and there is no appreciable left pleural effusion. Bibasilar atelectasis is more pronounced. Heart size is normal. Bulging mediastinal contour in the region of the ascending thoracic aorta is stable, and unexplained. Stomach remains severely distended with gas, and one can see in the right upper quadrant that the colon is appreciably distended as well. Dr. ___ was paged at 11:55 as soon as the findings were recognized.",Bibasilar atelectasis is more pronounced.,atelectasis,bibasilar,Worse,"['files/p19/p19254322/s54668319/5f1ef7ee-7c715b55-8ca97da1-9f7f932d-8c7368fb.jpg', 'files/p19/p19254322/s54668319/a4b57af4-37bac109-55bac67d-13e0f20d-48344f6e.jpg']",['files/p19/p19254322/s54219769/89f3149c-f6f200a1-5dbedfd8-3206d746-7401ee75.jpg\n']
s54668319_5,p19254322,s54668319,5,Impression,"PA and lateral chest compared to ___, 8:50 a.m.: Small left pneumothorax has decreased since 8:50 a.m. following removal of the left pleural drain, and there is no appreciable left pleural effusion. Bibasilar atelectasis is more pronounced. Heart size is normal. Bulging mediastinal contour in the region of the ascending thoracic aorta is stable, and unexplained. Stomach remains severely distended with gas, and one can see in the right upper quadrant that the colon is appreciably distended as well. Dr. ___ was paged at 11:55 as soon as the findings were recognized.","Bulging mediastinal contour in the region of the ascending thoracic aorta is stable, and unexplained.",bulging contour,mediastinal,Stable,"['files/p19/p19254322/s54668319/5f1ef7ee-7c715b55-8ca97da1-9f7f932d-8c7368fb.jpg', 'files/p19/p19254322/s54668319/a4b57af4-37bac109-55bac67d-13e0f20d-48344f6e.jpg']",['files/p19/p19254322/s54219769/89f3149c-f6f200a1-5dbedfd8-3206d746-7401ee75.jpg\n']
s54668319_5,p19254322,s54668319,5,Impression,"PA and lateral chest compared to ___, 8:50 a.m.: Small left pneumothorax has decreased since 8:50 a.m. following removal of the left pleural drain, and there is no appreciable left pleural effusion. Bibasilar atelectasis is more pronounced. Heart size is normal. Bulging mediastinal contour in the region of the ascending thoracic aorta is stable, and unexplained. Stomach remains severely distended with gas, and one can see in the right upper quadrant that the colon is appreciably distended as well. Dr. ___ was paged at 11:55 as soon as the findings were recognized.","Stomach remains severely distended with gas, and one can see in the right upper quadrant that the colon is appreciably distended as well.",distension,stomach,Stable,"['files/p19/p19254322/s54668319/5f1ef7ee-7c715b55-8ca97da1-9f7f932d-8c7368fb.jpg', 'files/p19/p19254322/s54668319/a4b57af4-37bac109-55bac67d-13e0f20d-48344f6e.jpg']",['files/p19/p19254322/s54219769/89f3149c-f6f200a1-5dbedfd8-3206d746-7401ee75.jpg\n']
s54668319_5,p19254322,s54668319,5,Impression,"PA and lateral chest compared to ___, 8:50 a.m.: Small left pneumothorax has decreased since 8:50 a.m. following removal of the left pleural drain, and there is no appreciable left pleural effusion. Bibasilar atelectasis is more pronounced. Heart size is normal. Bulging mediastinal contour in the region of the ascending thoracic aorta is stable, and unexplained. Stomach remains severely distended with gas, and one can see in the right upper quadrant that the colon is appreciably distended as well. Dr. ___ was paged at 11:55 as soon as the findings were recognized.","Stomach remains severely distended with gas, and one can see in the right upper quadrant that the colon is appreciably distended as well.",colon distension,right upper quadrant,Stable,"['files/p19/p19254322/s54668319/5f1ef7ee-7c715b55-8ca97da1-9f7f932d-8c7368fb.jpg', 'files/p19/p19254322/s54668319/a4b57af4-37bac109-55bac67d-13e0f20d-48344f6e.jpg']",['files/p19/p19254322/s54219769/89f3149c-f6f200a1-5dbedfd8-3206d746-7401ee75.jpg\n']
s54669301_0,p13722528,s54669301,0,Findings,"PA and lateral chest radiographs show a subtle opacity in the left lung base compatible with pneumonia. There is no pleural effusion or pneumothorax. Mild cardiomegaly is unchanged. The cardiac, hilar, and mediastinal contours are unremarkable.",PA and lateral chest radiographs show a subtle opacity in the left lung base compatible with pneumonia.,opacity,left lung base,New,"['files/p13/p13722528/s54669301/999a39cb-f40385f6-572e068e-ea67663b-8adb5431.jpg', 'files/p13/p13722528/s54669301/e6828d47-61cbfa6e-0213c719-e6864bd1-2bd635b9.jpg']","['files/p13/p13722528/s54403374/cd910d90-c7ce8292-427f0761-508b8be8-83629e20.jpg\n', 'files/p13/p13722528/s54403374/db3d74d0-432e6e64-779f03be-e3057859-33eab1d4.jpg\n']"
s54669301_0,p13722528,s54669301,0,Impression,Right lower lung opacity compatible with pneumonia.,Right lower lung opacity compatible with pneumonia.,opacity,right lower lung,New,"['files/p13/p13722528/s54669301/999a39cb-f40385f6-572e068e-ea67663b-8adb5431.jpg', 'files/p13/p13722528/s54669301/e6828d47-61cbfa6e-0213c719-e6864bd1-2bd635b9.jpg']","['files/p13/p13722528/s54403374/cd910d90-c7ce8292-427f0761-508b8be8-83629e20.jpg\n', 'files/p13/p13722528/s54403374/db3d74d0-432e6e64-779f03be-e3057859-33eab1d4.jpg\n']"
s54669301_0,p13722528,s54669301,0,Findings,"PA and lateral chest radiographs show a subtle opacity in the left lung base compatible with pneumonia. There is no pleural effusion or pneumothorax. Mild cardiomegaly is unchanged. The cardiac, hilar, and mediastinal contours are unremarkable.",Mild cardiomegaly is unchanged.,Mild cardiomegaly,,Stable,"['files/p13/p13722528/s54669301/999a39cb-f40385f6-572e068e-ea67663b-8adb5431.jpg', 'files/p13/p13722528/s54669301/e6828d47-61cbfa6e-0213c719-e6864bd1-2bd635b9.jpg']","['files/p13/p13722528/s54403374/cd910d90-c7ce8292-427f0761-508b8be8-83629e20.jpg\n', 'files/p13/p13722528/s54403374/db3d74d0-432e6e64-779f03be-e3057859-33eab1d4.jpg\n']"
s54673619_0,p11686207,s54673619,0,Findings,"PA and lateral chest views have been obtained with patient in upright position. There is moderate cardiac enlargement and the thoracic aorta is generally widened and elongated. Calcium deposits are seen in the wall, mostly at the level of the arch. The pulmonary vasculature demonstrates an upper zone redistribution pattern, but there is no sign of an advanced interstitial or alveolar edema. No evidence of acute infiltrates and the lateral pleural sinuses are free. In the apical area, thickened pleural structures are noted bilaterally and combined with old scar formations and irregular densities in the peripheral portions of the parenchyma in this territory. When comparison is made with the next previous examination of ___, these changes have not undergone any difference in appearance anf represent old inactive specific scars. Comparison demonstrates on the other hand that the cardiac size has increased mildly and so has the upper zone redistribution pattern. Acute infiltrates are not present.",Comparison demonstrates on the other hand that the cardiac size has increased mildly and so has the upper zone redistribution pattern.,upper zone redistribution pattern,,Worse,"['files/p11/p11686207/s54673619/a8533919-65ca2062-6abef4f8-63fa076f-475432a3.jpg', 'files/p11/p11686207/s54673619/f33f365d-10d1ff5e-228007f3-863aa1cb-63c0c506.jpg']",
s54673619_0,p11686207,s54673619,0,Findings,"PA and lateral chest views have been obtained with patient in upright position. There is moderate cardiac enlargement and the thoracic aorta is generally widened and elongated. Calcium deposits are seen in the wall, mostly at the level of the arch. The pulmonary vasculature demonstrates an upper zone redistribution pattern, but there is no sign of an advanced interstitial or alveolar edema. No evidence of acute infiltrates and the lateral pleural sinuses are free. In the apical area, thickened pleural structures are noted bilaterally and combined with old scar formations and irregular densities in the peripheral portions of the parenchyma in this territory. When comparison is made with the next previous examination of ___, these changes have not undergone any difference in appearance anf represent old inactive specific scars. Comparison demonstrates on the other hand that the cardiac size has increased mildly and so has the upper zone redistribution pattern. Acute infiltrates are not present.","In the apical area, thickened pleural structures are noted bilaterally and combined with old scar formations and irregular densities in the peripheral portions of the parenchyma in this territory.",thickened pleural structures,apical area,Stable,"['files/p11/p11686207/s54673619/a8533919-65ca2062-6abef4f8-63fa076f-475432a3.jpg', 'files/p11/p11686207/s54673619/f33f365d-10d1ff5e-228007f3-863aa1cb-63c0c506.jpg']",
s54673619_0,p11686207,s54673619,0,Findings,"PA and lateral chest views have been obtained with patient in upright position. There is moderate cardiac enlargement and the thoracic aorta is generally widened and elongated. Calcium deposits are seen in the wall, mostly at the level of the arch. The pulmonary vasculature demonstrates an upper zone redistribution pattern, but there is no sign of an advanced interstitial or alveolar edema. No evidence of acute infiltrates and the lateral pleural sinuses are free. In the apical area, thickened pleural structures are noted bilaterally and combined with old scar formations and irregular densities in the peripheral portions of the parenchyma in this territory. When comparison is made with the next previous examination of ___, these changes have not undergone any difference in appearance anf represent old inactive specific scars. Comparison demonstrates on the other hand that the cardiac size has increased mildly and so has the upper zone redistribution pattern. Acute infiltrates are not present.",Comparison demonstrates on the other hand that the cardiac size has increased mildly and so has the upper zone redistribution pattern.,cardiac size,,Worse,"['files/p11/p11686207/s54673619/a8533919-65ca2062-6abef4f8-63fa076f-475432a3.jpg', 'files/p11/p11686207/s54673619/f33f365d-10d1ff5e-228007f3-863aa1cb-63c0c506.jpg']",
s54673619_0,p11686207,s54673619,0,Impression,"Old stable, probably specific bilateral apical scar formations, moderate cardiac enlargement with mild degree of chronic CHF but no evidence of acute pulmonary infiltrates or pleural effusions.","Old stable, probably specific bilateral apical scar formations, moderate cardiac enlargement with mild degree of chronic CHF but no evidence of acute pulmonary infiltrates or pleural effusions.",scar formations,bilateral apical,Stable,"['files/p11/p11686207/s54673619/a8533919-65ca2062-6abef4f8-63fa076f-475432a3.jpg', 'files/p11/p11686207/s54673619/f33f365d-10d1ff5e-228007f3-863aa1cb-63c0c506.jpg']",
s54687111_5,p17123098,s54687111,5,Findings,"Compared to chest radiographs from ___, lung volumes have worsened and retrocardiac opacity has increased, consistent with left lower lobe collapse. Small left pleural effusion is new. No large effusion on the right. Right basilar opacities have improved. Vascular congestion has improved and there is no overt pulmonary edema. Heart size, which is difficult to assess in the setting of effusion, is mildly enlarged and unchanged. ET tube is in standard placement, unchanged. Right PIC line terminates at the cavoatrial junction.",Right basilar opacities have improved.,opacities,right basilar,Better,['files/p17/p17123098/s54687111/14bbb4e5-1b3f6563-a2dd6104-100f4a33-0719fe11.jpg'],['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg\n']
s54687111_5,p17123098,s54687111,5,Findings,"Compared to chest radiographs from ___, lung volumes have worsened and retrocardiac opacity has increased, consistent with left lower lobe collapse. Small left pleural effusion is new. No large effusion on the right. Right basilar opacities have improved. Vascular congestion has improved and there is no overt pulmonary edema. Heart size, which is difficult to assess in the setting of effusion, is mildly enlarged and unchanged. ET tube is in standard placement, unchanged. Right PIC line terminates at the cavoatrial junction.",Vascular congestion has improved and there is no overt pulmonary edema.,congestion,vascular,Better,['files/p17/p17123098/s54687111/14bbb4e5-1b3f6563-a2dd6104-100f4a33-0719fe11.jpg'],['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg\n']
s54687111_5,p17123098,s54687111,5,Findings,"Compared to chest radiographs from ___, lung volumes have worsened and retrocardiac opacity has increased, consistent with left lower lobe collapse. Small left pleural effusion is new. No large effusion on the right. Right basilar opacities have improved. Vascular congestion has improved and there is no overt pulmonary edema. Heart size, which is difficult to assess in the setting of effusion, is mildly enlarged and unchanged. ET tube is in standard placement, unchanged. Right PIC line terminates at the cavoatrial junction.","Heart size, which is difficult to assess in the setting of effusion, is mildly enlarged and unchanged.",size,heart,Stable,['files/p17/p17123098/s54687111/14bbb4e5-1b3f6563-a2dd6104-100f4a33-0719fe11.jpg'],['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg\n']
s54687111_5,p17123098,s54687111,5,Findings,"Compared to chest radiographs from ___, lung volumes have worsened and retrocardiac opacity has increased, consistent with left lower lobe collapse. Small left pleural effusion is new. No large effusion on the right. Right basilar opacities have improved. Vascular congestion has improved and there is no overt pulmonary edema. Heart size, which is difficult to assess in the setting of effusion, is mildly enlarged and unchanged. ET tube is in standard placement, unchanged. Right PIC line terminates at the cavoatrial junction.","ET tube is in standard placement, unchanged.",placement,ET tube,Stable,['files/p17/p17123098/s54687111/14bbb4e5-1b3f6563-a2dd6104-100f4a33-0719fe11.jpg'],['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg\n']
s54687111_5,p17123098,s54687111,5,Impression,"1. Retrocardiac opacification reflects new left lower lobe collapse. New small left pleural effusion. 2. Improved right basilar opacities, likely atelectasis. 3. Stable mild cardiomegaly.",Retrocardiac opacification reflects new left lower lobe collapse. New small left pleural effusion.,opacification,retrocardiac,New,['files/p17/p17123098/s54687111/14bbb4e5-1b3f6563-a2dd6104-100f4a33-0719fe11.jpg'],['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg\n']
s54687111_5,p17123098,s54687111,5,Findings,"Compared to chest radiographs from ___, lung volumes have worsened and retrocardiac opacity has increased, consistent with left lower lobe collapse. Small left pleural effusion is new. No large effusion on the right. Right basilar opacities have improved. Vascular congestion has improved and there is no overt pulmonary edema. Heart size, which is difficult to assess in the setting of effusion, is mildly enlarged and unchanged. ET tube is in standard placement, unchanged. Right PIC line terminates at the cavoatrial junction.",Small left pleural effusion is new.,effusion,left pleural,New,['files/p17/p17123098/s54687111/14bbb4e5-1b3f6563-a2dd6104-100f4a33-0719fe11.jpg'],['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg\n']
s54687111_5,p17123098,s54687111,5,Impression,"1. Retrocardiac opacification reflects new left lower lobe collapse. New small left pleural effusion. 2. Improved right basilar opacities, likely atelectasis. 3. Stable mild cardiomegaly.","Improved right basilar opacities, likely atelectasis.",opacities,right basilar,Better,['files/p17/p17123098/s54687111/14bbb4e5-1b3f6563-a2dd6104-100f4a33-0719fe11.jpg'],['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg\n']
s54687111_5,p17123098,s54687111,5,Impression,"1. Retrocardiac opacification reflects new left lower lobe collapse. New small left pleural effusion. 2. Improved right basilar opacities, likely atelectasis. 3. Stable mild cardiomegaly.",Retrocardiac opacification reflects new left lower lobe collapse. New small left pleural effusion.,effusion,left pleural,New,['files/p17/p17123098/s54687111/14bbb4e5-1b3f6563-a2dd6104-100f4a33-0719fe11.jpg'],['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg\n']
s54687111_5,p17123098,s54687111,5,Findings,"Compared to chest radiographs from ___, lung volumes have worsened and retrocardiac opacity has increased, consistent with left lower lobe collapse. Small left pleural effusion is new. No large effusion on the right. Right basilar opacities have improved. Vascular congestion has improved and there is no overt pulmonary edema. Heart size, which is difficult to assess in the setting of effusion, is mildly enlarged and unchanged. ET tube is in standard placement, unchanged. Right PIC line terminates at the cavoatrial junction.","Compared to chest radiographs from ___, lung volumes have worsened and retrocardiac opacity has increased, consistent with left lower lobe collapse.",opacity,retrocardiac,Worse,['files/p17/p17123098/s54687111/14bbb4e5-1b3f6563-a2dd6104-100f4a33-0719fe11.jpg'],['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg\n']
s54687111_5,p17123098,s54687111,5,Impression,"1. Retrocardiac opacification reflects new left lower lobe collapse. New small left pleural effusion. 2. Improved right basilar opacities, likely atelectasis. 3. Stable mild cardiomegaly.",Stable mild cardiomegaly.,cardiomegaly,heart,Stable,['files/p17/p17123098/s54687111/14bbb4e5-1b3f6563-a2dd6104-100f4a33-0719fe11.jpg'],['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg\n']
s54687111_5,p17123098,s54687111,5,Findings,"Compared to chest radiographs from ___, lung volumes have worsened and retrocardiac opacity has increased, consistent with left lower lobe collapse. Small left pleural effusion is new. No large effusion on the right. Right basilar opacities have improved. Vascular congestion has improved and there is no overt pulmonary edema. Heart size, which is difficult to assess in the setting of effusion, is mildly enlarged and unchanged. ET tube is in standard placement, unchanged. Right PIC line terminates at the cavoatrial junction.","Compared to chest radiographs from ___, lung volumes have worsened and retrocardiac opacity has increased, consistent with left lower lobe collapse.",volumes,lung,Worse,['files/p17/p17123098/s54687111/14bbb4e5-1b3f6563-a2dd6104-100f4a33-0719fe11.jpg'],['files/p17/p17123098/s53147687/382be4ba-6b111a62-d9907d36-c84223b9-6dedb3a8.jpg\n']
s54717070_11,p11842519,s54717070,11,Findings,"Stable cardiomegaly. There is worsening pulmonary vascular congestion and mild pulmonary edema. Pleural effusions are stable. No pneumothorax is seen. Right hilar fullness is a manifestation of mild heart failure. Again seen is chronic posterior pleural thickening and nodulation at the right base. Again seen is thoracic fusion hardware, unchanged.","Again seen is thoracic fusion hardware, unchanged.",fusion hardware,thoracic,Stable,"['files/p11/p11842519/s54717070/463855e7-833cbc69-04a5abcb-dda8a693-e6e4e948.jpg', 'files/p11/p11842519/s54717070/6c74d21c-53fddedf-a2bb1745-bd2de6ee-d9f68f8a.jpg']","['files/p11/p11842519/s52867251/50fbe1fa-ace6be47-082c1ac4-6be43489-25ee1f1a.jpg\n', 'files/p11/p11842519/s52867251/af9b84f1-17375755-06f08c96-34a6a9b8-4cf2fb80.jpg\n']"
s54717070_11,p11842519,s54717070,11,Findings,"Stable cardiomegaly. There is worsening pulmonary vascular congestion and mild pulmonary edema. Pleural effusions are stable. No pneumothorax is seen. Right hilar fullness is a manifestation of mild heart failure. Again seen is chronic posterior pleural thickening and nodulation at the right base. Again seen is thoracic fusion hardware, unchanged.",Stable cardiomegaly.,cardiomegaly,,Stable,"['files/p11/p11842519/s54717070/463855e7-833cbc69-04a5abcb-dda8a693-e6e4e948.jpg', 'files/p11/p11842519/s54717070/6c74d21c-53fddedf-a2bb1745-bd2de6ee-d9f68f8a.jpg']","['files/p11/p11842519/s52867251/50fbe1fa-ace6be47-082c1ac4-6be43489-25ee1f1a.jpg\n', 'files/p11/p11842519/s52867251/af9b84f1-17375755-06f08c96-34a6a9b8-4cf2fb80.jpg\n']"
s54717070_11,p11842519,s54717070,11,Findings,"Stable cardiomegaly. There is worsening pulmonary vascular congestion and mild pulmonary edema. Pleural effusions are stable. No pneumothorax is seen. Right hilar fullness is a manifestation of mild heart failure. Again seen is chronic posterior pleural thickening and nodulation at the right base. Again seen is thoracic fusion hardware, unchanged.",There is worsening pulmonary vascular congestion and mild pulmonary edema.,edema,pulmonary,Worse,"['files/p11/p11842519/s54717070/463855e7-833cbc69-04a5abcb-dda8a693-e6e4e948.jpg', 'files/p11/p11842519/s54717070/6c74d21c-53fddedf-a2bb1745-bd2de6ee-d9f68f8a.jpg']","['files/p11/p11842519/s52867251/50fbe1fa-ace6be47-082c1ac4-6be43489-25ee1f1a.jpg\n', 'files/p11/p11842519/s52867251/af9b84f1-17375755-06f08c96-34a6a9b8-4cf2fb80.jpg\n']"
s54717070_11,p11842519,s54717070,11,Findings,"Stable cardiomegaly. There is worsening pulmonary vascular congestion and mild pulmonary edema. Pleural effusions are stable. No pneumothorax is seen. Right hilar fullness is a manifestation of mild heart failure. Again seen is chronic posterior pleural thickening and nodulation at the right base. Again seen is thoracic fusion hardware, unchanged.",There is worsening pulmonary vascular congestion and mild pulmonary edema.,vascular congestion,pulmonary,Worse,"['files/p11/p11842519/s54717070/463855e7-833cbc69-04a5abcb-dda8a693-e6e4e948.jpg', 'files/p11/p11842519/s54717070/6c74d21c-53fddedf-a2bb1745-bd2de6ee-d9f68f8a.jpg']","['files/p11/p11842519/s52867251/50fbe1fa-ace6be47-082c1ac4-6be43489-25ee1f1a.jpg\n', 'files/p11/p11842519/s52867251/af9b84f1-17375755-06f08c96-34a6a9b8-4cf2fb80.jpg\n']"
s54717070_11,p11842519,s54717070,11,Findings,"Stable cardiomegaly. There is worsening pulmonary vascular congestion and mild pulmonary edema. Pleural effusions are stable. No pneumothorax is seen. Right hilar fullness is a manifestation of mild heart failure. Again seen is chronic posterior pleural thickening and nodulation at the right base. Again seen is thoracic fusion hardware, unchanged.",Pleural effusions are stable.,pleural effusions,,Stable,"['files/p11/p11842519/s54717070/463855e7-833cbc69-04a5abcb-dda8a693-e6e4e948.jpg', 'files/p11/p11842519/s54717070/6c74d21c-53fddedf-a2bb1745-bd2de6ee-d9f68f8a.jpg']","['files/p11/p11842519/s52867251/50fbe1fa-ace6be47-082c1ac4-6be43489-25ee1f1a.jpg\n', 'files/p11/p11842519/s52867251/af9b84f1-17375755-06f08c96-34a6a9b8-4cf2fb80.jpg\n']"
s54721865_27,p19358609,s54721865,27,Impression,"Comparison to ___. The patient is of the change of the endotracheal tube. The tip of the tube is within 2 cm of the carina. If possible, the tube should be pulled back by approximately 1 cm. No complications. Stable position of the feeding tube and of the right PICC line. Extensive parenchymal and pleural abnormalities are stable.",Extensive parenchymal and pleural abnormalities are stable.,abnormalities,pleural,Stable,['files/p19/p19358609/s54721865/90dc8a36-b65c30b0-f61c7c30-0cb97d36-9c2108dc.jpg'],"['files/p19/p19358609/s53962747/30cd4597-152ce976-4d8610c8-3ef5b4e6-5ba36ff8.jpg\n', 'files/p19/p19358609/s53962747/a1f65d5b-9e03494b-9a28f79a-cd20821a-d860e1d6.jpg\n', 'files/p19/p19358609/s53962747/a3c6daf4-a1f8a440-b76bea37-642515bf-da5c72bd.jpg\n']"
s54721865_27,p19358609,s54721865,27,Impression,"Comparison to ___. The patient is of the change of the endotracheal tube. The tip of the tube is within 2 cm of the carina. If possible, the tube should be pulled back by approximately 1 cm. No complications. Stable position of the feeding tube and of the right PICC line. Extensive parenchymal and pleural abnormalities are stable.",Stable position of the feeding tube and of the right PICC line.,position,right PICC line,Stable,['files/p19/p19358609/s54721865/90dc8a36-b65c30b0-f61c7c30-0cb97d36-9c2108dc.jpg'],"['files/p19/p19358609/s53962747/30cd4597-152ce976-4d8610c8-3ef5b4e6-5ba36ff8.jpg\n', 'files/p19/p19358609/s53962747/a1f65d5b-9e03494b-9a28f79a-cd20821a-d860e1d6.jpg\n', 'files/p19/p19358609/s53962747/a3c6daf4-a1f8a440-b76bea37-642515bf-da5c72bd.jpg\n']"
s54721865_27,p19358609,s54721865,27,Impression,"Comparison to ___. The patient is of the change of the endotracheal tube. The tip of the tube is within 2 cm of the carina. If possible, the tube should be pulled back by approximately 1 cm. No complications. Stable position of the feeding tube and of the right PICC line. Extensive parenchymal and pleural abnormalities are stable.",Stable position of the feeding tube and of the right PICC line.,position,feeding tube,Stable,['files/p19/p19358609/s54721865/90dc8a36-b65c30b0-f61c7c30-0cb97d36-9c2108dc.jpg'],"['files/p19/p19358609/s53962747/30cd4597-152ce976-4d8610c8-3ef5b4e6-5ba36ff8.jpg\n', 'files/p19/p19358609/s53962747/a1f65d5b-9e03494b-9a28f79a-cd20821a-d860e1d6.jpg\n', 'files/p19/p19358609/s53962747/a3c6daf4-a1f8a440-b76bea37-642515bf-da5c72bd.jpg\n']"
s54721865_27,p19358609,s54721865,27,Impression,"Comparison to ___. The patient is of the change of the endotracheal tube. The tip of the tube is within 2 cm of the carina. If possible, the tube should be pulled back by approximately 1 cm. No complications. Stable position of the feeding tube and of the right PICC line. Extensive parenchymal and pleural abnormalities are stable.",Extensive parenchymal and pleural abnormalities are stable.,abnormalities,parenchymal,Stable,['files/p19/p19358609/s54721865/90dc8a36-b65c30b0-f61c7c30-0cb97d36-9c2108dc.jpg'],"['files/p19/p19358609/s53962747/30cd4597-152ce976-4d8610c8-3ef5b4e6-5ba36ff8.jpg\n', 'files/p19/p19358609/s53962747/a1f65d5b-9e03494b-9a28f79a-cd20821a-d860e1d6.jpg\n', 'files/p19/p19358609/s53962747/a3c6daf4-a1f8a440-b76bea37-642515bf-da5c72bd.jpg\n']"
s54752436_2,p19254322,s54752436,2,Impression,"AP chest compared to ___: Small-to-moderate left pleural effusion has redistributed, slightly larger. There is no appreciable left pleural effusion and atelectasis is restricted to the base of the postoperative left lung. Right lung is clear. Bulge in the mediastinum in the region of the ascending aorta is unexplained. I had repeated chest radiograph later this afternoon to make sure that there is no mediastinal fluid accumulation. Moderate-to-severe gaseous distention of the stomach, with air and fluid, present with no visible nasogastric tube. Subcutaneous emphysema in the left chest wall is relatively stable. Dr. ___ was paged at 11:20 a.m. as soon as the findings were recognized.",Subcutaneous emphysema in the left chest wall is relatively stable.,Subcutaneous emphysema,Left chest wall,Stable,['files/p19/p19254322/s54752436/6552c73b-641178aa-c4ebf4fa-a12d5896-b0902876.jpg'],"['files/p19/p19254322/s54668319/5f1ef7ee-7c715b55-8ca97da1-9f7f932d-8c7368fb.jpg\n', 'files/p19/p19254322/s54668319/a4b57af4-37bac109-55bac67d-13e0f20d-48344f6e.jpg\n']"
s54752436_2,p19254322,s54752436,2,Impression,"AP chest compared to ___: Small-to-moderate left pleural effusion has redistributed, slightly larger. There is no appreciable left pleural effusion and atelectasis is restricted to the base of the postoperative left lung. Right lung is clear. Bulge in the mediastinum in the region of the ascending aorta is unexplained. I had repeated chest radiograph later this afternoon to make sure that there is no mediastinal fluid accumulation. Moderate-to-severe gaseous distention of the stomach, with air and fluid, present with no visible nasogastric tube. Subcutaneous emphysema in the left chest wall is relatively stable. Dr. ___ was paged at 11:20 a.m. as soon as the findings were recognized.","AP chest compared to ___: Small-to-moderate left pleural effusion has redistributed, slightly larger.",Pleural effusion,Left,Worse,['files/p19/p19254322/s54752436/6552c73b-641178aa-c4ebf4fa-a12d5896-b0902876.jpg'],"['files/p19/p19254322/s54668319/5f1ef7ee-7c715b55-8ca97da1-9f7f932d-8c7368fb.jpg\n', 'files/p19/p19254322/s54668319/a4b57af4-37bac109-55bac67d-13e0f20d-48344f6e.jpg\n']"
s54799576_2,p15634260,s54799576,2,Impression,"ET tube tip is 6 cm above the Carina. Dobbhoff tube passes below the diaphragm terminating in the stomach. Cardiomediastinal silhouette is unchanged. Vascular congestion is re- demonstrated, unchanged. There is no pleural effusion or pneumothorax developed in the interim.","Vascular congestion is re-demonstrated, unchanged.",Vascular congestion,,Stable,['files/p15/p15634260/s54799576/57f11ad7-668a8ca8-2fd8f02d-44a9a593-0eb9ac6d.jpg'],['files/p15/p15634260/s53793106/8510d3ca-b0426e32-7dd8e6f5-6e0bc0d6-3f439a43.jpg\n']
s54799576_2,p15634260,s54799576,2,Impression,"ET tube tip is 6 cm above the Carina. Dobbhoff tube passes below the diaphragm terminating in the stomach. Cardiomediastinal silhouette is unchanged. Vascular congestion is re- demonstrated, unchanged. There is no pleural effusion or pneumothorax developed in the interim.",Cardiomediastinal silhouette is unchanged.,Cardiomediastinal silhouette,,Stable,['files/p15/p15634260/s54799576/57f11ad7-668a8ca8-2fd8f02d-44a9a593-0eb9ac6d.jpg'],['files/p15/p15634260/s53793106/8510d3ca-b0426e32-7dd8e6f5-6e0bc0d6-3f439a43.jpg\n']
s54805725_11,p15793456,s54805725,11,Findings,Cardiac size is normal. The hilum are enlarged as before. The lungs are hyperinflated and clear. There is no pneumothorax or pleural effusion. Lines and tubes are in unchanged standard position,The hilum are enlarged as before.,enlargement,hilum,Stable,"['files/p15/p15793456/s54805725/0b542921-dd8714bb-fe11de66-1509d729-207dc1f6.jpg', 'files/p15/p15793456/s54805725/89c1cb10-0f3f0d50-cdd7903e-91acfc37-51d468d3.jpg']","['files/p15/p15793456/s54257177/4d72f890-5a8da612-a2cde4cf-35c04b76-3f62548f.jpg\n', 'files/p15/p15793456/s54257177/d3b11384-e58823ae-545b2484-70475db9-e638bd89.jpg\n']"
s54805725_11,p15793456,s54805725,11,Findings,Cardiac size is normal. The hilum are enlarged as before. The lungs are hyperinflated and clear. There is no pneumothorax or pleural effusion. Lines and tubes are in unchanged standard position,Lines and tubes are in unchanged standard position,Lines and tubes,standard position,Stable,"['files/p15/p15793456/s54805725/0b542921-dd8714bb-fe11de66-1509d729-207dc1f6.jpg', 'files/p15/p15793456/s54805725/89c1cb10-0f3f0d50-cdd7903e-91acfc37-51d468d3.jpg']","['files/p15/p15793456/s54257177/4d72f890-5a8da612-a2cde4cf-35c04b76-3f62548f.jpg\n', 'files/p15/p15793456/s54257177/d3b11384-e58823ae-545b2484-70475db9-e638bd89.jpg\n']"
s54810204_5,p19486351,s54810204,5,Findings,No consolidation. Left hilar and mediastinal regions have normal postoperative appearance unchanged from prior. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.,Left hilar and mediastinal regions have normal postoperative appearance unchanged from prior.,postoperative appearance,Left hilar and mediastinal regions,Stable,"['files/p19/p19486351/s54810204/5bc72e62-d13ce48e-973d3718-f77cecda-15dfa9ff.jpg', 'files/p19/p19486351/s54810204/98b0f854-2f8c7b87-0750ac8e-5001cfd3-4449e97b.jpg']","['files/p19/p19486351/s51851862/33a787a4-d8a1118d-91a5f881-45808cfe-24723889.jpg\n', 'files/p19/p19486351/s51851862/a38ab00a-694908eb-0e3cac94-ff0635c9-41d52d82.jpg\n']"
s54829511_1,p11465247,s54829511,1,Impression,PA and lateral chest compared to ___: Previous pneumonia in lingula has resolved. Lungs are now clear. Heart size is normal. There is no pleural abnormality or evidence of central lymph node enlargement. Thoracic aorta is tortuous but not clearly aneurysmal.,PA and lateral chest compared to ___: Previous pneumonia in lingula has resolved.,pneumonia,lingula,Resolve,"['files/p11/p11465247/s54829511/5cd7a101-9ff0c026-fd16c237-8cdcd48d-3c4c342b.jpg', 'files/p11/p11465247/s54829511/7da61e0c-128804f1-b17951e5-5e34acbe-c01fd2fd.jpg']","['files/p11/p11465247/s54659794/01ef5d76-76b24ff8-e3bd287c-b62fa42a-fa7fe5ee.jpg\n', 'files/p11/p11465247/s54659794/95c813f7-c3e310da-424bd659-10fb136a-98c4cdb7.jpg\n']"
s54832536_6,p17945610,s54832536,6,Findings,"Compared with ___ at 16:27, the ET tube, NG tube and left IJ central line have been removed. The right pigtail has also been removed. Minimal blunting of the right costophrenic angle is very slightly greater. No pneumothorax or other evidence of right-sided effusion is identified. Allowing for technical differences, there is otherwise minimal interval change. Again seen is focal sclerosis in the right proximal humerus. Is there history of old healed fracture. No lucent fracture line is identified.",Is there history of old healed fracture.,healed fracture,,Stable,['files/p17/p17945610/s54832536/35b9c6fa-00c88823-d2b016e7-860235a2-35e10b1b.jpg'],"['files/p17/p17945610/s54490035/9302ed70-b3b573ff-41f32027-d4a641c9-04b09ba9.jpg\n', 'files/p17/p17945610/s54490035/ab618eee-2a493884-a478b561-100f5f42-562e5657.jpg\n']"
s54832536_6,p17945610,s54832536,6,Findings,"Compared with ___ at 16:27, the ET tube, NG tube and left IJ central line have been removed. The right pigtail has also been removed. Minimal blunting of the right costophrenic angle is very slightly greater. No pneumothorax or other evidence of right-sided effusion is identified. Allowing for technical differences, there is otherwise minimal interval change. Again seen is focal sclerosis in the right proximal humerus. Is there history of old healed fracture. No lucent fracture line is identified.","Compared with ___ at 16:27, the ET tube, NG tube and left IJ central line have been removed.",ET tube,,Resolve,['files/p17/p17945610/s54832536/35b9c6fa-00c88823-d2b016e7-860235a2-35e10b1b.jpg'],"['files/p17/p17945610/s54490035/9302ed70-b3b573ff-41f32027-d4a641c9-04b09ba9.jpg\n', 'files/p17/p17945610/s54490035/ab618eee-2a493884-a478b561-100f5f42-562e5657.jpg\n']"
s54832536_6,p17945610,s54832536,6,Findings,"Compared with ___ at 16:27, the ET tube, NG tube and left IJ central line have been removed. The right pigtail has also been removed. Minimal blunting of the right costophrenic angle is very slightly greater. No pneumothorax or other evidence of right-sided effusion is identified. Allowing for technical differences, there is otherwise minimal interval change. Again seen is focal sclerosis in the right proximal humerus. Is there history of old healed fracture. No lucent fracture line is identified.","Compared with ___ at 16:27, the ET tube, NG tube and left IJ central line have been removed.",NG tube,,Resolve,['files/p17/p17945610/s54832536/35b9c6fa-00c88823-d2b016e7-860235a2-35e10b1b.jpg'],"['files/p17/p17945610/s54490035/9302ed70-b3b573ff-41f32027-d4a641c9-04b09ba9.jpg\n', 'files/p17/p17945610/s54490035/ab618eee-2a493884-a478b561-100f5f42-562e5657.jpg\n']"
s54832536_6,p17945610,s54832536,6,Findings,"Compared with ___ at 16:27, the ET tube, NG tube and left IJ central line have been removed. The right pigtail has also been removed. Minimal blunting of the right costophrenic angle is very slightly greater. No pneumothorax or other evidence of right-sided effusion is identified. Allowing for technical differences, there is otherwise minimal interval change. Again seen is focal sclerosis in the right proximal humerus. Is there history of old healed fracture. No lucent fracture line is identified.",Again seen is focal sclerosis in the right proximal humerus.,sclerosis,right proximal humerus,Stable,['files/p17/p17945610/s54832536/35b9c6fa-00c88823-d2b016e7-860235a2-35e10b1b.jpg'],"['files/p17/p17945610/s54490035/9302ed70-b3b573ff-41f32027-d4a641c9-04b09ba9.jpg\n', 'files/p17/p17945610/s54490035/ab618eee-2a493884-a478b561-100f5f42-562e5657.jpg\n']"
s54832536_6,p17945610,s54832536,6,Findings,"Compared with ___ at 16:27, the ET tube, NG tube and left IJ central line have been removed. The right pigtail has also been removed. Minimal blunting of the right costophrenic angle is very slightly greater. No pneumothorax or other evidence of right-sided effusion is identified. Allowing for technical differences, there is otherwise minimal interval change. Again seen is focal sclerosis in the right proximal humerus. Is there history of old healed fracture. No lucent fracture line is identified.","Compared with ___ at 16:27, the ET tube, NG tube and left IJ central line have been removed.",left IJ central line,,Resolve,['files/p17/p17945610/s54832536/35b9c6fa-00c88823-d2b016e7-860235a2-35e10b1b.jpg'],"['files/p17/p17945610/s54490035/9302ed70-b3b573ff-41f32027-d4a641c9-04b09ba9.jpg\n', 'files/p17/p17945610/s54490035/ab618eee-2a493884-a478b561-100f5f42-562e5657.jpg\n']"
s54832536_6,p17945610,s54832536,6,Findings,"Compared with ___ at 16:27, the ET tube, NG tube and left IJ central line have been removed. The right pigtail has also been removed. Minimal blunting of the right costophrenic angle is very slightly greater. No pneumothorax or other evidence of right-sided effusion is identified. Allowing for technical differences, there is otherwise minimal interval change. Again seen is focal sclerosis in the right proximal humerus. Is there history of old healed fracture. No lucent fracture line is identified.",Minimal blunting of the right costophrenic angle is very slightly greater.,blunting,right costophrenic angle,Worse,['files/p17/p17945610/s54832536/35b9c6fa-00c88823-d2b016e7-860235a2-35e10b1b.jpg'],"['files/p17/p17945610/s54490035/9302ed70-b3b573ff-41f32027-d4a641c9-04b09ba9.jpg\n', 'files/p17/p17945610/s54490035/ab618eee-2a493884-a478b561-100f5f42-562e5657.jpg\n']"
s54832536_6,p17945610,s54832536,6,Findings,"Compared with ___ at 16:27, the ET tube, NG tube and left IJ central line have been removed. The right pigtail has also been removed. Minimal blunting of the right costophrenic angle is very slightly greater. No pneumothorax or other evidence of right-sided effusion is identified. Allowing for technical differences, there is otherwise minimal interval change. Again seen is focal sclerosis in the right proximal humerus. Is there history of old healed fracture. No lucent fracture line is identified.",The right pigtail has also been removed.,right pigtail,,Resolve,['files/p17/p17945610/s54832536/35b9c6fa-00c88823-d2b016e7-860235a2-35e10b1b.jpg'],"['files/p17/p17945610/s54490035/9302ed70-b3b573ff-41f32027-d4a641c9-04b09ba9.jpg\n', 'files/p17/p17945610/s54490035/ab618eee-2a493884-a478b561-100f5f42-562e5657.jpg\n']"
s54846212_9,p13894716,s54846212,9,Impression,Comparison to ___. No relevant change is noted. Bilateral small to moderate pleural effusions are present. Subsequent areas of atelectasis are seen at both lung bases. Mild pulmonary edema persists. Mild cardiomegaly. The monitoring and support devices are in stable position.,Comparison to ___. No relevant change is noted.,general condition,,Stable,"['files/p13/p13894716/s54846212/0cdea8fc-615e607d-965775bb-024cda95-dc791cfc.jpg', 'files/p13/p13894716/s54846212/9ee1b31b-af06a46c-f0f85a64-b6a302ac-8ab78cee.jpg']","['files/p13/p13894716/s54690760/1ffa663e-bd3e31c1-6b2eb6cb-a71e7f12-eaa912c9.jpg\n', 'files/p13/p13894716/s54690760/56e374d4-2db2d4a0-e8a846f1-22369f74-8bbc35d2.jpg\n']"
s54846212_9,p13894716,s54846212,9,Impression,Comparison to ___. No relevant change is noted. Bilateral small to moderate pleural effusions are present. Subsequent areas of atelectasis are seen at both lung bases. Mild pulmonary edema persists. Mild cardiomegaly. The monitoring and support devices are in stable position.,Mild pulmonary edema persists.,pulmonary edema,,Stable,"['files/p13/p13894716/s54846212/0cdea8fc-615e607d-965775bb-024cda95-dc791cfc.jpg', 'files/p13/p13894716/s54846212/9ee1b31b-af06a46c-f0f85a64-b6a302ac-8ab78cee.jpg']","['files/p13/p13894716/s54690760/1ffa663e-bd3e31c1-6b2eb6cb-a71e7f12-eaa912c9.jpg\n', 'files/p13/p13894716/s54690760/56e374d4-2db2d4a0-e8a846f1-22369f74-8bbc35d2.jpg\n']"
s54846212_9,p13894716,s54846212,9,Impression,Comparison to ___. No relevant change is noted. Bilateral small to moderate pleural effusions are present. Subsequent areas of atelectasis are seen at both lung bases. Mild pulmonary edema persists. Mild cardiomegaly. The monitoring and support devices are in stable position.,The monitoring and support devices are in stable position.,monitoring and support devices,,Stable,"['files/p13/p13894716/s54846212/0cdea8fc-615e607d-965775bb-024cda95-dc791cfc.jpg', 'files/p13/p13894716/s54846212/9ee1b31b-af06a46c-f0f85a64-b6a302ac-8ab78cee.jpg']","['files/p13/p13894716/s54690760/1ffa663e-bd3e31c1-6b2eb6cb-a71e7f12-eaa912c9.jpg\n', 'files/p13/p13894716/s54690760/56e374d4-2db2d4a0-e8a846f1-22369f74-8bbc35d2.jpg\n']"
s54849350_11,p14798972,s54849350,11,Findings,"Nasogastric tube has been repositioned or replaced, with tip now terminating at approximately the T10 vertebral body level, with the side port at approximately the T7 level with an intrathoracic neoesophagus in this patient status post esophagectomy. Subcutaneous emphysema in right chest wall has slightly improved. Lung volumes are slightly increased compared to the prior study with associated improved aeration at lung bases. Otherwise, no relevant change.",Subcutaneous emphysema in right chest wall has slightly improved.,Subcutaneous emphysema,right chest wall,Better,['files/p14/p14798972/s54849350/feeb7dc4-beddb481-54e49f5e-f8d3d074-dde2412d.jpg'],"['files/p14/p14798972/s53979892/57dd280e-66b834fd-411e60fb-2264a0f9-7a3c7b24.jpg\n', 'files/p14/p14798972/s53979892/f353557c-c5c77676-0355d9f8-f6ec8a6a-15084cd3.jpg\n']"
s54849350_11,p14798972,s54849350,11,Findings,"Nasogastric tube has been repositioned or replaced, with tip now terminating at approximately the T10 vertebral body level, with the side port at approximately the T7 level with an intrathoracic neoesophagus in this patient status post esophagectomy. Subcutaneous emphysema in right chest wall has slightly improved. Lung volumes are slightly increased compared to the prior study with associated improved aeration at lung bases. Otherwise, no relevant change.",Lung volumes are slightly increased compared to the prior study with associated improved aeration at lung bases.,Lung volumes,lung bases,Better,['files/p14/p14798972/s54849350/feeb7dc4-beddb481-54e49f5e-f8d3d074-dde2412d.jpg'],"['files/p14/p14798972/s53979892/57dd280e-66b834fd-411e60fb-2264a0f9-7a3c7b24.jpg\n', 'files/p14/p14798972/s53979892/f353557c-c5c77676-0355d9f8-f6ec8a6a-15084cd3.jpg\n']"
s54857381_0,p14235184,s54857381,0,Findings,"Frontal and lateral chest radiographs demonstrate mild-to-moderate cardiac enlargement, unchanged compared with prior. The lungs are clear. There is no pleural effusion or pneumothorax. The mediastinal contours appear normal. The pulmonary vasculature is mildy engorged.","Frontal and lateral chest radiographs demonstrate mild-to-moderate cardiac enlargement, unchanged compared with prior.",cardiac enlargement,,Stable,"['files/p14/p14235184/s54857381/5da11f5d-ade60ec9-39a0b019-a3db192f-4b1e0bc7.jpg', 'files/p14/p14235184/s54857381/a1debf16-716b5f40-b15944a1-79c490ee-129dff0e.jpg']","['files/p14/p14235184/s53464266/38d09978-1abbe4ef-2d0291f6-b956da6f-733ce57c.jpg\n', 'files/p14/p14235184/s53464266/94e2c7bb-a81ac1fe-fce3a631-5677d6b2-605bd1fe.jpg\n']"
s54858608_0,p17079101,s54858608,0,Findings,"Frontal and lateral views of the chest were obtained. Lateral views are suboptimal due to patient positioning and underpenetration. It is difficult to exclude bilateral pleural effusions. Low lung volumes persist on the frontal view, with elevated right hemidiaphragm. There is prominence of the interstitium, suggesting interstitial edema. The cardiac and mediastinal silhouettes are stable. Surgical clips project over the right aspect of the mediastinum.",The cardiac and mediastinal silhouettes are stable.,cardiac and mediastinal silhouettes,,Stable,"['files/p17/p17079101/s54858608/a5db0a40-c2be39ee-96979e87-489a534d-a85b3ffe.jpg', 'files/p17/p17079101/s54858608/e7a78315-1375531f-4a4192a9-d4ceb059-efbf82ed.jpg']","['files/p17/p17079101/s52544664/1ad714a9-437bbce6-a694ad02-05512130-333e99af.jpg\n', 'files/p17/p17079101/s52544664/89c1162a-5fa4ed9c-c008cc39-f0bdb24c-2fe6296b.jpg\n', 'files/p17/p17079101/s52544664/b3a62ca0-2dc01e32-d5450dce-c6b9c0c4-77af854a.jpg\n']"
s54858608_0,p17079101,s54858608,0,Findings,"Frontal and lateral views of the chest were obtained. Lateral views are suboptimal due to patient positioning and underpenetration. It is difficult to exclude bilateral pleural effusions. Low lung volumes persist on the frontal view, with elevated right hemidiaphragm. There is prominence of the interstitium, suggesting interstitial edema. The cardiac and mediastinal silhouettes are stable. Surgical clips project over the right aspect of the mediastinum.","Low lung volumes persist on the frontal view, with elevated right hemidiaphragm.",low lung volumes,frontal view,Stable,"['files/p17/p17079101/s54858608/a5db0a40-c2be39ee-96979e87-489a534d-a85b3ffe.jpg', 'files/p17/p17079101/s54858608/e7a78315-1375531f-4a4192a9-d4ceb059-efbf82ed.jpg']","['files/p17/p17079101/s52544664/1ad714a9-437bbce6-a694ad02-05512130-333e99af.jpg\n', 'files/p17/p17079101/s52544664/89c1162a-5fa4ed9c-c008cc39-f0bdb24c-2fe6296b.jpg\n', 'files/p17/p17079101/s52544664/b3a62ca0-2dc01e32-d5450dce-c6b9c0c4-77af854a.jpg\n']"
s54875360_3,p16172396,s54875360,3,Findings,"Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Chronic left rib fracture is stable.",Chronic left rib fracture is stable.,rib fracture,left,Stable,"['files/p16/p16172396/s54875360/088e81ed-7922aa11-c825f648-1b390ce3-e6f8b18f.jpg', 'files/p16/p16172396/s54875360/81363533-9fe25452-24a77836-eecde8c5-555eff61.jpg']","['files/p16/p16172396/s51932011/515940a1-1597d869-4cd954d5-3c00a8fd-91659a8f.jpg\n', 'files/p16/p16172396/s51932011/fe24eab1-ee7ade48-c989c10b-512e9081-036b7c17.jpg\n']"
s54882674_0,p18536624,s54882674,0,Impression,Moderate bilateral pleural effusions with adjacent atelectasis and mild pulmonary edema. Superimposed infection cannot be excluded. More focal opacity in the infrahilar region on the right which should be followed for resolution on subsequent exams.,More focal opacity in the infrahilar region on the right which should be followed for resolution on subsequent exams.,opacity,Right infrahilar region,Resolve,['files/p18/p18536624/s54882674/f3de0579-711a8c1f-7d79200b-cadc13ed-61edf359.jpg'],"['files/p18/p18536624/s53931664/1fecc345-461c6463-4ea2e256-3b0e71b4-931d5568.jpg\n', 'files/p18/p18536624/s53931664/ceb961ba-2ced940d-471b2b09-087e5b3f-b9118db0.jpg\n']"
s54882674_0,p18536624,s54882674,0,Findings,"Bibasilar opacities are again seen silhouetting the hemidiaphragm, suggestive of pleural effusions. Indistinct pulmonary vascular markings seen superiorly. There is more focal opacity in the right infrahilar region. There is likely cardiomegaly although given silhouetting, assessment is limited. No acute osseous abnormalities.","Bibasilar opacities are again seen silhouetting the hemidiaphragm, suggestive of pleural effusions.",opacities,Bibasilar,Worse,['files/p18/p18536624/s54882674/f3de0579-711a8c1f-7d79200b-cadc13ed-61edf359.jpg'],"['files/p18/p18536624/s53931664/1fecc345-461c6463-4ea2e256-3b0e71b4-931d5568.jpg\n', 'files/p18/p18536624/s53931664/ceb961ba-2ced940d-471b2b09-087e5b3f-b9118db0.jpg\n']"
s54896273_5,p19580789,s54896273,5,Findings,"Moderate cardiomegaly is re- demonstrated, unchanged. The aorta remains tortuous. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Lungs are hyperinflated. Mild degenerative changes are noted in the thoracic spine.","Moderate cardiomegaly is re-demonstrated, unchanged.",cardiomegaly,,Stable,"['files/p19/p19580789/s54896273/3c46dc4f-b658b25f-8697ada5-6ef38005-825d9235.jpg', 'files/p19/p19580789/s54896273/5200e5f8-3431aa0b-4687f1fc-8dfbaa5d-7e230488.jpg']","['files/p19/p19580789/s53737218/4ebe2c0c-2050b7f6-43722c9e-600d983c-63487359.jpg\n', 'files/p19/p19580789/s53737218/ba261ef0-ec69edf5-01acf3b6-2e2adfc8-261d8e8b.jpg\n']"
s54896273_5,p19580789,s54896273,5,Findings,"Moderate cardiomegaly is re- demonstrated, unchanged. The aorta remains tortuous. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Lungs are hyperinflated. Mild degenerative changes are noted in the thoracic spine.",Mediastinal and hilar contours are similar.,Mediastinal and hilar contours,,Stable,"['files/p19/p19580789/s54896273/3c46dc4f-b658b25f-8697ada5-6ef38005-825d9235.jpg', 'files/p19/p19580789/s54896273/5200e5f8-3431aa0b-4687f1fc-8dfbaa5d-7e230488.jpg']","['files/p19/p19580789/s53737218/4ebe2c0c-2050b7f6-43722c9e-600d983c-63487359.jpg\n', 'files/p19/p19580789/s53737218/ba261ef0-ec69edf5-01acf3b6-2e2adfc8-261d8e8b.jpg\n']"
s54896273_5,p19580789,s54896273,5,Findings,"Moderate cardiomegaly is re- demonstrated, unchanged. The aorta remains tortuous. Mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Lungs are hyperinflated. Mild degenerative changes are noted in the thoracic spine.",The aorta remains tortuous.,tortuous aorta,,Stable,"['files/p19/p19580789/s54896273/3c46dc4f-b658b25f-8697ada5-6ef38005-825d9235.jpg', 'files/p19/p19580789/s54896273/5200e5f8-3431aa0b-4687f1fc-8dfbaa5d-7e230488.jpg']","['files/p19/p19580789/s53737218/4ebe2c0c-2050b7f6-43722c9e-600d983c-63487359.jpg\n', 'files/p19/p19580789/s53737218/ba261ef0-ec69edf5-01acf3b6-2e2adfc8-261d8e8b.jpg\n']"
s54898602_0,p19112585,s54898602,0,Findings,There are bibasilar opacities which are most likely due to atelectasis in the setting of relatively low lung volumes. The lungs are otherwise clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No visualized acute osseous abnormality.,There are bibasilar opacities which are most likely due to atelectasis in the setting of relatively low lung volumes.,opacities due to atelectasis,bibasilar,New,['files/p19/p19112585/s54898602/d6b8c37f-5e300c14-2ef5df39-9a6aaed8-96b5e681.jpg'],['files/p19/p19112585/s52350751/bcdccbea-2977c6e2-95eeb72a-3a7b6a89-ce41591a.jpg\n']
s54899102_5,p12906762,s54899102,5,Impression,"Small left pneumothorax with apical and basal lateral components, unchanged. Left pigtail pleural drainage catheter unchanged projecting over the left lateral chest. Moderately extensive subcutaneous emphysema left chest wall is unchanged. Heart size normal. Hyperlucency in the right lung due to emphysema, and to compensatory overinflation due to severe upper lobe scarring. ET tube and left subclavian line in standard placements respectively.","Small left pneumothorax with apical and basal lateral components, unchanged.",pneumothorax,left,Stable,['files/p12/p12906762/s54899102/cbd96006-a4b14669-614de320-ba15c1d5-71250057.jpg'],"['files/p12/p12906762/s53644354/358852a7-514ec358-bee83f0f-d752d0e4-5fff244d.jpg\n', 'files/p12/p12906762/s53644354/8ab6990c-a800bfc0-d5f5ae92-26f3a84f-cfb69e0a.jpg\n']"
s54899102_5,p12906762,s54899102,5,Impression,"Small left pneumothorax with apical and basal lateral components, unchanged. Left pigtail pleural drainage catheter unchanged projecting over the left lateral chest. Moderately extensive subcutaneous emphysema left chest wall is unchanged. Heart size normal. Hyperlucency in the right lung due to emphysema, and to compensatory overinflation due to severe upper lobe scarring. ET tube and left subclavian line in standard placements respectively.",Left pigtail pleural drainage catheter unchanged projecting over the left lateral chest.,pigtail pleural drainage catheter,left lateral chest,Stable,['files/p12/p12906762/s54899102/cbd96006-a4b14669-614de320-ba15c1d5-71250057.jpg'],"['files/p12/p12906762/s53644354/358852a7-514ec358-bee83f0f-d752d0e4-5fff244d.jpg\n', 'files/p12/p12906762/s53644354/8ab6990c-a800bfc0-d5f5ae92-26f3a84f-cfb69e0a.jpg\n']"
s54899102_5,p12906762,s54899102,5,Impression,"Small left pneumothorax with apical and basal lateral components, unchanged. Left pigtail pleural drainage catheter unchanged projecting over the left lateral chest. Moderately extensive subcutaneous emphysema left chest wall is unchanged. Heart size normal. Hyperlucency in the right lung due to emphysema, and to compensatory overinflation due to severe upper lobe scarring. ET tube and left subclavian line in standard placements respectively.",Moderately extensive subcutaneous emphysema left chest wall is unchanged.,subcutaneous emphysema,left chest wall,Stable,['files/p12/p12906762/s54899102/cbd96006-a4b14669-614de320-ba15c1d5-71250057.jpg'],"['files/p12/p12906762/s53644354/358852a7-514ec358-bee83f0f-d752d0e4-5fff244d.jpg\n', 'files/p12/p12906762/s53644354/8ab6990c-a800bfc0-d5f5ae92-26f3a84f-cfb69e0a.jpg\n']"
s54905271_2,p17622916,s54905271,2,Findings,"As compared to prior chest radiograph from ___, patient has been extubated, and there are lower lung volumes. Bibasilar opacities have increased, likely reflecting a combination of pleural effusion and atelectasis. However, an underlying early infectious process cannot be excluded. Right IJ central venous catheter tip lies at the level of the cavoatrial junction. Nasogastric tube extends into the gastric fundus.","As compared to prior chest radiograph from ___, patient has been extubated, and there are lower lung volumes.",endotracheal tube,,Resolve,['files/p17/p17622916/s54905271/9ab97962-156e4dae-c1188f7d-7dae9ea4-c5a69d40.jpg'],['files/p17/p17622916/s50758668/cf1b8e9d-4f84cf87-e2281943-859fbd1a-ec648bdf.jpg\n']
s54905271_2,p17622916,s54905271,2,Findings,"As compared to prior chest radiograph from ___, patient has been extubated, and there are lower lung volumes. Bibasilar opacities have increased, likely reflecting a combination of pleural effusion and atelectasis. However, an underlying early infectious process cannot be excluded. Right IJ central venous catheter tip lies at the level of the cavoatrial junction. Nasogastric tube extends into the gastric fundus.","Bibasilar opacities have increased, likely reflecting a combination of pleural effusion and atelectasis.",opacities,bibasilar,Worse,['files/p17/p17622916/s54905271/9ab97962-156e4dae-c1188f7d-7dae9ea4-c5a69d40.jpg'],['files/p17/p17622916/s50758668/cf1b8e9d-4f84cf87-e2281943-859fbd1a-ec648bdf.jpg\n']
s54905271_2,p17622916,s54905271,2,Impression,"Worsening bibasilar opacities which likely reflect a combination of pleural fluid and volume loss. However, in the appropriate clinical setting, an underlying early infectious process cannot be excluded.",Worsening bibasilar opacities which likely reflect a combination of pleural fluid and volume loss.,opacities,bibasilar,Worse,['files/p17/p17622916/s54905271/9ab97962-156e4dae-c1188f7d-7dae9ea4-c5a69d40.jpg'],['files/p17/p17622916/s50758668/cf1b8e9d-4f84cf87-e2281943-859fbd1a-ec648bdf.jpg\n']
s54908622_9,p15793456,s54908622,9,Impression,"Compared to chest radiographs ___ through ___ at 03:13. No recent radiographic change in severe emphysema and mild left perihilar consolidation. No pulmonary edema, pleural effusion, pneumothorax. Heart size normal. Ascending thoracic aorta tortuous or dilated but unchanged. ET tube and left PIC line in standard placements respectively.",Ascending thoracic aorta tortuous or dilated but unchanged.,Aorta tortuous or dilated,Ascending thoracic,Stable,['files/p15/p15793456/s54908622/7e937bf5-c1220033-6a807ba6-449a1342-c75570f2.jpg'],"['files/p15/p15793456/s54805725/0b542921-dd8714bb-fe11de66-1509d729-207dc1f6.jpg\n', 'files/p15/p15793456/s54805725/89c1cb10-0f3f0d50-cdd7903e-91acfc37-51d468d3.jpg\n']"
s54908622_9,p15793456,s54908622,9,Impression,"Compared to chest radiographs ___ through ___ at 03:13. No recent radiographic change in severe emphysema and mild left perihilar consolidation. No pulmonary edema, pleural effusion, pneumothorax. Heart size normal. Ascending thoracic aorta tortuous or dilated but unchanged. ET tube and left PIC line in standard placements respectively.",No recent radiographic change in severe emphysema and mild left perihilar consolidation.,Severe emphysema and mild left perihilar consolidation,,Stable,['files/p15/p15793456/s54908622/7e937bf5-c1220033-6a807ba6-449a1342-c75570f2.jpg'],"['files/p15/p15793456/s54805725/0b542921-dd8714bb-fe11de66-1509d729-207dc1f6.jpg\n', 'files/p15/p15793456/s54805725/89c1cb10-0f3f0d50-cdd7903e-91acfc37-51d468d3.jpg\n']"
s54934752_24,p17055995,s54934752,24,Findings,Previously seen multifocal opacities in bilateral lungs have resolved since ___. No focal consolidation suggestive of pneumonia is identified. Linear opacity at lateral left lung base is likely atelectasis. 5 mm ovoid opacity at the right lung base is stable. There is no pneumothorax or large pleural effusion. Cardiomediastinal silhouette is normal size. An apparent ___ scar pericardium is an artifact as the patient went on to have a CT urogram which include the heart and does not demonstrate a pneumopericardium. Cervical spine hardware is again noted.,Cervical spine hardware is again noted.,hardware,Cervical spine,Stable,['files/p17/p17055995/s54934752/d3b0b262-df43c83c-79c07524-fa37aa2e-c76d7762.jpg'],"['files/p17/p17055995/s54167022/2c2d37dc-72ce751c-11056009-510e46bd-65967968.jpg\n', 'files/p17/p17055995/s54167022/66e87912-67944022-478d3e89-9e031955-97e93818.jpg\n', 'files/p17/p17055995/s54167022/c39a2d49-30932027-84dcf97f-63bfe5de-f9b1bbf5.jpg\n']"
s54934752_24,p17055995,s54934752,24,Findings,Previously seen multifocal opacities in bilateral lungs have resolved since ___. No focal consolidation suggestive of pneumonia is identified. Linear opacity at lateral left lung base is likely atelectasis. 5 mm ovoid opacity at the right lung base is stable. There is no pneumothorax or large pleural effusion. Cardiomediastinal silhouette is normal size. An apparent ___ scar pericardium is an artifact as the patient went on to have a CT urogram which include the heart and does not demonstrate a pneumopericardium. Cervical spine hardware is again noted.,5 mm ovoid opacity at the right lung base is stable.,5 mm ovoid opacity,right lung base,Stable,['files/p17/p17055995/s54934752/d3b0b262-df43c83c-79c07524-fa37aa2e-c76d7762.jpg'],"['files/p17/p17055995/s54167022/2c2d37dc-72ce751c-11056009-510e46bd-65967968.jpg\n', 'files/p17/p17055995/s54167022/66e87912-67944022-478d3e89-9e031955-97e93818.jpg\n', 'files/p17/p17055995/s54167022/c39a2d49-30932027-84dcf97f-63bfe5de-f9b1bbf5.jpg\n']"
s54934752_24,p17055995,s54934752,24,Findings,Previously seen multifocal opacities in bilateral lungs have resolved since ___. No focal consolidation suggestive of pneumonia is identified. Linear opacity at lateral left lung base is likely atelectasis. 5 mm ovoid opacity at the right lung base is stable. There is no pneumothorax or large pleural effusion. Cardiomediastinal silhouette is normal size. An apparent ___ scar pericardium is an artifact as the patient went on to have a CT urogram which include the heart and does not demonstrate a pneumopericardium. Cervical spine hardware is again noted.,Previously seen multifocal opacities in bilateral lungs have resolved since ___.,multifocal opacities,bilateral lungs,Resolve,['files/p17/p17055995/s54934752/d3b0b262-df43c83c-79c07524-fa37aa2e-c76d7762.jpg'],"['files/p17/p17055995/s54167022/2c2d37dc-72ce751c-11056009-510e46bd-65967968.jpg\n', 'files/p17/p17055995/s54167022/66e87912-67944022-478d3e89-9e031955-97e93818.jpg\n', 'files/p17/p17055995/s54167022/c39a2d49-30932027-84dcf97f-63bfe5de-f9b1bbf5.jpg\n']"
s54944374_34,p19358609,s54944374,34,Impression,"In comparison with the study of ___, the endotracheal tube and nasogastric tubes have been removed. Little overall change in the appearance of the heart and lungs.",Little overall change in the appearance of the heart and lungs.,heart and lungs,,Stable,['files/p19/p19358609/s54944374/7d8e75db-5a64240f-63dbb72d-72d03f5c-1bd59e3b.jpg'],['files/p19/p19358609/s54721865/90dc8a36-b65c30b0-f61c7c30-0cb97d36-9c2108dc.jpg\n']
s54944374_34,p19358609,s54944374,34,Impression,"In comparison with the study of ___, the endotracheal tube and nasogastric tubes have been removed. Little overall change in the appearance of the heart and lungs.","In comparison with the study of ___, the endotracheal tube and nasogastric tubes have been removed.",endotracheal tube,,Resolve,['files/p19/p19358609/s54944374/7d8e75db-5a64240f-63dbb72d-72d03f5c-1bd59e3b.jpg'],['files/p19/p19358609/s54721865/90dc8a36-b65c30b0-f61c7c30-0cb97d36-9c2108dc.jpg\n']
s54944374_34,p19358609,s54944374,34,Impression,"In comparison with the study of ___, the endotracheal tube and nasogastric tubes have been removed. Little overall change in the appearance of the heart and lungs.","In comparison with the study of ___, the endotracheal tube and nasogastric tubes have been removed.",nasogastric tubes,,Resolve,['files/p19/p19358609/s54944374/7d8e75db-5a64240f-63dbb72d-72d03f5c-1bd59e3b.jpg'],['files/p19/p19358609/s54721865/90dc8a36-b65c30b0-f61c7c30-0cb97d36-9c2108dc.jpg\n']
s54952803_0,p12598684,s54952803,0,Findings,"As compared to the previous radiograph, there is status post resection of the eighth right-sided rib. Moreover, the local pleura is minimally thickened. The lung parenchyma shows no evidence of acute changes. No pneumonia, no pulmonary edema. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.","As compared to the previous radiograph, there is status post resection of the eighth right-sided rib.",eighth rib,right-sided,Resolve,"['files/p12/p12598684/s54952803/1312be28-d131f758-783e1a08-1e878cba-6236e5ff.jpg', 'files/p12/p12598684/s54952803/766b651a-bf318a3c-a6e00002-e595f99a-1a97ffae.jpg']",
s54956015_13,p17660889,s54956015,13,Impression,"AP chest compared to ___ through ___: Moderately severe pulmonary edema has improved minimally since ___. A large region of opacification in the right lower chest could be loculated pleural fluid or consolidation in the right lower lobe, a concern for pneumonia. Uniform opacification in the left lower lobe, obscuring the entire diaphragmatic interface has worsened appreciably and could be due to pneumonia or dramatic worsening of atelectasis. ET tube and left internal jugular line are in standard placements. A large bore right-sided central venous catheter may hook into the azygos vein. No pneumothorax.","Uniform opacification in the left lower lobe, obscuring the entire diaphragmatic interface has worsened appreciably and could be due to pneumonia or dramatic worsening of atelectasis.",Uniform opacification,left lower lobe,Worse,['files/p17/p17660889/s54956015/569f137a-5df7c2fe-e17acef1-d50a45fc-affedf84.jpg'],"['files/p17/p17660889/s54535542/0c83ebb9-3b2d3376-23088ab5-17419c9b-b7f42c1f.jpg\n', 'files/p17/p17660889/s54535542/8e974cb3-d8d829a1-1c0c5cce-714549df-c626020e.jpg\n']"
s54956015_13,p17660889,s54956015,13,Impression,"AP chest compared to ___ through ___: Moderately severe pulmonary edema has improved minimally since ___. A large region of opacification in the right lower chest could be loculated pleural fluid or consolidation in the right lower lobe, a concern for pneumonia. Uniform opacification in the left lower lobe, obscuring the entire diaphragmatic interface has worsened appreciably and could be due to pneumonia or dramatic worsening of atelectasis. ET tube and left internal jugular line are in standard placements. A large bore right-sided central venous catheter may hook into the azygos vein. No pneumothorax.",AP chest compared to ___ through ___: Moderately severe pulmonary edema has improved minimally since ___.,moderately severe pulmonary edema,,Better,['files/p17/p17660889/s54956015/569f137a-5df7c2fe-e17acef1-d50a45fc-affedf84.jpg'],"['files/p17/p17660889/s54535542/0c83ebb9-3b2d3376-23088ab5-17419c9b-b7f42c1f.jpg\n', 'files/p17/p17660889/s54535542/8e974cb3-d8d829a1-1c0c5cce-714549df-c626020e.jpg\n']"
s54961891_3,p17002995,s54961891,3,Findings,"The lungs are well inflated and grossly clear. The cardiomediastinal silhouette is unremarkable. Known left upper lobe nodule has been persistently decreasing in size on sequential exams, and is not perceptible on the current study.","Known left upper lobe nodule has been persistently decreasing in size on sequential exams, and is not perceptible on the current study.",nodule,left upper lobe,Resolve,"['files/p17/p17002995/s54961891/2467e1fa-601fff83-f7ee16a8-fa135c0c-e9d15320.jpg', 'files/p17/p17002995/s54961891/24d67d52-b980751d-ff001839-ec1fe0d5-494dd5ac.jpg']","['files/p17/p17002995/s53093135/68061713-5fff1c59-90ebb853-44566d77-ae9fe3c9.jpg\n', 'files/p17/p17002995/s53093135/9bbce2c8-90534017-445931b8-8f207173-2068749c.jpg\n']"
s54966187_3,p10337896,s54966187,3,Impression,"In comparison with the study of ___, there is little change. Monitoring and support devices remain in place. Diffuse bilateral pulmonary opacifications persist along with multiple dense calcifications.",Monitoring and support devices remain in place.,,monitoring and support devices,Stable,['files/p10/p10337896/s54966187/aa75e710-aee0e27e-b996e245-8bb737da-caa4ea7a.jpg'],['files/p10/p10337896/s54785280/1cf4fc4f-428e8580-055a5630-45455deb-5c72df9c.jpg\n']
s54966187_3,p10337896,s54966187,3,Impression,"In comparison with the study of ___, there is little change. Monitoring and support devices remain in place. Diffuse bilateral pulmonary opacifications persist along with multiple dense calcifications.","In comparison with the study of ___, there is little change.",,,Stable,['files/p10/p10337896/s54966187/aa75e710-aee0e27e-b996e245-8bb737da-caa4ea7a.jpg'],['files/p10/p10337896/s54785280/1cf4fc4f-428e8580-055a5630-45455deb-5c72df9c.jpg\n']
s54966187_3,p10337896,s54966187,3,Impression,"In comparison with the study of ___, there is little change. Monitoring and support devices remain in place. Diffuse bilateral pulmonary opacifications persist along with multiple dense calcifications.",Diffuse bilateral pulmonary opacifications persist along with multiple dense calcifications.,pulmonary opacifications,bilateral,Stable,['files/p10/p10337896/s54966187/aa75e710-aee0e27e-b996e245-8bb737da-caa4ea7a.jpg'],['files/p10/p10337896/s54785280/1cf4fc4f-428e8580-055a5630-45455deb-5c72df9c.jpg\n']
s54976328_4,p13313381,s54976328,4,Findings,"The left PICC line is again seen approaching the chest wall and enters into a smaller axillary vein. The lungs are clear. The heart size is unchanged. There is no pneumothorax, pulmonary edema, pneumonia, or pleural effusion.",The left PICC line is again seen approaching the chest wall and enters into a smaller axillary vein.,PICC line,left,New,"['files/p13/p13313381/s54976328/6f89762b-7470dad3-738456a1-7eca6b8a-27f96f66.jpg', 'files/p13/p13313381/s54976328/9de9b3d5-52ceaca4-f8dc1eb9-476071b0-39ec7ea0.jpg', 'files/p13/p13313381/s54976328/edf0798f-b3a2fdbf-00c812b0-c8d3b152-10d90abf.jpg']",['files/p13/p13313381/s51193877/e87f90e6-bce5fca4-f56f7269-9dda5b46-e2413c48.jpg\n']
s54976328_4,p13313381,s54976328,4,Findings,"The left PICC line is again seen approaching the chest wall and enters into a smaller axillary vein. The lungs are clear. The heart size is unchanged. There is no pneumothorax, pulmonary edema, pneumonia, or pleural effusion.",The heart size is unchanged.,heart size,,Stable,"['files/p13/p13313381/s54976328/6f89762b-7470dad3-738456a1-7eca6b8a-27f96f66.jpg', 'files/p13/p13313381/s54976328/9de9b3d5-52ceaca4-f8dc1eb9-476071b0-39ec7ea0.jpg', 'files/p13/p13313381/s54976328/edf0798f-b3a2fdbf-00c812b0-c8d3b152-10d90abf.jpg']",['files/p13/p13313381/s51193877/e87f90e6-bce5fca4-f56f7269-9dda5b46-e2413c48.jpg\n']
s54981405_4,p17934731,s54981405,4,Findings,"PA and lateral upright chest radiograph demonstrates severe scoliosis of the thoracic spine, convex to the left. As demonstrated on CT obtained on the same day, there is a large hiatal hernia accounting for retrocardiac opacity. No focal opacities identified concerning for pneumonia. When compared to prior chest radiograph obtained on a ___, there is been little interval change with stable appearance of cardiomediastinal contour, allowing for differences in patient positioning.","When compared to prior chest radiograph obtained on a ___, there is been little interval change with stable appearance of cardiomediastinal contour, allowing for differences in patient positioning.",appearance of cardiomediastinal contour,,Stable,"['files/p17/p17934731/s54981405/62f76a9c-ad970999-824b1a18-304d5277-9d7467ca.jpg', 'files/p17/p17934731/s54981405/dbb5d5c8-c8b687af-eb581dc3-69916e4d-16dcdc9e.jpg']","['files/p17/p17934731/s54358600/04358d55-af10b770-d5efc878-5cb699d1-4c208ccc.jpg\n', 'files/p17/p17934731/s54358600/ac273887-927e791a-6efc8cbb-9e16bd27-f2fc65cc.jpg\n', 'files/p17/p17934731/s54358600/bce446cd-5484d7a1-e01136e6-9239033a-61d060b6.jpg\n', 'files/p17/p17934731/s54358600/eb808317-349b706d-2c307946-be5fc3c1-9ee02e5e.jpg\n']"
s54982764_1,p16615572,s54982764,1,Findings,Post left lobectomy with slight increased prominence of postsurgical scarring from previous examination. Interval increased reticular infiltrate and honeycomb appearance of the right lung base. Pectus excavatum deformity.,Interval increased reticular infiltrate and honeycomb appearance of the right lung base.,honeycomb appearance,right lung base,Worse,"['files/p16/p16615572/s54982764/e201cc97-09508e6a-86aabfaa-71bd9008-6859b9e4.jpg', 'files/p16/p16615572/s54982764/eace0477-37c4a4fd-a3506e90-640be36b-33ed8594.jpg']",
s54982764_1,p16615572,s54982764,1,Findings,Post left lobectomy with slight increased prominence of postsurgical scarring from previous examination. Interval increased reticular infiltrate and honeycomb appearance of the right lung base. Pectus excavatum deformity.,Post left lobectomy with slight increased prominence of postsurgical scarring from previous examination.,postsurgical scarring,left,Worse,"['files/p16/p16615572/s54982764/e201cc97-09508e6a-86aabfaa-71bd9008-6859b9e4.jpg', 'files/p16/p16615572/s54982764/eace0477-37c4a4fd-a3506e90-640be36b-33ed8594.jpg']",
s54982764_1,p16615572,s54982764,1,Impression,Interval increased right reticular infiltrate could represent pneumonia or interstitial lung disease. Noncontrast chest CT is recommended for further characterization.,Interval increased right reticular infiltrate could represent pneumonia or interstitial lung disease.,reticular infiltrate,right,Worse,"['files/p16/p16615572/s54982764/e201cc97-09508e6a-86aabfaa-71bd9008-6859b9e4.jpg', 'files/p16/p16615572/s54982764/eace0477-37c4a4fd-a3506e90-640be36b-33ed8594.jpg']",
s54982764_1,p16615572,s54982764,1,Findings,Post left lobectomy with slight increased prominence of postsurgical scarring from previous examination. Interval increased reticular infiltrate and honeycomb appearance of the right lung base. Pectus excavatum deformity.,Interval increased reticular infiltrate and honeycomb appearance of the right lung base.,reticular infiltrate,right lung base,Worse,"['files/p16/p16615572/s54982764/e201cc97-09508e6a-86aabfaa-71bd9008-6859b9e4.jpg', 'files/p16/p16615572/s54982764/eace0477-37c4a4fd-a3506e90-640be36b-33ed8594.jpg']",
s55015392_27,p17559288,s55015392,27,Findings,"Please note that the lateral aspect of the right chest is excluded from view. The left PICC ends in the upper SVC, unchanged. Multifocal opacities have improved since the ___ chest x-ray. There is no pneumothorax. Cardiomediastinal contours are within normal limits.",Multifocal opacities have improved since the ___ chest x-ray.,multifocal opacities,,Better,['files/p17/p17559288/s55015392/ecf1e9b5-8cd41bf1-aff792ed-9e5aa1f2-8392b988.jpg'],['files/p17/p17559288/s54970629/d295710b-13067198-5224086c-19034f1a-cec8b94f.jpg\n']
s55015392_27,p17559288,s55015392,27,Findings,"Please note that the lateral aspect of the right chest is excluded from view. The left PICC ends in the upper SVC, unchanged. Multifocal opacities have improved since the ___ chest x-ray. There is no pneumothorax. Cardiomediastinal contours are within normal limits.","The left PICC ends in the upper SVC, unchanged.",left PICC position,upper SVC,Stable,['files/p17/p17559288/s55015392/ecf1e9b5-8cd41bf1-aff792ed-9e5aa1f2-8392b988.jpg'],['files/p17/p17559288/s54970629/d295710b-13067198-5224086c-19034f1a-cec8b94f.jpg\n']
s55015392_27,p17559288,s55015392,27,Impression,"1. Left PICC ends in the upper SVC, unchanged in position. 2. Improvement of multifocal opacities when compared to the chest x-ray of ___.",Improvement of multifocal opacities when compared to the chest x-ray of ___.,multifocal opacities,,Better,['files/p17/p17559288/s55015392/ecf1e9b5-8cd41bf1-aff792ed-9e5aa1f2-8392b988.jpg'],['files/p17/p17559288/s54970629/d295710b-13067198-5224086c-19034f1a-cec8b94f.jpg\n']
s55015392_27,p17559288,s55015392,27,Impression,"1. Left PICC ends in the upper SVC, unchanged in position. 2. Improvement of multifocal opacities when compared to the chest x-ray of ___.","Left PICC ends in the upper SVC, unchanged in position.",left PICC position,upper SVC,Stable,['files/p17/p17559288/s55015392/ecf1e9b5-8cd41bf1-aff792ed-9e5aa1f2-8392b988.jpg'],['files/p17/p17559288/s54970629/d295710b-13067198-5224086c-19034f1a-cec8b94f.jpg\n']
s55017393_25,p15911529,s55017393,25,Impression,"In comparison with the study of ___, there has been placement of a right pigtail catheter with substantial reduction in the amount of fluid within the right pleural space. No evidence of pneumothorax. Remainder of the study is unchanged.","In comparison with the study of ___, there has been placement of a right pigtail catheter with substantial reduction in the amount of fluid within the right pleural space.",fluid,right pleural space,Better,['files/p15/p15911529/s55017393/4f1666fe-eb70e076-c045bd55-4a13ebea-89f70922.jpg'],['files/p15/p15911529/s54368456/51314394-a4c9c16e-9c4046f5-27fb7589-de68759f.jpg\n']
s55018013_3,p10198310,s55018013,3,Impression,"Compared to chest radiographs since ___, most recently ___ and postoperative radiographs ___. Since ___, pulmonary vascular congestion has improved, mild pulmonary edema has resolved, but severe cardiomegaly is stable. Pleural effusions are small if any. No pneumothorax. 3 transvenous atrioventricular pacer leads, at least 2 of which are or found are unchanged in their respective positions since ___. 2 new epicardial leads project over the left heart border. New left pleural thickening partially hidden by the new left pectoral generator is a probably a small amount of bleeding associated with lead placement. There is no mediastinal widening or pneumothorax. Lungs are low in volume but clear of any focal abnormality.",2 new epicardial leads project over the left heart border.,Epicardial leads,Left heart border,New,['files/p10/p10198310/s55018013/769fd8c6-0c20f1bf-86fa9850-b0b58e74-054967d1.jpg'],"['files/p10/p10198310/s54296371/5a8fcedb-981bd585-b30bbaba-5e36877b-1546d35c.jpg\n', 'files/p10/p10198310/s54296371/c4231749-4328dd96-eabe1197-d473f365-9b6602bc.jpg\n']"
s55018013_3,p10198310,s55018013,3,Impression,"Compared to chest radiographs since ___, most recently ___ and postoperative radiographs ___. Since ___, pulmonary vascular congestion has improved, mild pulmonary edema has resolved, but severe cardiomegaly is stable. Pleural effusions are small if any. No pneumothorax. 3 transvenous atrioventricular pacer leads, at least 2 of which are or found are unchanged in their respective positions since ___. 2 new epicardial leads project over the left heart border. New left pleural thickening partially hidden by the new left pectoral generator is a probably a small amount of bleeding associated with lead placement. There is no mediastinal widening or pneumothorax. Lungs are low in volume but clear of any focal abnormality.",New left pleural thickening partially hidden by the new left pectoral generator is a probably a small amount of bleeding associated with lead placement.,Thickening,Left pleural,New,['files/p10/p10198310/s55018013/769fd8c6-0c20f1bf-86fa9850-b0b58e74-054967d1.jpg'],"['files/p10/p10198310/s54296371/5a8fcedb-981bd585-b30bbaba-5e36877b-1546d35c.jpg\n', 'files/p10/p10198310/s54296371/c4231749-4328dd96-eabe1197-d473f365-9b6602bc.jpg\n']"
s55018013_3,p10198310,s55018013,3,Impression,"Compared to chest radiographs since ___, most recently ___ and postoperative radiographs ___. Since ___, pulmonary vascular congestion has improved, mild pulmonary edema has resolved, but severe cardiomegaly is stable. Pleural effusions are small if any. No pneumothorax. 3 transvenous atrioventricular pacer leads, at least 2 of which are or found are unchanged in their respective positions since ___. 2 new epicardial leads project over the left heart border. New left pleural thickening partially hidden by the new left pectoral generator is a probably a small amount of bleeding associated with lead placement. There is no mediastinal widening or pneumothorax. Lungs are low in volume but clear of any focal abnormality.","Compared to chest radiographs since ___, most recently ___ and postoperative radiographs ___. Since ___, pulmonary vascular congestion has improved, mild pulmonary edema has resolved, but severe cardiomegaly is stable.",Cardiomegaly,Heart,Stable,['files/p10/p10198310/s55018013/769fd8c6-0c20f1bf-86fa9850-b0b58e74-054967d1.jpg'],"['files/p10/p10198310/s54296371/5a8fcedb-981bd585-b30bbaba-5e36877b-1546d35c.jpg\n', 'files/p10/p10198310/s54296371/c4231749-4328dd96-eabe1197-d473f365-9b6602bc.jpg\n']"
s55018013_3,p10198310,s55018013,3,Impression,"Compared to chest radiographs since ___, most recently ___ and postoperative radiographs ___. Since ___, pulmonary vascular congestion has improved, mild pulmonary edema has resolved, but severe cardiomegaly is stable. Pleural effusions are small if any. No pneumothorax. 3 transvenous atrioventricular pacer leads, at least 2 of which are or found are unchanged in their respective positions since ___. 2 new epicardial leads project over the left heart border. New left pleural thickening partially hidden by the new left pectoral generator is a probably a small amount of bleeding associated with lead placement. There is no mediastinal widening or pneumothorax. Lungs are low in volume but clear of any focal abnormality.","Compared to chest radiographs since ___, most recently ___ and postoperative radiographs ___. Since ___, pulmonary vascular congestion has improved, mild pulmonary edema has resolved, but severe cardiomegaly is stable.",Vascular congestion,Pulmonary,Better,['files/p10/p10198310/s55018013/769fd8c6-0c20f1bf-86fa9850-b0b58e74-054967d1.jpg'],"['files/p10/p10198310/s54296371/5a8fcedb-981bd585-b30bbaba-5e36877b-1546d35c.jpg\n', 'files/p10/p10198310/s54296371/c4231749-4328dd96-eabe1197-d473f365-9b6602bc.jpg\n']"
s55018013_3,p10198310,s55018013,3,Impression,"Compared to chest radiographs since ___, most recently ___ and postoperative radiographs ___. Since ___, pulmonary vascular congestion has improved, mild pulmonary edema has resolved, but severe cardiomegaly is stable. Pleural effusions are small if any. No pneumothorax. 3 transvenous atrioventricular pacer leads, at least 2 of which are or found are unchanged in their respective positions since ___. 2 new epicardial leads project over the left heart border. New left pleural thickening partially hidden by the new left pectoral generator is a probably a small amount of bleeding associated with lead placement. There is no mediastinal widening or pneumothorax. Lungs are low in volume but clear of any focal abnormality.",New left pleural thickening partially hidden by the new left pectoral generator is a probably a small amount of bleeding associated with lead placement.,Generator,Left pectoral,New,['files/p10/p10198310/s55018013/769fd8c6-0c20f1bf-86fa9850-b0b58e74-054967d1.jpg'],"['files/p10/p10198310/s54296371/5a8fcedb-981bd585-b30bbaba-5e36877b-1546d35c.jpg\n', 'files/p10/p10198310/s54296371/c4231749-4328dd96-eabe1197-d473f365-9b6602bc.jpg\n']"
s55018013_3,p10198310,s55018013,3,Impression,"Compared to chest radiographs since ___, most recently ___ and postoperative radiographs ___. Since ___, pulmonary vascular congestion has improved, mild pulmonary edema has resolved, but severe cardiomegaly is stable. Pleural effusions are small if any. No pneumothorax. 3 transvenous atrioventricular pacer leads, at least 2 of which are or found are unchanged in their respective positions since ___. 2 new epicardial leads project over the left heart border. New left pleural thickening partially hidden by the new left pectoral generator is a probably a small amount of bleeding associated with lead placement. There is no mediastinal widening or pneumothorax. Lungs are low in volume but clear of any focal abnormality.","3 transvenous atrioventricular pacer leads, at least 2 of which are or found are unchanged in their respective positions since ___.",Pacer leads,Transvenous atrioventricular,Stable,['files/p10/p10198310/s55018013/769fd8c6-0c20f1bf-86fa9850-b0b58e74-054967d1.jpg'],"['files/p10/p10198310/s54296371/5a8fcedb-981bd585-b30bbaba-5e36877b-1546d35c.jpg\n', 'files/p10/p10198310/s54296371/c4231749-4328dd96-eabe1197-d473f365-9b6602bc.jpg\n']"
s55018013_3,p10198310,s55018013,3,Impression,"Compared to chest radiographs since ___, most recently ___ and postoperative radiographs ___. Since ___, pulmonary vascular congestion has improved, mild pulmonary edema has resolved, but severe cardiomegaly is stable. Pleural effusions are small if any. No pneumothorax. 3 transvenous atrioventricular pacer leads, at least 2 of which are or found are unchanged in their respective positions since ___. 2 new epicardial leads project over the left heart border. New left pleural thickening partially hidden by the new left pectoral generator is a probably a small amount of bleeding associated with lead placement. There is no mediastinal widening or pneumothorax. Lungs are low in volume but clear of any focal abnormality.","Compared to chest radiographs since ___, most recently ___ and postoperative radiographs ___. Since ___, pulmonary vascular congestion has improved, mild pulmonary edema has resolved, but severe cardiomegaly is stable.",Edema,Pulmonary,Resolve,['files/p10/p10198310/s55018013/769fd8c6-0c20f1bf-86fa9850-b0b58e74-054967d1.jpg'],"['files/p10/p10198310/s54296371/5a8fcedb-981bd585-b30bbaba-5e36877b-1546d35c.jpg\n', 'files/p10/p10198310/s54296371/c4231749-4328dd96-eabe1197-d473f365-9b6602bc.jpg\n']"
s55022783_2,p10337896,s55022783,2,Impression,"In comparison with the earlier study of this day, the monitoring and support devices are unchanged diffuse pulmonary opacification is processed and may be more prominent in the left base, suggesting some layering pleural effusion. .","In comparison with the earlier study of this day, the monitoring and support devices are unchanged diffuse pulmonary opacification is processed and may be more prominent in the left base, suggesting some layering pleural effusion.",,monitoring and support devices,Stable,['files/p10/p10337896/s55022783/8c563705-ea74b74f-c379e0f7-91cd0b0e-b7ed81d8.jpg'],['files/p10/p10337896/s54966187/aa75e710-aee0e27e-b996e245-8bb737da-caa4ea7a.jpg\n']
s55034479_0,p13312840,s55034479,0,Impression,"Heart size and mediastinum are stable. There is a right upper lobe opacity, concerning for right upper lobe pneumonia. Questionable paramediastinal opacity in the left upper lobe is noted as well. There is no pleural effusion or pneumothorax.",Heart size and mediastinum are stable.,Heart size and mediastinum,,Stable,"['files/p13/p13312840/s55034479/764b126d-d739f402-f9aeef69-4269b29e-3d4e8d13.jpg', 'files/p13/p13312840/s55034479/a1a5ef58-0de8e5da-bc54d948-c5fcfe48-3232203b.jpg']",['files/p13/p13312840/s54588794/8950f771-ba1f85b9-43178d85-6143c89f-ee7be17d.jpg\n']
s55041813_2,p11619788,s55041813,2,Impression,"Interval withdrawal of PICC line now terminating in the upper SVC. Otherwise, unchanged exam. No fluid overload or pneumonia.",Interval withdrawal of PICC line now terminating in the upper SVC.,PICC line,upper SVC,Resolve,"['files/p11/p11619788/s55041813/63422ad6-e1977068-64602147-0409a128-76499d3c.jpg', 'files/p11/p11619788/s55041813/a305262a-fc35773c-be68cd0d-b834e2ec-80646749.jpg']",['files/p11/p11619788/s52904178/268224a0-f4db4bc6-9f5606f0-6a333f24-ace4e910.jpg\n']
s55041813_2,p11619788,s55041813,2,Findings,Semi-upright portable frontal chest radiograph demonstrates interval withdrawal of right-sided PICC line now terminating in the upper SVC. Cardiomediastinal and hilar contours are unremarkable. Stable platelike atelectasis in the bilateral lung bases. No focal opacification concerning for pneumonia. No pleural effusion or pneumothorax. No osseous abnormality present.,Stable platelike atelectasis in the bilateral lung bases.,platelike atelectasis,bilateral lung bases,Stable,"['files/p11/p11619788/s55041813/63422ad6-e1977068-64602147-0409a128-76499d3c.jpg', 'files/p11/p11619788/s55041813/a305262a-fc35773c-be68cd0d-b834e2ec-80646749.jpg']",['files/p11/p11619788/s52904178/268224a0-f4db4bc6-9f5606f0-6a333f24-ace4e910.jpg\n']
s55041813_2,p11619788,s55041813,2,Findings,Semi-upright portable frontal chest radiograph demonstrates interval withdrawal of right-sided PICC line now terminating in the upper SVC. Cardiomediastinal and hilar contours are unremarkable. Stable platelike atelectasis in the bilateral lung bases. No focal opacification concerning for pneumonia. No pleural effusion or pneumothorax. No osseous abnormality present.,Semi-upright portable frontal chest radiograph demonstrates interval withdrawal of right-sided PICC line now terminating in the upper SVC.,PICC line,right-sided,Resolve,"['files/p11/p11619788/s55041813/63422ad6-e1977068-64602147-0409a128-76499d3c.jpg', 'files/p11/p11619788/s55041813/a305262a-fc35773c-be68cd0d-b834e2ec-80646749.jpg']",['files/p11/p11619788/s52904178/268224a0-f4db4bc6-9f5606f0-6a333f24-ace4e910.jpg\n']
s55045318_11,p17055995,s55045318,11,Findings,"Single portable frontal chest radiograph demonstrates well-expanded lungs. Heart is normal in size, and cardiomediastinal contours are unremarkable. There is no pleural effusion or pneumothorax. Small calcified granulomas are again noted. The lungs are otherwise clear. Lower cervical fusion hardware noted.",Small calcified granulomas are again noted.,Small calcified granulomas,,Stable,['files/p17/p17055995/s55045318/04ac83c1-740154cd-378f0bed-f4615e94-8e883aaa.jpg'],['files/p17/p17055995/s54934752/d3b0b262-df43c83c-79c07524-fa37aa2e-c76d7762.jpg\n']
s55060173_8,p19112585,s55060173,8,Impression,"Feeding tube courses below the diaphragm with tip not identified. Right internal jugular Swan-Ganz catheter has its tip in the right pulmonary outflow tract. Status post median sternotomy with expected stable postoperative cardiac and mediastinal contours. Interval worsening of moderate pulmonary edema; an infectious process would be less likely. Probable layering effusions, left greater than right. No pneumothorax.",Interval worsening of moderate pulmonary edema; an infectious process would be less likely.,Moderate pulmonary edema,,Worse,['files/p19/p19112585/s55060173/a5ccbb4c-fe240b55-19cfa1a7-48bc782d-22e7841a.jpg'],['files/p19/p19112585/s54898602/d6b8c37f-5e300c14-2ef5df39-9a6aaed8-96b5e681.jpg\n']
s55060173_8,p19112585,s55060173,8,Impression,"Feeding tube courses below the diaphragm with tip not identified. Right internal jugular Swan-Ganz catheter has its tip in the right pulmonary outflow tract. Status post median sternotomy with expected stable postoperative cardiac and mediastinal contours. Interval worsening of moderate pulmonary edema; an infectious process would be less likely. Probable layering effusions, left greater than right. No pneumothorax.",Status post median sternotomy with expected stable postoperative cardiac and mediastinal contours.,Postoperative cardiac and mediastinal contours,,Stable,['files/p19/p19112585/s55060173/a5ccbb4c-fe240b55-19cfa1a7-48bc782d-22e7841a.jpg'],['files/p19/p19112585/s54898602/d6b8c37f-5e300c14-2ef5df39-9a6aaed8-96b5e681.jpg\n']
s55070875_10,p10337896,s55070875,10,Findings,"The NG tube not well visualized, but may pass into the abdomen. Diffuse bilateral pulmonary opacifications are again seen, unchanged from prior exam. ET tube and right IJ central line are in stable position from prior exam.",ET tube and right IJ central line are in stable position from prior exam.,IJ central line,right,Stable,"['files/p10/p10337896/s55070875/3eb3bf96-c5401aea-07178eee-c43e5e80-600f6a33.jpg', 'files/p10/p10337896/s55070875/44bec237-520a0e5b-80e20d64-2c0a9036-c8766a81.jpg']",['files/p10/p10337896/s55022783/8c563705-ea74b74f-c379e0f7-91cd0b0e-b7ed81d8.jpg\n']
s55070875_10,p10337896,s55070875,10,Findings,"The NG tube not well visualized, but may pass into the abdomen. Diffuse bilateral pulmonary opacifications are again seen, unchanged from prior exam. ET tube and right IJ central line are in stable position from prior exam.","Diffuse bilateral pulmonary opacifications are again seen, unchanged from prior exam.",pulmonary opacifications,bilateral,Stable,"['files/p10/p10337896/s55070875/3eb3bf96-c5401aea-07178eee-c43e5e80-600f6a33.jpg', 'files/p10/p10337896/s55070875/44bec237-520a0e5b-80e20d64-2c0a9036-c8766a81.jpg']",['files/p10/p10337896/s55022783/8c563705-ea74b74f-c379e0f7-91cd0b0e-b7ed81d8.jpg\n']
s55075981_5,p14798972,s55075981,5,Findings,"Compared to the previous radiograph, the right-sided pigtail catheter has been removed. There is an unchanged right apical pneumothorax without evidence of tension and a relatively extensive soft tissue air collection right laterally. The position and course of the right Port-A-Cath is unchanged. Unchanged appearance of the left lung with areas of basal plate-like atelectasis.","Compared to the previous radiograph, the right-sided pigtail catheter has been removed.",pigtail catheter,right-sided,Resolve,"['files/p14/p14798972/s55075981/5c2bd6fe-31eb3d79-ac068cea-ef620dc5-26402554.jpg', 'files/p14/p14798972/s55075981/e6bf5735-38a4236f-76e4fe05-4f4789bc-5c0b3e1d.jpg']",['files/p14/p14798972/s54849350/feeb7dc4-beddb481-54e49f5e-f8d3d074-dde2412d.jpg\n']
s55075981_5,p14798972,s55075981,5,Findings,"Compared to the previous radiograph, the right-sided pigtail catheter has been removed. There is an unchanged right apical pneumothorax without evidence of tension and a relatively extensive soft tissue air collection right laterally. The position and course of the right Port-A-Cath is unchanged. Unchanged appearance of the left lung with areas of basal plate-like atelectasis.",There is an unchanged right apical pneumothorax without evidence of tension and a relatively extensive soft tissue air collection right laterally.,pneumothorax,right apical,Stable,"['files/p14/p14798972/s55075981/5c2bd6fe-31eb3d79-ac068cea-ef620dc5-26402554.jpg', 'files/p14/p14798972/s55075981/e6bf5735-38a4236f-76e4fe05-4f4789bc-5c0b3e1d.jpg']",['files/p14/p14798972/s54849350/feeb7dc4-beddb481-54e49f5e-f8d3d074-dde2412d.jpg\n']
s55075981_5,p14798972,s55075981,5,Findings,"Compared to the previous radiograph, the right-sided pigtail catheter has been removed. There is an unchanged right apical pneumothorax without evidence of tension and a relatively extensive soft tissue air collection right laterally. The position and course of the right Port-A-Cath is unchanged. Unchanged appearance of the left lung with areas of basal plate-like atelectasis.",There is an unchanged right apical pneumothorax without evidence of tension and a relatively extensive soft tissue air collection right laterally.,soft tissue air collection,right laterally,Stable,"['files/p14/p14798972/s55075981/5c2bd6fe-31eb3d79-ac068cea-ef620dc5-26402554.jpg', 'files/p14/p14798972/s55075981/e6bf5735-38a4236f-76e4fe05-4f4789bc-5c0b3e1d.jpg']",['files/p14/p14798972/s54849350/feeb7dc4-beddb481-54e49f5e-f8d3d074-dde2412d.jpg\n']
s55075981_5,p14798972,s55075981,5,Findings,"Compared to the previous radiograph, the right-sided pigtail catheter has been removed. There is an unchanged right apical pneumothorax without evidence of tension and a relatively extensive soft tissue air collection right laterally. The position and course of the right Port-A-Cath is unchanged. Unchanged appearance of the left lung with areas of basal plate-like atelectasis.",Unchanged appearance of the left lung with areas of basal plate-like atelectasis.,basal plate-like atelectasis,left lung,Stable,"['files/p14/p14798972/s55075981/5c2bd6fe-31eb3d79-ac068cea-ef620dc5-26402554.jpg', 'files/p14/p14798972/s55075981/e6bf5735-38a4236f-76e4fe05-4f4789bc-5c0b3e1d.jpg']",['files/p14/p14798972/s54849350/feeb7dc4-beddb481-54e49f5e-f8d3d074-dde2412d.jpg\n']
s55075981_5,p14798972,s55075981,5,Findings,"Compared to the previous radiograph, the right-sided pigtail catheter has been removed. There is an unchanged right apical pneumothorax without evidence of tension and a relatively extensive soft tissue air collection right laterally. The position and course of the right Port-A-Cath is unchanged. Unchanged appearance of the left lung with areas of basal plate-like atelectasis.",The position and course of the right Port-A-Cath is unchanged.,Port-A-Cath,right,Stable,"['files/p14/p14798972/s55075981/5c2bd6fe-31eb3d79-ac068cea-ef620dc5-26402554.jpg', 'files/p14/p14798972/s55075981/e6bf5735-38a4236f-76e4fe05-4f4789bc-5c0b3e1d.jpg']",['files/p14/p14798972/s54849350/feeb7dc4-beddb481-54e49f5e-f8d3d074-dde2412d.jpg\n']
s55077682_6,p12669344,s55077682,6,Impression,Nasogastric tube is seen coursing below the diaphragm with the tip not identified. Endotracheal tube has its tip approximately 5 cm above the carina. The heart remains enlarged. Interstitial edema has slightly improved. Small right pleural effusion. No pneumothorax.,Interstitial edema has slightly improved.,Edema,Interstitial,Better,"['files/p12/p12669344/s55077682/b606c5ab-1f7c5020-53941bec-8f32fed0-249da9f6.jpg', 'files/p12/p12669344/s55077682/c3dccd75-321d490b-d282ea11-4da8be1c-6f83adb4.jpg']",['files/p12/p12669344/s53588397/d88bc850-2681d230-e2d3bc84-ba0996c2-078fe63b.jpg\n']
s55077682_6,p12669344,s55077682,6,Impression,Nasogastric tube is seen coursing below the diaphragm with the tip not identified. Endotracheal tube has its tip approximately 5 cm above the carina. The heart remains enlarged. Interstitial edema has slightly improved. Small right pleural effusion. No pneumothorax.,The heart remains enlarged.,Cardiomegaly,,Stable,"['files/p12/p12669344/s55077682/b606c5ab-1f7c5020-53941bec-8f32fed0-249da9f6.jpg', 'files/p12/p12669344/s55077682/c3dccd75-321d490b-d282ea11-4da8be1c-6f83adb4.jpg']",['files/p12/p12669344/s53588397/d88bc850-2681d230-e2d3bc84-ba0996c2-078fe63b.jpg\n']
s55083011_2,p17660889,s55083011,2,Impression,"Moderate-to-severe cardiomegaly and mild pulmonary edema, slightly improved since yesterday.","Moderate-to-severe cardiomegaly and mild pulmonary edema, slightly improved since yesterday.",mild pulmonary edema,,Better,['files/p17/p17660889/s55083011/84f56140-5f674b67-4431f058-4752511b-24be0d89.jpg'],['files/p17/p17660889/s54985815/2bba3f51-24971b01-0e8a666e-dedf8909-61742c95.jpg\n']
s55083011_2,p17660889,s55083011,2,Findings,"There is moderate-to-severe cardiomegaly with moderate pulmonary edema, slightly improved compared to yesterday. There is minimal blunting of the costophrenic angles, consistent with small pleural effusions. A right subclavian hemodialysis catheter is at the distal SVC. No pneumothorax. There are no concerning lung consolidations.","There is moderate-to-severe cardiomegaly with moderate pulmonary edema, slightly improved compared to yesterday.",moderate pulmonary edema,,Better,['files/p17/p17660889/s55083011/84f56140-5f674b67-4431f058-4752511b-24be0d89.jpg'],['files/p17/p17660889/s54985815/2bba3f51-24971b01-0e8a666e-dedf8909-61742c95.jpg\n']
s55083011_2,p17660889,s55083011,2,Impression,"Moderate-to-severe cardiomegaly and mild pulmonary edema, slightly improved since yesterday.","Moderate-to-severe cardiomegaly and mild pulmonary edema, slightly improved since yesterday.",moderate-to-severe cardiomegaly,,Better,['files/p17/p17660889/s55083011/84f56140-5f674b67-4431f058-4752511b-24be0d89.jpg'],['files/p17/p17660889/s54985815/2bba3f51-24971b01-0e8a666e-dedf8909-61742c95.jpg\n']
s55083011_2,p17660889,s55083011,2,Findings,"There is moderate-to-severe cardiomegaly with moderate pulmonary edema, slightly improved compared to yesterday. There is minimal blunting of the costophrenic angles, consistent with small pleural effusions. A right subclavian hemodialysis catheter is at the distal SVC. No pneumothorax. There are no concerning lung consolidations.","There is moderate-to-severe cardiomegaly with moderate pulmonary edema, slightly improved compared to yesterday.",moderate-to-severe cardiomegaly,,Better,['files/p17/p17660889/s55083011/84f56140-5f674b67-4431f058-4752511b-24be0d89.jpg'],['files/p17/p17660889/s54985815/2bba3f51-24971b01-0e8a666e-dedf8909-61742c95.jpg\n']
s55084779_5,p14544801,s55084779,5,Findings,"There has been interval placement of a left internal jugular central line, which is seen crossing the midline. Given patient rotation, position of the catheter tip is limited although it appears to terminate in the region of the left brachiocephalic vein or the superior SVC. Otherwise, there has been no significant interval change with prior study.","There has been interval placement of a left internal jugular central line, which is seen crossing the midline.",central line,left internal jugular,New,['files/p14/p14544801/s55084779/d1311bd6-e306d59e-a79f3f57-df18a30e-bf78423b.jpg'],['files/p14/p14544801/s53498120/1e200bbf-a4a3f4ef-5f5971f8-e0280c38-c5d317ef.jpg\n']
s55084779_5,p14544801,s55084779,5,Impression,New left IJ central line seen crossing the midline and terminating either within the left brachiocephalic or the upper SVC. Evaluation limited due to rotated position.,New left IJ central line seen crossing the midline and terminating either within the left brachiocephalic or the upper SVC.,central line,left IJ,New,['files/p14/p14544801/s55084779/d1311bd6-e306d59e-a79f3f57-df18a30e-bf78423b.jpg'],['files/p14/p14544801/s53498120/1e200bbf-a4a3f4ef-5f5971f8-e0280c38-c5d317ef.jpg\n']
s55091382_2,p10308375,s55091382,2,Findings,"Interval increase in moderate-sized right pleural effusion, and right lower lobe opacity with new right upper lobe heterogeneous opacity. Unchanged left apical pleural thickening and scarring. No interval change in the dense retrocardiac opacity obscuring the left hemidiaphragm which represents a Bochdalek hernia. No pneumothorax or pulmonary edema. Heart size is partially obscured by the pleural parenchymal process. Mediastinal contour and hila are normal. No bony abnormality.","Interval increase in moderate-sized right pleural effusion, and right lower lobe opacity with new right upper lobe heterogeneous opacity.",opacity,right lower lobe,Worse,['files/p10/p10308375/s55091382/42fb9144-0cd336f1-4e3ecd64-a3e859ef-2647d4b0.jpg'],['files/p10/p10308375/s52139824/53f5b331-b246e0f1-f7e1d461-eb3139a0-caf707e0.jpg\n']
s55091382_2,p10308375,s55091382,2,Findings,"Interval increase in moderate-sized right pleural effusion, and right lower lobe opacity with new right upper lobe heterogeneous opacity. Unchanged left apical pleural thickening and scarring. No interval change in the dense retrocardiac opacity obscuring the left hemidiaphragm which represents a Bochdalek hernia. No pneumothorax or pulmonary edema. Heart size is partially obscured by the pleural parenchymal process. Mediastinal contour and hila are normal. No bony abnormality.",No interval change in the dense retrocardiac opacity obscuring the left hemidiaphragm which represents a Bochdalek hernia.,Bochdalek hernia,left hemidiaphragm,Stable,['files/p10/p10308375/s55091382/42fb9144-0cd336f1-4e3ecd64-a3e859ef-2647d4b0.jpg'],['files/p10/p10308375/s52139824/53f5b331-b246e0f1-f7e1d461-eb3139a0-caf707e0.jpg\n']
s55091382_2,p10308375,s55091382,2,Findings,"Interval increase in moderate-sized right pleural effusion, and right lower lobe opacity with new right upper lobe heterogeneous opacity. Unchanged left apical pleural thickening and scarring. No interval change in the dense retrocardiac opacity obscuring the left hemidiaphragm which represents a Bochdalek hernia. No pneumothorax or pulmonary edema. Heart size is partially obscured by the pleural parenchymal process. Mediastinal contour and hila are normal. No bony abnormality.","Interval increase in moderate-sized right pleural effusion, and right lower lobe opacity with new right upper lobe heterogeneous opacity.",heterogeneous opacity,right upper lobe,New,['files/p10/p10308375/s55091382/42fb9144-0cd336f1-4e3ecd64-a3e859ef-2647d4b0.jpg'],['files/p10/p10308375/s52139824/53f5b331-b246e0f1-f7e1d461-eb3139a0-caf707e0.jpg\n']
s55091382_2,p10308375,s55091382,2,Findings,"Interval increase in moderate-sized right pleural effusion, and right lower lobe opacity with new right upper lobe heterogeneous opacity. Unchanged left apical pleural thickening and scarring. No interval change in the dense retrocardiac opacity obscuring the left hemidiaphragm which represents a Bochdalek hernia. No pneumothorax or pulmonary edema. Heart size is partially obscured by the pleural parenchymal process. Mediastinal contour and hila are normal. No bony abnormality.",Unchanged left apical pleural thickening and scarring.,pleural thickening and scarring,left apical,Stable,['files/p10/p10308375/s55091382/42fb9144-0cd336f1-4e3ecd64-a3e859ef-2647d4b0.jpg'],['files/p10/p10308375/s52139824/53f5b331-b246e0f1-f7e1d461-eb3139a0-caf707e0.jpg\n']
s55091382_2,p10308375,s55091382,2,Findings,"Interval increase in moderate-sized right pleural effusion, and right lower lobe opacity with new right upper lobe heterogeneous opacity. Unchanged left apical pleural thickening and scarring. No interval change in the dense retrocardiac opacity obscuring the left hemidiaphragm which represents a Bochdalek hernia. No pneumothorax or pulmonary edema. Heart size is partially obscured by the pleural parenchymal process. Mediastinal contour and hila are normal. No bony abnormality.","Interval increase in moderate-sized right pleural effusion, and right lower lobe opacity with new right upper lobe heterogeneous opacity.",moderate-sized effusion,right pleural,Worse,['files/p10/p10308375/s55091382/42fb9144-0cd336f1-4e3ecd64-a3e859ef-2647d4b0.jpg'],['files/p10/p10308375/s52139824/53f5b331-b246e0f1-f7e1d461-eb3139a0-caf707e0.jpg\n']
s55091382_2,p10308375,s55091382,2,Impression,1. Interval increase in moderate-sized right pleural effusion. 2. Worsening right lower lobe opacity and new right upper lobe opacity are likely due to evolving pneumonia or aspiration. Results were conveyed via telephone to primary team by Dr. ___ on ___ at 3:40 p.m. within 5 minutes of observation of findings.,2. Worsening right lower lobe opacity and new right upper lobe opacity are likely due to evolving pneumonia or aspiration.,opacity,right upper lobe,New,['files/p10/p10308375/s55091382/42fb9144-0cd336f1-4e3ecd64-a3e859ef-2647d4b0.jpg'],['files/p10/p10308375/s52139824/53f5b331-b246e0f1-f7e1d461-eb3139a0-caf707e0.jpg\n']
s55091382_2,p10308375,s55091382,2,Impression,1. Interval increase in moderate-sized right pleural effusion. 2. Worsening right lower lobe opacity and new right upper lobe opacity are likely due to evolving pneumonia or aspiration. Results were conveyed via telephone to primary team by Dr. ___ on ___ at 3:40 p.m. within 5 minutes of observation of findings.,1. Interval increase in moderate-sized right pleural effusion.,moderate-sized effusion,right pleural,Worse,['files/p10/p10308375/s55091382/42fb9144-0cd336f1-4e3ecd64-a3e859ef-2647d4b0.jpg'],['files/p10/p10308375/s52139824/53f5b331-b246e0f1-f7e1d461-eb3139a0-caf707e0.jpg\n']
s55091382_2,p10308375,s55091382,2,Impression,1. Interval increase in moderate-sized right pleural effusion. 2. Worsening right lower lobe opacity and new right upper lobe opacity are likely due to evolving pneumonia or aspiration. Results were conveyed via telephone to primary team by Dr. ___ on ___ at 3:40 p.m. within 5 minutes of observation of findings.,2. Worsening right lower lobe opacity and new right upper lobe opacity are likely due to evolving pneumonia or aspiration.,opacity,right lower lobe,Worse,['files/p10/p10308375/s55091382/42fb9144-0cd336f1-4e3ecd64-a3e859ef-2647d4b0.jpg'],['files/p10/p10308375/s52139824/53f5b331-b246e0f1-f7e1d461-eb3139a0-caf707e0.jpg\n']
s55093079_25,p18057037,s55093079,25,Findings,"In comparison with study of ___, there are continued relatively low lung volumes with bilateral pleural effusions, more prominent on the right, with compressive atelectasis at the bases. Some elevation of pulmonary vascularity is seen. The left lung is essentially clear. Given the low lung volumes and effusion on the right, it would be difficult to exclude supervening pneumonia in the appropriate clinical scenario. Of incidental note is an apparent curvilinear opacification just above the right humeral head, worrisome for calcific tendinosis in the rotator cuff or calcific deposits in the deltoid bursa.","In comparison with study of ___, there are continued relatively low lung volumes with bilateral pleural effusions, more prominent on the right, with compressive atelectasis at the bases.",compressive atelectasis,bases,Stable,"['files/p18/p18057037/s55093079/3e62f3d0-8224f098-53a93d9b-0a0996b5-dd85c901.jpg', 'files/p18/p18057037/s55093079/dee24a5d-8e44ec45-f88ab6f6-4846c054-3da6b73d.jpg']","['files/p18/p18057037/s54977618/1b866cfc-75e5f12e-334afb5f-883d5e06-c36184c8.jpg\n', 'files/p18/p18057037/s54977618/7f7e71e7-1a6502df-ceb7b93f-c71d312a-b9fa35ae.jpg\n']"
s55093079_25,p18057037,s55093079,25,Findings,"In comparison with study of ___, there are continued relatively low lung volumes with bilateral pleural effusions, more prominent on the right, with compressive atelectasis at the bases. Some elevation of pulmonary vascularity is seen. The left lung is essentially clear. Given the low lung volumes and effusion on the right, it would be difficult to exclude supervening pneumonia in the appropriate clinical scenario. Of incidental note is an apparent curvilinear opacification just above the right humeral head, worrisome for calcific tendinosis in the rotator cuff or calcific deposits in the deltoid bursa.","In comparison with study of ___, there are continued relatively low lung volumes with bilateral pleural effusions, more prominent on the right, with compressive atelectasis at the bases.",pleural effusions,bilateral,Stable,"['files/p18/p18057037/s55093079/3e62f3d0-8224f098-53a93d9b-0a0996b5-dd85c901.jpg', 'files/p18/p18057037/s55093079/dee24a5d-8e44ec45-f88ab6f6-4846c054-3da6b73d.jpg']","['files/p18/p18057037/s54977618/1b866cfc-75e5f12e-334afb5f-883d5e06-c36184c8.jpg\n', 'files/p18/p18057037/s54977618/7f7e71e7-1a6502df-ceb7b93f-c71d312a-b9fa35ae.jpg\n']"
s55096981_55,p11717909,s55096981,55,Impression,"Multifocal pulmonary consolidation, most pronounced in the right lung, also at the left base, has not worsened. Apparent improvement is probably due to decreased atelectasis and perhaps resolution of a component of pulmonary edema and decrease in moderate right pleural effusion. Moderate cardiomegaly remains.",Moderate cardiomegaly remains.,cardiomegaly,,Stable,['files/p11/p11717909/s55096981/65c1567a-4a7ac3a5-cbd23877-d66c126e-7e188589.jpg'],['files/p11/p11717909/s54458579/dd25eb4c-0385059d-450c8977-dd3049b5-5c1790be.jpg\n']
s55096981_55,p11717909,s55096981,55,Impression,"Multifocal pulmonary consolidation, most pronounced in the right lung, also at the left base, has not worsened. Apparent improvement is probably due to decreased atelectasis and perhaps resolution of a component of pulmonary edema and decrease in moderate right pleural effusion. Moderate cardiomegaly remains.","Multifocal pulmonary consolidation, most pronounced in the right lung, also at the left base, has not worsened.",pulmonary consolidation,"right lung, left base",Stable,['files/p11/p11717909/s55096981/65c1567a-4a7ac3a5-cbd23877-d66c126e-7e188589.jpg'],['files/p11/p11717909/s54458579/dd25eb4c-0385059d-450c8977-dd3049b5-5c1790be.jpg\n']
s55109095_8,p11932181,s55109095,8,Findings,"There is a new left-sided chest tube with interval decrease in the left pleural effusion. On this upright film, the chest tube tip is located high in the thorax, much higher than the majority of the fluid. Post-surgical lobectomy changes are again visualized. There has been interval decrease in the left pneumothorax. The right lung is clear.",There has been interval decrease in the left pneumothorax.,pneumothorax,left,Better,['files/p11/p11932181/s55109095/9f4f2d43-83091dbe-aa72f47e-5d7d06a0-6512aa11.jpg'],"['files/p11/p11932181/s54496719/01426485-8678cd3e-09df30bc-44f2929a-dcae524c.jpg\n', 'files/p11/p11932181/s54496719/2e8f09c5-490b580f-3d8c66a1-baec541c-5a0c5908.jpg\n']"
s55109095_8,p11932181,s55109095,8,Findings,"There is a new left-sided chest tube with interval decrease in the left pleural effusion. On this upright film, the chest tube tip is located high in the thorax, much higher than the majority of the fluid. Post-surgical lobectomy changes are again visualized. There has been interval decrease in the left pneumothorax. The right lung is clear.",Post-surgical lobectomy changes are again visualized.,post-surgical lobectomy changes,,Stable,['files/p11/p11932181/s55109095/9f4f2d43-83091dbe-aa72f47e-5d7d06a0-6512aa11.jpg'],"['files/p11/p11932181/s54496719/01426485-8678cd3e-09df30bc-44f2929a-dcae524c.jpg\n', 'files/p11/p11932181/s54496719/2e8f09c5-490b580f-3d8c66a1-baec541c-5a0c5908.jpg\n']"
s55109095_8,p11932181,s55109095,8,Findings,"There is a new left-sided chest tube with interval decrease in the left pleural effusion. On this upright film, the chest tube tip is located high in the thorax, much higher than the majority of the fluid. Post-surgical lobectomy changes are again visualized. There has been interval decrease in the left pneumothorax. The right lung is clear.",There is a new left-sided chest tube with interval decrease in the left pleural effusion.,chest tube,left-sided,Resolve,['files/p11/p11932181/s55109095/9f4f2d43-83091dbe-aa72f47e-5d7d06a0-6512aa11.jpg'],"['files/p11/p11932181/s54496719/01426485-8678cd3e-09df30bc-44f2929a-dcae524c.jpg\n', 'files/p11/p11932181/s54496719/2e8f09c5-490b580f-3d8c66a1-baec541c-5a0c5908.jpg\n']"
s55109095_8,p11932181,s55109095,8,Findings,"There is a new left-sided chest tube with interval decrease in the left pleural effusion. On this upright film, the chest tube tip is located high in the thorax, much higher than the majority of the fluid. Post-surgical lobectomy changes are again visualized. There has been interval decrease in the left pneumothorax. The right lung is clear.",There is a new left-sided chest tube with interval decrease in the left pleural effusion.,pleural effusion,left,Better,['files/p11/p11932181/s55109095/9f4f2d43-83091dbe-aa72f47e-5d7d06a0-6512aa11.jpg'],"['files/p11/p11932181/s54496719/01426485-8678cd3e-09df30bc-44f2929a-dcae524c.jpg\n', 'files/p11/p11932181/s54496719/2e8f09c5-490b580f-3d8c66a1-baec541c-5a0c5908.jpg\n']"
s55112740_6,p11932181,s55112740,6,Impression,1. Likely unchanged small left apical pneumothorax. 2. Increased left pleural effusion. Unchanged to slightly decreased right pleural effusion. 3. Redemonstration of a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure.,2. Increased left pleural effusion. Unchanged to slightly decreased right pleural effusion.,pleural effusion,left,Worse,"['files/p11/p11932181/s55112740/8ddb63f4-106e50f8-38f5b05c-d7f17419-6515de90.jpg', 'files/p11/p11932181/s55112740/c7a2c5af-3b1a64a5-470827fe-ad59bec3-82fa5c9f.jpg']",['files/p11/p11932181/s55109095/9f4f2d43-83091dbe-aa72f47e-5d7d06a0-6512aa11.jpg\n']
s55112740_6,p11932181,s55112740,6,Findings,"Frontal and lateral chest radiograph again demonstrate a normal cardiomediastinal silhouette and a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure. The left apical pneumothorax is likely unchanged. Minimal increase may be secondary to changes in patient position. There is no right pneumothorax. Again seen are bilateral pleural effusions, the right effusion similar to slightly decreased and the left effusion increased. There is no focal consolidation.",Frontal and lateral chest radiograph again demonstrate a normal cardiomediastinal silhouette and a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure.,atelectasis,right upper lobe adjacent to the fissure,Better,"['files/p11/p11932181/s55112740/8ddb63f4-106e50f8-38f5b05c-d7f17419-6515de90.jpg', 'files/p11/p11932181/s55112740/c7a2c5af-3b1a64a5-470827fe-ad59bec3-82fa5c9f.jpg']",['files/p11/p11932181/s55109095/9f4f2d43-83091dbe-aa72f47e-5d7d06a0-6512aa11.jpg\n']
s55112740_6,p11932181,s55112740,6,Findings,"Frontal and lateral chest radiograph again demonstrate a normal cardiomediastinal silhouette and a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure. The left apical pneumothorax is likely unchanged. Minimal increase may be secondary to changes in patient position. There is no right pneumothorax. Again seen are bilateral pleural effusions, the right effusion similar to slightly decreased and the left effusion increased. There is no focal consolidation.",The left apical pneumothorax is likely unchanged.,pneumothorax,left apical,Stable,"['files/p11/p11932181/s55112740/8ddb63f4-106e50f8-38f5b05c-d7f17419-6515de90.jpg', 'files/p11/p11932181/s55112740/c7a2c5af-3b1a64a5-470827fe-ad59bec3-82fa5c9f.jpg']",['files/p11/p11932181/s55109095/9f4f2d43-83091dbe-aa72f47e-5d7d06a0-6512aa11.jpg\n']
s55112740_6,p11932181,s55112740,6,Findings,"Frontal and lateral chest radiograph again demonstrate a normal cardiomediastinal silhouette and a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure. The left apical pneumothorax is likely unchanged. Minimal increase may be secondary to changes in patient position. There is no right pneumothorax. Again seen are bilateral pleural effusions, the right effusion similar to slightly decreased and the left effusion increased. There is no focal consolidation.","Again seen are bilateral pleural effusions, the right effusion similar to slightly decreased and the left effusion increased.",pleural effusion,right,Stable,"['files/p11/p11932181/s55112740/8ddb63f4-106e50f8-38f5b05c-d7f17419-6515de90.jpg', 'files/p11/p11932181/s55112740/c7a2c5af-3b1a64a5-470827fe-ad59bec3-82fa5c9f.jpg']",['files/p11/p11932181/s55109095/9f4f2d43-83091dbe-aa72f47e-5d7d06a0-6512aa11.jpg\n']
s55112740_6,p11932181,s55112740,6,Impression,1. Likely unchanged small left apical pneumothorax. 2. Increased left pleural effusion. Unchanged to slightly decreased right pleural effusion. 3. Redemonstration of a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure.,2. Increased left pleural effusion. Unchanged to slightly decreased right pleural effusion.,pleural effusion,right,Stable,"['files/p11/p11932181/s55112740/8ddb63f4-106e50f8-38f5b05c-d7f17419-6515de90.jpg', 'files/p11/p11932181/s55112740/c7a2c5af-3b1a64a5-470827fe-ad59bec3-82fa5c9f.jpg']",['files/p11/p11932181/s55109095/9f4f2d43-83091dbe-aa72f47e-5d7d06a0-6512aa11.jpg\n']
s55112740_6,p11932181,s55112740,6,Impression,1. Likely unchanged small left apical pneumothorax. 2. Increased left pleural effusion. Unchanged to slightly decreased right pleural effusion. 3. Redemonstration of a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure.,3. Redemonstration of a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure.,atelectasis,right upper lobe adjacent to the fissure,Better,"['files/p11/p11932181/s55112740/8ddb63f4-106e50f8-38f5b05c-d7f17419-6515de90.jpg', 'files/p11/p11932181/s55112740/c7a2c5af-3b1a64a5-470827fe-ad59bec3-82fa5c9f.jpg']",['files/p11/p11932181/s55109095/9f4f2d43-83091dbe-aa72f47e-5d7d06a0-6512aa11.jpg\n']
s55112740_6,p11932181,s55112740,6,Findings,"Frontal and lateral chest radiograph again demonstrate a normal cardiomediastinal silhouette and a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure. The left apical pneumothorax is likely unchanged. Minimal increase may be secondary to changes in patient position. There is no right pneumothorax. Again seen are bilateral pleural effusions, the right effusion similar to slightly decreased and the left effusion increased. There is no focal consolidation.","Again seen are bilateral pleural effusions, the right effusion similar to slightly decreased and the left effusion increased.",pleural effusion,left,Worse,"['files/p11/p11932181/s55112740/8ddb63f4-106e50f8-38f5b05c-d7f17419-6515de90.jpg', 'files/p11/p11932181/s55112740/c7a2c5af-3b1a64a5-470827fe-ad59bec3-82fa5c9f.jpg']",['files/p11/p11932181/s55109095/9f4f2d43-83091dbe-aa72f47e-5d7d06a0-6512aa11.jpg\n']
s55112740_6,p11932181,s55112740,6,Impression,1. Likely unchanged small left apical pneumothorax. 2. Increased left pleural effusion. Unchanged to slightly decreased right pleural effusion. 3. Redemonstration of a re-expanded right upper lobe with slight improvement of residual atelectasis adjacent to the fissure.,1. Likely unchanged small left apical pneumothorax.,pneumothorax,left apical,Stable,"['files/p11/p11932181/s55112740/8ddb63f4-106e50f8-38f5b05c-d7f17419-6515de90.jpg', 'files/p11/p11932181/s55112740/c7a2c5af-3b1a64a5-470827fe-ad59bec3-82fa5c9f.jpg']",['files/p11/p11932181/s55109095/9f4f2d43-83091dbe-aa72f47e-5d7d06a0-6512aa11.jpg\n']
s55120315_2,p10522265,s55120315,2,Impression,"In comparison with the study of ___, there again are low lung volumes. The endotracheal tube has been removed. No evidence of acute cardiopulmonary disease. What appears to be some apical pleural thickening is again seen at the right apex laterally.",The endotracheal tube has been removed.,endotracheal tube,,Resolve,['files/p10/p10522265/s55120315/a8326c4c-0f639e00-ca24c7c1-95d336f2-d9de521f.jpg'],['files/p10/p10522265/s54528409/3b6ecb77-1f0b496f-0e7298e0-2805ed0e-616e6f35.jpg\n']
s55120315_2,p10522265,s55120315,2,Impression,"In comparison with the study of ___, there again are low lung volumes. The endotracheal tube has been removed. No evidence of acute cardiopulmonary disease. What appears to be some apical pleural thickening is again seen at the right apex laterally.",What appears to be some apical pleural thickening is again seen at the right apex laterally.,apical pleural thickening,right apex laterally,Stable,['files/p10/p10522265/s55120315/a8326c4c-0f639e00-ca24c7c1-95d336f2-d9de521f.jpg'],['files/p10/p10522265/s54528409/3b6ecb77-1f0b496f-0e7298e0-2805ed0e-616e6f35.jpg\n']
s55120315_2,p10522265,s55120315,2,Impression,"In comparison with the study of ___, there again are low lung volumes. The endotracheal tube has been removed. No evidence of acute cardiopulmonary disease. What appears to be some apical pleural thickening is again seen at the right apex laterally.","In comparison with the study of ___, there again are low lung volumes.",low lung volumes,,Stable,['files/p10/p10522265/s55120315/a8326c4c-0f639e00-ca24c7c1-95d336f2-d9de521f.jpg'],['files/p10/p10522265/s54528409/3b6ecb77-1f0b496f-0e7298e0-2805ed0e-616e6f35.jpg\n']
s55121872_3,p10750092,s55121872,3,Findings,Endotracheal tube terminates 4.4 cm above the carina. Nasogastric tube terminates in the proximal stomach slightly higher than on the prior study and as mentioned previously can be advanced for more optimal positioning. Right subclavian catheter terminates in the mid SVC. Left basal opacity and mild vascular congestion are improved with calcified granuloma seen in the right apex.,Left basal opacity and mild vascular congestion are improved with calcified granuloma seen in the right apex.,opacity and vascular congestion,left base,Better,['files/p10/p10750092/s55121872/27da1774-c4b8d63b-55aa64ae-fd743cac-debd93de.jpg'],['files/p10/p10750092/s54397816/0467c521-bdba9798-87b7c0cf-b1e76b40-5fcd1444.jpg\n']
s55121872_3,p10750092,s55121872,3,Findings,Endotracheal tube terminates 4.4 cm above the carina. Nasogastric tube terminates in the proximal stomach slightly higher than on the prior study and as mentioned previously can be advanced for more optimal positioning. Right subclavian catheter terminates in the mid SVC. Left basal opacity and mild vascular congestion are improved with calcified granuloma seen in the right apex.,Left basal opacity and mild vascular congestion are improved with calcified granuloma seen in the right apex.,calcified granuloma,right apex,Stable,['files/p10/p10750092/s55121872/27da1774-c4b8d63b-55aa64ae-fd743cac-debd93de.jpg'],['files/p10/p10750092/s54397816/0467c521-bdba9798-87b7c0cf-b1e76b40-5fcd1444.jpg\n']
s55121872_3,p10750092,s55121872,3,Findings,Endotracheal tube terminates 4.4 cm above the carina. Nasogastric tube terminates in the proximal stomach slightly higher than on the prior study and as mentioned previously can be advanced for more optimal positioning. Right subclavian catheter terminates in the mid SVC. Left basal opacity and mild vascular congestion are improved with calcified granuloma seen in the right apex.,Nasogastric tube terminates in the proximal stomach slightly higher than on the prior study and as mentioned previously can be advanced for more optimal positioning.,Nasogastric tube,proximal stomach,Stable,['files/p10/p10750092/s55121872/27da1774-c4b8d63b-55aa64ae-fd743cac-debd93de.jpg'],['files/p10/p10750092/s54397816/0467c521-bdba9798-87b7c0cf-b1e76b40-5fcd1444.jpg\n']
s55127146_0,p15846912,s55127146,0,Findings,"The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Mildly prominent opacity in the right infrahilar region appears unchanged and is suspected to represent normal descending vascularity, which is unchanged and associated with slight leftward rotation of the heart. There are no pleural effusions or pneumothorax.","Mildly prominent opacity in the right infrahilar region appears unchanged and is suspected to represent normal descending vascularity, which is unchanged and associated with slight leftward rotation of the heart.",opacity,right infrahilar region,Stable,"['files/p15/p15846912/s55127146/189951de-c5c0b41a-d14bcfd4-1e257166-1f89b5d0.jpg', 'files/p15/p15846912/s55127146/f7a0c24f-477f3d1d-14dd5cde-6a3195b2-e0728197.jpg']",
s55127217_2,p16702545,s55127217,2,Findings,"Endotracheal tube terminates approximately 5 cm above the level of the Carina. Enteric tube courses into the left upper quadrant, likely terminating in the proximal stomach. Left subclavian central venous catheter is stable in position. The cardiac and mediastinal silhouettes are stable. There are low lung volumes. The appears to decrease in mild fluid overload. No appreciable pleural effusion or pneumothorax.",Left subclavian central venous catheter is stable in position.,Central venous catheter,Left subclavian,Stable,['files/p16/p16702545/s55127217/3c248c40-b23d88c7-d1751a15-df7e684c-37b6616f.jpg'],['files/p16/p16702545/s54372785/fda8d8a6-20e3b495-7f496ea3-e6ecb7c6-864a11c4.jpg\n']
s55127217_2,p16702545,s55127217,2,Findings,"Endotracheal tube terminates approximately 5 cm above the level of the Carina. Enteric tube courses into the left upper quadrant, likely terminating in the proximal stomach. Left subclavian central venous catheter is stable in position. The cardiac and mediastinal silhouettes are stable. There are low lung volumes. The appears to decrease in mild fluid overload. No appreciable pleural effusion or pneumothorax.",The appears to decrease in mild fluid overload.,Mild fluid overload,,Better,['files/p16/p16702545/s55127217/3c248c40-b23d88c7-d1751a15-df7e684c-37b6616f.jpg'],['files/p16/p16702545/s54372785/fda8d8a6-20e3b495-7f496ea3-e6ecb7c6-864a11c4.jpg\n']
s55127217_2,p16702545,s55127217,2,Findings,"Endotracheal tube terminates approximately 5 cm above the level of the Carina. Enteric tube courses into the left upper quadrant, likely terminating in the proximal stomach. Left subclavian central venous catheter is stable in position. The cardiac and mediastinal silhouettes are stable. There are low lung volumes. The appears to decrease in mild fluid overload. No appreciable pleural effusion or pneumothorax.",The cardiac and mediastinal silhouettes are stable.,Cardiac and mediastinal silhouettes,,Stable,['files/p16/p16702545/s55127217/3c248c40-b23d88c7-d1751a15-df7e684c-37b6616f.jpg'],['files/p16/p16702545/s54372785/fda8d8a6-20e3b495-7f496ea3-e6ecb7c6-864a11c4.jpg\n']
s55141338_1,p16698318,s55141338,1,Findings,PA and lateral chest radiographs were obtained. There is an ill-defined opacity in the right lower lobe that does not obscure the right heart border. A right-sided pleural effusion is small. There is no pneumothorax. Cardiomegaly is mild. Aortic calcifications are minimal.,Cardiomegaly is mild.,Cardiomegaly,,Stable,"['files/p16/p16698318/s55141338/13f97bff-9d874f99-18558415-d3e8f313-f09288ad.jpg', 'files/p16/p16698318/s55141338/c34ed3e3-bb96ed94-9a7e3ce0-7e06cff2-ced55bdc.jpg']","['files/p16/p16698318/s50289779/57e91f33-eec51e84-628b8259-c7a15e51-86787a84.jpg\n', 'files/p16/p16698318/s50289779/85b47dcf-a5b619d4-60c3593d-76bf6fec-02ea2a87.jpg\n']"
s55144227_0,p18482407,s55144227,0,Findings,PA and lateral views of the chest are obtained. Lungs are clear and well expanded. A nodular hyperdensity in the right upper lung is unchanged and likely reflects a calcified granuloma. No large effusion or pneumothorax is seen. The heart and mediastinal contours are normal. The bony structures are intact. No free air below the right hemidiaphragm.,A nodular hyperdensity in the right upper lung is unchanged and likely reflects a calcified granuloma.,nodular hyperdensity,right upper lung,Stable,"['files/p18/p18482407/s55144227/1e0fedfe-9bcbb335-3fe84f33-734baf67-40b747ef.jpg', 'files/p18/p18482407/s55144227/b4adc8a7-02440962-bb00288a-9076327f-ba931356.jpg']",
s55148571_0,p10750092,s55148571,0,Findings,There is no focal consolidation to suggest pneumonia. There is no pleural effusion or pneumothorax. Again seen in the right upper lobe is a calcified granuloma. The previously described multiple lung nodules are not as conspicuous on this study and are better characterized on the previous chest CT. An old right seventh rib fracture is present. A wedge compression fracture of the mid thoracic spine is unchanged. The heart size is normal. Aortic calcifications are seen in an otherwise normal mediastinum.,The previously described multiple lung nodules are not as conspicuous on this study and are better characterized on the previous chest CT.,lung nodules,multiple locations,Stable,"['files/p10/p10750092/s55148571/28bcbc77-70736463-dc95285f-40b115a7-5d7b7f15.jpg', 'files/p10/p10750092/s55148571/501b436f-4f6cf540-ca6ea4e6-b4a0a951-03e9baf9.jpg', 'files/p10/p10750092/s55148571/791ef542-9bf794a8-96dd48ff-588a38ed-9b686f16.jpg', 'files/p10/p10750092/s55148571/8f52469c-b701614e-5a141316-1fa3c9ca-c1d881de.jpg']",['files/p10/p10750092/s55121872/27da1774-c4b8d63b-55aa64ae-fd743cac-debd93de.jpg\n']
s55148571_0,p10750092,s55148571,0,Findings,There is no focal consolidation to suggest pneumonia. There is no pleural effusion or pneumothorax. Again seen in the right upper lobe is a calcified granuloma. The previously described multiple lung nodules are not as conspicuous on this study and are better characterized on the previous chest CT. An old right seventh rib fracture is present. A wedge compression fracture of the mid thoracic spine is unchanged. The heart size is normal. Aortic calcifications are seen in an otherwise normal mediastinum.,Again seen in the right upper lobe is a calcified granuloma.,calcified granuloma,right upper lobe,Stable,"['files/p10/p10750092/s55148571/28bcbc77-70736463-dc95285f-40b115a7-5d7b7f15.jpg', 'files/p10/p10750092/s55148571/501b436f-4f6cf540-ca6ea4e6-b4a0a951-03e9baf9.jpg', 'files/p10/p10750092/s55148571/791ef542-9bf794a8-96dd48ff-588a38ed-9b686f16.jpg', 'files/p10/p10750092/s55148571/8f52469c-b701614e-5a141316-1fa3c9ca-c1d881de.jpg']",['files/p10/p10750092/s55121872/27da1774-c4b8d63b-55aa64ae-fd743cac-debd93de.jpg\n']
s55148571_0,p10750092,s55148571,0,Findings,There is no focal consolidation to suggest pneumonia. There is no pleural effusion or pneumothorax. Again seen in the right upper lobe is a calcified granuloma. The previously described multiple lung nodules are not as conspicuous on this study and are better characterized on the previous chest CT. An old right seventh rib fracture is present. A wedge compression fracture of the mid thoracic spine is unchanged. The heart size is normal. Aortic calcifications are seen in an otherwise normal mediastinum.,An old right seventh rib fracture is present.,fracture,right seventh rib,Stable,"['files/p10/p10750092/s55148571/28bcbc77-70736463-dc95285f-40b115a7-5d7b7f15.jpg', 'files/p10/p10750092/s55148571/501b436f-4f6cf540-ca6ea4e6-b4a0a951-03e9baf9.jpg', 'files/p10/p10750092/s55148571/791ef542-9bf794a8-96dd48ff-588a38ed-9b686f16.jpg', 'files/p10/p10750092/s55148571/8f52469c-b701614e-5a141316-1fa3c9ca-c1d881de.jpg']",['files/p10/p10750092/s55121872/27da1774-c4b8d63b-55aa64ae-fd743cac-debd93de.jpg\n']
s55148571_0,p10750092,s55148571,0,Findings,There is no focal consolidation to suggest pneumonia. There is no pleural effusion or pneumothorax. Again seen in the right upper lobe is a calcified granuloma. The previously described multiple lung nodules are not as conspicuous on this study and are better characterized on the previous chest CT. An old right seventh rib fracture is present. A wedge compression fracture of the mid thoracic spine is unchanged. The heart size is normal. Aortic calcifications are seen in an otherwise normal mediastinum.,A wedge compression fracture of the mid thoracic spine is unchanged.,wedge compression fracture,mid thoracic spine,Stable,"['files/p10/p10750092/s55148571/28bcbc77-70736463-dc95285f-40b115a7-5d7b7f15.jpg', 'files/p10/p10750092/s55148571/501b436f-4f6cf540-ca6ea4e6-b4a0a951-03e9baf9.jpg', 'files/p10/p10750092/s55148571/791ef542-9bf794a8-96dd48ff-588a38ed-9b686f16.jpg', 'files/p10/p10750092/s55148571/8f52469c-b701614e-5a141316-1fa3c9ca-c1d881de.jpg']",['files/p10/p10750092/s55121872/27da1774-c4b8d63b-55aa64ae-fd743cac-debd93de.jpg\n']
s55149101_14,p14798972,s55149101,14,Impression,"AP chest compared to ___: Previous bibasilar atelectasis and moderate left pleural effusion have cleared. Lungs are fully expanded. Right apical pleural tube still in place with no appreciable right pleural abnormality. Heart size normal. Mediastinum has a normal postoperative appearance following esophagectomy and gastric pull-up. Heart size normal. Nasogastric tube has been partially withdrawn and now ends 6 cm above the level of the diaphragm, projecting over a midline drain. No pneumothorax.",AP chest compared to ___: Previous bibasilar atelectasis and moderate left pleural effusion have cleared.,atelectasis,bibasilar,Resolve,['files/p14/p14798972/s55149101/92939d3d-d0e1a594-0a87af91-b703fa06-a20a1b46.jpg'],"['files/p14/p14798972/s55075981/5c2bd6fe-31eb3d79-ac068cea-ef620dc5-26402554.jpg\n', 'files/p14/p14798972/s55075981/e6bf5735-38a4236f-76e4fe05-4f4789bc-5c0b3e1d.jpg\n']"
s55149101_14,p14798972,s55149101,14,Impression,"AP chest compared to ___: Previous bibasilar atelectasis and moderate left pleural effusion have cleared. Lungs are fully expanded. Right apical pleural tube still in place with no appreciable right pleural abnormality. Heart size normal. Mediastinum has a normal postoperative appearance following esophagectomy and gastric pull-up. Heart size normal. Nasogastric tube has been partially withdrawn and now ends 6 cm above the level of the diaphragm, projecting over a midline drain. No pneumothorax.",AP chest compared to ___: Previous bibasilar atelectasis and moderate left pleural effusion have cleared.,pleural effusion,left,Resolve,['files/p14/p14798972/s55149101/92939d3d-d0e1a594-0a87af91-b703fa06-a20a1b46.jpg'],"['files/p14/p14798972/s55075981/5c2bd6fe-31eb3d79-ac068cea-ef620dc5-26402554.jpg\n', 'files/p14/p14798972/s55075981/e6bf5735-38a4236f-76e4fe05-4f4789bc-5c0b3e1d.jpg\n']"
s55164257_14,p15793456,s55164257,14,Impression,"No substantial change in the cardiomediastinal contour or and severe emphysema with predominance in the lower lobes demonstrated. As previously mentioned, alpha 1 antitrypsin deficiency at the possibility. No definitive pneumothorax is seen. Pulmonary hypertension is suspected based on the substantial enlargement of the pulmonary arteries.",No substantial change in the cardiomediastinal contour or and severe emphysema with predominance in the lower lobes demonstrated.,severe emphysema,lower lobes,Stable,['files/p15/p15793456/s55164257/d10e0fbd-0e8714e0-da3f58e7-a4f2c13e-a6635080.jpg'],['files/p15/p15793456/s54908622/7e937bf5-c1220033-6a807ba6-449a1342-c75570f2.jpg\n']
s55164257_14,p15793456,s55164257,14,Impression,"No substantial change in the cardiomediastinal contour or and severe emphysema with predominance in the lower lobes demonstrated. As previously mentioned, alpha 1 antitrypsin deficiency at the possibility. No definitive pneumothorax is seen. Pulmonary hypertension is suspected based on the substantial enlargement of the pulmonary arteries.","As previously mentioned, alpha 1 antitrypsin deficiency at the possibility.",alpha 1 antitrypsin deficiency,,New,['files/p15/p15793456/s55164257/d10e0fbd-0e8714e0-da3f58e7-a4f2c13e-a6635080.jpg'],['files/p15/p15793456/s54908622/7e937bf5-c1220033-6a807ba6-449a1342-c75570f2.jpg\n']
s55164257_14,p15793456,s55164257,14,Impression,"No substantial change in the cardiomediastinal contour or and severe emphysema with predominance in the lower lobes demonstrated. As previously mentioned, alpha 1 antitrypsin deficiency at the possibility. No definitive pneumothorax is seen. Pulmonary hypertension is suspected based on the substantial enlargement of the pulmonary arteries.",No substantial change in the cardiomediastinal contour or and severe emphysema with predominance in the lower lobes demonstrated.,appearance,cardiomediastinal contour,Stable,['files/p15/p15793456/s55164257/d10e0fbd-0e8714e0-da3f58e7-a4f2c13e-a6635080.jpg'],['files/p15/p15793456/s54908622/7e937bf5-c1220033-6a807ba6-449a1342-c75570f2.jpg\n']
s55182796_1,p10248673,s55182796,1,Impression,"1. Interval extubation. Right internal jugular central line and left basilar chest tube remain in place. Lung volumes are lower on the current examination. There is patchy opacity at the left base with an associated effusion, likely reflecting compressive atelectasis. No evidence of pulmonary edema. Cardiac and mediastinal contours are difficult to assess due to the low lung volumes and patient rotation on the current study, although the mediastinal contours are likely unchanged. Status post median sternotomy for CABG. No pneumothorax.",Interval extubation.,Endotracheal tube,,Resolve,['files/p10/p10248673/s55182796/5af7f675-13339075-9c8b61d4-bf098f85-30636763.jpg'],"['files/p10/p10248673/s51023457/1f199273-2f4b7e8c-9041b5c2-18e7ca21-26142e3c.jpg\n', 'files/p10/p10248673/s51023457/4f0fdcd0-d9e08481-3d3c4e0d-76022ffd-270ef82f.jpg\n']"
s55182796_1,p10248673,s55182796,1,Impression,"1. Interval extubation. Right internal jugular central line and left basilar chest tube remain in place. Lung volumes are lower on the current examination. There is patchy opacity at the left base with an associated effusion, likely reflecting compressive atelectasis. No evidence of pulmonary edema. Cardiac and mediastinal contours are difficult to assess due to the low lung volumes and patient rotation on the current study, although the mediastinal contours are likely unchanged. Status post median sternotomy for CABG. No pneumothorax.",Right internal jugular central line and left basilar chest tube remain in place.,Central line,Right internal jugular,Stable,['files/p10/p10248673/s55182796/5af7f675-13339075-9c8b61d4-bf098f85-30636763.jpg'],"['files/p10/p10248673/s51023457/1f199273-2f4b7e8c-9041b5c2-18e7ca21-26142e3c.jpg\n', 'files/p10/p10248673/s51023457/4f0fdcd0-d9e08481-3d3c4e0d-76022ffd-270ef82f.jpg\n']"
s55182796_1,p10248673,s55182796,1,Impression,"1. Interval extubation. Right internal jugular central line and left basilar chest tube remain in place. Lung volumes are lower on the current examination. There is patchy opacity at the left base with an associated effusion, likely reflecting compressive atelectasis. No evidence of pulmonary edema. Cardiac and mediastinal contours are difficult to assess due to the low lung volumes and patient rotation on the current study, although the mediastinal contours are likely unchanged. Status post median sternotomy for CABG. No pneumothorax.",Right internal jugular central line and left basilar chest tube remain in place.,Chest tube,Left basilar,Stable,['files/p10/p10248673/s55182796/5af7f675-13339075-9c8b61d4-bf098f85-30636763.jpg'],"['files/p10/p10248673/s51023457/1f199273-2f4b7e8c-9041b5c2-18e7ca21-26142e3c.jpg\n', 'files/p10/p10248673/s51023457/4f0fdcd0-d9e08481-3d3c4e0d-76022ffd-270ef82f.jpg\n']"
s55182796_1,p10248673,s55182796,1,Impression,"1. Interval extubation. Right internal jugular central line and left basilar chest tube remain in place. Lung volumes are lower on the current examination. There is patchy opacity at the left base with an associated effusion, likely reflecting compressive atelectasis. No evidence of pulmonary edema. Cardiac and mediastinal contours are difficult to assess due to the low lung volumes and patient rotation on the current study, although the mediastinal contours are likely unchanged. Status post median sternotomy for CABG. No pneumothorax.","Cardiac and mediastinal contours are difficult to assess due to the low lung volumes and patient rotation on the current study, although the mediastinal contours are likely unchanged.",Mediastinal contours,,Stable,['files/p10/p10248673/s55182796/5af7f675-13339075-9c8b61d4-bf098f85-30636763.jpg'],"['files/p10/p10248673/s51023457/1f199273-2f4b7e8c-9041b5c2-18e7ca21-26142e3c.jpg\n', 'files/p10/p10248673/s51023457/4f0fdcd0-d9e08481-3d3c4e0d-76022ffd-270ef82f.jpg\n']"
s55196530_1,p11842519,s55196530,1,Findings,"The cardiac, mediastinal and hilar contours are relatively unchanged, with the heart size appearing top normal. There is mild pulmonary edema, minimally worse when compared to the prior study. Moderate size right and small left pleural effusions are relatively unchanged. There are patchy bibasilar airspace opacities, likely reflective of atelectasis though infection cannot be completely excluded. No pneumothorax is identified. Thoracic posterior spinal fusion hardware accomplished by two posterior rods and pedicle screws is unchanged. There are multiple clips also demonstrated within the mid back.",Thoracic posterior spinal fusion hardware accomplished by two posterior rods and pedicle screws is unchanged.,thoracic posterior spinal fusion hardware,,Stable,"['files/p11/p11842519/s55196530/293c8608-3a0f3cbd-cea33c07-ea8130b0-2b90fea4.jpg', 'files/p11/p11842519/s55196530/cce40a95-f888ed8b-3d0d8160-c780a8be-dedc172d.jpg', 'files/p11/p11842519/s55196530/f72e0100-fde456e4-826cdbf3-7c006797-8055bc44.jpg']","['files/p11/p11842519/s54806621/0fe43549-21617d5c-89c5f44b-affffc13-9409fa39.jpg\n', 'files/p11/p11842519/s54806621/66423af7-ad57034e-b950291f-d84abf0a-902afb34.jpg\n']"
s55196530_1,p11842519,s55196530,1,Findings,"The cardiac, mediastinal and hilar contours are relatively unchanged, with the heart size appearing top normal. There is mild pulmonary edema, minimally worse when compared to the prior study. Moderate size right and small left pleural effusions are relatively unchanged. There are patchy bibasilar airspace opacities, likely reflective of atelectasis though infection cannot be completely excluded. No pneumothorax is identified. Thoracic posterior spinal fusion hardware accomplished by two posterior rods and pedicle screws is unchanged. There are multiple clips also demonstrated within the mid back.",Moderate size right and small left pleural effusions are relatively unchanged.,pleural effusions,right and left,Stable,"['files/p11/p11842519/s55196530/293c8608-3a0f3cbd-cea33c07-ea8130b0-2b90fea4.jpg', 'files/p11/p11842519/s55196530/cce40a95-f888ed8b-3d0d8160-c780a8be-dedc172d.jpg', 'files/p11/p11842519/s55196530/f72e0100-fde456e4-826cdbf3-7c006797-8055bc44.jpg']","['files/p11/p11842519/s54806621/0fe43549-21617d5c-89c5f44b-affffc13-9409fa39.jpg\n', 'files/p11/p11842519/s54806621/66423af7-ad57034e-b950291f-d84abf0a-902afb34.jpg\n']"
s55196530_1,p11842519,s55196530,1,Findings,"The cardiac, mediastinal and hilar contours are relatively unchanged, with the heart size appearing top normal. There is mild pulmonary edema, minimally worse when compared to the prior study. Moderate size right and small left pleural effusions are relatively unchanged. There are patchy bibasilar airspace opacities, likely reflective of atelectasis though infection cannot be completely excluded. No pneumothorax is identified. Thoracic posterior spinal fusion hardware accomplished by two posterior rods and pedicle screws is unchanged. There are multiple clips also demonstrated within the mid back.","There is mild pulmonary edema, minimally worse when compared to the prior study.",pulmonary edema,,Worse,"['files/p11/p11842519/s55196530/293c8608-3a0f3cbd-cea33c07-ea8130b0-2b90fea4.jpg', 'files/p11/p11842519/s55196530/cce40a95-f888ed8b-3d0d8160-c780a8be-dedc172d.jpg', 'files/p11/p11842519/s55196530/f72e0100-fde456e4-826cdbf3-7c006797-8055bc44.jpg']","['files/p11/p11842519/s54806621/0fe43549-21617d5c-89c5f44b-affffc13-9409fa39.jpg\n', 'files/p11/p11842519/s54806621/66423af7-ad57034e-b950291f-d84abf0a-902afb34.jpg\n']"
s55196530_1,p11842519,s55196530,1,Findings,"The cardiac, mediastinal and hilar contours are relatively unchanged, with the heart size appearing top normal. There is mild pulmonary edema, minimally worse when compared to the prior study. Moderate size right and small left pleural effusions are relatively unchanged. There are patchy bibasilar airspace opacities, likely reflective of atelectasis though infection cannot be completely excluded. No pneumothorax is identified. Thoracic posterior spinal fusion hardware accomplished by two posterior rods and pedicle screws is unchanged. There are multiple clips also demonstrated within the mid back.","The cardiac, mediastinal and hilar contours are relatively unchanged, with the heart size appearing top normal.","cardiac, mediastinal and hilar contours",,Stable,"['files/p11/p11842519/s55196530/293c8608-3a0f3cbd-cea33c07-ea8130b0-2b90fea4.jpg', 'files/p11/p11842519/s55196530/cce40a95-f888ed8b-3d0d8160-c780a8be-dedc172d.jpg', 'files/p11/p11842519/s55196530/f72e0100-fde456e4-826cdbf3-7c006797-8055bc44.jpg']","['files/p11/p11842519/s54806621/0fe43549-21617d5c-89c5f44b-affffc13-9409fa39.jpg\n', 'files/p11/p11842519/s54806621/66423af7-ad57034e-b950291f-d84abf0a-902afb34.jpg\n']"
s55211188_27,p15911529,s55211188,27,Impression,"Interval increase in loculated right pleural effusion, which is now moderate in size. New small left pleural effusion. Stable cardiomegaly.",Stable cardiomegaly.,cardiomegaly,cardiac,Stable,['files/p15/p15911529/s55211188/3f54680b-15217393-27fff50f-aeb78433-c51498b7.jpg'],['files/p15/p15911529/s55017393/4f1666fe-eb70e076-c045bd55-4a13ebea-89f70922.jpg\n']
s55211188_27,p15911529,s55211188,27,Impression,"Interval increase in loculated right pleural effusion, which is now moderate in size. New small left pleural effusion. Stable cardiomegaly.",New small left pleural effusion.,effusion,left pleural,New,['files/p15/p15911529/s55211188/3f54680b-15217393-27fff50f-aeb78433-c51498b7.jpg'],['files/p15/p15911529/s55017393/4f1666fe-eb70e076-c045bd55-4a13ebea-89f70922.jpg\n']
s55211188_27,p15911529,s55211188,27,Impression,"Interval increase in loculated right pleural effusion, which is now moderate in size. New small left pleural effusion. Stable cardiomegaly.","Interval increase in loculated right pleural effusion, which is now moderate in size.",effusion,right pleural,Worse,['files/p15/p15911529/s55211188/3f54680b-15217393-27fff50f-aeb78433-c51498b7.jpg'],['files/p15/p15911529/s55017393/4f1666fe-eb70e076-c045bd55-4a13ebea-89f70922.jpg\n']
s55211188_27,p15911529,s55211188,27,Findings,"The right-sided pigtail catheter is unchanged in position. A left-sided biventricular pacer partially obscures the left mid lung. The loculated right pleural effusion has increased, and is now moderate in size. A rounded airspace opacity in the right upper lung zone likely reflects fluid in the major fissure. Cardiomegaly is unchanged. Lingular linear atelectasis is again noted. New blunting of the left costophrenic angle may be due to a small pleural effusion.",New blunting of the left costophrenic angle may be due to a small pleural effusion.,pleural effusion,left costophrenic angle,New,['files/p15/p15911529/s55211188/3f54680b-15217393-27fff50f-aeb78433-c51498b7.jpg'],['files/p15/p15911529/s55017393/4f1666fe-eb70e076-c045bd55-4a13ebea-89f70922.jpg\n']
s55211188_27,p15911529,s55211188,27,Findings,"The right-sided pigtail catheter is unchanged in position. A left-sided biventricular pacer partially obscures the left mid lung. The loculated right pleural effusion has increased, and is now moderate in size. A rounded airspace opacity in the right upper lung zone likely reflects fluid in the major fissure. Cardiomegaly is unchanged. Lingular linear atelectasis is again noted. New blunting of the left costophrenic angle may be due to a small pleural effusion.",Cardiomegaly is unchanged.,cardiomegaly,cardiac,Stable,['files/p15/p15911529/s55211188/3f54680b-15217393-27fff50f-aeb78433-c51498b7.jpg'],['files/p15/p15911529/s55017393/4f1666fe-eb70e076-c045bd55-4a13ebea-89f70922.jpg\n']
s55211188_27,p15911529,s55211188,27,Findings,"The right-sided pigtail catheter is unchanged in position. A left-sided biventricular pacer partially obscures the left mid lung. The loculated right pleural effusion has increased, and is now moderate in size. A rounded airspace opacity in the right upper lung zone likely reflects fluid in the major fissure. Cardiomegaly is unchanged. Lingular linear atelectasis is again noted. New blunting of the left costophrenic angle may be due to a small pleural effusion.","The loculated right pleural effusion has increased, and is now moderate in size.",effusion,right pleural,Worse,['files/p15/p15911529/s55211188/3f54680b-15217393-27fff50f-aeb78433-c51498b7.jpg'],['files/p15/p15911529/s55017393/4f1666fe-eb70e076-c045bd55-4a13ebea-89f70922.jpg\n']
s55211188_27,p15911529,s55211188,27,Findings,"The right-sided pigtail catheter is unchanged in position. A left-sided biventricular pacer partially obscures the left mid lung. The loculated right pleural effusion has increased, and is now moderate in size. A rounded airspace opacity in the right upper lung zone likely reflects fluid in the major fissure. Cardiomegaly is unchanged. Lingular linear atelectasis is again noted. New blunting of the left costophrenic angle may be due to a small pleural effusion.",The right-sided pigtail catheter is unchanged in position.,pigtail catheter,right-sided,Stable,['files/p15/p15911529/s55211188/3f54680b-15217393-27fff50f-aeb78433-c51498b7.jpg'],['files/p15/p15911529/s55017393/4f1666fe-eb70e076-c045bd55-4a13ebea-89f70922.jpg\n']
s55236071_6,p12906762,s55236071,6,Impression,Left pigtail catheter is in place. Left subclavian line tip is at the level of mid SVC. NG tube tip is in the stomach. Second left pigtail catheter has been removed with no interval development or increase in pneumothorax of subcutaneous air. Right apical scarring is unchanged,Second left pigtail catheter has been removed with no interval development or increase in pneumothorax of subcutaneous air.,pigtail catheter,left,Resolve,['files/p12/p12906762/s55236071/5871f846-5b267431-2d13d3d5-0c59f8d1-7cebfb38.jpg'],['files/p12/p12906762/s54899102/cbd96006-a4b14669-614de320-ba15c1d5-71250057.jpg\n']
s55236071_6,p12906762,s55236071,6,Impression,Left pigtail catheter is in place. Left subclavian line tip is at the level of mid SVC. NG tube tip is in the stomach. Second left pigtail catheter has been removed with no interval development or increase in pneumothorax of subcutaneous air. Right apical scarring is unchanged,Right apical scarring is unchanged,scarring,right apex,Stable,['files/p12/p12906762/s55236071/5871f846-5b267431-2d13d3d5-0c59f8d1-7cebfb38.jpg'],['files/p12/p12906762/s54899102/cbd96006-a4b14669-614de320-ba15c1d5-71250057.jpg\n']
s55248428_32,p11717909,s55248428,32,Findings,"There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. Mild atelectasis is noted at the lung bases bilaterally. Sternotomy wires and mediastinal clips are unchanged from prior studies.",Sternotomy wires and mediastinal clips are unchanged from prior studies.,Sternotomy wires and mediastinal clips,,Stable,"['files/p11/p11717909/s55248428/1069a38a-769121b0-3d5f575e-28b0d063-fac78684.jpg', 'files/p11/p11717909/s55248428/bbed68cb-2b0d6862-be4b2ad1-33830392-d1192f4b.jpg']",['files/p11/p11717909/s55096981/65c1567a-4a7ac3a5-cbd23877-d66c126e-7e188589.jpg\n']
s55273228_0,p12977138,s55273228,0,Impression,"Right lung base opacities, slightly more conspicuous since ___, may represent atelectasis or infection in the appropriate clinical setting.","Right lung base opacities, slightly more conspicuous since ___, may represent atelectasis or infection in the appropriate clinical setting.",opacities,Right lung base,Worse,"['files/p12/p12977138/s55273228/2a1e777f-0b658cf0-64aafd5d-0a0d22f8-9bba06d0.jpg', 'files/p12/p12977138/s55273228/f2823f12-bcf8d6c1-6b131e56-5ffb6d36-cbd75947.jpg']","['files/p12/p12977138/s50332797/b84fa313-09027c57-7c255b39-f4aed3e3-ff396107.jpg\n', 'files/p12/p12977138/s50332797/ff3dc06f-f7a97800-fce2758f-0bbeccd1-463d4449.jpg\n']"
s55273228_0,p12977138,s55273228,0,Findings,"Frontal and lateral views of the chest demonstrate normal lung volumes. Right lung base opacities are slightly more conspicuous since prior, projecting over the spine on the lateral view. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdominal visceral organs are unremarkable.","Right lung base opacities are slightly more conspicuous since prior, projecting over the spine on the lateral view.",opacities,Right lung base,Worse,"['files/p12/p12977138/s55273228/2a1e777f-0b658cf0-64aafd5d-0a0d22f8-9bba06d0.jpg', 'files/p12/p12977138/s55273228/f2823f12-bcf8d6c1-6b131e56-5ffb6d36-cbd75947.jpg']","['files/p12/p12977138/s50332797/b84fa313-09027c57-7c255b39-f4aed3e3-ff396107.jpg\n', 'files/p12/p12977138/s50332797/ff3dc06f-f7a97800-fce2758f-0bbeccd1-463d4449.jpg\n']"
s55273228_0,p12977138,s55273228,0,Findings,"Frontal and lateral views of the chest demonstrate normal lung volumes. Right lung base opacities are slightly more conspicuous since prior, projecting over the spine on the lateral view. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdominal visceral organs are unremarkable.",Hilar and mediastinal silhouettes are unchanged.,silhouettes,Hilar and mediastinal,Stable,"['files/p12/p12977138/s55273228/2a1e777f-0b658cf0-64aafd5d-0a0d22f8-9bba06d0.jpg', 'files/p12/p12977138/s55273228/f2823f12-bcf8d6c1-6b131e56-5ffb6d36-cbd75947.jpg']","['files/p12/p12977138/s50332797/b84fa313-09027c57-7c255b39-f4aed3e3-ff396107.jpg\n', 'files/p12/p12977138/s50332797/ff3dc06f-f7a97800-fce2758f-0bbeccd1-463d4449.jpg\n']"
s55278676_8,p17945610,s55278676,8,Impression,"As compared to the previous radiograph, there is a slight increase of the moderate right pleural effusion. Moderate cardiomegaly persists. The pacemaker wires are in unchanged position. Normal appearance of the left lung.",The pacemaker wires are in unchanged position.,pacemaker wires,,Stable,"['files/p17/p17945610/s55278676/03c75931-b2196163-ee0a3e6e-0decfe16-830818ae.jpg', 'files/p17/p17945610/s55278676/6bce6e3d-c0808929-7010788f-068f1c13-2b766a1a.jpg']",['files/p17/p17945610/s54832536/35b9c6fa-00c88823-d2b016e7-860235a2-35e10b1b.jpg\n']
s55278676_8,p17945610,s55278676,8,Impression,"As compared to the previous radiograph, there is a slight increase of the moderate right pleural effusion. Moderate cardiomegaly persists. The pacemaker wires are in unchanged position. Normal appearance of the left lung.","As compared to the previous radiograph, there is a slight increase of the moderate right pleural effusion.",pleural effusion,right,Worse,"['files/p17/p17945610/s55278676/03c75931-b2196163-ee0a3e6e-0decfe16-830818ae.jpg', 'files/p17/p17945610/s55278676/6bce6e3d-c0808929-7010788f-068f1c13-2b766a1a.jpg']",['files/p17/p17945610/s54832536/35b9c6fa-00c88823-d2b016e7-860235a2-35e10b1b.jpg\n']
s55278676_8,p17945610,s55278676,8,Impression,"As compared to the previous radiograph, there is a slight increase of the moderate right pleural effusion. Moderate cardiomegaly persists. The pacemaker wires are in unchanged position. Normal appearance of the left lung.",Moderate cardiomegaly persists.,cardiomegaly,,Stable,"['files/p17/p17945610/s55278676/03c75931-b2196163-ee0a3e6e-0decfe16-830818ae.jpg', 'files/p17/p17945610/s55278676/6bce6e3d-c0808929-7010788f-068f1c13-2b766a1a.jpg']",['files/p17/p17945610/s54832536/35b9c6fa-00c88823-d2b016e7-860235a2-35e10b1b.jpg\n']
s55293550_4,p17123098,s55293550,4,Impression,NG tube has been removed. ET tube is in standard position. Right PICC tip is at the cavoatrial junction. There is no evident pneumothorax. Vascular congestion has improved. Bibasilar opacities have improved still large in the left lower lobe. No other interval change,Bibasilar opacities have improved still large in the left lower lobe.,Opacities,Bibasilar,Better,['files/p17/p17123098/s55293550/7a63f567-e729a4cb-1392efd5-a3130267-c02dcb1d.jpg'],['files/p17/p17123098/s54687111/14bbb4e5-1b3f6563-a2dd6104-100f4a33-0719fe11.jpg\n']
s55293550_4,p17123098,s55293550,4,Impression,NG tube has been removed. ET tube is in standard position. Right PICC tip is at the cavoatrial junction. There is no evident pneumothorax. Vascular congestion has improved. Bibasilar opacities have improved still large in the left lower lobe. No other interval change,NG tube has been removed.,,NG tube,Resolve,['files/p17/p17123098/s55293550/7a63f567-e729a4cb-1392efd5-a3130267-c02dcb1d.jpg'],['files/p17/p17123098/s54687111/14bbb4e5-1b3f6563-a2dd6104-100f4a33-0719fe11.jpg\n']
s55293550_4,p17123098,s55293550,4,Impression,NG tube has been removed. ET tube is in standard position. Right PICC tip is at the cavoatrial junction. There is no evident pneumothorax. Vascular congestion has improved. Bibasilar opacities have improved still large in the left lower lobe. No other interval change,Vascular congestion has improved.,,Vascular congestion,Better,['files/p17/p17123098/s55293550/7a63f567-e729a4cb-1392efd5-a3130267-c02dcb1d.jpg'],['files/p17/p17123098/s54687111/14bbb4e5-1b3f6563-a2dd6104-100f4a33-0719fe11.jpg\n']
s55294938_0,p14998555,s55294938,0,Findings,There are bibasilar opacities that may reflect atelectasis or aspiration in the appropriate clinical setting. No other focal consolidation. There is no pleural effusion or pneumothorax. Mild cardiomegaly. No acute osseous abnormalities are identified. Subcutaneous emphysema is partially imaged along the right lateral chest/upper abdominal wall.,There are bibasilar opacities that may reflect atelectasis or aspiration in the appropriate clinical setting.,opacities,bibasilar,New,"['files/p14/p14998555/s55294938/47f219cd-ee0df4e1-99b8c50c-fb71ca0a-bebff3ec.jpg', 'files/p14/p14998555/s55294938/cf47d683-e828be31-85e2c295-1ee43e48-9663dfba.jpg']",
s55294938_0,p14998555,s55294938,0,Findings,There are bibasilar opacities that may reflect atelectasis or aspiration in the appropriate clinical setting. No other focal consolidation. There is no pleural effusion or pneumothorax. Mild cardiomegaly. No acute osseous abnormalities are identified. Subcutaneous emphysema is partially imaged along the right lateral chest/upper abdominal wall.,Mild cardiomegaly.,cardiomegaly,,Stable,"['files/p14/p14998555/s55294938/47f219cd-ee0df4e1-99b8c50c-fb71ca0a-bebff3ec.jpg', 'files/p14/p14998555/s55294938/cf47d683-e828be31-85e2c295-1ee43e48-9663dfba.jpg']",
s55294938_0,p14998555,s55294938,0,Findings,There are bibasilar opacities that may reflect atelectasis or aspiration in the appropriate clinical setting. No other focal consolidation. There is no pleural effusion or pneumothorax. Mild cardiomegaly. No acute osseous abnormalities are identified. Subcutaneous emphysema is partially imaged along the right lateral chest/upper abdominal wall.,Subcutaneous emphysema is partially imaged along the right lateral chest/upper abdominal wall.,Subcutaneous emphysema,right lateral chest/upper abdominal wall,New,"['files/p14/p14998555/s55294938/47f219cd-ee0df4e1-99b8c50c-fb71ca0a-bebff3ec.jpg', 'files/p14/p14998555/s55294938/cf47d683-e828be31-85e2c295-1ee43e48-9663dfba.jpg']",
s55294938_0,p14998555,s55294938,0,Impression,"1. Bibasilar opacities may represent atelectasis or aspiration. 2. Subcutaneous emphysema along the right lateral chest/upper abdominal wall, which should be correlated with site of recent surgery/instrumentation.","Subcutaneous emphysema along the right lateral chest/upper abdominal wall, which should be correlated with site of recent surgery/instrumentation.",Subcutaneous emphysema,right lateral chest/upper abdominal wall,New,"['files/p14/p14998555/s55294938/47f219cd-ee0df4e1-99b8c50c-fb71ca0a-bebff3ec.jpg', 'files/p14/p14998555/s55294938/cf47d683-e828be31-85e2c295-1ee43e48-9663dfba.jpg']",
s55294938_0,p14998555,s55294938,0,Impression,"1. Bibasilar opacities may represent atelectasis or aspiration. 2. Subcutaneous emphysema along the right lateral chest/upper abdominal wall, which should be correlated with site of recent surgery/instrumentation.",Bibasilar opacities may represent atelectasis or aspiration.,opacities,bibasilar,New,"['files/p14/p14998555/s55294938/47f219cd-ee0df4e1-99b8c50c-fb71ca0a-bebff3ec.jpg', 'files/p14/p14998555/s55294938/cf47d683-e828be31-85e2c295-1ee43e48-9663dfba.jpg']",
s55296778_0,p15911529,s55296778,0,Findings,"The heart is again mild-to-moderately enlarged. The mediastinal and hilar contours appear unchanged, again noting calcifications along the aortic arch. The lungs are clear. There are no pleural effusions or pneumothorax. Mild rightward convex curvature is centered along the mid thoracic spine with mild degenerative anterior osteophyte formation.","The mediastinal and hilar contours appear unchanged, again noting calcifications along the aortic arch.",Calcifications,aortic arch,Stable,"['files/p15/p15911529/s55296778/69a50a5b-ad0ca148-ae58ef27-a1d7b4be-cbde70fe.jpg', 'files/p15/p15911529/s55296778/f58ceea9-b65ddd7a-210c3c5d-64f6f523-e898d9d7.jpg']",['files/p15/p15911529/s55211188/3f54680b-15217393-27fff50f-aeb78433-c51498b7.jpg\n']
s55296778_0,p15911529,s55296778,0,Findings,"The heart is again mild-to-moderately enlarged. The mediastinal and hilar contours appear unchanged, again noting calcifications along the aortic arch. The lungs are clear. There are no pleural effusions or pneumothorax. Mild rightward convex curvature is centered along the mid thoracic spine with mild degenerative anterior osteophyte formation.",The heart is again mild-to-moderately enlarged.,Cardiomegaly,,Worse,"['files/p15/p15911529/s55296778/69a50a5b-ad0ca148-ae58ef27-a1d7b4be-cbde70fe.jpg', 'files/p15/p15911529/s55296778/f58ceea9-b65ddd7a-210c3c5d-64f6f523-e898d9d7.jpg']",['files/p15/p15911529/s55211188/3f54680b-15217393-27fff50f-aeb78433-c51498b7.jpg\n']
s55299733_0,p16346354,s55299733,0,Findings,"Mild cardiomegaly is present with left ventricular configuration of the heart. Aorta is tortuous, and pulmonary vascularity is normal. Focal linear scar in the lingula is present as well as localized appear pleural and parenchymal scarring at the right base, with latter unchanged since the prior study. There is no pleural effusion","Focal linear scar in the lingula is present as well as localized appear pleural and parenchymal scarring at the right base, with latter unchanged since the prior study.",pleural and parenchymal scarring,right base,Stable,"['files/p16/p16346354/s55299733/92a5d6c1-3f56ede1-91a82ea3-97a0a28c-b540ac54.jpg', 'files/p16/p16346354/s55299733/e0a6f265-a3ad624e-1a24c5ee-d4931cd9-612caad9.jpg']",['files/p16/p16346354/s52144904/e0ffdf00-50f31921-d4eb21c6-2f9c26c8-fa5a40e8.jpg\n']
s55309653_1,p17622916,s55309653,1,Findings,"In comparison with study of ___, there is now an endotracheal tube in place with its tip approximately 6 cm above the carina. Right IJ Swan-Ganz catheter tip lies at the level of the cavoatrial junction. Nasogastric tube extends well into the stomach. Continued low lung volumes with bibasilar atelectatic changes. Blunting of the costophrenic angles is consistent with pleural fluid.",Continued low lung volumes with bibasilar atelectatic changes.,atelectatic changes,bibasilar,Stable,['files/p17/p17622916/s55309653/2e1cd5e0-fd2c7f50-176e7b18-1f7ac651-bcf8152a.jpg'],['files/p17/p17622916/s54905271/9ab97962-156e4dae-c1188f7d-7dae9ea4-c5a69d40.jpg\n']
s55309653_1,p17622916,s55309653,1,Findings,"In comparison with study of ___, there is now an endotracheal tube in place with its tip approximately 6 cm above the carina. Right IJ Swan-Ganz catheter tip lies at the level of the cavoatrial junction. Nasogastric tube extends well into the stomach. Continued low lung volumes with bibasilar atelectatic changes. Blunting of the costophrenic angles is consistent with pleural fluid.","In comparison with study of ___, there is now an endotracheal tube in place with its tip approximately 6 cm above the carina.",endotracheal tube,approximately 6 cm above the carina,New,['files/p17/p17622916/s55309653/2e1cd5e0-fd2c7f50-176e7b18-1f7ac651-bcf8152a.jpg'],['files/p17/p17622916/s54905271/9ab97962-156e4dae-c1188f7d-7dae9ea4-c5a69d40.jpg\n']
s55330429_6,p13171410,s55330429,6,Findings,"As compared to the previous radiograph, the patient is substantially improved. Normal size of the cardiac silhouette. Status post CABG with correct alignment of the sternal wires. Status post right shoulder surgery. There currently is no evidence of pneumonia or other acute lung disease. The frontal and the lateral radiographs show normal appearance of the lung parenchyma. No pulmonary edema. Normal postoperative appearance of the mediastinum and hilar structures.","As compared to the previous radiograph, the patient is substantially improved.",general condition,patient,Better,"['files/p13/p13171410/s55330429/3a8d14bb-e7b82dd7-5dad553b-e6eb2c41-7a0e3118.jpg', 'files/p13/p13171410/s55330429/84c08756-e01015c6-65599730-f91d3b83-e4a954d9.jpg']",['files/p13/p13171410/s54238302/1a93c3ba-b683fe20-b0710462-cf40c34d-136cf408.jpg\n']
s55332191_3,p19112585,s55332191,3,Impression,"Previous postoperative widening of the cardiomediastinal silhouette has improved, pulmonary edema has resolved. Combination of moderate right pleural effusion and atelectasis and severe left lower lobe atelectasis are unchanged. Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains. No pneumothorax.","Previous postoperative widening of the cardiomediastinal silhouette has improved, pulmonary edema has resolved.",postoperative widening,cardiomediastinal,Better,['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg'],['files/p19/p19112585/s55060173/a5ccbb4c-fe240b55-19cfa1a7-48bc782d-22e7841a.jpg\n']
s55332191_3,p19112585,s55332191,3,Impression,"Previous postoperative widening of the cardiomediastinal silhouette has improved, pulmonary edema has resolved. Combination of moderate right pleural effusion and atelectasis and severe left lower lobe atelectasis are unchanged. Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains. No pneumothorax.","Previous postoperative widening of the cardiomediastinal silhouette has improved, pulmonary edema has resolved.",edema,pulmonary,Resolve,['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg'],['files/p19/p19112585/s55060173/a5ccbb4c-fe240b55-19cfa1a7-48bc782d-22e7841a.jpg\n']
s55332191_3,p19112585,s55332191,3,Impression,"Previous postoperative widening of the cardiomediastinal silhouette has improved, pulmonary edema has resolved. Combination of moderate right pleural effusion and atelectasis and severe left lower lobe atelectasis are unchanged. Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains. No pneumothorax.","Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains.",Intra-aortic balloon pump,standard position,New,['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg'],['files/p19/p19112585/s55060173/a5ccbb4c-fe240b55-19cfa1a7-48bc782d-22e7841a.jpg\n']
s55332191_3,p19112585,s55332191,3,Impression,"Previous postoperative widening of the cardiomediastinal silhouette has improved, pulmonary edema has resolved. Combination of moderate right pleural effusion and atelectasis and severe left lower lobe atelectasis are unchanged. Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains. No pneumothorax.","Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains.",pleural drains,left,New,['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg'],['files/p19/p19112585/s55060173/a5ccbb4c-fe240b55-19cfa1a7-48bc782d-22e7841a.jpg\n']
s55332191_3,p19112585,s55332191,3,Impression,"Previous postoperative widening of the cardiomediastinal silhouette has improved, pulmonary edema has resolved. Combination of moderate right pleural effusion and atelectasis and severe left lower lobe atelectasis are unchanged. Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains. No pneumothorax.","Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains.",Swan-Ganz catheter,right pulmonary artery,New,['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg'],['files/p19/p19112585/s55060173/a5ccbb4c-fe240b55-19cfa1a7-48bc782d-22e7841a.jpg\n']
s55332191_3,p19112585,s55332191,3,Impression,"Previous postoperative widening of the cardiomediastinal silhouette has improved, pulmonary edema has resolved. Combination of moderate right pleural effusion and atelectasis and severe left lower lobe atelectasis are unchanged. Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains. No pneumothorax.","Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains.",esophageal drain,standard position,New,['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg'],['files/p19/p19112585/s55060173/a5ccbb4c-fe240b55-19cfa1a7-48bc782d-22e7841a.jpg\n']
s55332191_3,p19112585,s55332191,3,Impression,"Previous postoperative widening of the cardiomediastinal silhouette has improved, pulmonary edema has resolved. Combination of moderate right pleural effusion and atelectasis and severe left lower lobe atelectasis are unchanged. Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains. No pneumothorax.","Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains.",endotracheal tube,standard position,New,['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg'],['files/p19/p19112585/s55060173/a5ccbb4c-fe240b55-19cfa1a7-48bc782d-22e7841a.jpg\n']
s55332191_3,p19112585,s55332191,3,Impression,"Previous postoperative widening of the cardiomediastinal silhouette has improved, pulmonary edema has resolved. Combination of moderate right pleural effusion and atelectasis and severe left lower lobe atelectasis are unchanged. Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains. No pneumothorax.",Combination of moderate right pleural effusion and atelectasis and severe left lower lobe atelectasis are unchanged.,atelectasis,left lower lobe,Stable,['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg'],['files/p19/p19112585/s55060173/a5ccbb4c-fe240b55-19cfa1a7-48bc782d-22e7841a.jpg\n']
s55332191_3,p19112585,s55332191,3,Impression,"Previous postoperative widening of the cardiomediastinal silhouette has improved, pulmonary edema has resolved. Combination of moderate right pleural effusion and atelectasis and severe left lower lobe atelectasis are unchanged. Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains. No pneumothorax.","Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains.",pleural drains,midline,New,['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg'],['files/p19/p19112585/s55060173/a5ccbb4c-fe240b55-19cfa1a7-48bc782d-22e7841a.jpg\n']
s55332191_3,p19112585,s55332191,3,Impression,"Previous postoperative widening of the cardiomediastinal silhouette has improved, pulmonary edema has resolved. Combination of moderate right pleural effusion and atelectasis and severe left lower lobe atelectasis are unchanged. Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains. No pneumothorax.",Combination of moderate right pleural effusion and atelectasis and severe left lower lobe atelectasis are unchanged.,atelectasis,right,Stable,['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg'],['files/p19/p19112585/s55060173/a5ccbb4c-fe240b55-19cfa1a7-48bc782d-22e7841a.jpg\n']
s55332191_3,p19112585,s55332191,3,Impression,"Previous postoperative widening of the cardiomediastinal silhouette has improved, pulmonary edema has resolved. Combination of moderate right pleural effusion and atelectasis and severe left lower lobe atelectasis are unchanged. Intra-aortic balloon pump is in standard position, as are endotracheal tube, esophageal drain, Swan-Ganz catheter in the right pulmonary artery, midline and left pleural drains. No pneumothorax.",Combination of moderate right pleural effusion and atelectasis and severe left lower lobe atelectasis are unchanged.,pleural effusion,right,Stable,['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg'],['files/p19/p19112585/s55060173/a5ccbb4c-fe240b55-19cfa1a7-48bc782d-22e7841a.jpg\n']
s55332401_4,p14544801,s55332401,4,Findings,"There is complete opacification of the right lower lung with air bronchograms suggestive of pneumonia. The large cavity in the upper lung field is partially opacified by adjacent effusion, which appears intervally increased. Increased interstitial thickening in the left lung is unchanged. There is no pleural effusion or pneumothorax in the left.","The large cavity in the upper lung field is partially opacified by adjacent effusion, which appears intervally increased.",Large cavity partially opacified by adjacent effusion,Upper lung field,Worse,['files/p14/p14544801/s55332401/b3d3f351-2f2c324c-963ca19b-fb5f5df2-0d7e9a31.jpg'],['files/p14/p14544801/s55084779/d1311bd6-e306d59e-a79f3f57-df18a30e-bf78423b.jpg\n']
s55332401_4,p14544801,s55332401,4,Findings,"There is complete opacification of the right lower lung with air bronchograms suggestive of pneumonia. The large cavity in the upper lung field is partially opacified by adjacent effusion, which appears intervally increased. Increased interstitial thickening in the left lung is unchanged. There is no pleural effusion or pneumothorax in the left.",Increased interstitial thickening in the left lung is unchanged.,Interstitial thickening,Left lung,Stable,['files/p14/p14544801/s55332401/b3d3f351-2f2c324c-963ca19b-fb5f5df2-0d7e9a31.jpg'],['files/p14/p14544801/s55084779/d1311bd6-e306d59e-a79f3f57-df18a30e-bf78423b.jpg\n']
s55332401_4,p14544801,s55332401,4,Impression,Increased opacification in the right lung suggesting pneumonia in the right lower lobe and increased effusion. Cavity in the RUL slightly obscured to to adjacent increased pleural effusion.,Cavity in the RUL slightly obscured to to adjacent increased pleural effusion.,Cavity,RUL,Worse,['files/p14/p14544801/s55332401/b3d3f351-2f2c324c-963ca19b-fb5f5df2-0d7e9a31.jpg'],['files/p14/p14544801/s55084779/d1311bd6-e306d59e-a79f3f57-df18a30e-bf78423b.jpg\n']
s55339794_3,p15787214,s55339794,3,Impression,Diffuse opacities in the right lung concerning for multifocal pneumonia. Recommend followup radiograph after treatment to ensure resolution. Probable small pleural effusions.,Probable small pleural effusions.,small pleural effusions,,New,"['files/p15/p15787214/s55339794/6046f679-3f7b627a-75ed0041-e83000f4-d459e30b.jpg', 'files/p15/p15787214/s55339794/d28b38cf-926d0e19-852a101e-ee126190-42253668.jpg', 'files/p15/p15787214/s55339794/e49ba6bf-1f832e25-aa017a68-95dcb8b5-c2882106.jpg', 'files/p15/p15787214/s55339794/f6088e83-babff51c-fe95c613-7b94b470-3aea3440.jpg']",['files/p15/p15787214/s52734390/e73cd1d5-5e0bf9d7-abf87afe-b9825e7f-6786a135.jpg\n']
s55339794_3,p15787214,s55339794,3,Findings,"Frontal portable radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. There is diffuse opacity in the right lung more prominently in the right lower and mid lung. Compared to the prior study, opacities in the right lower lung appear similar; however, there may be slight increased opacity in the right mid lung. There is mild left base atelectasis. There are probable small bilateral pleural effusions. A left internal jugular approach central venous catheter ends in the mid SVC. No pneumothorax. No displaced rib fracture identified.",Frontal portable radiographs of the chest demonstrate normal heart size.,normal heart size,,New,"['files/p15/p15787214/s55339794/6046f679-3f7b627a-75ed0041-e83000f4-d459e30b.jpg', 'files/p15/p15787214/s55339794/d28b38cf-926d0e19-852a101e-ee126190-42253668.jpg', 'files/p15/p15787214/s55339794/e49ba6bf-1f832e25-aa017a68-95dcb8b5-c2882106.jpg', 'files/p15/p15787214/s55339794/f6088e83-babff51c-fe95c613-7b94b470-3aea3440.jpg']",['files/p15/p15787214/s52734390/e73cd1d5-5e0bf9d7-abf87afe-b9825e7f-6786a135.jpg\n']
s55339794_3,p15787214,s55339794,3,Findings,"Frontal portable radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. There is diffuse opacity in the right lung more prominently in the right lower and mid lung. Compared to the prior study, opacities in the right lower lung appear similar; however, there may be slight increased opacity in the right mid lung. There is mild left base atelectasis. There are probable small bilateral pleural effusions. A left internal jugular approach central venous catheter ends in the mid SVC. No pneumothorax. No displaced rib fracture identified.",The cardiomediastinal silhouette and hilar contours are normal.,normal cardiomediastinal silhouette and hilar contours,,New,"['files/p15/p15787214/s55339794/6046f679-3f7b627a-75ed0041-e83000f4-d459e30b.jpg', 'files/p15/p15787214/s55339794/d28b38cf-926d0e19-852a101e-ee126190-42253668.jpg', 'files/p15/p15787214/s55339794/e49ba6bf-1f832e25-aa017a68-95dcb8b5-c2882106.jpg', 'files/p15/p15787214/s55339794/f6088e83-babff51c-fe95c613-7b94b470-3aea3440.jpg']",['files/p15/p15787214/s52734390/e73cd1d5-5e0bf9d7-abf87afe-b9825e7f-6786a135.jpg\n']
s55339794_3,p15787214,s55339794,3,Impression,Diffuse opacities in the right lung concerning for multifocal pneumonia. Recommend followup radiograph after treatment to ensure resolution. Probable small pleural effusions.,Diffuse opacities in the right lung concerning for multifocal pneumonia.,diffuse opacities,right lung,New,"['files/p15/p15787214/s55339794/6046f679-3f7b627a-75ed0041-e83000f4-d459e30b.jpg', 'files/p15/p15787214/s55339794/d28b38cf-926d0e19-852a101e-ee126190-42253668.jpg', 'files/p15/p15787214/s55339794/e49ba6bf-1f832e25-aa017a68-95dcb8b5-c2882106.jpg', 'files/p15/p15787214/s55339794/f6088e83-babff51c-fe95c613-7b94b470-3aea3440.jpg']",['files/p15/p15787214/s52734390/e73cd1d5-5e0bf9d7-abf87afe-b9825e7f-6786a135.jpg\n']
s55339794_3,p15787214,s55339794,3,Findings,"Frontal portable radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. There is diffuse opacity in the right lung more prominently in the right lower and mid lung. Compared to the prior study, opacities in the right lower lung appear similar; however, there may be slight increased opacity in the right mid lung. There is mild left base atelectasis. There are probable small bilateral pleural effusions. A left internal jugular approach central venous catheter ends in the mid SVC. No pneumothorax. No displaced rib fracture identified.",A left internal jugular approach central venous catheter ends in the mid SVC.,left internal jugular approach central venous catheter,mid SVC,New,"['files/p15/p15787214/s55339794/6046f679-3f7b627a-75ed0041-e83000f4-d459e30b.jpg', 'files/p15/p15787214/s55339794/d28b38cf-926d0e19-852a101e-ee126190-42253668.jpg', 'files/p15/p15787214/s55339794/e49ba6bf-1f832e25-aa017a68-95dcb8b5-c2882106.jpg', 'files/p15/p15787214/s55339794/f6088e83-babff51c-fe95c613-7b94b470-3aea3440.jpg']",['files/p15/p15787214/s52734390/e73cd1d5-5e0bf9d7-abf87afe-b9825e7f-6786a135.jpg\n']
s55339794_3,p15787214,s55339794,3,Findings,"Frontal portable radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. There is diffuse opacity in the right lung more prominently in the right lower and mid lung. Compared to the prior study, opacities in the right lower lung appear similar; however, there may be slight increased opacity in the right mid lung. There is mild left base atelectasis. There are probable small bilateral pleural effusions. A left internal jugular approach central venous catheter ends in the mid SVC. No pneumothorax. No displaced rib fracture identified.",There is diffuse opacity in the right lung more prominently in the right lower and mid lung.,diffuse opacity,right lower and mid lung,New,"['files/p15/p15787214/s55339794/6046f679-3f7b627a-75ed0041-e83000f4-d459e30b.jpg', 'files/p15/p15787214/s55339794/d28b38cf-926d0e19-852a101e-ee126190-42253668.jpg', 'files/p15/p15787214/s55339794/e49ba6bf-1f832e25-aa017a68-95dcb8b5-c2882106.jpg', 'files/p15/p15787214/s55339794/f6088e83-babff51c-fe95c613-7b94b470-3aea3440.jpg']",['files/p15/p15787214/s52734390/e73cd1d5-5e0bf9d7-abf87afe-b9825e7f-6786a135.jpg\n']
s55339794_3,p15787214,s55339794,3,Findings,"Frontal portable radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. There is diffuse opacity in the right lung more prominently in the right lower and mid lung. Compared to the prior study, opacities in the right lower lung appear similar; however, there may be slight increased opacity in the right mid lung. There is mild left base atelectasis. There are probable small bilateral pleural effusions. A left internal jugular approach central venous catheter ends in the mid SVC. No pneumothorax. No displaced rib fracture identified.",There are probable small bilateral pleural effusions.,pleural effusions,bilateral,New,"['files/p15/p15787214/s55339794/6046f679-3f7b627a-75ed0041-e83000f4-d459e30b.jpg', 'files/p15/p15787214/s55339794/d28b38cf-926d0e19-852a101e-ee126190-42253668.jpg', 'files/p15/p15787214/s55339794/e49ba6bf-1f832e25-aa017a68-95dcb8b5-c2882106.jpg', 'files/p15/p15787214/s55339794/f6088e83-babff51c-fe95c613-7b94b470-3aea3440.jpg']",['files/p15/p15787214/s52734390/e73cd1d5-5e0bf9d7-abf87afe-b9825e7f-6786a135.jpg\n']
s55339794_3,p15787214,s55339794,3,Findings,"Frontal portable radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. There is diffuse opacity in the right lung more prominently in the right lower and mid lung. Compared to the prior study, opacities in the right lower lung appear similar; however, there may be slight increased opacity in the right mid lung. There is mild left base atelectasis. There are probable small bilateral pleural effusions. A left internal jugular approach central venous catheter ends in the mid SVC. No pneumothorax. No displaced rib fracture identified.",There is mild left base atelectasis.,atelectasis,left base,New,"['files/p15/p15787214/s55339794/6046f679-3f7b627a-75ed0041-e83000f4-d459e30b.jpg', 'files/p15/p15787214/s55339794/d28b38cf-926d0e19-852a101e-ee126190-42253668.jpg', 'files/p15/p15787214/s55339794/e49ba6bf-1f832e25-aa017a68-95dcb8b5-c2882106.jpg', 'files/p15/p15787214/s55339794/f6088e83-babff51c-fe95c613-7b94b470-3aea3440.jpg']",['files/p15/p15787214/s52734390/e73cd1d5-5e0bf9d7-abf87afe-b9825e7f-6786a135.jpg\n']
s55339794_3,p15787214,s55339794,3,Findings,"Frontal portable radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. There is diffuse opacity in the right lung more prominently in the right lower and mid lung. Compared to the prior study, opacities in the right lower lung appear similar; however, there may be slight increased opacity in the right mid lung. There is mild left base atelectasis. There are probable small bilateral pleural effusions. A left internal jugular approach central venous catheter ends in the mid SVC. No pneumothorax. No displaced rib fracture identified.","Compared to the prior study, opacities in the right lower lung appear similar; however, there may be slight increased opacity in the right mid lung.",opacities,right lower lung,Stable,"['files/p15/p15787214/s55339794/6046f679-3f7b627a-75ed0041-e83000f4-d459e30b.jpg', 'files/p15/p15787214/s55339794/d28b38cf-926d0e19-852a101e-ee126190-42253668.jpg', 'files/p15/p15787214/s55339794/e49ba6bf-1f832e25-aa017a68-95dcb8b5-c2882106.jpg', 'files/p15/p15787214/s55339794/f6088e83-babff51c-fe95c613-7b94b470-3aea3440.jpg']",['files/p15/p15787214/s52734390/e73cd1d5-5e0bf9d7-abf87afe-b9825e7f-6786a135.jpg\n']
s55339794_3,p15787214,s55339794,3,Findings,"Frontal portable radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. There is diffuse opacity in the right lung more prominently in the right lower and mid lung. Compared to the prior study, opacities in the right lower lung appear similar; however, there may be slight increased opacity in the right mid lung. There is mild left base atelectasis. There are probable small bilateral pleural effusions. A left internal jugular approach central venous catheter ends in the mid SVC. No pneumothorax. No displaced rib fracture identified.","Compared to the prior study, opacities in the right lower lung appear similar; however, there may be slight increased opacity in the right mid lung.",opacity,right mid lung,Worse,"['files/p15/p15787214/s55339794/6046f679-3f7b627a-75ed0041-e83000f4-d459e30b.jpg', 'files/p15/p15787214/s55339794/d28b38cf-926d0e19-852a101e-ee126190-42253668.jpg', 'files/p15/p15787214/s55339794/e49ba6bf-1f832e25-aa017a68-95dcb8b5-c2882106.jpg', 'files/p15/p15787214/s55339794/f6088e83-babff51c-fe95c613-7b94b470-3aea3440.jpg']",['files/p15/p15787214/s52734390/e73cd1d5-5e0bf9d7-abf87afe-b9825e7f-6786a135.jpg\n']
s55345089_26,p17559288,s55345089,26,Impression,Interval worsening of PCP ___.,Interval worsening of PCP ___,PCP,,Worse,['files/p17/p17559288/s55345089/20a65006-577b1db7-b2083dee-71b9a758-591cc79c.jpg'],['files/p17/p17559288/s55226234/1b456b8e-4bd0f874-af8673f3-bc3c4d68-1820cf35.jpg\n']
s55345089_26,p17559288,s55345089,26,Findings,"Bilateral lung opacities predominantly in the perihilar distributions have increased since ___ suggestive of an interval progression of PCP. Heart size, mediastinal and hilar contours are normal. Left PICC line ends at mid SVC.",Bilateral lung opacities predominantly in the perihilar distributions have increased since ___ suggestive of an interval progression of PCP.,lung opacities,perihilar distributions,Worse,['files/p17/p17559288/s55345089/20a65006-577b1db7-b2083dee-71b9a758-591cc79c.jpg'],['files/p17/p17559288/s55226234/1b456b8e-4bd0f874-af8673f3-bc3c4d68-1820cf35.jpg\n']
s55349973_11,p11932181,s55349973,11,Findings,AP portable single view of the chest shows stable left lung base opacity due to moderate pleural effusion and left lower lobe atelectasis. Left pleural drain is unchanged. Right lung is clear. The cardiomediastinal silhouette is normal. There is a small left apical pneumothorax.,AP portable single view of the chest shows stable left lung base opacity due to moderate pleural effusion and left lower lobe atelectasis.,opacity,left lung base,Stable,['files/p11/p11932181/s55349973/e5058ddc-12914e19-41492f3b-9016f745-4333ebfe.jpg'],"['files/p11/p11932181/s55112740/8ddb63f4-106e50f8-38f5b05c-d7f17419-6515de90.jpg\n', 'files/p11/p11932181/s55112740/c7a2c5af-3b1a64a5-470827fe-ad59bec3-82fa5c9f.jpg\n']"
s55349973_11,p11932181,s55349973,11,Findings,AP portable single view of the chest shows stable left lung base opacity due to moderate pleural effusion and left lower lobe atelectasis. Left pleural drain is unchanged. Right lung is clear. The cardiomediastinal silhouette is normal. There is a small left apical pneumothorax.,Left pleural drain is unchanged.,pleural drain,left,Stable,['files/p11/p11932181/s55349973/e5058ddc-12914e19-41492f3b-9016f745-4333ebfe.jpg'],"['files/p11/p11932181/s55112740/8ddb63f4-106e50f8-38f5b05c-d7f17419-6515de90.jpg\n', 'files/p11/p11932181/s55112740/c7a2c5af-3b1a64a5-470827fe-ad59bec3-82fa5c9f.jpg\n']"
s55352995_39,p11888614,s55352995,39,Findings,There has been interval improvement in aeration in the lower lobes. No focal infiltrate is identified. The cardiac and mediastinal silhouettes are unchanged,There has been interval improvement in aeration in the lower lobes.,aeration,lower lobes,Better,"['files/p11/p11888614/s55352995/3153b513-aa211ff5-db3a738d-8e4d0c11-9afdadd8.jpg', 'files/p11/p11888614/s55352995/cabb5fa9-d1acd957-85f5de3b-98fe2481-6ebf62bd.jpg']",['files/p11/p11888614/s54081752/394e4fc7-9c032c3f-1bf44214-594a112c-dbf00598.jpg\n']
s55352995_39,p11888614,s55352995,39,Findings,There has been interval improvement in aeration in the lower lobes. No focal infiltrate is identified. The cardiac and mediastinal silhouettes are unchanged,The cardiac and mediastinal silhouettes are unchanged,cardiac and mediastinal silhouettes,,Stable,"['files/p11/p11888614/s55352995/3153b513-aa211ff5-db3a738d-8e4d0c11-9afdadd8.jpg', 'files/p11/p11888614/s55352995/cabb5fa9-d1acd957-85f5de3b-98fe2481-6ebf62bd.jpg']",['files/p11/p11888614/s54081752/394e4fc7-9c032c3f-1bf44214-594a112c-dbf00598.jpg\n']
s55357075_6,p11717909,s55357075,6,Findings,"Portable semi upright radiograph of the chest demonstrates well expanded lungs. Increased opacification of the retrocardiac space is consistent with atelectasis. There has been interval resolution of pulmonary edema. The cardiomediastinal and hilar contours are unchanged. The heart remains enlarged. A left ventricular assist device is in the expected position. The Swan-Ganz catheter remains in place with the tip in the right pulmonary artery. There has been interval removal of the nasogastric tube, endotracheal tube, left-sided chest tube, and intra-aortic balloon pump. There is no pneumothorax or pleural effusion.","There has been interval removal of the nasogastric tube, endotracheal tube, left-sided chest tube, and intra-aortic balloon pump.",intra-aortic balloon pump,,Resolve,['files/p11/p11717909/s55357075/755a89e3-07c0c918-4be04b78-27526552-f2505932.jpg'],"['files/p11/p11717909/s55248428/1069a38a-769121b0-3d5f575e-28b0d063-fac78684.jpg\n', 'files/p11/p11717909/s55248428/bbed68cb-2b0d6862-be4b2ad1-33830392-d1192f4b.jpg\n']"
s55357075_6,p11717909,s55357075,6,Findings,"Portable semi upright radiograph of the chest demonstrates well expanded lungs. Increased opacification of the retrocardiac space is consistent with atelectasis. There has been interval resolution of pulmonary edema. The cardiomediastinal and hilar contours are unchanged. The heart remains enlarged. A left ventricular assist device is in the expected position. The Swan-Ganz catheter remains in place with the tip in the right pulmonary artery. There has been interval removal of the nasogastric tube, endotracheal tube, left-sided chest tube, and intra-aortic balloon pump. There is no pneumothorax or pleural effusion.","There has been interval removal of the nasogastric tube, endotracheal tube, left-sided chest tube, and intra-aortic balloon pump.",left-sided chest tube,,Resolve,['files/p11/p11717909/s55357075/755a89e3-07c0c918-4be04b78-27526552-f2505932.jpg'],"['files/p11/p11717909/s55248428/1069a38a-769121b0-3d5f575e-28b0d063-fac78684.jpg\n', 'files/p11/p11717909/s55248428/bbed68cb-2b0d6862-be4b2ad1-33830392-d1192f4b.jpg\n']"
s55357075_6,p11717909,s55357075,6,Findings,"Portable semi upright radiograph of the chest demonstrates well expanded lungs. Increased opacification of the retrocardiac space is consistent with atelectasis. There has been interval resolution of pulmonary edema. The cardiomediastinal and hilar contours are unchanged. The heart remains enlarged. A left ventricular assist device is in the expected position. The Swan-Ganz catheter remains in place with the tip in the right pulmonary artery. There has been interval removal of the nasogastric tube, endotracheal tube, left-sided chest tube, and intra-aortic balloon pump. There is no pneumothorax or pleural effusion.",There has been interval resolution of pulmonary edema.,pulmonary edema,,Resolve,['files/p11/p11717909/s55357075/755a89e3-07c0c918-4be04b78-27526552-f2505932.jpg'],"['files/p11/p11717909/s55248428/1069a38a-769121b0-3d5f575e-28b0d063-fac78684.jpg\n', 'files/p11/p11717909/s55248428/bbed68cb-2b0d6862-be4b2ad1-33830392-d1192f4b.jpg\n']"
s55357075_6,p11717909,s55357075,6,Findings,"Portable semi upright radiograph of the chest demonstrates well expanded lungs. Increased opacification of the retrocardiac space is consistent with atelectasis. There has been interval resolution of pulmonary edema. The cardiomediastinal and hilar contours are unchanged. The heart remains enlarged. A left ventricular assist device is in the expected position. The Swan-Ganz catheter remains in place with the tip in the right pulmonary artery. There has been interval removal of the nasogastric tube, endotracheal tube, left-sided chest tube, and intra-aortic balloon pump. There is no pneumothorax or pleural effusion.",The heart remains enlarged.,enlarged heart,,Stable,['files/p11/p11717909/s55357075/755a89e3-07c0c918-4be04b78-27526552-f2505932.jpg'],"['files/p11/p11717909/s55248428/1069a38a-769121b0-3d5f575e-28b0d063-fac78684.jpg\n', 'files/p11/p11717909/s55248428/bbed68cb-2b0d6862-be4b2ad1-33830392-d1192f4b.jpg\n']"
s55357075_6,p11717909,s55357075,6,Findings,"Portable semi upright radiograph of the chest demonstrates well expanded lungs. Increased opacification of the retrocardiac space is consistent with atelectasis. There has been interval resolution of pulmonary edema. The cardiomediastinal and hilar contours are unchanged. The heart remains enlarged. A left ventricular assist device is in the expected position. The Swan-Ganz catheter remains in place with the tip in the right pulmonary artery. There has been interval removal of the nasogastric tube, endotracheal tube, left-sided chest tube, and intra-aortic balloon pump. There is no pneumothorax or pleural effusion.",The Swan-Ganz catheter remains in place with the tip in the right pulmonary artery.,Swan-Ganz catheter,right pulmonary artery,Stable,['files/p11/p11717909/s55357075/755a89e3-07c0c918-4be04b78-27526552-f2505932.jpg'],"['files/p11/p11717909/s55248428/1069a38a-769121b0-3d5f575e-28b0d063-fac78684.jpg\n', 'files/p11/p11717909/s55248428/bbed68cb-2b0d6862-be4b2ad1-33830392-d1192f4b.jpg\n']"
s55357075_6,p11717909,s55357075,6,Findings,"Portable semi upright radiograph of the chest demonstrates well expanded lungs. Increased opacification of the retrocardiac space is consistent with atelectasis. There has been interval resolution of pulmonary edema. The cardiomediastinal and hilar contours are unchanged. The heart remains enlarged. A left ventricular assist device is in the expected position. The Swan-Ganz catheter remains in place with the tip in the right pulmonary artery. There has been interval removal of the nasogastric tube, endotracheal tube, left-sided chest tube, and intra-aortic balloon pump. There is no pneumothorax or pleural effusion.","There has been interval removal of the nasogastric tube, endotracheal tube, left-sided chest tube, and intra-aortic balloon pump.",endotracheal tube,,Resolve,['files/p11/p11717909/s55357075/755a89e3-07c0c918-4be04b78-27526552-f2505932.jpg'],"['files/p11/p11717909/s55248428/1069a38a-769121b0-3d5f575e-28b0d063-fac78684.jpg\n', 'files/p11/p11717909/s55248428/bbed68cb-2b0d6862-be4b2ad1-33830392-d1192f4b.jpg\n']"
s55357075_6,p11717909,s55357075,6,Findings,"Portable semi upright radiograph of the chest demonstrates well expanded lungs. Increased opacification of the retrocardiac space is consistent with atelectasis. There has been interval resolution of pulmonary edema. The cardiomediastinal and hilar contours are unchanged. The heart remains enlarged. A left ventricular assist device is in the expected position. The Swan-Ganz catheter remains in place with the tip in the right pulmonary artery. There has been interval removal of the nasogastric tube, endotracheal tube, left-sided chest tube, and intra-aortic balloon pump. There is no pneumothorax or pleural effusion.","There has been interval removal of the nasogastric tube, endotracheal tube, left-sided chest tube, and intra-aortic balloon pump.",nasogastric tube,,Resolve,['files/p11/p11717909/s55357075/755a89e3-07c0c918-4be04b78-27526552-f2505932.jpg'],"['files/p11/p11717909/s55248428/1069a38a-769121b0-3d5f575e-28b0d063-fac78684.jpg\n', 'files/p11/p11717909/s55248428/bbed68cb-2b0d6862-be4b2ad1-33830392-d1192f4b.jpg\n']"
s55357075_6,p11717909,s55357075,6,Findings,"Portable semi upright radiograph of the chest demonstrates well expanded lungs. Increased opacification of the retrocardiac space is consistent with atelectasis. There has been interval resolution of pulmonary edema. The cardiomediastinal and hilar contours are unchanged. The heart remains enlarged. A left ventricular assist device is in the expected position. The Swan-Ganz catheter remains in place with the tip in the right pulmonary artery. There has been interval removal of the nasogastric tube, endotracheal tube, left-sided chest tube, and intra-aortic balloon pump. There is no pneumothorax or pleural effusion.",Increased opacification of the retrocardiac space is consistent with atelectasis.,opacification,retrocardiac space,Worse,['files/p11/p11717909/s55357075/755a89e3-07c0c918-4be04b78-27526552-f2505932.jpg'],"['files/p11/p11717909/s55248428/1069a38a-769121b0-3d5f575e-28b0d063-fac78684.jpg\n', 'files/p11/p11717909/s55248428/bbed68cb-2b0d6862-be4b2ad1-33830392-d1192f4b.jpg\n']"
s55357075_6,p11717909,s55357075,6,Findings,"Portable semi upright radiograph of the chest demonstrates well expanded lungs. Increased opacification of the retrocardiac space is consistent with atelectasis. There has been interval resolution of pulmonary edema. The cardiomediastinal and hilar contours are unchanged. The heart remains enlarged. A left ventricular assist device is in the expected position. The Swan-Ganz catheter remains in place with the tip in the right pulmonary artery. There has been interval removal of the nasogastric tube, endotracheal tube, left-sided chest tube, and intra-aortic balloon pump. There is no pneumothorax or pleural effusion.",The cardiomediastinal and hilar contours are unchanged.,cardiomediastinal and hilar contours,,Stable,['files/p11/p11717909/s55357075/755a89e3-07c0c918-4be04b78-27526552-f2505932.jpg'],"['files/p11/p11717909/s55248428/1069a38a-769121b0-3d5f575e-28b0d063-fac78684.jpg\n', 'files/p11/p11717909/s55248428/bbed68cb-2b0d6862-be4b2ad1-33830392-d1192f4b.jpg\n']"
s55374533_3,p17123098,s55374533,3,Impression,"Left basilar opacity has mildly worsened, in part atelectasis, consider aspiration or pneumonia if clinically appropriate.","Left basilar opacity has mildly worsened, in part atelectasis, consider aspiration or pneumonia if clinically appropriate.",Opacity,Left basilar,Worse,['files/p17/p17123098/s55374533/46aa0c3b-dfb23768-f0c1ea37-80bf872e-01459617.jpg'],['files/p17/p17123098/s55293550/7a63f567-e729a4cb-1392efd5-a3130267-c02dcb1d.jpg\n']
s55374533_3,p17123098,s55374533,3,Findings,"Endotracheal tube tip is 3.5 cm above carina. Right PICC low-lying tip is in the mid to low SVC, overlie spine and is difficult to see. Postoperative changes in the spine. There are bilateral pleural effusions, similar. Improved lung aeration since prior. Improved pulmonary vascularity. Heart is mildly enlarged. Left basilar opacity, mildly worsened, in part from atelectasis given volume loss, consider pneumonia or aspiration if clinically appropriate. Improved right basilar opacity. No pneumothorax.","Left basilar opacity, mildly worsened, in part from atelectasis given volume loss, consider pneumonia or aspiration if clinically appropriate.",Opacity,Left basilar,Worse,['files/p17/p17123098/s55374533/46aa0c3b-dfb23768-f0c1ea37-80bf872e-01459617.jpg'],['files/p17/p17123098/s55293550/7a63f567-e729a4cb-1392efd5-a3130267-c02dcb1d.jpg\n']
s55374533_3,p17123098,s55374533,3,Findings,"Endotracheal tube tip is 3.5 cm above carina. Right PICC low-lying tip is in the mid to low SVC, overlie spine and is difficult to see. Postoperative changes in the spine. There are bilateral pleural effusions, similar. Improved lung aeration since prior. Improved pulmonary vascularity. Heart is mildly enlarged. Left basilar opacity, mildly worsened, in part from atelectasis given volume loss, consider pneumonia or aspiration if clinically appropriate. Improved right basilar opacity. No pneumothorax.","There are bilateral pleural effusions, similar.",,Bilateral pleural effusions,Stable,['files/p17/p17123098/s55374533/46aa0c3b-dfb23768-f0c1ea37-80bf872e-01459617.jpg'],['files/p17/p17123098/s55293550/7a63f567-e729a4cb-1392efd5-a3130267-c02dcb1d.jpg\n']
s55374533_3,p17123098,s55374533,3,Findings,"Endotracheal tube tip is 3.5 cm above carina. Right PICC low-lying tip is in the mid to low SVC, overlie spine and is difficult to see. Postoperative changes in the spine. There are bilateral pleural effusions, similar. Improved lung aeration since prior. Improved pulmonary vascularity. Heart is mildly enlarged. Left basilar opacity, mildly worsened, in part from atelectasis given volume loss, consider pneumonia or aspiration if clinically appropriate. Improved right basilar opacity. No pneumothorax.",Improved pulmonary vascularity.,,Pulmonary vascularity,Better,['files/p17/p17123098/s55374533/46aa0c3b-dfb23768-f0c1ea37-80bf872e-01459617.jpg'],['files/p17/p17123098/s55293550/7a63f567-e729a4cb-1392efd5-a3130267-c02dcb1d.jpg\n']
s55374533_3,p17123098,s55374533,3,Findings,"Endotracheal tube tip is 3.5 cm above carina. Right PICC low-lying tip is in the mid to low SVC, overlie spine and is difficult to see. Postoperative changes in the spine. There are bilateral pleural effusions, similar. Improved lung aeration since prior. Improved pulmonary vascularity. Heart is mildly enlarged. Left basilar opacity, mildly worsened, in part from atelectasis given volume loss, consider pneumonia or aspiration if clinically appropriate. Improved right basilar opacity. No pneumothorax.",Improved lung aeration since prior.,,Lung aeration,Better,['files/p17/p17123098/s55374533/46aa0c3b-dfb23768-f0c1ea37-80bf872e-01459617.jpg'],['files/p17/p17123098/s55293550/7a63f567-e729a4cb-1392efd5-a3130267-c02dcb1d.jpg\n']
s55374533_3,p17123098,s55374533,3,Findings,"Endotracheal tube tip is 3.5 cm above carina. Right PICC low-lying tip is in the mid to low SVC, overlie spine and is difficult to see. Postoperative changes in the spine. There are bilateral pleural effusions, similar. Improved lung aeration since prior. Improved pulmonary vascularity. Heart is mildly enlarged. Left basilar opacity, mildly worsened, in part from atelectasis given volume loss, consider pneumonia or aspiration if clinically appropriate. Improved right basilar opacity. No pneumothorax.",Improved right basilar opacity.,Opacity,Right basilar,Better,['files/p17/p17123098/s55374533/46aa0c3b-dfb23768-f0c1ea37-80bf872e-01459617.jpg'],['files/p17/p17123098/s55293550/7a63f567-e729a4cb-1392efd5-a3130267-c02dcb1d.jpg\n']
s55385319_57,p11717909,s55385319,57,Findings,"Compared to ___, there is suggestion of cavitation in lesions in the left mid lung measuring up to 2.1 x 1.3 cm. Bilateral parenchymal opacities, right worse than left is unchanged. Moderate right pleural effusion is likely. Left retrocardiac atelectasis is unchanged. Left upper lung is mostly clear. There is no evidence for pulmonary edema. Moderate cardiomegaly is unchanged. Monitoring and support lines are unchanged. Sternal wires are aligned and intact. No pneumothorax is seen.",Left retrocardiac atelectasis is unchanged.,atelectasis,left retrocardiac,Stable,['files/p11/p11717909/s55385319/b337b63e-7e254de9-316afa13-f7d944d1-b69cbe1d.jpg'],['files/p11/p11717909/s55357075/755a89e3-07c0c918-4be04b78-27526552-f2505932.jpg\n']
s55385319_57,p11717909,s55385319,57,Findings,"Compared to ___, there is suggestion of cavitation in lesions in the left mid lung measuring up to 2.1 x 1.3 cm. Bilateral parenchymal opacities, right worse than left is unchanged. Moderate right pleural effusion is likely. Left retrocardiac atelectasis is unchanged. Left upper lung is mostly clear. There is no evidence for pulmonary edema. Moderate cardiomegaly is unchanged. Monitoring and support lines are unchanged. Sternal wires are aligned and intact. No pneumothorax is seen.",Moderate cardiomegaly is unchanged.,cardiomegaly,,Stable,['files/p11/p11717909/s55385319/b337b63e-7e254de9-316afa13-f7d944d1-b69cbe1d.jpg'],['files/p11/p11717909/s55357075/755a89e3-07c0c918-4be04b78-27526552-f2505932.jpg\n']
s55385319_57,p11717909,s55385319,57,Findings,"Compared to ___, there is suggestion of cavitation in lesions in the left mid lung measuring up to 2.1 x 1.3 cm. Bilateral parenchymal opacities, right worse than left is unchanged. Moderate right pleural effusion is likely. Left retrocardiac atelectasis is unchanged. Left upper lung is mostly clear. There is no evidence for pulmonary edema. Moderate cardiomegaly is unchanged. Monitoring and support lines are unchanged. Sternal wires are aligned and intact. No pneumothorax is seen.","Bilateral parenchymal opacities, right worse than left is unchanged.",parenchymal opacities,"bilateral, right worse than left",Stable,['files/p11/p11717909/s55385319/b337b63e-7e254de9-316afa13-f7d944d1-b69cbe1d.jpg'],['files/p11/p11717909/s55357075/755a89e3-07c0c918-4be04b78-27526552-f2505932.jpg\n']
s55385319_57,p11717909,s55385319,57,Findings,"Compared to ___, there is suggestion of cavitation in lesions in the left mid lung measuring up to 2.1 x 1.3 cm. Bilateral parenchymal opacities, right worse than left is unchanged. Moderate right pleural effusion is likely. Left retrocardiac atelectasis is unchanged. Left upper lung is mostly clear. There is no evidence for pulmonary edema. Moderate cardiomegaly is unchanged. Monitoring and support lines are unchanged. Sternal wires are aligned and intact. No pneumothorax is seen.",Monitoring and support lines are unchanged.,monitoring and support lines,,Stable,['files/p11/p11717909/s55385319/b337b63e-7e254de9-316afa13-f7d944d1-b69cbe1d.jpg'],['files/p11/p11717909/s55357075/755a89e3-07c0c918-4be04b78-27526552-f2505932.jpg\n']
s55387859_0,p15275519,s55387859,0,Impression,"As compared to the previous radiograph, no relevant change is seen. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pleural effusions. No pneumonia, no pulmonary edema.","As compared to the previous radiograph, no relevant change is seen.",,,Stable,"['files/p15/p15275519/s55387859/5d30fb5c-15157c2b-2197aa8d-1089b462-e0c1e351.jpg', 'files/p15/p15275519/s55387859/9299fa90-c463e69b-c74b271b-8e905160-ed906c51.jpg']",
s55387962_11,p15911529,s55387962,11,Impression,"1. Moderate left pleural effusion, which is re-accumulated since ___ but appears similar to ___. 2. Mild pulmonary vascular congestion/ interstitial edema.","Moderate left pleural effusion, which is re-accumulated since ___ but appears similar to ___",pleural effusion,left,Worse,"['files/p15/p15911529/s55387962/50f387b8-7d09f146-8c5f7b53-5595f2e7-ef1ff2a9.jpg', 'files/p15/p15911529/s55387962/c8a6f765-ffcff546-a4d433d1-fe00ebbf-978fb111.jpg']","['files/p15/p15911529/s55296778/69a50a5b-ad0ca148-ae58ef27-a1d7b4be-cbde70fe.jpg\n', 'files/p15/p15911529/s55296778/f58ceea9-b65ddd7a-210c3c5d-64f6f523-e898d9d7.jpg\n']"
s55387962_11,p15911529,s55387962,11,Findings,"There is a left pectoral pacemaker with 3 leads, unchanged in position. A moderate right pleural effusion has reaccumulated since the most recent prior study, which is similar in appearance to ___. There is mild pulmonary vascular congestion/ interstitial edema. No left pleural effusion or pneumothorax is seen. The cardiac silhouette remains enlarged. There is mild calcification of the aortic knob.",The cardiac silhouette remains enlarged.,cardiac silhouette,,Stable,"['files/p15/p15911529/s55387962/50f387b8-7d09f146-8c5f7b53-5595f2e7-ef1ff2a9.jpg', 'files/p15/p15911529/s55387962/c8a6f765-ffcff546-a4d433d1-fe00ebbf-978fb111.jpg']","['files/p15/p15911529/s55296778/69a50a5b-ad0ca148-ae58ef27-a1d7b4be-cbde70fe.jpg\n', 'files/p15/p15911529/s55296778/f58ceea9-b65ddd7a-210c3c5d-64f6f523-e898d9d7.jpg\n']"
s55387962_11,p15911529,s55387962,11,Findings,"There is a left pectoral pacemaker with 3 leads, unchanged in position. A moderate right pleural effusion has reaccumulated since the most recent prior study, which is similar in appearance to ___. There is mild pulmonary vascular congestion/ interstitial edema. No left pleural effusion or pneumothorax is seen. The cardiac silhouette remains enlarged. There is mild calcification of the aortic knob.","There is a left pectoral pacemaker with 3 leads, unchanged in position.",pacemaker with 3 leads,left pectoral,Stable,"['files/p15/p15911529/s55387962/50f387b8-7d09f146-8c5f7b53-5595f2e7-ef1ff2a9.jpg', 'files/p15/p15911529/s55387962/c8a6f765-ffcff546-a4d433d1-fe00ebbf-978fb111.jpg']","['files/p15/p15911529/s55296778/69a50a5b-ad0ca148-ae58ef27-a1d7b4be-cbde70fe.jpg\n', 'files/p15/p15911529/s55296778/f58ceea9-b65ddd7a-210c3c5d-64f6f523-e898d9d7.jpg\n']"
s55387962_11,p15911529,s55387962,11,Findings,"There is a left pectoral pacemaker with 3 leads, unchanged in position. A moderate right pleural effusion has reaccumulated since the most recent prior study, which is similar in appearance to ___. There is mild pulmonary vascular congestion/ interstitial edema. No left pleural effusion or pneumothorax is seen. The cardiac silhouette remains enlarged. There is mild calcification of the aortic knob.","A moderate right pleural effusion has reaccumulated since the most recent prior study, which is similar in appearance to ___",pleural effusion,right,Worse,"['files/p15/p15911529/s55387962/50f387b8-7d09f146-8c5f7b53-5595f2e7-ef1ff2a9.jpg', 'files/p15/p15911529/s55387962/c8a6f765-ffcff546-a4d433d1-fe00ebbf-978fb111.jpg']","['files/p15/p15911529/s55296778/69a50a5b-ad0ca148-ae58ef27-a1d7b4be-cbde70fe.jpg\n', 'files/p15/p15911529/s55296778/f58ceea9-b65ddd7a-210c3c5d-64f6f523-e898d9d7.jpg\n']"
s55390875_2,p15936884,s55390875,2,Impression,Status post CABG with interval improvement in now mild bilateral pulmonary edema. Small bilateral pleural effusions with adjacent atelectasis.,Status post CABG with interval improvement in now mild bilateral pulmonary edema.,pulmonary edema,bilateral,Better,['files/p15/p15936884/s55390875/fab89071-f6543b70-eaff3eb7-558c223b-f40a6d6f.jpg'],['files/p15/p15936884/s53561431/e3d64e22-fb22f834-a727b3ff-c6c4c66f-5a5d4b5c.jpg\n']
s55390875_2,p15936884,s55390875,2,Findings,"The patient is status post CABG and the mediastinum continues to demonstrate the expected postoperative appearance. A right IJ catheter terminates within the upper-mid SVC. A nasogastric tube courses into the stomach and out of view of the radiograph. As compared to the prior examination, the patient's bilateral pulmonary edema has improved and is now mild. Bilateral small pleural effusions with adjacent atelectasis are noted. The upper lung fields are grossly clear.","As compared to the prior examination, the patient's bilateral pulmonary edema has improved and is now mild.",pulmonary edema,bilateral,Better,['files/p15/p15936884/s55390875/fab89071-f6543b70-eaff3eb7-558c223b-f40a6d6f.jpg'],['files/p15/p15936884/s53561431/e3d64e22-fb22f834-a727b3ff-c6c4c66f-5a5d4b5c.jpg\n']
s55392606_10,p11932181,s55392606,10,Findings,Left chest tube is again seen. There is moderate left effusion is slightly larger than on the study from the prior day. There is pulmonary vascular redistribution and mild cardiomegaly compatible with fluid overload.,There is moderate left effusion is slightly larger than on the study from the prior day.,effusion,left,Worse,['files/p11/p11932181/s55392606/d82e22a0-b3ce3eec-22bf56ae-9a1fca51-556da100.jpg'],['files/p11/p11932181/s55349973/e5058ddc-12914e19-41492f3b-9016f745-4333ebfe.jpg\n']
s55401499_0,p16522757,s55401499,0,Impression,Small left apical pneumothorax is present with left-sided chest tube in place. Tip of endotracheal tube terminates 7.3 cm above the carinal and could be advanced for standard positioning. Cardiomediastinal contours are normal considering marked patient rotation. Lungs are grossly clear.,Small left apical pneumothorax is present with left-sided chest tube in place.,pneumothorax,left apical,New,['files/p16/p16522757/s55401499/29625da6-c727bed4-1a61b739-f2bbdb7f-131be12b.jpg'],['files/p16/p16522757/s54238427/a4060ee2-06d52bb2-d1195cc1-7e491888-4882ae4c.jpg\n']
s55401499_0,p16522757,s55401499,0,Impression,Small left apical pneumothorax is present with left-sided chest tube in place. Tip of endotracheal tube terminates 7.3 cm above the carinal and could be advanced for standard positioning. Cardiomediastinal contours are normal considering marked patient rotation. Lungs are grossly clear.,Tip of endotracheal tube terminates 7.3 cm above the carinal and could be advanced for standard positioning.,endotracheal tube,7.3 cm above the carinal,New,['files/p16/p16522757/s55401499/29625da6-c727bed4-1a61b739-f2bbdb7f-131be12b.jpg'],['files/p16/p16522757/s54238427/a4060ee2-06d52bb2-d1195cc1-7e491888-4882ae4c.jpg\n']
s55411644_5,p18580594,s55411644,5,Findings,"As compared to the previous radiograph, there is no relevant change. Known diffuse metastatic lung disease, but no evidence of new parenchymal opacities. A slightly denser area next to the left chest wall is unchanged in extent and severity. Unchanged appearance of the cardiac silhouette. Unchanged left PICC line.",A slightly denser area next to the left chest wall is unchanged in extent and severity.,denser area,next to the left chest wall,Stable,['files/p18/p18580594/s55411644/e9fd9d5d-4686d244-07a3bcbf-1f4fe6d7-c8a17d5d.jpg'],['files/p18/p18580594/s54419841/c5c3a5a3-5e5063e6-7ebc4940-55888e2a-27a9bf62.jpg\n']
s55411644_5,p18580594,s55411644,5,Findings,"As compared to the previous radiograph, there is no relevant change. Known diffuse metastatic lung disease, but no evidence of new parenchymal opacities. A slightly denser area next to the left chest wall is unchanged in extent and severity. Unchanged appearance of the cardiac silhouette. Unchanged left PICC line.",Unchanged appearance of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p18/p18580594/s55411644/e9fd9d5d-4686d244-07a3bcbf-1f4fe6d7-c8a17d5d.jpg'],['files/p18/p18580594/s54419841/c5c3a5a3-5e5063e6-7ebc4940-55888e2a-27a9bf62.jpg\n']
s55411644_5,p18580594,s55411644,5,Findings,"As compared to the previous radiograph, there is no relevant change. Known diffuse metastatic lung disease, but no evidence of new parenchymal opacities. A slightly denser area next to the left chest wall is unchanged in extent and severity. Unchanged appearance of the cardiac silhouette. Unchanged left PICC line.",Unchanged left PICC line.,PICC line,left,Stable,['files/p18/p18580594/s55411644/e9fd9d5d-4686d244-07a3bcbf-1f4fe6d7-c8a17d5d.jpg'],['files/p18/p18580594/s54419841/c5c3a5a3-5e5063e6-7ebc4940-55888e2a-27a9bf62.jpg\n']
s55419902_0,p13184933,s55419902,0,Findings,"The patient has been extubated. The patient is status post CABG with intact sternotomy wires. Bilateral chest tubes are visualized, which are unchanged in positioning in comparison to the prior examination. There has been interval removal of the PA catheter. There are bibasilar opacities, which are largely unchanged in comparison to prior and likely represent a combination of pleural fluid and atelectasis. The cardiomediastinal silhouette is stable. The pulmonary vasculature is normal. No pneumothorax is seen.","Bilateral chest tubes are visualized, which are unchanged in positioning in comparison to the prior examination.",Chest tubes,Bilateral,Stable,['files/p13/p13184933/s55419902/9771b7cd-8a87ee8d-bf9e4546-ec002991-5580c62b.jpg'],['files/p13/p13184933/s51905928/651c4169-94a729d0-c106e57b-c9c4864f-da822a8c.jpg\n']
s55419902_0,p13184933,s55419902,0,Findings,"The patient has been extubated. The patient is status post CABG with intact sternotomy wires. Bilateral chest tubes are visualized, which are unchanged in positioning in comparison to the prior examination. There has been interval removal of the PA catheter. There are bibasilar opacities, which are largely unchanged in comparison to prior and likely represent a combination of pleural fluid and atelectasis. The cardiomediastinal silhouette is stable. The pulmonary vasculature is normal. No pneumothorax is seen.",The patient has been extubated.,Endotracheal tube,,Resolve,['files/p13/p13184933/s55419902/9771b7cd-8a87ee8d-bf9e4546-ec002991-5580c62b.jpg'],['files/p13/p13184933/s51905928/651c4169-94a729d0-c106e57b-c9c4864f-da822a8c.jpg\n']
s55419902_0,p13184933,s55419902,0,Findings,"The patient has been extubated. The patient is status post CABG with intact sternotomy wires. Bilateral chest tubes are visualized, which are unchanged in positioning in comparison to the prior examination. There has been interval removal of the PA catheter. There are bibasilar opacities, which are largely unchanged in comparison to prior and likely represent a combination of pleural fluid and atelectasis. The cardiomediastinal silhouette is stable. The pulmonary vasculature is normal. No pneumothorax is seen.",There has been interval removal of the PA catheter.,PA catheter,,Resolve,['files/p13/p13184933/s55419902/9771b7cd-8a87ee8d-bf9e4546-ec002991-5580c62b.jpg'],['files/p13/p13184933/s51905928/651c4169-94a729d0-c106e57b-c9c4864f-da822a8c.jpg\n']
s55419902_0,p13184933,s55419902,0,Impression,"1. Interval extubation and removal of PA catheter. 2. Status post CABG with intact sternotomy wires, and unchanged positioning of the bilateral chest tubes. 3. Bibasilar atelectasis and bilateral small pleural effusions.",Interval extubation and removal of PA catheter.,Endotracheal tube and PA catheter,,Resolve,['files/p13/p13184933/s55419902/9771b7cd-8a87ee8d-bf9e4546-ec002991-5580c62b.jpg'],['files/p13/p13184933/s51905928/651c4169-94a729d0-c106e57b-c9c4864f-da822a8c.jpg\n']
s55419902_0,p13184933,s55419902,0,Impression,"1. Interval extubation and removal of PA catheter. 2. Status post CABG with intact sternotomy wires, and unchanged positioning of the bilateral chest tubes. 3. Bibasilar atelectasis and bilateral small pleural effusions.","Status post CABG with intact sternotomy wires, and unchanged positioning of the bilateral chest tubes.",Chest tubes,Bilateral,Stable,['files/p13/p13184933/s55419902/9771b7cd-8a87ee8d-bf9e4546-ec002991-5580c62b.jpg'],['files/p13/p13184933/s51905928/651c4169-94a729d0-c106e57b-c9c4864f-da822a8c.jpg\n']
s55419902_0,p13184933,s55419902,0,Findings,"The patient has been extubated. The patient is status post CABG with intact sternotomy wires. Bilateral chest tubes are visualized, which are unchanged in positioning in comparison to the prior examination. There has been interval removal of the PA catheter. There are bibasilar opacities, which are largely unchanged in comparison to prior and likely represent a combination of pleural fluid and atelectasis. The cardiomediastinal silhouette is stable. The pulmonary vasculature is normal. No pneumothorax is seen.","There are bibasilar opacities, which are largely unchanged in comparison to prior and likely represent a combination of pleural fluid and atelectasis.",Opacities,Bibasilar,Stable,['files/p13/p13184933/s55419902/9771b7cd-8a87ee8d-bf9e4546-ec002991-5580c62b.jpg'],['files/p13/p13184933/s51905928/651c4169-94a729d0-c106e57b-c9c4864f-da822a8c.jpg\n']
s55419902_0,p13184933,s55419902,0,Findings,"The patient has been extubated. The patient is status post CABG with intact sternotomy wires. Bilateral chest tubes are visualized, which are unchanged in positioning in comparison to the prior examination. There has been interval removal of the PA catheter. There are bibasilar opacities, which are largely unchanged in comparison to prior and likely represent a combination of pleural fluid and atelectasis. The cardiomediastinal silhouette is stable. The pulmonary vasculature is normal. No pneumothorax is seen.",The cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,['files/p13/p13184933/s55419902/9771b7cd-8a87ee8d-bf9e4546-ec002991-5580c62b.jpg'],['files/p13/p13184933/s51905928/651c4169-94a729d0-c106e57b-c9c4864f-da822a8c.jpg\n']
s55426590_0,p19553042,s55426590,0,Findings,"Frontal and lateral views of the chest were obtained. Cardiomediastinal silhouette is stable. Slight prominence of the right hilum is also stable. There are relatively low lung volumes. Given this, patchy bibasilar opacities are seen, which while could relate to underlying edema, raises a concern for multifocal infection. There is also mid lung atelectasis. There is prominence of interstitial markings bilaterally. This may be due to underlying edema. No large pleural effusion or pneumothorax is seen.",Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p19/p19553042/s55426590/cb99dab1-a1f4878e-3675f453-2ede08f3-11caa34b.jpg', 'files/p19/p19553042/s55426590/f5ff8576-31d96895-75ed689c-6b8204ea-fb3fd185.jpg']","['files/p19/p19553042/s51763977/9878db3c-76b9d4df-5665d4e6-1cfd1b57-819c2daf.jpg\n', 'files/p19/p19553042/s51763977/cab91100-869be9c1-4ef96250-cdb5c05c-ae3b4929.jpg\n']"
s55426590_0,p19553042,s55426590,0,Findings,"Frontal and lateral views of the chest were obtained. Cardiomediastinal silhouette is stable. Slight prominence of the right hilum is also stable. There are relatively low lung volumes. Given this, patchy bibasilar opacities are seen, which while could relate to underlying edema, raises a concern for multifocal infection. There is also mid lung atelectasis. There is prominence of interstitial markings bilaterally. This may be due to underlying edema. No large pleural effusion or pneumothorax is seen.",Slight prominence of the right hilum is also stable.,Slight prominence,right hilum,Stable,"['files/p19/p19553042/s55426590/cb99dab1-a1f4878e-3675f453-2ede08f3-11caa34b.jpg', 'files/p19/p19553042/s55426590/f5ff8576-31d96895-75ed689c-6b8204ea-fb3fd185.jpg']","['files/p19/p19553042/s51763977/9878db3c-76b9d4df-5665d4e6-1cfd1b57-819c2daf.jpg\n', 'files/p19/p19553042/s51763977/cab91100-869be9c1-4ef96250-cdb5c05c-ae3b4929.jpg\n']"
s55426590_0,p19553042,s55426590,0,Impression,Low lung volumes accentuate the bronchovascular markings. Stable prominence of the right hilum. Bibasilar opacities may be due to multifocal infection superimposed on mild interstitial edema depending on the clinical scenario.,Stable prominence of the right hilum.,Prominence,right hilum,Stable,"['files/p19/p19553042/s55426590/cb99dab1-a1f4878e-3675f453-2ede08f3-11caa34b.jpg', 'files/p19/p19553042/s55426590/f5ff8576-31d96895-75ed689c-6b8204ea-fb3fd185.jpg']","['files/p19/p19553042/s51763977/9878db3c-76b9d4df-5665d4e6-1cfd1b57-819c2daf.jpg\n', 'files/p19/p19553042/s51763977/cab91100-869be9c1-4ef96250-cdb5c05c-ae3b4929.jpg\n']"
s55431093_24,p15911529,s55431093,24,Findings,There has been interval increase in the loculated right pleural effusion. This is seen as multiple smoothly marginated opacities projecting over the right lung. There is a small left effusion that is also increased in size. The appearance of the pacemaker is unchanged,There has been interval increase in the loculated right pleural effusion.,loculated pleural effusion,right,Worse,['files/p15/p15911529/s55431093/5f752c85-93a983b0-ac44e646-e4f71e52-f7d6b934.jpg'],"['files/p15/p15911529/s55387962/50f387b8-7d09f146-8c5f7b53-5595f2e7-ef1ff2a9.jpg\n', 'files/p15/p15911529/s55387962/c8a6f765-ffcff546-a4d433d1-fe00ebbf-978fb111.jpg\n']"
s55431093_24,p15911529,s55431093,24,Findings,There has been interval increase in the loculated right pleural effusion. This is seen as multiple smoothly marginated opacities projecting over the right lung. There is a small left effusion that is also increased in size. The appearance of the pacemaker is unchanged,There is a small left effusion that is also increased in size.,effusion,left,Worse,['files/p15/p15911529/s55431093/5f752c85-93a983b0-ac44e646-e4f71e52-f7d6b934.jpg'],"['files/p15/p15911529/s55387962/50f387b8-7d09f146-8c5f7b53-5595f2e7-ef1ff2a9.jpg\n', 'files/p15/p15911529/s55387962/c8a6f765-ffcff546-a4d433d1-fe00ebbf-978fb111.jpg\n']"
s55431093_24,p15911529,s55431093,24,Findings,There has been interval increase in the loculated right pleural effusion. This is seen as multiple smoothly marginated opacities projecting over the right lung. There is a small left effusion that is also increased in size. The appearance of the pacemaker is unchanged,The appearance of the pacemaker is unchanged,pacemaker appearance,,Stable,['files/p15/p15911529/s55431093/5f752c85-93a983b0-ac44e646-e4f71e52-f7d6b934.jpg'],"['files/p15/p15911529/s55387962/50f387b8-7d09f146-8c5f7b53-5595f2e7-ef1ff2a9.jpg\n', 'files/p15/p15911529/s55387962/c8a6f765-ffcff546-a4d433d1-fe00ebbf-978fb111.jpg\n']"
s55431093_24,p15911529,s55431093,24,Impression,Increase in loculated right effusion.,Increase in loculated right effusion.,loculated effusion,right,Worse,['files/p15/p15911529/s55431093/5f752c85-93a983b0-ac44e646-e4f71e52-f7d6b934.jpg'],"['files/p15/p15911529/s55387962/50f387b8-7d09f146-8c5f7b53-5595f2e7-ef1ff2a9.jpg\n', 'files/p15/p15911529/s55387962/c8a6f765-ffcff546-a4d433d1-fe00ebbf-978fb111.jpg\n']"
s55434052_0,p17093296,s55434052,0,Findings,Interval removal of endotracheal tube and nasogastric tube as well chest tubes. Right IJ catheter persists at the cavoatrial junction. No visualized pneumothorax or pleural effusion. Lungs are clear.,Right IJ catheter persists at the cavoatrial junction.,Right IJ catheter,cavoatrial junction,Stable,['files/p17/p17093296/s55434052/fb12f610-81c4f11d-89fa082e-653ba4ff-ae31e112.jpg'],['files/p17/p17093296/s52468610/40fa80dc-953c68e3-cbcf1c09-d87a60a4-d82a5ae8.jpg\n']
s55434052_0,p17093296,s55434052,0,Findings,Interval removal of endotracheal tube and nasogastric tube as well chest tubes. Right IJ catheter persists at the cavoatrial junction. No visualized pneumothorax or pleural effusion. Lungs are clear.,Interval removal of endotracheal tube and nasogastric tube as well chest tubes.,chest tubes,,Resolve,['files/p17/p17093296/s55434052/fb12f610-81c4f11d-89fa082e-653ba4ff-ae31e112.jpg'],['files/p17/p17093296/s52468610/40fa80dc-953c68e3-cbcf1c09-d87a60a4-d82a5ae8.jpg\n']
s55434052_0,p17093296,s55434052,0,Findings,Interval removal of endotracheal tube and nasogastric tube as well chest tubes. Right IJ catheter persists at the cavoatrial junction. No visualized pneumothorax or pleural effusion. Lungs are clear.,Interval removal of endotracheal tube and nasogastric tube as well chest tubes.,nasogastric tube,,Resolve,['files/p17/p17093296/s55434052/fb12f610-81c4f11d-89fa082e-653ba4ff-ae31e112.jpg'],['files/p17/p17093296/s52468610/40fa80dc-953c68e3-cbcf1c09-d87a60a4-d82a5ae8.jpg\n']
s55434052_0,p17093296,s55434052,0,Findings,Interval removal of endotracheal tube and nasogastric tube as well chest tubes. Right IJ catheter persists at the cavoatrial junction. No visualized pneumothorax or pleural effusion. Lungs are clear.,Interval removal of endotracheal tube and nasogastric tube as well chest tubes.,endotracheal tube,,Resolve,['files/p17/p17093296/s55434052/fb12f610-81c4f11d-89fa082e-653ba4ff-ae31e112.jpg'],['files/p17/p17093296/s52468610/40fa80dc-953c68e3-cbcf1c09-d87a60a4-d82a5ae8.jpg\n']
s55454745_1,p16029766,s55454745,1,Findings,"In comparison with study of ___, there has been extensive increase in opacification at both bases, consistent with pleural effusion and compressive atelectasis at the bases. Continued enlargement of the cardiac silhouette with pulmonary vascular congestion.","In comparison with study of ___, there has been extensive increase in opacification at both bases, consistent with pleural effusion and compressive atelectasis at the bases.",Pleural effusion and compressive atelectasis,Both bases,Worse,"['files/p16/p16029766/s55454745/71138932-dc73f0d5-fa8be28c-a2925dc4-648b9e72.jpg', 'files/p16/p16029766/s55454745/c03267f8-f0900e7f-f768fa2d-8ba19ccf-5d5cbc99.jpg']","['files/p16/p16029766/s51617713/975cd86e-76624f2c-097c9cad-8cfc89f4-4b40cc85.jpg\n', 'files/p16/p16029766/s51617713/d49dc92f-565b6516-407f848c-fa3a8a55-e3089cdd.jpg\n']"
s55456794_1,p19580789,s55456794,1,Findings,"The cardiomediastinal and hilar contours are within normal limits. There is mild tortuosity of the thoracic aorta. Lung volumes are slightly decreased when compared to prior examination. There is no focal consolidation, pleural effusion or pneumothorax.",Lung volumes are slightly decreased when compared to prior examination.,Lung volumes,,Worse,['files/p19/p19580789/s55456794/a4fb4d63-a48fc7f0-fce5fdee-044f6290-6963a261.jpg'],"['files/p19/p19580789/s54896273/3c46dc4f-b658b25f-8697ada5-6ef38005-825d9235.jpg\n', 'files/p19/p19580789/s54896273/5200e5f8-3431aa0b-4687f1fc-8dfbaa5d-7e230488.jpg\n']"
s55504230_1,p13722528,s55504230,1,Findings,"Mild cardiomegaly is stable compared to multiple prior exams dating back at least to ___. The previously noted subtle opacity in the right lung base is not seen on this exam. There are no new focal consolidations, pleural effusions or pneumothorax. The hilar and mediastinal contours are unremarkable.",Mild cardiomegaly is stable compared to multiple prior exams dating back at least to ___.,Mild cardiomegaly,,Stable,"['files/p13/p13722528/s55504230/381625eb-17722acf-958d7213-64604dd3-ee843cb4.jpg', 'files/p13/p13722528/s55504230/55a14268-88a2935c-2da0561c-338a49af-e83b75cd.jpg', 'files/p13/p13722528/s55504230/6c679bb2-975bc590-6e4ec72e-9e2084c2-d303eaed.jpg']","['files/p13/p13722528/s54669301/999a39cb-f40385f6-572e068e-ea67663b-8adb5431.jpg\n', 'files/p13/p13722528/s54669301/e6828d47-61cbfa6e-0213c719-e6864bd1-2bd635b9.jpg\n']"
s55504230_1,p13722528,s55504230,1,Findings,"Mild cardiomegaly is stable compared to multiple prior exams dating back at least to ___. The previously noted subtle opacity in the right lung base is not seen on this exam. There are no new focal consolidations, pleural effusions or pneumothorax. The hilar and mediastinal contours are unremarkable.",The previously noted subtle opacity in the right lung base is not seen on this exam.,opacity,right lung base,Resolve,"['files/p13/p13722528/s55504230/381625eb-17722acf-958d7213-64604dd3-ee843cb4.jpg', 'files/p13/p13722528/s55504230/55a14268-88a2935c-2da0561c-338a49af-e83b75cd.jpg', 'files/p13/p13722528/s55504230/6c679bb2-975bc590-6e4ec72e-9e2084c2-d303eaed.jpg']","['files/p13/p13722528/s54669301/999a39cb-f40385f6-572e068e-ea67663b-8adb5431.jpg\n', 'files/p13/p13722528/s54669301/e6828d47-61cbfa6e-0213c719-e6864bd1-2bd635b9.jpg\n']"
s55517450_30,p11888614,s55517450,30,Impression,1. Retraction of the left PICC now ending in the left brachiocephalic vein. 2. Worsening pulmonary edema.,Worsening pulmonary edema.,pulmonary edema,,Worse,['files/p11/p11888614/s55517450/ae6a9c3e-1994f6fc-566936f5-9b51a110-2fb8ea7e.jpg'],"['files/p11/p11888614/s55352995/3153b513-aa211ff5-db3a738d-8e4d0c11-9afdadd8.jpg\n', 'files/p11/p11888614/s55352995/cabb5fa9-d1acd957-85f5de3b-98fe2481-6ebf62bd.jpg\n']"
s55517450_30,p11888614,s55517450,30,Findings,"Since prior, a left PICC has been retracted and now ends at the confluence of the left brachiocephalic vein and superior vena cava. An endotracheal tube has been removed. There is no pneumothorax or pleural effusion. Cardiac enlargement is unchanged. Since prior, there has been increased right greater than left basilar opacity, compatible with worsening pulmonary edema.",An endotracheal tube has been removed.,endotracheal tube,,Resolve,['files/p11/p11888614/s55517450/ae6a9c3e-1994f6fc-566936f5-9b51a110-2fb8ea7e.jpg'],"['files/p11/p11888614/s55352995/3153b513-aa211ff5-db3a738d-8e4d0c11-9afdadd8.jpg\n', 'files/p11/p11888614/s55352995/cabb5fa9-d1acd957-85f5de3b-98fe2481-6ebf62bd.jpg\n']"
s55517450_30,p11888614,s55517450,30,Findings,"Since prior, a left PICC has been retracted and now ends at the confluence of the left brachiocephalic vein and superior vena cava. An endotracheal tube has been removed. There is no pneumothorax or pleural effusion. Cardiac enlargement is unchanged. Since prior, there has been increased right greater than left basilar opacity, compatible with worsening pulmonary edema.","Since prior, there has been increased right greater than left basilar opacity, compatible with worsening pulmonary edema.",opacity,right greater than left basilar,Worse,['files/p11/p11888614/s55517450/ae6a9c3e-1994f6fc-566936f5-9b51a110-2fb8ea7e.jpg'],"['files/p11/p11888614/s55352995/3153b513-aa211ff5-db3a738d-8e4d0c11-9afdadd8.jpg\n', 'files/p11/p11888614/s55352995/cabb5fa9-d1acd957-85f5de3b-98fe2481-6ebf62bd.jpg\n']"
s55517450_30,p11888614,s55517450,30,Findings,"Since prior, a left PICC has been retracted and now ends at the confluence of the left brachiocephalic vein and superior vena cava. An endotracheal tube has been removed. There is no pneumothorax or pleural effusion. Cardiac enlargement is unchanged. Since prior, there has been increased right greater than left basilar opacity, compatible with worsening pulmonary edema.",Cardiac enlargement is unchanged.,Cardiac enlargement,,Stable,['files/p11/p11888614/s55517450/ae6a9c3e-1994f6fc-566936f5-9b51a110-2fb8ea7e.jpg'],"['files/p11/p11888614/s55352995/3153b513-aa211ff5-db3a738d-8e4d0c11-9afdadd8.jpg\n', 'files/p11/p11888614/s55352995/cabb5fa9-d1acd957-85f5de3b-98fe2481-6ebf62bd.jpg\n']"
s55517450_30,p11888614,s55517450,30,Findings,"Since prior, a left PICC has been retracted and now ends at the confluence of the left brachiocephalic vein and superior vena cava. An endotracheal tube has been removed. There is no pneumothorax or pleural effusion. Cardiac enlargement is unchanged. Since prior, there has been increased right greater than left basilar opacity, compatible with worsening pulmonary edema.","Since prior, a left PICC has been retracted and now ends at the confluence of the left brachiocephalic vein and superior vena cava.",PICC,left brachiocephalic vein and superior vena cava,Stable,['files/p11/p11888614/s55517450/ae6a9c3e-1994f6fc-566936f5-9b51a110-2fb8ea7e.jpg'],"['files/p11/p11888614/s55352995/3153b513-aa211ff5-db3a738d-8e4d0c11-9afdadd8.jpg\n', 'files/p11/p11888614/s55352995/cabb5fa9-d1acd957-85f5de3b-98fe2481-6ebf62bd.jpg\n']"
s55553088_3,p17559288,s55553088,3,Findings,"Endotracheal tube ends approximately 4 cm above the carina and is appropriate. Right internal jugular line terminates at mid SVC. An orogastric tube is seen to course below the level of the diaphragm into the stomach; however, distal end is beyond the view of radiograph. Bilateral, diffuse, lung opacities reflecting moderate-to-severe pulmonary edema, improved between ___ and ___, but since then has minimally worsened. Top normal sized heart, mediastinal and hilar contours are stable in appearance.","Bilateral, diffuse, lung opacities reflecting moderate-to-severe pulmonary edema, improved between ___ and ___, but since then has minimally worsened.",lung opacities,bilateral,Worse,"['files/p17/p17559288/s55553088/5157469a-594f980c-2c516e5d-6ff794c7-969d1854.jpg', 'files/p17/p17559288/s55553088/5180cc08-8134a7bf-2748567b-1fcd9fcf-836c902c.jpg']",['files/p17/p17559288/s55345089/20a65006-577b1db7-b2083dee-71b9a758-591cc79c.jpg\n']
s55553088_3,p17559288,s55553088,3,Impression,Bilateral moderate-to-severe pulmonary edema has worsened over last 24 hours.,Bilateral moderate-to-severe pulmonary edema has worsened over last 24 hours.,pulmonary edema,bilateral,Worse,"['files/p17/p17559288/s55553088/5157469a-594f980c-2c516e5d-6ff794c7-969d1854.jpg', 'files/p17/p17559288/s55553088/5180cc08-8134a7bf-2748567b-1fcd9fcf-836c902c.jpg']",['files/p17/p17559288/s55345089/20a65006-577b1db7-b2083dee-71b9a758-591cc79c.jpg\n']
s55570682_1,p17660889,s55570682,1,Findings,"Right-sided central venous catheter tip terminates in the SVC. Patient is status post median sternotomy and mitral annular repair with several anterior mediastinal clips redemonstrated. Moderate cardiomegaly persists. There is continued mild congestive heart failure with perihilar haziness and vascular indistinctness, which appears slightly worse in the interval. No large pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities. The aorta remains calcified.","There is continued mild congestive heart failure with perihilar haziness and vascular indistinctness, which appears slightly worse in the interval.",congestive heart failure,perihilar,Worse,"['files/p17/p17660889/s55570682/e9993aa3-51eb4a8b-349f7984-ef76541a-4aab169c.jpg', 'files/p17/p17660889/s55570682/f2cdfb35-5e55a845-072cade1-37104e77-15844094.jpg']",['files/p17/p17660889/s55083011/84f56140-5f674b67-4431f058-4752511b-24be0d89.jpg\n']
s55570682_1,p17660889,s55570682,1,Findings,"Right-sided central venous catheter tip terminates in the SVC. Patient is status post median sternotomy and mitral annular repair with several anterior mediastinal clips redemonstrated. Moderate cardiomegaly persists. There is continued mild congestive heart failure with perihilar haziness and vascular indistinctness, which appears slightly worse in the interval. No large pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities. The aorta remains calcified.",Moderate cardiomegaly persists.,moderate cardiomegaly,,Stable,"['files/p17/p17660889/s55570682/e9993aa3-51eb4a8b-349f7984-ef76541a-4aab169c.jpg', 'files/p17/p17660889/s55570682/f2cdfb35-5e55a845-072cade1-37104e77-15844094.jpg']",['files/p17/p17660889/s55083011/84f56140-5f674b67-4431f058-4752511b-24be0d89.jpg\n']
s55570682_1,p17660889,s55570682,1,Findings,"Right-sided central venous catheter tip terminates in the SVC. Patient is status post median sternotomy and mitral annular repair with several anterior mediastinal clips redemonstrated. Moderate cardiomegaly persists. There is continued mild congestive heart failure with perihilar haziness and vascular indistinctness, which appears slightly worse in the interval. No large pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities. The aorta remains calcified.",The aorta remains calcified.,aorta calcification,,Stable,"['files/p17/p17660889/s55570682/e9993aa3-51eb4a8b-349f7984-ef76541a-4aab169c.jpg', 'files/p17/p17660889/s55570682/f2cdfb35-5e55a845-072cade1-37104e77-15844094.jpg']",['files/p17/p17660889/s55083011/84f56140-5f674b67-4431f058-4752511b-24be0d89.jpg\n']
s55570682_1,p17660889,s55570682,1,Impression,"Mild congestive heart failure, slightly worse in the interval.","Mild congestive heart failure, slightly worse in the interval.",mild congestive heart failure,,Worse,"['files/p17/p17660889/s55570682/e9993aa3-51eb4a8b-349f7984-ef76541a-4aab169c.jpg', 'files/p17/p17660889/s55570682/f2cdfb35-5e55a845-072cade1-37104e77-15844094.jpg']",['files/p17/p17660889/s55083011/84f56140-5f674b67-4431f058-4752511b-24be0d89.jpg\n']
s55571313_8,p13381744,s55571313,8,Findings,"Projecting over the anterior aspect of the ___ right rib along the midclavicular line in the right upper lung is an ill-defined heterogenous opacity approximately 2.1 x 3.0 cm, more readily visible now than it was on ___. The lungs are otherwise clear. Cardiomediastinal silhouette is normal. Pleural surfaces are unremarkable. Adenopathy is not appreciated on this study.","Projecting over the anterior aspect of the ___ right rib along the midclavicular line in the right upper lung is an ill-defined heterogenous opacity approximately 2.1 x 3.0 cm, more readily visible now than it was on ___.",opacity,right upper lung,Worse,"['files/p13/p13381744/s55571313/c05aa1e8-ed9a9cfc-6c9337e0-0d53c30b-388ee6cf.jpg', 'files/p13/p13381744/s55571313/e84c83d4-f03872ee-5fe8ec3b-076ce17a-f7b4f861.jpg']","['files/p13/p13381744/s55522316/1b622c42-59a555ee-9ce86379-95086f68-c4bed039.jpg\n', 'files/p13/p13381744/s55522316/2bad523a-765916c2-a61d6020-4c5c7a19-42017e45.jpg\n', 'files/p13/p13381744/s55522316/8d4c9eb2-984e5879-a822d017-56d518a7-0a75fbd5.jpg\n']"
s55575107_2,p12998617,s55575107,2,Impression,Minimal bibasilar atelectasis.,Minimal bibasilar atelectasis.,atelectasis,bibasilar,New,['files/p12/p12998617/s55575107/67cde0b0-055d8347-2a99b426-f30ad9ca-db0ade30.jpg'],['files/p12/p12998617/s54582114/4213580d-ac255044-99dbadbe-876a28fe-69c13044.jpg\n']
s55575107_2,p12998617,s55575107,2,Findings,"Borderline heart size, similar. Mildly increased pulmonary vascularity, more prominent. Segmental elevation left hemidiaphragm. No effusion. No pneumothorax. Tortuous calcified aorta. Minimal basilar atelectasis. Probable scarring right costophrenic angle.",Probable scarring right costophrenic angle.,scarring,right costophrenic angle,New,['files/p12/p12998617/s55575107/67cde0b0-055d8347-2a99b426-f30ad9ca-db0ade30.jpg'],['files/p12/p12998617/s54582114/4213580d-ac255044-99dbadbe-876a28fe-69c13044.jpg\n']
s55575107_2,p12998617,s55575107,2,Findings,"Borderline heart size, similar. Mildly increased pulmonary vascularity, more prominent. Segmental elevation left hemidiaphragm. No effusion. No pneumothorax. Tortuous calcified aorta. Minimal basilar atelectasis. Probable scarring right costophrenic angle.",Minimal basilar atelectasis.,atelectasis,basilar,New,['files/p12/p12998617/s55575107/67cde0b0-055d8347-2a99b426-f30ad9ca-db0ade30.jpg'],['files/p12/p12998617/s54582114/4213580d-ac255044-99dbadbe-876a28fe-69c13044.jpg\n']
s55575107_2,p12998617,s55575107,2,Findings,"Borderline heart size, similar. Mildly increased pulmonary vascularity, more prominent. Segmental elevation left hemidiaphragm. No effusion. No pneumothorax. Tortuous calcified aorta. Minimal basilar atelectasis. Probable scarring right costophrenic angle.",Tortuous calcified aorta.,calcification,aorta,New,['files/p12/p12998617/s55575107/67cde0b0-055d8347-2a99b426-f30ad9ca-db0ade30.jpg'],['files/p12/p12998617/s54582114/4213580d-ac255044-99dbadbe-876a28fe-69c13044.jpg\n']
s55575107_2,p12998617,s55575107,2,Findings,"Borderline heart size, similar. Mildly increased pulmonary vascularity, more prominent. Segmental elevation left hemidiaphragm. No effusion. No pneumothorax. Tortuous calcified aorta. Minimal basilar atelectasis. Probable scarring right costophrenic angle.",Segmental elevation left hemidiaphragm.,elevation,left hemidiaphragm,New,['files/p12/p12998617/s55575107/67cde0b0-055d8347-2a99b426-f30ad9ca-db0ade30.jpg'],['files/p12/p12998617/s54582114/4213580d-ac255044-99dbadbe-876a28fe-69c13044.jpg\n']
s55575107_2,p12998617,s55575107,2,Findings,"Borderline heart size, similar. Mildly increased pulmonary vascularity, more prominent. Segmental elevation left hemidiaphragm. No effusion. No pneumothorax. Tortuous calcified aorta. Minimal basilar atelectasis. Probable scarring right costophrenic angle.","Mildly increased pulmonary vascularity, more prominent.",vascularity,pulmonary,Worse,['files/p12/p12998617/s55575107/67cde0b0-055d8347-2a99b426-f30ad9ca-db0ade30.jpg'],['files/p12/p12998617/s54582114/4213580d-ac255044-99dbadbe-876a28fe-69c13044.jpg\n']
s55575107_2,p12998617,s55575107,2,Findings,"Borderline heart size, similar. Mildly increased pulmonary vascularity, more prominent. Segmental elevation left hemidiaphragm. No effusion. No pneumothorax. Tortuous calcified aorta. Minimal basilar atelectasis. Probable scarring right costophrenic angle.","Borderline heart size, similar.",size,heart,Stable,['files/p12/p12998617/s55575107/67cde0b0-055d8347-2a99b426-f30ad9ca-db0ade30.jpg'],['files/p12/p12998617/s54582114/4213580d-ac255044-99dbadbe-876a28fe-69c13044.jpg\n']
s55582331_10,p13894716,s55582331,10,Impression,CHF with interstitial and alveolar edema. This appears slightly worse compared with ___ Opacity at both lung bases which likely represents combination of pleural effusions and underlying collapse and/or consolidation. NG tube not well visualized in lower esophagus and beyond due to underpenetration.,This appears slightly worse compared with ___,CHF,,Worse,"['files/p13/p13894716/s55582331/6e3d5d17-01a98d21-6930c329-f9cada6a-03046aa1.jpg', 'files/p13/p13894716/s55582331/79bd40db-bf313204-172fcd09-3f35be56-19b3b10a.jpg']",['files/p13/p13894716/s55036314/8eaf1417-a9b5b2b6-bc20c468-6a3f754e-64bd8801.jpg\n']
s55582331_10,p13894716,s55582331,10,Findings,"The ET tube tip lies above the carina. The NG tube tip is poorly visualized lower mediastinum and beyond due to underpenetration. A right IJ central line tip overlies distal SVC. No pneumothorax is detected. There is cardiomegaly. There is CHF, with interstitial and alveolar edema. There is opacification of both lung bases, which could represent a combination of pleural fluid and underlying collapse and/or consolidation. Allowing for technical differences, the degree of CHF appears increased slightly compared with ___ at 02:48","Allowing for technical differences, the degree of CHF appears increased slightly compared with ___ at 02:48",CHF,,Worse,"['files/p13/p13894716/s55582331/6e3d5d17-01a98d21-6930c329-f9cada6a-03046aa1.jpg', 'files/p13/p13894716/s55582331/79bd40db-bf313204-172fcd09-3f35be56-19b3b10a.jpg']",['files/p13/p13894716/s55036314/8eaf1417-a9b5b2b6-bc20c468-6a3f754e-64bd8801.jpg\n']
s55606773_0,p15004141,s55606773,0,Findings,"Heart size remains at least moderately enlarged, though assessment is somewhat limited due to the presence of a moderate-to-large right pleural effusion. A small left pleural effusion is also noted. Bibasilar airspace opacities could reflect atelectasis, though infection is difficult to exclude. There appears to be mild pulmonary vascular congestion. No pneumothorax is demonstrated. Fusion hardware within the lumbar spine is partially imaged.","Heart size remains at least moderately enlarged, though assessment is somewhat limited due to the presence of a moderate-to-large right pleural effusion.",Moderately enlarged heart,Cardiomediasinum,Stable,['files/p15/p15004141/s55606773/dfd9a06c-2994892e-f4a6bc1c-f6ec4803-283e5005.jpg'],['files/p15/p15004141/s54652992/3e286a0f-e9daa593-c7a41a0e-9e3594d6-d8f7394f.jpg\n']
s55608147_0,p16319384,s55608147,0,Findings,"There are no focal opacities. The patient has prominent epicardial fat pads with blunting of the left pleural sulcus and the right cardiophrenic angle, but this is unchanged compared with ___. Mild-to-moderate cardiomegaly is present, but the cardiomediastinal contour is unremarkable otherwise. There is no pleural effusion or pneumothorax.","The patient has prominent epicardial fat pads with blunting of the left pleural sulcus and the right cardiophrenic angle, but this is unchanged compared with ___.",prominent epicardial fat pads,left pleural sulcus and right cardiophrenic angle,Stable,"['files/p16/p16319384/s55608147/192b6e3d-ec405303-9b315b5d-1dd90a9c-e6310078.jpg', 'files/p16/p16319384/s55608147/37641a6c-936a1ec4-1d6a445f-5c18d5b0-23f15501.jpg']","['files/p16/p16319384/s53447884/69fad06e-4d630395-0c622820-20e6af98-5a01aaa4.jpg\n', 'files/p16/p16319384/s53447884/a564f5aa-11095b55-eb10d3ee-29363be4-e6a39536.jpg\n']"
s55623177_2,p19358609,s55623177,2,Findings,One portable AP view of the chest. Patient is post left left upper lobe resection with thoracoplasty. Top normal heart size is stable. Mediastinal and hilar contours are stable. Bibasilar opacities are unchanged. Mild pulmonary vascular congestion is also unchanged. Severe emphysematous changes are again seen. Biapical scarring is unchanged. No pleural effusion or pneumothorax.,Severe emphysematous changes are again seen.,emphysematous changes,severe,Stable,['files/p19/p19358609/s55623177/3b855f21-6bd34ead-a839a055-cfb4b29a-2a914e01.jpg'],['files/p19/p19358609/s54944374/7d8e75db-5a64240f-63dbb72d-72d03f5c-1bd59e3b.jpg\n']
s55623177_2,p19358609,s55623177,2,Findings,One portable AP view of the chest. Patient is post left left upper lobe resection with thoracoplasty. Top normal heart size is stable. Mediastinal and hilar contours are stable. Bibasilar opacities are unchanged. Mild pulmonary vascular congestion is also unchanged. Severe emphysematous changes are again seen. Biapical scarring is unchanged. No pleural effusion or pneumothorax.,Mild pulmonary vascular congestion is also unchanged.,vascular congestion,pulmonary,Stable,['files/p19/p19358609/s55623177/3b855f21-6bd34ead-a839a055-cfb4b29a-2a914e01.jpg'],['files/p19/p19358609/s54944374/7d8e75db-5a64240f-63dbb72d-72d03f5c-1bd59e3b.jpg\n']
s55623177_2,p19358609,s55623177,2,Findings,One portable AP view of the chest. Patient is post left left upper lobe resection with thoracoplasty. Top normal heart size is stable. Mediastinal and hilar contours are stable. Bibasilar opacities are unchanged. Mild pulmonary vascular congestion is also unchanged. Severe emphysematous changes are again seen. Biapical scarring is unchanged. No pleural effusion or pneumothorax.,Bibasilar opacities are unchanged.,opacities,bibasilar,Stable,['files/p19/p19358609/s55623177/3b855f21-6bd34ead-a839a055-cfb4b29a-2a914e01.jpg'],['files/p19/p19358609/s54944374/7d8e75db-5a64240f-63dbb72d-72d03f5c-1bd59e3b.jpg\n']
s55623177_2,p19358609,s55623177,2,Findings,One portable AP view of the chest. Patient is post left left upper lobe resection with thoracoplasty. Top normal heart size is stable. Mediastinal and hilar contours are stable. Bibasilar opacities are unchanged. Mild pulmonary vascular congestion is also unchanged. Severe emphysematous changes are again seen. Biapical scarring is unchanged. No pleural effusion or pneumothorax.,Top normal heart size is stable.,size,heart,Stable,['files/p19/p19358609/s55623177/3b855f21-6bd34ead-a839a055-cfb4b29a-2a914e01.jpg'],['files/p19/p19358609/s54944374/7d8e75db-5a64240f-63dbb72d-72d03f5c-1bd59e3b.jpg\n']
s55623177_2,p19358609,s55623177,2,Impression,No significant change in bibasilar opacities and pulmonary vascular congestion compared to study done yesterday.,No significant change in bibasilar opacities and pulmonary vascular congestion compared to study done yesterday.,opacities,bibasilar,Stable,['files/p19/p19358609/s55623177/3b855f21-6bd34ead-a839a055-cfb4b29a-2a914e01.jpg'],['files/p19/p19358609/s54944374/7d8e75db-5a64240f-63dbb72d-72d03f5c-1bd59e3b.jpg\n']
s55623177_2,p19358609,s55623177,2,Findings,One portable AP view of the chest. Patient is post left left upper lobe resection with thoracoplasty. Top normal heart size is stable. Mediastinal and hilar contours are stable. Bibasilar opacities are unchanged. Mild pulmonary vascular congestion is also unchanged. Severe emphysematous changes are again seen. Biapical scarring is unchanged. No pleural effusion or pneumothorax.,Biapical scarring is unchanged.,scarring,biapical,Stable,['files/p19/p19358609/s55623177/3b855f21-6bd34ead-a839a055-cfb4b29a-2a914e01.jpg'],['files/p19/p19358609/s54944374/7d8e75db-5a64240f-63dbb72d-72d03f5c-1bd59e3b.jpg\n']
s55623177_2,p19358609,s55623177,2,Findings,One portable AP view of the chest. Patient is post left left upper lobe resection with thoracoplasty. Top normal heart size is stable. Mediastinal and hilar contours are stable. Bibasilar opacities are unchanged. Mild pulmonary vascular congestion is also unchanged. Severe emphysematous changes are again seen. Biapical scarring is unchanged. No pleural effusion or pneumothorax.,Mediastinal and hilar contours are stable.,contours,mediastinal and hilar,Stable,['files/p19/p19358609/s55623177/3b855f21-6bd34ead-a839a055-cfb4b29a-2a914e01.jpg'],['files/p19/p19358609/s54944374/7d8e75db-5a64240f-63dbb72d-72d03f5c-1bd59e3b.jpg\n']
s55623177_2,p19358609,s55623177,2,Impression,No significant change in bibasilar opacities and pulmonary vascular congestion compared to study done yesterday.,No significant change in bibasilar opacities and pulmonary vascular congestion compared to study done yesterday.,vascular congestion,pulmonary,Stable,['files/p19/p19358609/s55623177/3b855f21-6bd34ead-a839a055-cfb4b29a-2a914e01.jpg'],['files/p19/p19358609/s54944374/7d8e75db-5a64240f-63dbb72d-72d03f5c-1bd59e3b.jpg\n']
s55639373_5,p13565877,s55639373,5,Findings,Vague opacities projecting over the mid upper lungs laterally are compatible with calcified pleural plaques seen on prior CT. No obvious underlying consolidation. There is no effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.,Vague opacities projecting over the mid upper lungs laterally are compatible with calcified pleural plaques seen on prior CT.,calcified pleural plaques,mid upper lungs laterally,Stable,"['files/p13/p13565877/s55639373/66cd9f76-7d0e7422-876c51b9-e8f215eb-96091f16.jpg', 'files/p13/p13565877/s55639373/6f550224-a23be693-b5f671c6-843ca075-5b25df1f.jpg', 'files/p13/p13565877/s55639373/9b3419be-60a3b97f-c7a2b63b-cf861b15-82355a9a.jpg']","['files/p13/p13565877/s50756406/0314a6ea-9f693c4d-8a4f3f7c-443c0a6f-ee9467f0.jpg\n', 'files/p13/p13565877/s50756406/579f0de5-36fac16d-378b2a77-284ac0ff-35abdc14.jpg\n', 'files/p13/p13565877/s50756406/e49ba178-a7c83425-3d9c730c-7e693dba-8ad83e82.jpg\n']"
s55648427_4,p16319384,s55648427,4,Findings,"As compared to the previous radiograph, there is no relevant change. Low lung volumes, moderate cardiomegaly with minimal fluid overload but without focal parenchymal opacities suggesting pneumonia. Minimal atelectasis at the lung bases. No larger pleural effusions. No pneumothorax.","As compared to the previous radiograph, there is no relevant change.",,,Stable,"['files/p16/p16319384/s55648427/024c7d0b-dfaea1e0-ebebd7b0-f71a611b-acf54c04.jpg', 'files/p16/p16319384/s55648427/e06c3657-c7a51377-0889b204-130dbf18-21af28ea.jpg']","['files/p16/p16319384/s55608147/192b6e3d-ec405303-9b315b5d-1dd90a9c-e6310078.jpg\n', 'files/p16/p16319384/s55608147/37641a6c-936a1ec4-1d6a445f-5c18d5b0-23f15501.jpg\n']"
s55651475_2,p11724488,s55651475,2,Impression,AP chest compared to preoperative chest radiograph on ___: Volumes are quite low. Heterogeneous opacification involves both lower lungs. Heart is normal size and mediastinal vasculature is not engorged. Findings include noncardiogenic as well as atypical cardiogenic edema and severe aspiration or diffuse pulmonary hemorrhage. Dr. ___ was paged at the time of dictation.,AP chest compared to preoperative chest radiograph on ___: Volumes are quite low.,Volumes,chest,Stable,['files/p11/p11724488/s55651475/9f2d20e8-1c570228-e58b3e93-e6171fd9-2033b28a.jpg'],
s55655748_1,p16413061,s55655748,1,Findings,"AP portable upright view of the chest. Left chest wall Port-A-Cath is seen with catheter tip in the region of the low SVC. Overlying EKG leads are present. The lungs are clear without focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is unchanged. Bony structures are intact. No free air below the right hemidiaphragm.",Cardiomediastinal silhouette is unchanged.,Cardiomediastinal silhouette,,Stable,['files/p16/p16413061/s55655748/15c5f82d-2fbbb3f2-cf605195-ed4839ee-e71fe465.jpg'],['files/p16/p16413061/s53036112/e139be8f-a49d5442-2bd59848-b929b102-ab36ea25.jpg\n']
s55678624_4,p12669344,s55678624,4,Impression,"Pulmonary vascular congestion improved between ___ and ___, and has remained subsequently stable. There is no pulmonary edema but there is residual small bilateral pleural effusion unchanged. Heart is mildly enlarged given the extent of pulmonary hyperinflation, but it has improved since ___. ET tube is in standard placement. Nasogastric tube passes into the stomach and although the tip is not seen, the most proximal side port lies above the GE junction. It would need to be advanced 6 cm to move all of the drainage ports into the stomach.","Heart is mildly enlarged given the extent of pulmonary hyperinflation, but it has improved since ___.",Heart enlargement,,Better,['files/p12/p12669344/s55678624/7062c579-507738d9-ccbbac4a-bcbb9596-7fbc4f31.jpg'],"['files/p12/p12669344/s55077682/b606c5ab-1f7c5020-53941bec-8f32fed0-249da9f6.jpg\n', 'files/p12/p12669344/s55077682/c3dccd75-321d490b-d282ea11-4da8be1c-6f83adb4.jpg\n']"
s55678624_4,p12669344,s55678624,4,Impression,"Pulmonary vascular congestion improved between ___ and ___, and has remained subsequently stable. There is no pulmonary edema but there is residual small bilateral pleural effusion unchanged. Heart is mildly enlarged given the extent of pulmonary hyperinflation, but it has improved since ___. ET tube is in standard placement. Nasogastric tube passes into the stomach and although the tip is not seen, the most proximal side port lies above the GE junction. It would need to be advanced 6 cm to move all of the drainage ports into the stomach.",There is no pulmonary edema but there is residual small bilateral pleural effusion unchanged.,Pleural effusion,bilateral,Stable,['files/p12/p12669344/s55678624/7062c579-507738d9-ccbbac4a-bcbb9596-7fbc4f31.jpg'],"['files/p12/p12669344/s55077682/b606c5ab-1f7c5020-53941bec-8f32fed0-249da9f6.jpg\n', 'files/p12/p12669344/s55077682/c3dccd75-321d490b-d282ea11-4da8be1c-6f83adb4.jpg\n']"
s55678624_4,p12669344,s55678624,4,Impression,"Pulmonary vascular congestion improved between ___ and ___, and has remained subsequently stable. There is no pulmonary edema but there is residual small bilateral pleural effusion unchanged. Heart is mildly enlarged given the extent of pulmonary hyperinflation, but it has improved since ___. ET tube is in standard placement. Nasogastric tube passes into the stomach and although the tip is not seen, the most proximal side port lies above the GE junction. It would need to be advanced 6 cm to move all of the drainage ports into the stomach.","Pulmonary vascular congestion improved between ___ and ___, and has remained subsequently stable.",Pulmonary vascular congestion,,Stable,['files/p12/p12669344/s55678624/7062c579-507738d9-ccbbac4a-bcbb9596-7fbc4f31.jpg'],"['files/p12/p12669344/s55077682/b606c5ab-1f7c5020-53941bec-8f32fed0-249da9f6.jpg\n', 'files/p12/p12669344/s55077682/c3dccd75-321d490b-d282ea11-4da8be1c-6f83adb4.jpg\n']"
s55680175_2,p10248673,s55680175,2,Impression,"1. Interval removal of the left chest tube. No evidence of pneumothorax. Right internal jugular central line has its tip in the distal SVC near the cavoatrial junction, unchanged. Status post median sternotomy for CABG with stable postoperative cardiac and mediastinal contours. There is elevation of the left hemidiaphragm with some adjacent streaky opacities, suggestive of atelectasis. Blunting of the left costophrenic angle likely reflects a small effusion. There is also possibly a tiny right pleural effusion. No evidence of pulmonary edema.","Right internal jugular central line has its tip in the distal SVC near the cavoatrial junction, unchanged.",Central line,Right internal jugular,Stable,['files/p10/p10248673/s55680175/81d06e6f-8036e3cb-2cc3e83e-53754192-6adfd7ae.jpg'],['files/p10/p10248673/s55182796/5af7f675-13339075-9c8b61d4-bf098f85-30636763.jpg\n']
s55680175_2,p10248673,s55680175,2,Impression,"1. Interval removal of the left chest tube. No evidence of pneumothorax. Right internal jugular central line has its tip in the distal SVC near the cavoatrial junction, unchanged. Status post median sternotomy for CABG with stable postoperative cardiac and mediastinal contours. There is elevation of the left hemidiaphragm with some adjacent streaky opacities, suggestive of atelectasis. Blunting of the left costophrenic angle likely reflects a small effusion. There is also possibly a tiny right pleural effusion. No evidence of pulmonary edema.",Interval removal of the left chest tube.,Chest tube,Left,Resolve,['files/p10/p10248673/s55680175/81d06e6f-8036e3cb-2cc3e83e-53754192-6adfd7ae.jpg'],['files/p10/p10248673/s55182796/5af7f675-13339075-9c8b61d4-bf098f85-30636763.jpg\n']
s55680175_2,p10248673,s55680175,2,Impression,"1. Interval removal of the left chest tube. No evidence of pneumothorax. Right internal jugular central line has its tip in the distal SVC near the cavoatrial junction, unchanged. Status post median sternotomy for CABG with stable postoperative cardiac and mediastinal contours. There is elevation of the left hemidiaphragm with some adjacent streaky opacities, suggestive of atelectasis. Blunting of the left costophrenic angle likely reflects a small effusion. There is also possibly a tiny right pleural effusion. No evidence of pulmonary edema.",Status post median sternotomy for CABG with stable postoperative cardiac and mediastinal contours.,Postoperative cardiac and mediastinal contours,,Stable,['files/p10/p10248673/s55680175/81d06e6f-8036e3cb-2cc3e83e-53754192-6adfd7ae.jpg'],['files/p10/p10248673/s55182796/5af7f675-13339075-9c8b61d4-bf098f85-30636763.jpg\n']
s55682079_12,p19358609,s55682079,12,Findings,Scarring of the lung parenchyma and a left chest wall deformity are stable. Hyperinflated lungs with lucency reflect known emphysema. The previously seen left retrocardiac opacity has cle resolved ared. No focal opacity. Prominent interstitial markings may indicate mild edema. There is no pleural effusion or pneumothorax. The heart size is top normal. The aortic knob is calcified in the aorta is ectatic. There is no free air beneath the right hemidiaphragm.,Scarring of the lung parenchyma and a left chest wall deformity are stable.,scarring,lung parenchyma,Stable,"['files/p19/p19358609/s55682079/e4532f81-d73cf78d-6747f5f7-f662d37a-93adfab2.jpg', 'files/p19/p19358609/s55682079/e795300e-988f4a20-2e6a36c2-86804f01-da329264.jpg']",['files/p19/p19358609/s55623177/3b855f21-6bd34ead-a839a055-cfb4b29a-2a914e01.jpg\n']
s55682079_12,p19358609,s55682079,12,Findings,Scarring of the lung parenchyma and a left chest wall deformity are stable. Hyperinflated lungs with lucency reflect known emphysema. The previously seen left retrocardiac opacity has cle resolved ared. No focal opacity. Prominent interstitial markings may indicate mild edema. There is no pleural effusion or pneumothorax. The heart size is top normal. The aortic knob is calcified in the aorta is ectatic. There is no free air beneath the right hemidiaphragm.,The previously seen left retrocardiac opacity has cle resolved ared.,opacity,left retrocardiac,Resolve,"['files/p19/p19358609/s55682079/e4532f81-d73cf78d-6747f5f7-f662d37a-93adfab2.jpg', 'files/p19/p19358609/s55682079/e795300e-988f4a20-2e6a36c2-86804f01-da329264.jpg']",['files/p19/p19358609/s55623177/3b855f21-6bd34ead-a839a055-cfb4b29a-2a914e01.jpg\n']
s55682079_12,p19358609,s55682079,12,Findings,Scarring of the lung parenchyma and a left chest wall deformity are stable. Hyperinflated lungs with lucency reflect known emphysema. The previously seen left retrocardiac opacity has cle resolved ared. No focal opacity. Prominent interstitial markings may indicate mild edema. There is no pleural effusion or pneumothorax. The heart size is top normal. The aortic knob is calcified in the aorta is ectatic. There is no free air beneath the right hemidiaphragm.,Scarring of the lung parenchyma and a left chest wall deformity are stable.,deformity,left chest wall,Stable,"['files/p19/p19358609/s55682079/e4532f81-d73cf78d-6747f5f7-f662d37a-93adfab2.jpg', 'files/p19/p19358609/s55682079/e795300e-988f4a20-2e6a36c2-86804f01-da329264.jpg']",['files/p19/p19358609/s55623177/3b855f21-6bd34ead-a839a055-cfb4b29a-2a914e01.jpg\n']
s55687082_2,p15902493,s55687082,2,Findings,"In comparison with the study of ___, there is little change in the appearance of the right superior mediastinal mass arising that was shown to arise from the thyroid gland and descend inferiorly into the medial mediastinum on CT. Narrowing and displacement of the trachea is again seen. Monitoring and support devices remain in place and there is little change in the appearance of the heart and lungs.","In comparison with the study of ___, there is little change in the appearance of the right superior mediastinal mass arising that was shown to arise from the thyroid gland and descend inferiorly into the medial mediastinum on CT. Narrowing and displacement of the trachea is again seen. Monitoring and support devices remain in place and there is little change in the appearance of the heart and lungs",Mass,Right superior mediastinal,Stable,['files/p15/p15902493/s55687082/2daf4706-acb0e111-7c1f165a-1b733130-32f98a94.jpg'],['files/p15/p15902493/s54664886/f67ab78a-c83676b8-efebc7a0-7b79e9df-d200dca1.jpg\n']
s55687082_2,p15902493,s55687082,2,Findings,"In comparison with the study of ___, there is little change in the appearance of the right superior mediastinal mass arising that was shown to arise from the thyroid gland and descend inferiorly into the medial mediastinum on CT. Narrowing and displacement of the trachea is again seen. Monitoring and support devices remain in place and there is little change in the appearance of the heart and lungs.","In comparison with the study of ___, there is little change in the appearance of the right superior mediastinal mass arising that was shown to arise from the thyroid gland and descend inferiorly into the medial mediastinum on CT. Narrowing and displacement of the trachea is again seen. Monitoring and support devices remain in place and there is little change in the appearance of the heart and lungs",,Heart and lungs,Stable,['files/p15/p15902493/s55687082/2daf4706-acb0e111-7c1f165a-1b733130-32f98a94.jpg'],['files/p15/p15902493/s54664886/f67ab78a-c83676b8-efebc7a0-7b79e9df-d200dca1.jpg\n']
s55692270_7,p13421580,s55692270,7,Impression,"AP chest compared to ___ through ___: Moderate-to-large bilateral pleural effusions and severe, relatively asymmetric pulmonary consolidation, probably due to pulmonary edema, unchanged over the past 48 hours. Heart size, however, is normal. Tip of the endotracheal tube is at the upper margin of the clavicles, no less than 4.5 cm from the carina with the chin down. It should be advanced 2 cm for more secured seating. Left PIC line ends at the origin of the SVC and a right internal jugular line in the mid-to-low SVC. No pneumothorax. Dr. ___ was paged at 11:30 a.m.","AP chest compared to ___ through ___: Moderate-to-large bilateral pleural effusions and severe, relatively asymmetric pulmonary consolidation, probably due to pulmonary edema, unchanged over the past 48 hours.",pulmonary consolidation,,Stable,['files/p13/p13421580/s55692270/d7f886e4-10b9a3b0-c1cd0403-c6ec2f94-2dfc32db.jpg'],['files/p13/p13421580/s55643821/ed3c0f15-aaabaecf-fc06b5d9-e2679337-1bb8fe87.jpg\n']
s55692270_7,p13421580,s55692270,7,Impression,"AP chest compared to ___ through ___: Moderate-to-large bilateral pleural effusions and severe, relatively asymmetric pulmonary consolidation, probably due to pulmonary edema, unchanged over the past 48 hours. Heart size, however, is normal. Tip of the endotracheal tube is at the upper margin of the clavicles, no less than 4.5 cm from the carina with the chin down. It should be advanced 2 cm for more secured seating. Left PIC line ends at the origin of the SVC and a right internal jugular line in the mid-to-low SVC. No pneumothorax. Dr. ___ was paged at 11:30 a.m.","AP chest compared to ___ through ___: Moderate-to-large bilateral pleural effusions and severe, relatively asymmetric pulmonary consolidation, probably due to pulmonary edema, unchanged over the past 48 hours.",bilateral pleural effusions,,Stable,['files/p13/p13421580/s55692270/d7f886e4-10b9a3b0-c1cd0403-c6ec2f94-2dfc32db.jpg'],['files/p13/p13421580/s55643821/ed3c0f15-aaabaecf-fc06b5d9-e2679337-1bb8fe87.jpg\n']
s55705635_16,p10337896,s55705635,16,Impression,"Minimal interval improvement of the pre-existing right pleural effusion, with subsequent increase in transparency of the right lung base. In the interval, the nasogastric tube has been removed. No other relevant changes.","Minimal interval improvement of the pre-existing right pleural effusion, with subsequent increase in transparency of the right lung base.",Pleural effusion,Right,Better,['files/p10/p10337896/s55705635/ce5750a7-68ea7a3c-9170b26c-f86bd4a4-dea2e2f2.jpg'],"['files/p10/p10337896/s55070875/3eb3bf96-c5401aea-07178eee-c43e5e80-600f6a33.jpg\n', 'files/p10/p10337896/s55070875/44bec237-520a0e5b-80e20d64-2c0a9036-c8766a81.jpg\n']"
s55705635_16,p10337896,s55705635,16,Impression,"Minimal interval improvement of the pre-existing right pleural effusion, with subsequent increase in transparency of the right lung base. In the interval, the nasogastric tube has been removed. No other relevant changes.","In the interval, the nasogastric tube has been removed.",Nasogastric tube,,Resolve,['files/p10/p10337896/s55705635/ce5750a7-68ea7a3c-9170b26c-f86bd4a4-dea2e2f2.jpg'],"['files/p10/p10337896/s55070875/3eb3bf96-c5401aea-07178eee-c43e5e80-600f6a33.jpg\n', 'files/p10/p10337896/s55070875/44bec237-520a0e5b-80e20d64-2c0a9036-c8766a81.jpg\n']"
s55708104_1,p11932181,s55708104,1,Findings,"Portable semi-upright radiograph of the chest demonstrates well-expanded, clear lungs. There is a curvilinear structure in the upper left hemithorax which may represent the pleural surface, but vessels are seen extending superior to this line, making pneumothorax unlikely. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion. Again seen is a nodular opacity in the left upper lung, consistent with area of biopsy today.","Again seen is a nodular opacity in the left upper lung, consistent with area of biopsy today.",nodular opacity,left upper lung,Stable,"['files/p11/p11932181/s55708104/7875fcba-da8aa12e-d091f393-527e729b-65c7d344.jpg', 'files/p11/p11932181/s55708104/8894a073-a8fc7130-d4c16a1a-200a8663-2f3577f8.jpg']",['files/p11/p11932181/s55392606/d82e22a0-b3ce3eec-22bf56ae-9a1fca51-556da100.jpg\n']
s55725686_15,p16033763,s55725686,15,Findings,"As compared to the previous radiograph, the two left-sided chest tubes are in unchanged position. Unchanged appearance of the small left pleural effusion and the multiple bilateral metastatic lung nodules. Unchanged size of the cardiac silhouette. The right costophrenic sinus is also blunted by a small effusion.","As compared to the previous radiograph, the two left-sided chest tubes are in unchanged position.",chest tubes,left-sided,Stable,['files/p16/p16033763/s55725686/377df2cf-286c0596-c5183178-7edd53f5-50475885.jpg'],"['files/p16/p16033763/s55332727/a6c52f01-34a7d3e3-2a99de86-82d9a4b5-e07086f7.jpg\n', 'files/p16/p16033763/s55332727/e345b77a-fc55fbb9-01aa8bc4-55067082-884ea7ba.jpg\n']"
s55725686_15,p16033763,s55725686,15,Findings,"As compared to the previous radiograph, the two left-sided chest tubes are in unchanged position. Unchanged appearance of the small left pleural effusion and the multiple bilateral metastatic lung nodules. Unchanged size of the cardiac silhouette. The right costophrenic sinus is also blunted by a small effusion.",Unchanged appearance of the small left pleural effusion and the multiple bilateral metastatic lung nodules.,pleural effusion,left,Stable,['files/p16/p16033763/s55725686/377df2cf-286c0596-c5183178-7edd53f5-50475885.jpg'],"['files/p16/p16033763/s55332727/a6c52f01-34a7d3e3-2a99de86-82d9a4b5-e07086f7.jpg\n', 'files/p16/p16033763/s55332727/e345b77a-fc55fbb9-01aa8bc4-55067082-884ea7ba.jpg\n']"
s55725686_15,p16033763,s55725686,15,Findings,"As compared to the previous radiograph, the two left-sided chest tubes are in unchanged position. Unchanged appearance of the small left pleural effusion and the multiple bilateral metastatic lung nodules. Unchanged size of the cardiac silhouette. The right costophrenic sinus is also blunted by a small effusion.",Unchanged appearance of the small left pleural effusion and the multiple bilateral metastatic lung nodules.,metastatic lung nodules,bilateral,Stable,['files/p16/p16033763/s55725686/377df2cf-286c0596-c5183178-7edd53f5-50475885.jpg'],"['files/p16/p16033763/s55332727/a6c52f01-34a7d3e3-2a99de86-82d9a4b5-e07086f7.jpg\n', 'files/p16/p16033763/s55332727/e345b77a-fc55fbb9-01aa8bc4-55067082-884ea7ba.jpg\n']"
s55725686_15,p16033763,s55725686,15,Findings,"As compared to the previous radiograph, the two left-sided chest tubes are in unchanged position. Unchanged appearance of the small left pleural effusion and the multiple bilateral metastatic lung nodules. Unchanged size of the cardiac silhouette. The right costophrenic sinus is also blunted by a small effusion.",Unchanged size of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p16/p16033763/s55725686/377df2cf-286c0596-c5183178-7edd53f5-50475885.jpg'],"['files/p16/p16033763/s55332727/a6c52f01-34a7d3e3-2a99de86-82d9a4b5-e07086f7.jpg\n', 'files/p16/p16033763/s55332727/e345b77a-fc55fbb9-01aa8bc4-55067082-884ea7ba.jpg\n']"
s55726526_5,p15787214,s55726526,5,Findings,"As compared to the previous radiograph, the left venous access line has been removed. The right internal jugular vein catheter is in unchanged position. The pre-existing opacities in the right lung are substantially improved but still clearly visible. The appearance of the left lung is unchanged. Unchanged moderate cardiomegaly. No pleural effusions. No pneumothorax.",Unchanged moderate cardiomegaly.,moderate cardiomegaly,,Stable,['files/p15/p15787214/s55726526/ba26edda-e207b86b-665afaa9-47ddab28-78dd3c6e.jpg'],"['files/p15/p15787214/s55339794/6046f679-3f7b627a-75ed0041-e83000f4-d459e30b.jpg\n', 'files/p15/p15787214/s55339794/d28b38cf-926d0e19-852a101e-ee126190-42253668.jpg\n', 'files/p15/p15787214/s55339794/e49ba6bf-1f832e25-aa017a68-95dcb8b5-c2882106.jpg\n', 'files/p15/p15787214/s55339794/f6088e83-babff51c-fe95c613-7b94b470-3aea3440.jpg\n']"
s55726526_5,p15787214,s55726526,5,Findings,"As compared to the previous radiograph, the left venous access line has been removed. The right internal jugular vein catheter is in unchanged position. The pre-existing opacities in the right lung are substantially improved but still clearly visible. The appearance of the left lung is unchanged. Unchanged moderate cardiomegaly. No pleural effusions. No pneumothorax.",The pre-existing opacities in the right lung are substantially improved but still clearly visible.,opacities,right lung,Better,['files/p15/p15787214/s55726526/ba26edda-e207b86b-665afaa9-47ddab28-78dd3c6e.jpg'],"['files/p15/p15787214/s55339794/6046f679-3f7b627a-75ed0041-e83000f4-d459e30b.jpg\n', 'files/p15/p15787214/s55339794/d28b38cf-926d0e19-852a101e-ee126190-42253668.jpg\n', 'files/p15/p15787214/s55339794/e49ba6bf-1f832e25-aa017a68-95dcb8b5-c2882106.jpg\n', 'files/p15/p15787214/s55339794/f6088e83-babff51c-fe95c613-7b94b470-3aea3440.jpg\n']"
s55726526_5,p15787214,s55726526,5,Findings,"As compared to the previous radiograph, the left venous access line has been removed. The right internal jugular vein catheter is in unchanged position. The pre-existing opacities in the right lung are substantially improved but still clearly visible. The appearance of the left lung is unchanged. Unchanged moderate cardiomegaly. No pleural effusions. No pneumothorax.",The right internal jugular vein catheter is in unchanged position.,catheter,right internal jugular vein,Stable,['files/p15/p15787214/s55726526/ba26edda-e207b86b-665afaa9-47ddab28-78dd3c6e.jpg'],"['files/p15/p15787214/s55339794/6046f679-3f7b627a-75ed0041-e83000f4-d459e30b.jpg\n', 'files/p15/p15787214/s55339794/d28b38cf-926d0e19-852a101e-ee126190-42253668.jpg\n', 'files/p15/p15787214/s55339794/e49ba6bf-1f832e25-aa017a68-95dcb8b5-c2882106.jpg\n', 'files/p15/p15787214/s55339794/f6088e83-babff51c-fe95c613-7b94b470-3aea3440.jpg\n']"
s55726526_5,p15787214,s55726526,5,Findings,"As compared to the previous radiograph, the left venous access line has been removed. The right internal jugular vein catheter is in unchanged position. The pre-existing opacities in the right lung are substantially improved but still clearly visible. The appearance of the left lung is unchanged. Unchanged moderate cardiomegaly. No pleural effusions. No pneumothorax.",The appearance of the left lung is unchanged.,appearance,left lung,Stable,['files/p15/p15787214/s55726526/ba26edda-e207b86b-665afaa9-47ddab28-78dd3c6e.jpg'],"['files/p15/p15787214/s55339794/6046f679-3f7b627a-75ed0041-e83000f4-d459e30b.jpg\n', 'files/p15/p15787214/s55339794/d28b38cf-926d0e19-852a101e-ee126190-42253668.jpg\n', 'files/p15/p15787214/s55339794/e49ba6bf-1f832e25-aa017a68-95dcb8b5-c2882106.jpg\n', 'files/p15/p15787214/s55339794/f6088e83-babff51c-fe95c613-7b94b470-3aea3440.jpg\n']"
s55726526_5,p15787214,s55726526,5,Findings,"As compared to the previous radiograph, the left venous access line has been removed. The right internal jugular vein catheter is in unchanged position. The pre-existing opacities in the right lung are substantially improved but still clearly visible. The appearance of the left lung is unchanged. Unchanged moderate cardiomegaly. No pleural effusions. No pneumothorax.","As compared to the previous radiograph, the left venous access line has been removed.",venous access line,left,Resolve,['files/p15/p15787214/s55726526/ba26edda-e207b86b-665afaa9-47ddab28-78dd3c6e.jpg'],"['files/p15/p15787214/s55339794/6046f679-3f7b627a-75ed0041-e83000f4-d459e30b.jpg\n', 'files/p15/p15787214/s55339794/d28b38cf-926d0e19-852a101e-ee126190-42253668.jpg\n', 'files/p15/p15787214/s55339794/e49ba6bf-1f832e25-aa017a68-95dcb8b5-c2882106.jpg\n', 'files/p15/p15787214/s55339794/f6088e83-babff51c-fe95c613-7b94b470-3aea3440.jpg\n']"
s55731257_8,p11888614,s55731257,8,Impression,"1) ET tube in satisfactory position approximately 4.1 cm above the carina. 2) NG tubes not fully evaluated. 3) Bibasilar opacities consistent with collapse and/or consolidation appear similar to ___ at 22:08 p.m., although the left costophrenic angle is excluded from the film.","Bibasilar opacities consistent with collapse and/or consolidation appear similar to ___ at 22:08 p.m., although the left costophrenic angle is excluded from the film.",opacities consistent with collapse and/or consolidation,Bibasilar,Stable,['files/p11/p11888614/s55731257/2c181cae-c75e9141-a796795a-96cacb08-94017297.jpg'],['files/p11/p11888614/s55606743/3b446127-28b61a6f-9ca8faff-a2e5262d-ed738eb0.jpg\n']
s55733884_0,p10526217,s55733884,0,Impression,"In comparison with the study of ___ from an outside facility, there has been substantial decrease in the bilateral pulmonary opacifications. Monitoring and support devices have been removed. The cardiac silhouette is within normal limits. Mild prominence of the ascending and descending aorta raise the possibility of underlying hypertension. Some indistinctness of pulmonary vessels could reflect elevated pulmonary venous pressure. Are mild focal areas of opacification suggested at the bases. In view of the relatively low lung volumes, these could merely reflect areas of atelectasis. However, in the appropriate clinical setting, superimposed pneumonia could be considered.","In comparison with the study of ___ from an outside facility, there has been substantial decrease in the bilateral pulmonary opacifications.",pulmonary opacifications,bilateral,Better,['files/p10/p10526217/s55733884/de3b15c4-8ccd2746-09cb6b58-2c546177-5c7cc9f8.jpg'],
s55733884_0,p10526217,s55733884,0,Impression,"In comparison with the study of ___ from an outside facility, there has been substantial decrease in the bilateral pulmonary opacifications. Monitoring and support devices have been removed. The cardiac silhouette is within normal limits. Mild prominence of the ascending and descending aorta raise the possibility of underlying hypertension. Some indistinctness of pulmonary vessels could reflect elevated pulmonary venous pressure. Are mild focal areas of opacification suggested at the bases. In view of the relatively low lung volumes, these could merely reflect areas of atelectasis. However, in the appropriate clinical setting, superimposed pneumonia could be considered.",Monitoring and support devices have been removed.,Monitoring and support devices,,Resolve,['files/p10/p10526217/s55733884/de3b15c4-8ccd2746-09cb6b58-2c546177-5c7cc9f8.jpg'],
s55739485_1,p18536624,s55739485,1,Impression,"Cardiomegaly is substantial with interval increase in size of the cardiac silhouette, highly concerning for pericardial effusion, correlation with echocardiography is recommended. Replaced mitral valve is in expected position. Mild vascular enlargement is present. Small left apical pneumothorax is noted.","Cardiomegaly is substantial with interval increase in size of the cardiac silhouette, highly concerning for pericardial effusion, correlation with echocardiography is recommended.",Cardiomegaly,Cardiac silhouette,Worse,['files/p18/p18536624/s55739485/74cb0482-4e08c24c-84bc00b1-327a2c16-342697fb.jpg'],['files/p18/p18536624/s54882674/f3de0579-711a8c1f-7d79200b-cadc13ed-61edf359.jpg\n']
s55747398_2,p19112585,s55747398,2,Impression,"Mild pulmonary edema and moderate postoperative widening of the upper mediastinum are unchanged since ___ at 04:05. The intra-aortic balloon pump has been partially withdrawn, now in standard placement midway between the upper margin of the left main bronchus and the aortic apex. Moderately severe left lower lobe atelectasis and small right pleural effusion have increased. Left pleural drain and mediastinal drains are still in place. ET tube, esophageal drainage tube, right internal jugular line, Swan-Ganz catheter are all in standard placements unchanged. No pneumothorax.","ET tube, esophageal drainage tube, right internal jugular line, Swan-Ganz catheter are all in standard placements unchanged.",esophageal drainage tube,standard placements,Stable,"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg']",['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg\n']
s55747398_2,p19112585,s55747398,2,Impression,"Mild pulmonary edema and moderate postoperative widening of the upper mediastinum are unchanged since ___ at 04:05. The intra-aortic balloon pump has been partially withdrawn, now in standard placement midway between the upper margin of the left main bronchus and the aortic apex. Moderately severe left lower lobe atelectasis and small right pleural effusion have increased. Left pleural drain and mediastinal drains are still in place. ET tube, esophageal drainage tube, right internal jugular line, Swan-Ganz catheter are all in standard placements unchanged. No pneumothorax.",Left pleural drain and mediastinal drains are still in place.,drains,mediastinal,Stable,"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg']",['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg\n']
s55747398_2,p19112585,s55747398,2,Impression,"Mild pulmonary edema and moderate postoperative widening of the upper mediastinum are unchanged since ___ at 04:05. The intra-aortic balloon pump has been partially withdrawn, now in standard placement midway between the upper margin of the left main bronchus and the aortic apex. Moderately severe left lower lobe atelectasis and small right pleural effusion have increased. Left pleural drain and mediastinal drains are still in place. ET tube, esophageal drainage tube, right internal jugular line, Swan-Ganz catheter are all in standard placements unchanged. No pneumothorax.",Mild pulmonary edema and moderate postoperative widening of the upper mediastinum are unchanged since ___ at 04:05.,edema,pulmonary,Stable,"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg']",['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg\n']
s55747398_2,p19112585,s55747398,2,Impression,"Mild pulmonary edema and moderate postoperative widening of the upper mediastinum are unchanged since ___ at 04:05. The intra-aortic balloon pump has been partially withdrawn, now in standard placement midway between the upper margin of the left main bronchus and the aortic apex. Moderately severe left lower lobe atelectasis and small right pleural effusion have increased. Left pleural drain and mediastinal drains are still in place. ET tube, esophageal drainage tube, right internal jugular line, Swan-Ganz catheter are all in standard placements unchanged. No pneumothorax.",Mild pulmonary edema and moderate postoperative widening of the upper mediastinum are unchanged since ___ at 04:05.,postoperative widening,upper mediastinum,Stable,"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg']",['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg\n']
s55747398_2,p19112585,s55747398,2,Impression,"Mild pulmonary edema and moderate postoperative widening of the upper mediastinum are unchanged since ___ at 04:05. The intra-aortic balloon pump has been partially withdrawn, now in standard placement midway between the upper margin of the left main bronchus and the aortic apex. Moderately severe left lower lobe atelectasis and small right pleural effusion have increased. Left pleural drain and mediastinal drains are still in place. ET tube, esophageal drainage tube, right internal jugular line, Swan-Ganz catheter are all in standard placements unchanged. No pneumothorax.",Left pleural drain and mediastinal drains are still in place.,pleural drain,left,Stable,"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg']",['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg\n']
s55747398_2,p19112585,s55747398,2,Impression,"Mild pulmonary edema and moderate postoperative widening of the upper mediastinum are unchanged since ___ at 04:05. The intra-aortic balloon pump has been partially withdrawn, now in standard placement midway between the upper margin of the left main bronchus and the aortic apex. Moderately severe left lower lobe atelectasis and small right pleural effusion have increased. Left pleural drain and mediastinal drains are still in place. ET tube, esophageal drainage tube, right internal jugular line, Swan-Ganz catheter are all in standard placements unchanged. No pneumothorax.","ET tube, esophageal drainage tube, right internal jugular line, Swan-Ganz catheter are all in standard placements unchanged.",right internal jugular line,standard placements,Stable,"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg']",['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg\n']
s55747398_2,p19112585,s55747398,2,Impression,"Mild pulmonary edema and moderate postoperative widening of the upper mediastinum are unchanged since ___ at 04:05. The intra-aortic balloon pump has been partially withdrawn, now in standard placement midway between the upper margin of the left main bronchus and the aortic apex. Moderately severe left lower lobe atelectasis and small right pleural effusion have increased. Left pleural drain and mediastinal drains are still in place. ET tube, esophageal drainage tube, right internal jugular line, Swan-Ganz catheter are all in standard placements unchanged. No pneumothorax.","The intra-aortic balloon pump has been partially withdrawn, now in standard placement midway between the upper margin of the left main bronchus and the aortic apex.",intra-aortic balloon pump,midway between the upper margin of the left main bronchus and the aortic apex,New,"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg']",['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg\n']
s55747398_2,p19112585,s55747398,2,Impression,"Mild pulmonary edema and moderate postoperative widening of the upper mediastinum are unchanged since ___ at 04:05. The intra-aortic balloon pump has been partially withdrawn, now in standard placement midway between the upper margin of the left main bronchus and the aortic apex. Moderately severe left lower lobe atelectasis and small right pleural effusion have increased. Left pleural drain and mediastinal drains are still in place. ET tube, esophageal drainage tube, right internal jugular line, Swan-Ganz catheter are all in standard placements unchanged. No pneumothorax.",Moderately severe left lower lobe atelectasis and small right pleural effusion have increased.,pleural effusion,right,Worse,"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg']",['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg\n']
s55747398_2,p19112585,s55747398,2,Impression,"Mild pulmonary edema and moderate postoperative widening of the upper mediastinum are unchanged since ___ at 04:05. The intra-aortic balloon pump has been partially withdrawn, now in standard placement midway between the upper margin of the left main bronchus and the aortic apex. Moderately severe left lower lobe atelectasis and small right pleural effusion have increased. Left pleural drain and mediastinal drains are still in place. ET tube, esophageal drainage tube, right internal jugular line, Swan-Ganz catheter are all in standard placements unchanged. No pneumothorax.",Moderately severe left lower lobe atelectasis and small right pleural effusion have increased.,atelectasis,left lower lobe,Worse,"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg']",['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg\n']
s55747398_2,p19112585,s55747398,2,Impression,"Mild pulmonary edema and moderate postoperative widening of the upper mediastinum are unchanged since ___ at 04:05. The intra-aortic balloon pump has been partially withdrawn, now in standard placement midway between the upper margin of the left main bronchus and the aortic apex. Moderately severe left lower lobe atelectasis and small right pleural effusion have increased. Left pleural drain and mediastinal drains are still in place. ET tube, esophageal drainage tube, right internal jugular line, Swan-Ganz catheter are all in standard placements unchanged. No pneumothorax.","ET tube, esophageal drainage tube, right internal jugular line, Swan-Ganz catheter are all in standard placements unchanged.",Swan-Ganz catheter,standard placements,Stable,"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg']",['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg\n']
s55747398_2,p19112585,s55747398,2,Impression,"Mild pulmonary edema and moderate postoperative widening of the upper mediastinum are unchanged since ___ at 04:05. The intra-aortic balloon pump has been partially withdrawn, now in standard placement midway between the upper margin of the left main bronchus and the aortic apex. Moderately severe left lower lobe atelectasis and small right pleural effusion have increased. Left pleural drain and mediastinal drains are still in place. ET tube, esophageal drainage tube, right internal jugular line, Swan-Ganz catheter are all in standard placements unchanged. No pneumothorax.","ET tube, esophageal drainage tube, right internal jugular line, Swan-Ganz catheter are all in standard placements unchanged.",ET tube,standard placements,Stable,"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg']",['files/p19/p19112585/s55332191/6e0c3a9d-b6a3aad7-a1167a4c-7aa2cbf2-f2410dc0.jpg\n']
s55749095_10,p13421580,s55749095,10,Findings,"ET tube, Dobbhoff tube, right jugular catheter, left subclavian PICC are all unchanged and in standard position. Mild pulmonary edema is redemonstrated, stable since prior chest x-ray. Persist bilateral moderate to large pleural effusion and bibasilar atelectasis. Cardio mediastinal silhouette is unchanged. There is no pneumothorax.","ET tube, Dobbhoff tube, right jugular catheter, left subclavian PICC are all unchanged and in standard position.",right jugular catheter,standard,Stable,"['files/p13/p13421580/s55749095/015c7f7f-9865648c-f1313dca-4b17c1d6-5ee51049.jpg', 'files/p13/p13421580/s55749095/44f7a9c6-8897d945-288cc6ae-4cd74b80-b4eede3f.jpg', 'files/p13/p13421580/s55749095/b5cd5972-6de1d0a8-65f54917-02fd239c-37171ea6.jpg']",['files/p13/p13421580/s55692270/d7f886e4-10b9a3b0-c1cd0403-c6ec2f94-2dfc32db.jpg\n']
s55749095_10,p13421580,s55749095,10,Findings,"ET tube, Dobbhoff tube, right jugular catheter, left subclavian PICC are all unchanged and in standard position. Mild pulmonary edema is redemonstrated, stable since prior chest x-ray. Persist bilateral moderate to large pleural effusion and bibasilar atelectasis. Cardio mediastinal silhouette is unchanged. There is no pneumothorax.",Persist bilateral moderate to large pleural effusion and bibasilar atelectasis.,atelectasis,bibasilar,Stable,"['files/p13/p13421580/s55749095/015c7f7f-9865648c-f1313dca-4b17c1d6-5ee51049.jpg', 'files/p13/p13421580/s55749095/44f7a9c6-8897d945-288cc6ae-4cd74b80-b4eede3f.jpg', 'files/p13/p13421580/s55749095/b5cd5972-6de1d0a8-65f54917-02fd239c-37171ea6.jpg']",['files/p13/p13421580/s55692270/d7f886e4-10b9a3b0-c1cd0403-c6ec2f94-2dfc32db.jpg\n']
s55749095_10,p13421580,s55749095,10,Impression,"All the monitoring devices are unchanged, persist mild pulmonary edema and moderate to large bilateral pleural effusion with atelectasis.","All the monitoring devices are unchanged, persist mild pulmonary edema and moderate to large bilateral pleural effusion with atelectasis.",moderate to large pleural effusion,bilateral,Stable,"['files/p13/p13421580/s55749095/015c7f7f-9865648c-f1313dca-4b17c1d6-5ee51049.jpg', 'files/p13/p13421580/s55749095/44f7a9c6-8897d945-288cc6ae-4cd74b80-b4eede3f.jpg', 'files/p13/p13421580/s55749095/b5cd5972-6de1d0a8-65f54917-02fd239c-37171ea6.jpg']",['files/p13/p13421580/s55692270/d7f886e4-10b9a3b0-c1cd0403-c6ec2f94-2dfc32db.jpg\n']
s55749095_10,p13421580,s55749095,10,Impression,"All the monitoring devices are unchanged, persist mild pulmonary edema and moderate to large bilateral pleural effusion with atelectasis.","All the monitoring devices are unchanged, persist mild pulmonary edema and moderate to large bilateral pleural effusion with atelectasis.",mild pulmonary edema,,Stable,"['files/p13/p13421580/s55749095/015c7f7f-9865648c-f1313dca-4b17c1d6-5ee51049.jpg', 'files/p13/p13421580/s55749095/44f7a9c6-8897d945-288cc6ae-4cd74b80-b4eede3f.jpg', 'files/p13/p13421580/s55749095/b5cd5972-6de1d0a8-65f54917-02fd239c-37171ea6.jpg']",['files/p13/p13421580/s55692270/d7f886e4-10b9a3b0-c1cd0403-c6ec2f94-2dfc32db.jpg\n']
s55749095_10,p13421580,s55749095,10,Findings,"ET tube, Dobbhoff tube, right jugular catheter, left subclavian PICC are all unchanged and in standard position. Mild pulmonary edema is redemonstrated, stable since prior chest x-ray. Persist bilateral moderate to large pleural effusion and bibasilar atelectasis. Cardio mediastinal silhouette is unchanged. There is no pneumothorax.","ET tube, Dobbhoff tube, right jugular catheter, left subclavian PICC are all unchanged and in standard position.",ET tube,standard,Stable,"['files/p13/p13421580/s55749095/015c7f7f-9865648c-f1313dca-4b17c1d6-5ee51049.jpg', 'files/p13/p13421580/s55749095/44f7a9c6-8897d945-288cc6ae-4cd74b80-b4eede3f.jpg', 'files/p13/p13421580/s55749095/b5cd5972-6de1d0a8-65f54917-02fd239c-37171ea6.jpg']",['files/p13/p13421580/s55692270/d7f886e4-10b9a3b0-c1cd0403-c6ec2f94-2dfc32db.jpg\n']
s55749095_10,p13421580,s55749095,10,Impression,"All the monitoring devices are unchanged, persist mild pulmonary edema and moderate to large bilateral pleural effusion with atelectasis.","All the monitoring devices are unchanged, persist mild pulmonary edema and moderate to large bilateral pleural effusion with atelectasis.",atelectasis,,Stable,"['files/p13/p13421580/s55749095/015c7f7f-9865648c-f1313dca-4b17c1d6-5ee51049.jpg', 'files/p13/p13421580/s55749095/44f7a9c6-8897d945-288cc6ae-4cd74b80-b4eede3f.jpg', 'files/p13/p13421580/s55749095/b5cd5972-6de1d0a8-65f54917-02fd239c-37171ea6.jpg']",['files/p13/p13421580/s55692270/d7f886e4-10b9a3b0-c1cd0403-c6ec2f94-2dfc32db.jpg\n']
s55749095_10,p13421580,s55749095,10,Findings,"ET tube, Dobbhoff tube, right jugular catheter, left subclavian PICC are all unchanged and in standard position. Mild pulmonary edema is redemonstrated, stable since prior chest x-ray. Persist bilateral moderate to large pleural effusion and bibasilar atelectasis. Cardio mediastinal silhouette is unchanged. There is no pneumothorax.","ET tube, Dobbhoff tube, right jugular catheter, left subclavian PICC are all unchanged and in standard position.",left subclavian PICC,standard,Stable,"['files/p13/p13421580/s55749095/015c7f7f-9865648c-f1313dca-4b17c1d6-5ee51049.jpg', 'files/p13/p13421580/s55749095/44f7a9c6-8897d945-288cc6ae-4cd74b80-b4eede3f.jpg', 'files/p13/p13421580/s55749095/b5cd5972-6de1d0a8-65f54917-02fd239c-37171ea6.jpg']",['files/p13/p13421580/s55692270/d7f886e4-10b9a3b0-c1cd0403-c6ec2f94-2dfc32db.jpg\n']
s55749095_10,p13421580,s55749095,10,Findings,"ET tube, Dobbhoff tube, right jugular catheter, left subclavian PICC are all unchanged and in standard position. Mild pulmonary edema is redemonstrated, stable since prior chest x-ray. Persist bilateral moderate to large pleural effusion and bibasilar atelectasis. Cardio mediastinal silhouette is unchanged. There is no pneumothorax.",Persist bilateral moderate to large pleural effusion and bibasilar atelectasis.,moderate to large pleural effusion,bilateral,Stable,"['files/p13/p13421580/s55749095/015c7f7f-9865648c-f1313dca-4b17c1d6-5ee51049.jpg', 'files/p13/p13421580/s55749095/44f7a9c6-8897d945-288cc6ae-4cd74b80-b4eede3f.jpg', 'files/p13/p13421580/s55749095/b5cd5972-6de1d0a8-65f54917-02fd239c-37171ea6.jpg']",['files/p13/p13421580/s55692270/d7f886e4-10b9a3b0-c1cd0403-c6ec2f94-2dfc32db.jpg\n']
s55749095_10,p13421580,s55749095,10,Findings,"ET tube, Dobbhoff tube, right jugular catheter, left subclavian PICC are all unchanged and in standard position. Mild pulmonary edema is redemonstrated, stable since prior chest x-ray. Persist bilateral moderate to large pleural effusion and bibasilar atelectasis. Cardio mediastinal silhouette is unchanged. There is no pneumothorax.","Mild pulmonary edema is redemonstrated, stable since prior chest x-ray.",mild pulmonary edema,,Stable,"['files/p13/p13421580/s55749095/015c7f7f-9865648c-f1313dca-4b17c1d6-5ee51049.jpg', 'files/p13/p13421580/s55749095/44f7a9c6-8897d945-288cc6ae-4cd74b80-b4eede3f.jpg', 'files/p13/p13421580/s55749095/b5cd5972-6de1d0a8-65f54917-02fd239c-37171ea6.jpg']",['files/p13/p13421580/s55692270/d7f886e4-10b9a3b0-c1cd0403-c6ec2f94-2dfc32db.jpg\n']
s55749095_10,p13421580,s55749095,10,Findings,"ET tube, Dobbhoff tube, right jugular catheter, left subclavian PICC are all unchanged and in standard position. Mild pulmonary edema is redemonstrated, stable since prior chest x-ray. Persist bilateral moderate to large pleural effusion and bibasilar atelectasis. Cardio mediastinal silhouette is unchanged. There is no pneumothorax.","ET tube, Dobbhoff tube, right jugular catheter, left subclavian PICC are all unchanged and in standard position.",Dobbhoff tube,standard,Stable,"['files/p13/p13421580/s55749095/015c7f7f-9865648c-f1313dca-4b17c1d6-5ee51049.jpg', 'files/p13/p13421580/s55749095/44f7a9c6-8897d945-288cc6ae-4cd74b80-b4eede3f.jpg', 'files/p13/p13421580/s55749095/b5cd5972-6de1d0a8-65f54917-02fd239c-37171ea6.jpg']",['files/p13/p13421580/s55692270/d7f886e4-10b9a3b0-c1cd0403-c6ec2f94-2dfc32db.jpg\n']
s55749095_10,p13421580,s55749095,10,Impression,"All the monitoring devices are unchanged, persist mild pulmonary edema and moderate to large bilateral pleural effusion with atelectasis.","All the monitoring devices are unchanged, persist mild pulmonary edema and moderate to large bilateral pleural effusion with atelectasis.",monitoring devices,,Stable,"['files/p13/p13421580/s55749095/015c7f7f-9865648c-f1313dca-4b17c1d6-5ee51049.jpg', 'files/p13/p13421580/s55749095/44f7a9c6-8897d945-288cc6ae-4cd74b80-b4eede3f.jpg', 'files/p13/p13421580/s55749095/b5cd5972-6de1d0a8-65f54917-02fd239c-37171ea6.jpg']",['files/p13/p13421580/s55692270/d7f886e4-10b9a3b0-c1cd0403-c6ec2f94-2dfc32db.jpg\n']
s55749095_10,p13421580,s55749095,10,Findings,"ET tube, Dobbhoff tube, right jugular catheter, left subclavian PICC are all unchanged and in standard position. Mild pulmonary edema is redemonstrated, stable since prior chest x-ray. Persist bilateral moderate to large pleural effusion and bibasilar atelectasis. Cardio mediastinal silhouette is unchanged. There is no pneumothorax.",Cardio mediastinal silhouette is unchanged.,Cardio mediastinal silhouette,,Stable,"['files/p13/p13421580/s55749095/015c7f7f-9865648c-f1313dca-4b17c1d6-5ee51049.jpg', 'files/p13/p13421580/s55749095/44f7a9c6-8897d945-288cc6ae-4cd74b80-b4eede3f.jpg', 'files/p13/p13421580/s55749095/b5cd5972-6de1d0a8-65f54917-02fd239c-37171ea6.jpg']",['files/p13/p13421580/s55692270/d7f886e4-10b9a3b0-c1cd0403-c6ec2f94-2dfc32db.jpg\n']
s55750309_0,p11989878,s55750309,0,Findings,Mild bibasilar atelectasis without definite focal consolidation seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen,The cardiac and mediastinal silhouettes are stable.,Cardiac and mediastinal silhouettes,,Stable,"['files/p11/p11989878/s55750309/6caed164-11e024ad-5d6bb57a-9bf52ee3-2ca67ded.jpg', 'files/p11/p11989878/s55750309/ac093f50-68e5995f-7d538f77-146f8bc4-7f6bd8a2.jpg']",['files/p11/p11989878/s54526426/1a210276-bc14011e-b4575d45-690d73e9-5a5f4b36.jpg\n']
s55751350_1,p13318908,s55751350,1,Findings,The tip of the right internal jugular central venous catheter extends to the upper SVC. A retrocardiac opacity may reflect atelectasis or fullness of the left hilum. No pleural effusion or pneumothorax identified. The size of the cardiac silhouette is enlarged but unchanged.,The size of the cardiac silhouette is enlarged but unchanged.,cardiac silhouette,,Stable,['files/p13/p13318908/s55751350/cf34b8b8-d4e13fb9-2d589730-6f402164-0ef8ffdd.jpg'],['files/p13/p13318908/s54656635/c3a30ee6-a23b54c0-6b4d9444-3703233d-1f7a5a46.jpg\n']
s55751350_1,p13318908,s55751350,1,Impression,"Interval retraction of the right internal jugular central venous line, now projecting over the upper SVC.","Interval retraction of the right internal jugular central venous line, now projecting over the upper SVC.",right internal jugular central venous line,upper SVC,Worse,['files/p13/p13318908/s55751350/cf34b8b8-d4e13fb9-2d589730-6f402164-0ef8ffdd.jpg'],['files/p13/p13318908/s54656635/c3a30ee6-a23b54c0-6b4d9444-3703233d-1f7a5a46.jpg\n']
s55763521_13,p11717909,s55763521,13,Findings,"Comparison is made to previous study from ___. There is a Swan-Ganz catheter which is unchanged. Mediastinal drains and chest tube are also unchanged. LVAD device is identified. There is an unchanged left retrocardiac opacity. There are no pneumothoraces. The right lung and left lung apex appear clear. Overall, there has been no appreciable change.",There is a Swan-Ganz catheter which is unchanged.,Swan-Ganz catheter,,Stable,['files/p11/p11717909/s55763521/462d17f7-8f916f40-15f994b1-a745df9d-44cc9f48.jpg'],['files/p11/p11717909/s55385319/b337b63e-7e254de9-316afa13-f7d944d1-b69cbe1d.jpg\n']
s55763521_13,p11717909,s55763521,13,Findings,"Comparison is made to previous study from ___. There is a Swan-Ganz catheter which is unchanged. Mediastinal drains and chest tube are also unchanged. LVAD device is identified. There is an unchanged left retrocardiac opacity. There are no pneumothoraces. The right lung and left lung apex appear clear. Overall, there has been no appreciable change.",Mediastinal drains and chest tube are also unchanged.,mediastinal drains,,Stable,['files/p11/p11717909/s55763521/462d17f7-8f916f40-15f994b1-a745df9d-44cc9f48.jpg'],['files/p11/p11717909/s55385319/b337b63e-7e254de9-316afa13-f7d944d1-b69cbe1d.jpg\n']
s55763521_13,p11717909,s55763521,13,Findings,"Comparison is made to previous study from ___. There is a Swan-Ganz catheter which is unchanged. Mediastinal drains and chest tube are also unchanged. LVAD device is identified. There is an unchanged left retrocardiac opacity. There are no pneumothoraces. The right lung and left lung apex appear clear. Overall, there has been no appreciable change.",There is an unchanged left retrocardiac opacity.,retrocardiac opacity,left,Stable,['files/p11/p11717909/s55763521/462d17f7-8f916f40-15f994b1-a745df9d-44cc9f48.jpg'],['files/p11/p11717909/s55385319/b337b63e-7e254de9-316afa13-f7d944d1-b69cbe1d.jpg\n']
s55763521_13,p11717909,s55763521,13,Findings,"Comparison is made to previous study from ___. There is a Swan-Ganz catheter which is unchanged. Mediastinal drains and chest tube are also unchanged. LVAD device is identified. There is an unchanged left retrocardiac opacity. There are no pneumothoraces. The right lung and left lung apex appear clear. Overall, there has been no appreciable change.",Mediastinal drains and chest tube are also unchanged.,chest tube,,Stable,['files/p11/p11717909/s55763521/462d17f7-8f916f40-15f994b1-a745df9d-44cc9f48.jpg'],['files/p11/p11717909/s55385319/b337b63e-7e254de9-316afa13-f7d944d1-b69cbe1d.jpg\n']
s55772608_11,p14482820,s55772608,11,Findings,The right lung is clear. There is linear atelectasis in the lingula. No focal consolidation is seen. The cardiomediastinal silhouette and hilar contours are within normal limits. Calcifications of the aortic arch is again noted. There is no pleural effusion or pneumothorax. Degenerative changes are seen at the bilateral acromioclavicular joints.,Calcifications of the aortic arch is again noted.,Calcifications,Aortic arch,Stable,"['files/p14/p14482820/s55772608/2602a49c-e35b125f-82408969-f68eb85c-9735bc8b.jpg', 'files/p14/p14482820/s55772608/ee48c72c-d6d0aae4-5c6a3951-8146574b-9683d5c4.jpg']",['files/p14/p14482820/s55715115/d71ef3af-b2cb314a-8a4c01c9-4b18f430-14207ae6.jpg\n']
s55779897_12,p12906762,s55779897,12,Impression,"As compared to previous radiograph of 1 day earlier, left pleural catheter remains in place, with hyperlucency at the left lung base suggestive of a basilar pneumothorax. Exam is otherwise remarkable for slight improved aeration at the lung bases, with no other relevant changes.","Exam is otherwise remarkable for slight improved aeration at the lung bases, with no other relevant changes.",aeration,lung bases,Better,['files/p12/p12906762/s55779897/c8d25759-11bea40b-02429e0d-4657a4d5-af5a6411.jpg'],['files/p12/p12906762/s55236071/5871f846-5b267431-2d13d3d5-0c59f8d1-7cebfb38.jpg\n']
s55779897_12,p12906762,s55779897,12,Impression,"As compared to previous radiograph of 1 day earlier, left pleural catheter remains in place, with hyperlucency at the left lung base suggestive of a basilar pneumothorax. Exam is otherwise remarkable for slight improved aeration at the lung bases, with no other relevant changes.","As compared to previous radiograph of 1 day earlier, left pleural catheter remains in place, with hyperlucency at the left lung base suggestive of a basilar pneumothorax.",pleural catheter,left lung base,Stable,['files/p12/p12906762/s55779897/c8d25759-11bea40b-02429e0d-4657a4d5-af5a6411.jpg'],['files/p12/p12906762/s55236071/5871f846-5b267431-2d13d3d5-0c59f8d1-7cebfb38.jpg\n']
s55802076_0,p19442226,s55802076,0,Findings,"PA and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. There is no focal consolidation, pleural effusion, or pneumothorax. A convex, linear opacity in the right lung base is stable from ___ and may represent an area of scarring. The pulmonary vasculature is normal.","A convex, linear opacity in the right lung base is stable from ___ and may represent an area of scarring.","convex, linear opacity",right lung base,Stable,"['files/p19/p19442226/s55802076/1b308ded-6c895775-949f5d75-5be20754-a244cd15.jpg', 'files/p19/p19442226/s55802076/a229d223-937a556a-7a395dbc-951be366-22d9e940.jpg']",
s55806461_2,p13171410,s55806461,2,Impression,"AP chest compared to ___ through ___: Severe pulmonary edema and moderate-to-large bilateral pleural effusion are all increasing, obscuring what might have been an earlier pneumonia in the left lung laterally. Heart is mildly enlarged. No pneumothorax. Right jugular line ends low in the SVC.","AP chest compared to ___ through ___: Severe pulmonary edema and moderate-to-large bilateral pleural effusion are all increasing, obscuring what might have been an earlier pneumonia in the left lung laterally.",pleural effusion,bilaterally,Worse,"['files/p13/p13171410/s55806461/d4faa158-9dca8977-f02a356f-0897293a-813bc241.jpg', 'files/p13/p13171410/s55806461/d9db020c-127f5d05-0b15114d-f9441c91-1080c498.jpg']","['files/p13/p13171410/s55330429/3a8d14bb-e7b82dd7-5dad553b-e6eb2c41-7a0e3118.jpg\n', 'files/p13/p13171410/s55330429/84c08756-e01015c6-65599730-f91d3b83-e4a954d9.jpg\n']"
s55806461_2,p13171410,s55806461,2,Impression,"AP chest compared to ___ through ___: Severe pulmonary edema and moderate-to-large bilateral pleural effusion are all increasing, obscuring what might have been an earlier pneumonia in the left lung laterally. Heart is mildly enlarged. No pneumothorax. Right jugular line ends low in the SVC.","AP chest compared to ___ through ___: Severe pulmonary edema and moderate-to-large bilateral pleural effusion are all increasing, obscuring what might have been an earlier pneumonia in the left lung laterally.",pulmonary edema,bilaterally,Worse,"['files/p13/p13171410/s55806461/d4faa158-9dca8977-f02a356f-0897293a-813bc241.jpg', 'files/p13/p13171410/s55806461/d9db020c-127f5d05-0b15114d-f9441c91-1080c498.jpg']","['files/p13/p13171410/s55330429/3a8d14bb-e7b82dd7-5dad553b-e6eb2c41-7a0e3118.jpg\n', 'files/p13/p13171410/s55330429/84c08756-e01015c6-65599730-f91d3b83-e4a954d9.jpg\n']"
s55835350_75,p11717909,s55835350,75,Impression,"As compared to ___, cardiomediastinal contours are stable. Heterogeneous opacities in the right upper lobe and a small right pleural effusion are not appreciably changed in the interval, but right basilar opacities have slightly improved. No other relevant changes since recent exam.","As compared to ___, cardiomediastinal contours are stable.",cardiomediastinal contours,,Stable,['files/p11/p11717909/s55835350/437a988e-3de10dcb-fe6e16b3-eb4765eb-b5d5ca1b.jpg'],['files/p11/p11717909/s55813066/4cd0e6e4-e486a052-5adcc162-6ea6ba64-f65c1a31.jpg\n']
s55835350_75,p11717909,s55835350,75,Impression,"As compared to ___, cardiomediastinal contours are stable. Heterogeneous opacities in the right upper lobe and a small right pleural effusion are not appreciably changed in the interval, but right basilar opacities have slightly improved. No other relevant changes since recent exam.","Heterogeneous opacities in the right upper lobe and a small right pleural effusion are not appreciably changed in the interval, but right basilar opacities have slightly improved.",opacities,right basilar,Better,['files/p11/p11717909/s55835350/437a988e-3de10dcb-fe6e16b3-eb4765eb-b5d5ca1b.jpg'],['files/p11/p11717909/s55813066/4cd0e6e4-e486a052-5adcc162-6ea6ba64-f65c1a31.jpg\n']
s55835350_75,p11717909,s55835350,75,Impression,"As compared to ___, cardiomediastinal contours are stable. Heterogeneous opacities in the right upper lobe and a small right pleural effusion are not appreciably changed in the interval, but right basilar opacities have slightly improved. No other relevant changes since recent exam.","Heterogeneous opacities in the right upper lobe and a small right pleural effusion are not appreciably changed in the interval, but right basilar opacities have slightly improved.",small pleural effusion,right,Stable,['files/p11/p11717909/s55835350/437a988e-3de10dcb-fe6e16b3-eb4765eb-b5d5ca1b.jpg'],['files/p11/p11717909/s55813066/4cd0e6e4-e486a052-5adcc162-6ea6ba64-f65c1a31.jpg\n']
s55835350_75,p11717909,s55835350,75,Impression,"As compared to ___, cardiomediastinal contours are stable. Heterogeneous opacities in the right upper lobe and a small right pleural effusion are not appreciably changed in the interval, but right basilar opacities have slightly improved. No other relevant changes since recent exam.","Heterogeneous opacities in the right upper lobe and a small right pleural effusion are not appreciably changed in the interval, but right basilar opacities have slightly improved.",heterogeneous opacities,right upper lobe,Stable,['files/p11/p11717909/s55835350/437a988e-3de10dcb-fe6e16b3-eb4765eb-b5d5ca1b.jpg'],['files/p11/p11717909/s55813066/4cd0e6e4-e486a052-5adcc162-6ea6ba64-f65c1a31.jpg\n']
s55846843_0,p11134683,s55846843,0,Findings,Heart size is top normal. Mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta again noted. Atherosclerotic calcifications are seen diffusely throughout the thoracic aorta. Pulmonary vasculature is normal and the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are moderate multilevel degenerative changes in the thoracic spine. Remote left ninth rib fracture is again seen.,Mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta again noted.,mild tortuosity of the thoracic aorta,Mediastinal and hilar contours,Stable,"['files/p11/p11134683/s55846843/0d7f28dc-1de4e7ed-fbc0c70f-e099382a-e5dfb332.jpg', 'files/p11/p11134683/s55846843/10efa450-28c449f2-7a5dde1e-58eb3c3e-2a6a8ef0.jpg']",['files/p11/p11134683/s51942946/30e1c508-1a2ca634-02f30afb-06fc43a9-d7eac519.jpg\n']
s55846843_0,p11134683,s55846843,0,Findings,Heart size is top normal. Mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta again noted. Atherosclerotic calcifications are seen diffusely throughout the thoracic aorta. Pulmonary vasculature is normal and the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are moderate multilevel degenerative changes in the thoracic spine. Remote left ninth rib fracture is again seen.,Remote left ninth rib fracture is again seen.,fracture,left ninth rib,Stable,"['files/p11/p11134683/s55846843/0d7f28dc-1de4e7ed-fbc0c70f-e099382a-e5dfb332.jpg', 'files/p11/p11134683/s55846843/10efa450-28c449f2-7a5dde1e-58eb3c3e-2a6a8ef0.jpg']",['files/p11/p11134683/s51942946/30e1c508-1a2ca634-02f30afb-06fc43a9-d7eac519.jpg\n']
s55850018_1,p15936884,s55850018,1,Findings,"The lung volumes are very low. A Swan-Ganz catheter appears slightly retracted, remaining within a right pulmonary artery. There has been interval extubation and removal of mediastinal drain and left thoracostomy tube. Multiple intact sternal wires and mediastinal clips are unchanged in orientation. Moderate central pulmonary vascular congestion and pulmonary edema are unchanged since ___. New small bilateral pleural effusions are present. There is no pneumothorax.",Multiple intact sternal wires and mediastinal clips are unchanged in orientation.,clips,mediastinal,Stable,['files/p15/p15936884/s55850018/ccb976bd-fe7110eb-f5b9e68c-74886c88-c2d95f6c.jpg'],['files/p15/p15936884/s55390875/fab89071-f6543b70-eaff3eb7-558c223b-f40a6d6f.jpg\n']
s55850018_1,p15936884,s55850018,1,Findings,"The lung volumes are very low. A Swan-Ganz catheter appears slightly retracted, remaining within a right pulmonary artery. There has been interval extubation and removal of mediastinal drain and left thoracostomy tube. Multiple intact sternal wires and mediastinal clips are unchanged in orientation. Moderate central pulmonary vascular congestion and pulmonary edema are unchanged since ___. New small bilateral pleural effusions are present. There is no pneumothorax.",There has been interval extubation and removal of mediastinal drain and left thoracostomy tube.,thoracostomy tube,left,Resolve,['files/p15/p15936884/s55850018/ccb976bd-fe7110eb-f5b9e68c-74886c88-c2d95f6c.jpg'],['files/p15/p15936884/s55390875/fab89071-f6543b70-eaff3eb7-558c223b-f40a6d6f.jpg\n']
s55850018_1,p15936884,s55850018,1,Findings,"The lung volumes are very low. A Swan-Ganz catheter appears slightly retracted, remaining within a right pulmonary artery. There has been interval extubation and removal of mediastinal drain and left thoracostomy tube. Multiple intact sternal wires and mediastinal clips are unchanged in orientation. Moderate central pulmonary vascular congestion and pulmonary edema are unchanged since ___. New small bilateral pleural effusions are present. There is no pneumothorax.",Moderate central pulmonary vascular congestion and pulmonary edema are unchanged since ___.,pulmonary edema,central,Stable,['files/p15/p15936884/s55850018/ccb976bd-fe7110eb-f5b9e68c-74886c88-c2d95f6c.jpg'],['files/p15/p15936884/s55390875/fab89071-f6543b70-eaff3eb7-558c223b-f40a6d6f.jpg\n']
s55850018_1,p15936884,s55850018,1,Findings,"The lung volumes are very low. A Swan-Ganz catheter appears slightly retracted, remaining within a right pulmonary artery. There has been interval extubation and removal of mediastinal drain and left thoracostomy tube. Multiple intact sternal wires and mediastinal clips are unchanged in orientation. Moderate central pulmonary vascular congestion and pulmonary edema are unchanged since ___. New small bilateral pleural effusions are present. There is no pneumothorax.",New small bilateral pleural effusions are present.,pleural effusions,bilateral,New,['files/p15/p15936884/s55850018/ccb976bd-fe7110eb-f5b9e68c-74886c88-c2d95f6c.jpg'],['files/p15/p15936884/s55390875/fab89071-f6543b70-eaff3eb7-558c223b-f40a6d6f.jpg\n']
s55850018_1,p15936884,s55850018,1,Impression,1. New small bilateral pleural effusions. 2. Unchanged moderate pulmonary edema. 3. No pneumothorax.,1. New small bilateral pleural effusions.,pleural effusions,bilateral,New,['files/p15/p15936884/s55850018/ccb976bd-fe7110eb-f5b9e68c-74886c88-c2d95f6c.jpg'],['files/p15/p15936884/s55390875/fab89071-f6543b70-eaff3eb7-558c223b-f40a6d6f.jpg\n']
s55850018_1,p15936884,s55850018,1,Findings,"The lung volumes are very low. A Swan-Ganz catheter appears slightly retracted, remaining within a right pulmonary artery. There has been interval extubation and removal of mediastinal drain and left thoracostomy tube. Multiple intact sternal wires and mediastinal clips are unchanged in orientation. Moderate central pulmonary vascular congestion and pulmonary edema are unchanged since ___. New small bilateral pleural effusions are present. There is no pneumothorax.",There has been interval extubation and removal of mediastinal drain and left thoracostomy tube.,drain,mediastinal,Resolve,['files/p15/p15936884/s55850018/ccb976bd-fe7110eb-f5b9e68c-74886c88-c2d95f6c.jpg'],['files/p15/p15936884/s55390875/fab89071-f6543b70-eaff3eb7-558c223b-f40a6d6f.jpg\n']
s55850018_1,p15936884,s55850018,1,Findings,"The lung volumes are very low. A Swan-Ganz catheter appears slightly retracted, remaining within a right pulmonary artery. There has been interval extubation and removal of mediastinal drain and left thoracostomy tube. Multiple intact sternal wires and mediastinal clips are unchanged in orientation. Moderate central pulmonary vascular congestion and pulmonary edema are unchanged since ___. New small bilateral pleural effusions are present. There is no pneumothorax.",Moderate central pulmonary vascular congestion and pulmonary edema are unchanged since ___.,pulmonary vascular congestion,central,Stable,['files/p15/p15936884/s55850018/ccb976bd-fe7110eb-f5b9e68c-74886c88-c2d95f6c.jpg'],['files/p15/p15936884/s55390875/fab89071-f6543b70-eaff3eb7-558c223b-f40a6d6f.jpg\n']
s55850018_1,p15936884,s55850018,1,Findings,"The lung volumes are very low. A Swan-Ganz catheter appears slightly retracted, remaining within a right pulmonary artery. There has been interval extubation and removal of mediastinal drain and left thoracostomy tube. Multiple intact sternal wires and mediastinal clips are unchanged in orientation. Moderate central pulmonary vascular congestion and pulmonary edema are unchanged since ___. New small bilateral pleural effusions are present. There is no pneumothorax.",Multiple intact sternal wires and mediastinal clips are unchanged in orientation.,wires,sternal,Stable,['files/p15/p15936884/s55850018/ccb976bd-fe7110eb-f5b9e68c-74886c88-c2d95f6c.jpg'],['files/p15/p15936884/s55390875/fab89071-f6543b70-eaff3eb7-558c223b-f40a6d6f.jpg\n']
s55850018_1,p15936884,s55850018,1,Impression,1. New small bilateral pleural effusions. 2. Unchanged moderate pulmonary edema. 3. No pneumothorax.,2. Unchanged moderate pulmonary edema.,pulmonary edema,,Stable,['files/p15/p15936884/s55850018/ccb976bd-fe7110eb-f5b9e68c-74886c88-c2d95f6c.jpg'],['files/p15/p15936884/s55390875/fab89071-f6543b70-eaff3eb7-558c223b-f40a6d6f.jpg\n']
s55851177_0,p11181748,s55851177,0,Impression,1. New large right pleural effusion. 2. Superimposed opacity may represent compressive atelectasis or infectious process in the proper clinical setting. 3. Mild pulmonary vascular congestion without overt pulmonary edema.,1. New large right pleural effusion.,pleural effusion,right,New,"['files/p11/p11181748/s55851177/648179a6-4fa29136-911690e6-f934aaa8-bcd92eef.jpg', 'files/p11/p11181748/s55851177/6fab1ad7-445ea2a4-e4074846-ffc0bcd0-3a5972ca.jpg', 'files/p11/p11181748/s55851177/c3badf14-8f90970e-8455cef5-6fe2eea4-6357ee71.jpg']","['files/p11/p11181748/s54592417/226c776c-bb7f8c0e-6a33a669-bd0554c7-40b178b0.jpg\n', 'files/p11/p11181748/s54592417/589ad56b-158c86eb-cb95283c-8452b1ed-44503295.jpg\n']"
s55851177_0,p11181748,s55851177,0,Findings,"A large right pleural effusion is new from the prior study. Superimposed opacity likely represents compressive atelectasis, however infectious process could be considered the proper clinical setting. There is no left pleural effusion. There is mild pulmonary vascular congestion without overt pulmonary edema.",A large right pleural effusion is new from the prior study.,pleural effusion,right,New,"['files/p11/p11181748/s55851177/648179a6-4fa29136-911690e6-f934aaa8-bcd92eef.jpg', 'files/p11/p11181748/s55851177/6fab1ad7-445ea2a4-e4074846-ffc0bcd0-3a5972ca.jpg', 'files/p11/p11181748/s55851177/c3badf14-8f90970e-8455cef5-6fe2eea4-6357ee71.jpg']","['files/p11/p11181748/s54592417/226c776c-bb7f8c0e-6a33a669-bd0554c7-40b178b0.jpg\n', 'files/p11/p11181748/s54592417/589ad56b-158c86eb-cb95283c-8452b1ed-44503295.jpg\n']"
s55856355_0,p14062229,s55856355,0,Findings,"Compared with the prior radiograph, cardiomediastinal silhouette is grossly unchanged. Lungs are hyperinflated, but clear, without evidence of focal consolidation, pleural effusion, or pneumothorax. Small area of parenchymal sparing in the left upper lobe is unchanged. Mild degenerative changes of the thoracic spine again seen.",Mild degenerative changes of the thoracic spine again seen.,Degenerative changes,Thoracic spine,Worse,"['files/p14/p14062229/s55856355/01333584-2ebbca3f-3136e1be-5fd064dc-d79f6e49.jpg', 'files/p14/p14062229/s55856355/c32f537b-1e531bdf-dc94439f-516792e2-c4933220.jpg']",
s55856355_0,p14062229,s55856355,0,Findings,"Compared with the prior radiograph, cardiomediastinal silhouette is grossly unchanged. Lungs are hyperinflated, but clear, without evidence of focal consolidation, pleural effusion, or pneumothorax. Small area of parenchymal sparing in the left upper lobe is unchanged. Mild degenerative changes of the thoracic spine again seen.",Small area of parenchymal sparing in the left upper lobe is unchanged.,Parenchymal sparing,Left upper lobe,Stable,"['files/p14/p14062229/s55856355/01333584-2ebbca3f-3136e1be-5fd064dc-d79f6e49.jpg', 'files/p14/p14062229/s55856355/c32f537b-1e531bdf-dc94439f-516792e2-c4933220.jpg']",
s55856355_0,p14062229,s55856355,0,Findings,"Compared with the prior radiograph, cardiomediastinal silhouette is grossly unchanged. Lungs are hyperinflated, but clear, without evidence of focal consolidation, pleural effusion, or pneumothorax. Small area of parenchymal sparing in the left upper lobe is unchanged. Mild degenerative changes of the thoracic spine again seen.","Compared with the prior radiograph, cardiomediastinal silhouette is grossly unchanged.",Silhouette,Cardiomediastinal,Stable,"['files/p14/p14062229/s55856355/01333584-2ebbca3f-3136e1be-5fd064dc-d79f6e49.jpg', 'files/p14/p14062229/s55856355/c32f537b-1e531bdf-dc94439f-516792e2-c4933220.jpg']",
s55864646_1,p11529986,s55864646,1,Impression,"In comparison with the study of ___, there are even lower lung volumes. Again there is a large hiatal hernia but no evidence of acute pneumonia or vascular congestion. Sclerotic metastases again are seen from carcinoma the prostate.",Sclerotic metastases again are seen from carcinoma the prostate.,sclerotic metastases,Bones,Stable,"['files/p11/p11529986/s55864646/4e988876-de35584e-49fde4ca-bfa3f240-b99a8e3a.jpg', 'files/p11/p11529986/s55864646/dfa6aa31-59502aee-a73c4b24-1b369d25-d3f48851.jpg']","['files/p11/p11529986/s50677500/18f9a05f-f2cd30f5-bb92443e-a96e29a2-2d10374b.jpg\n', 'files/p11/p11529986/s50677500/8c92d74b-8f6e075a-400a5d87-ae954228-73edbc6b.jpg\n', 'files/p11/p11529986/s50677500/9d98c3ef-af601aa0-e2f3bafc-9a4bf053-5680f50b.jpg\n']"
s55864646_1,p11529986,s55864646,1,Impression,"In comparison with the study of ___, there are even lower lung volumes. Again there is a large hiatal hernia but no evidence of acute pneumonia or vascular congestion. Sclerotic metastases again are seen from carcinoma the prostate.","In comparison with the study of ___, there are even lower lung volumes.",lung volumes,Lungs,Worse,"['files/p11/p11529986/s55864646/4e988876-de35584e-49fde4ca-bfa3f240-b99a8e3a.jpg', 'files/p11/p11529986/s55864646/dfa6aa31-59502aee-a73c4b24-1b369d25-d3f48851.jpg']","['files/p11/p11529986/s50677500/18f9a05f-f2cd30f5-bb92443e-a96e29a2-2d10374b.jpg\n', 'files/p11/p11529986/s50677500/8c92d74b-8f6e075a-400a5d87-ae954228-73edbc6b.jpg\n', 'files/p11/p11529986/s50677500/9d98c3ef-af601aa0-e2f3bafc-9a4bf053-5680f50b.jpg\n']"
s55864646_1,p11529986,s55864646,1,Impression,"In comparison with the study of ___, there are even lower lung volumes. Again there is a large hiatal hernia but no evidence of acute pneumonia or vascular congestion. Sclerotic metastases again are seen from carcinoma the prostate.",Again there is a large hiatal hernia but no evidence of acute pneumonia or vascular congestion.,hiatal hernia,Upper abdomen,Stable,"['files/p11/p11529986/s55864646/4e988876-de35584e-49fde4ca-bfa3f240-b99a8e3a.jpg', 'files/p11/p11529986/s55864646/dfa6aa31-59502aee-a73c4b24-1b369d25-d3f48851.jpg']","['files/p11/p11529986/s50677500/18f9a05f-f2cd30f5-bb92443e-a96e29a2-2d10374b.jpg\n', 'files/p11/p11529986/s50677500/8c92d74b-8f6e075a-400a5d87-ae954228-73edbc6b.jpg\n', 'files/p11/p11529986/s50677500/9d98c3ef-af601aa0-e2f3bafc-9a4bf053-5680f50b.jpg\n']"
s55895988_1,p13565877,s55895988,1,Impression,"AP chest compared to ___: Lung volumes are lower, accounting in part but probably not entirely for slight increase in pulmonary vascular and mediastinal venous caliber. The poor ventilation at the base of the right lung is most likely due to atelectasis. Heart is normal size. Asbestos-related calcified pleural plaques are more readily appreciated on the conventional chest radiograph performed ___. No pneumothorax.",Asbestos-related calcified pleural plaques are more readily appreciated on the conventional chest radiograph performed ___.,calcified pleural plaques,bilateral,Stable,['files/p13/p13565877/s55895988/0eca4744-28e28df7-0a6c3a98-dee33b2a-4041ba77.jpg'],"['files/p13/p13565877/s55639373/66cd9f76-7d0e7422-876c51b9-e8f215eb-96091f16.jpg\n', 'files/p13/p13565877/s55639373/6f550224-a23be693-b5f671c6-843ca075-5b25df1f.jpg\n', 'files/p13/p13565877/s55639373/9b3419be-60a3b97f-c7a2b63b-cf861b15-82355a9a.jpg\n']"
s55895988_1,p13565877,s55895988,1,Impression,"AP chest compared to ___: Lung volumes are lower, accounting in part but probably not entirely for slight increase in pulmonary vascular and mediastinal venous caliber. The poor ventilation at the base of the right lung is most likely due to atelectasis. Heart is normal size. Asbestos-related calcified pleural plaques are more readily appreciated on the conventional chest radiograph performed ___. No pneumothorax.","AP chest compared to ___: Lung volumes are lower, accounting in part but probably not entirely for slight increase in pulmonary vascular and mediastinal venous caliber.",volumes,Lung,Worse,['files/p13/p13565877/s55895988/0eca4744-28e28df7-0a6c3a98-dee33b2a-4041ba77.jpg'],"['files/p13/p13565877/s55639373/66cd9f76-7d0e7422-876c51b9-e8f215eb-96091f16.jpg\n', 'files/p13/p13565877/s55639373/6f550224-a23be693-b5f671c6-843ca075-5b25df1f.jpg\n', 'files/p13/p13565877/s55639373/9b3419be-60a3b97f-c7a2b63b-cf861b15-82355a9a.jpg\n']"
s55912381_76,p11717909,s55912381,76,Impression,"In comparison with the study of ___, the right subclavian PICC line is again in the right atrium. To be at or just above the cavoatrial junction, the tube could be pulled back about 4 cm. The heterogeneous opacification in the right mid zone may be slightly improved. However, there is increasing opacification at the right base, consistent with pleural fluid and underlying atelectasis.","However, there is increasing opacification at the right base, consistent with pleural fluid and underlying atelectasis.",opacification,right base,Worse,['files/p11/p11717909/s55912381/e189e2b0-2d38dabb-5a0273ad-39465f07-37d9141e.jpg'],['files/p11/p11717909/s55835350/437a988e-3de10dcb-fe6e16b3-eb4765eb-b5d5ca1b.jpg\n']
s55912381_76,p11717909,s55912381,76,Impression,"In comparison with the study of ___, the right subclavian PICC line is again in the right atrium. To be at or just above the cavoatrial junction, the tube could be pulled back about 4 cm. The heterogeneous opacification in the right mid zone may be slightly improved. However, there is increasing opacification at the right base, consistent with pleural fluid and underlying atelectasis.",The heterogeneous opacification in the right mid zone may be slightly improved.,heterogeneous opacification,right mid zone,Better,['files/p11/p11717909/s55912381/e189e2b0-2d38dabb-5a0273ad-39465f07-37d9141e.jpg'],['files/p11/p11717909/s55835350/437a988e-3de10dcb-fe6e16b3-eb4765eb-b5d5ca1b.jpg\n']
s55912381_76,p11717909,s55912381,76,Impression,"In comparison with the study of ___, the right subclavian PICC line is again in the right atrium. To be at or just above the cavoatrial junction, the tube could be pulled back about 4 cm. The heterogeneous opacification in the right mid zone may be slightly improved. However, there is increasing opacification at the right base, consistent with pleural fluid and underlying atelectasis.","In comparison with the study of ___, the right subclavian PICC line is again in the right atrium.",right subclavian PICC line,right atrium,Stable,['files/p11/p11717909/s55912381/e189e2b0-2d38dabb-5a0273ad-39465f07-37d9141e.jpg'],['files/p11/p11717909/s55835350/437a988e-3de10dcb-fe6e16b3-eb4765eb-b5d5ca1b.jpg\n']
s55912597_18,p11717909,s55912597,18,Impression,"In comparison with the study ___ ___, there is continued increased opacification at the left base with substantial enlargement of the cardiac silhouette. However, no evidence of pulmonary vascular congestion.","In comparison with the study ___, there is continued increased opacification at the left base with substantial enlargement of the cardiac silhouette.",cardiac silhouette,,Worse,['files/p11/p11717909/s55912597/1f19bc2a-ca226782-41cd1a10-2c3c3346-a73ba6b7.jpg'],['files/p11/p11717909/s55912381/e189e2b0-2d38dabb-5a0273ad-39465f07-37d9141e.jpg\n']
s55912597_18,p11717909,s55912597,18,Impression,"In comparison with the study ___ ___, there is continued increased opacification at the left base with substantial enlargement of the cardiac silhouette. However, no evidence of pulmonary vascular congestion.","In comparison with the study ___, there is continued increased opacification at the left base with substantial enlargement of the cardiac silhouette.",opacification,Left base,Worse,['files/p11/p11717909/s55912597/1f19bc2a-ca226782-41cd1a10-2c3c3346-a73ba6b7.jpg'],['files/p11/p11717909/s55912381/e189e2b0-2d38dabb-5a0273ad-39465f07-37d9141e.jpg\n']
s55921421_5,p15655633,s55921421,5,Impression,"Unchanged lung volumes. Borderline size of the cardiac silhouette without evidence of pulmonary edema. Elevation of the left hemidiaphragm. Subsequent minimal atelectasis at the left lung basis. No pleural effusions. No pneumonia, no pulmonary edema.",Unchanged lung volumes.,lung volumes,,Stable,"['files/p15/p15655633/s55921421/196e6bbc-7f643fe4-40918f1f-33529b6d-1ca7ad5f.jpg', 'files/p15/p15655633/s55921421/c87420c9-8f9fa780-5f7cbf60-803d30e2-ff1f1a1d.jpg']","['files/p15/p15655633/s54557642/23400c85-a9248b01-0b55c196-55c9fcec-3420c556.jpg\n', 'files/p15/p15655633/s54557642/ffe23760-121f380d-c2ffbfd0-765ade56-1f4d55ce.jpg\n']"
s55924803_0,p13740705,s55924803,0,Findings,"Frontal and lateral views of the chest are obtained. There are low lung volumes, which accentuate the bronchovascular markings, particularly at the lung bases. Mild bibasilar atelectasis is seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. The aorta is calcified and tortuous. Degenerative changes are again seen along the spine.",Degenerative changes are again seen along the spine.,Degenerative changes,along the spine,Stable,"['files/p13/p13740705/s55924803/b88c89c2-6422d672-c5ec4f6a-afb43481-31f62b0d.jpg', 'files/p13/p13740705/s55924803/ff2d4c1c-22e6a9d1-7e5d6a3b-b1245e1f-f76954a5.jpg']","['files/p13/p13740705/s54045900/cc47427c-c5e9680e-551d3143-58cb46c2-28e82262.jpg\n', 'files/p13/p13740705/s54045900/d4d8ed91-d54929b5-a7e9fd6e-063cc534-089ceaab.jpg\n']"
s55924803_0,p13740705,s55924803,0,Impression,No significant interval change. Low lung volumes with no focal consolidation seen.,No significant interval change.,,,Stable,"['files/p13/p13740705/s55924803/b88c89c2-6422d672-c5ec4f6a-afb43481-31f62b0d.jpg', 'files/p13/p13740705/s55924803/ff2d4c1c-22e6a9d1-7e5d6a3b-b1245e1f-f76954a5.jpg']","['files/p13/p13740705/s54045900/cc47427c-c5e9680e-551d3143-58cb46c2-28e82262.jpg\n', 'files/p13/p13740705/s54045900/d4d8ed91-d54929b5-a7e9fd6e-063cc534-089ceaab.jpg\n']"
s55925366_11,p13894716,s55925366,11,Impression,"Lines and tubes essentially unchanged. No pneumothorax detected. Mild to moderate cardiomegaly without significant change. CHF with interstitial and probably some degree of alveolar edema. Persistent left lower lobe collapse and/or consolidation. Hazy density at right greater left bases is suggestive of layering pleural effusions, more pronounced than on the prior film. Possibility of new collapse and/or consolidation at the right base laterally cannot be excluded.",Lines and tubes essentially unchanged.,Lines and tubes,,Stable,"['files/p13/p13894716/s55925366/a5ae71de-54cbb819-a5beec7b-4134871f-563b0982.jpg', 'files/p13/p13894716/s55925366/e54e4954-7a3cabf7-4122dcc6-470a5b97-0f7d4bf7.jpg']","['files/p13/p13894716/s55582331/6e3d5d17-01a98d21-6930c329-f9cada6a-03046aa1.jpg\n', 'files/p13/p13894716/s55582331/79bd40db-bf313204-172fcd09-3f35be56-19b3b10a.jpg\n']"
s55925366_11,p13894716,s55925366,11,Impression,"Lines and tubes essentially unchanged. No pneumothorax detected. Mild to moderate cardiomegaly without significant change. CHF with interstitial and probably some degree of alveolar edema. Persistent left lower lobe collapse and/or consolidation. Hazy density at right greater left bases is suggestive of layering pleural effusions, more pronounced than on the prior film. Possibility of new collapse and/or consolidation at the right base laterally cannot be excluded.",Possibility of new collapse and/or consolidation at the right base laterally cannot be excluded.,collapse and/or consolidation,Right base laterally,New,"['files/p13/p13894716/s55925366/a5ae71de-54cbb819-a5beec7b-4134871f-563b0982.jpg', 'files/p13/p13894716/s55925366/e54e4954-7a3cabf7-4122dcc6-470a5b97-0f7d4bf7.jpg']","['files/p13/p13894716/s55582331/6e3d5d17-01a98d21-6930c329-f9cada6a-03046aa1.jpg\n', 'files/p13/p13894716/s55582331/79bd40db-bf313204-172fcd09-3f35be56-19b3b10a.jpg\n']"
s55925366_11,p13894716,s55925366,11,Impression,"Lines and tubes essentially unchanged. No pneumothorax detected. Mild to moderate cardiomegaly without significant change. CHF with interstitial and probably some degree of alveolar edema. Persistent left lower lobe collapse and/or consolidation. Hazy density at right greater left bases is suggestive of layering pleural effusions, more pronounced than on the prior film. Possibility of new collapse and/or consolidation at the right base laterally cannot be excluded.",Mild to moderate cardiomegaly without significant change.,Mild to moderate cardiomegaly,,Stable,"['files/p13/p13894716/s55925366/a5ae71de-54cbb819-a5beec7b-4134871f-563b0982.jpg', 'files/p13/p13894716/s55925366/e54e4954-7a3cabf7-4122dcc6-470a5b97-0f7d4bf7.jpg']","['files/p13/p13894716/s55582331/6e3d5d17-01a98d21-6930c329-f9cada6a-03046aa1.jpg\n', 'files/p13/p13894716/s55582331/79bd40db-bf313204-172fcd09-3f35be56-19b3b10a.jpg\n']"
s55925366_11,p13894716,s55925366,11,Findings,"Allowing for differences in positioning, the ET tube NG tube and 2 right IJ lines are probably similar in position. Again seen is mild to moderate cardiomegaly and CHF with vascular plethora an interstitial edema. Small amount of alveolar edema would be difficult to exclude. Retrocardiac opacity consistent with left lower lobe collapse and/or consolidation is unchanged. There is increased hazy density over the right over lower half of the right lung and to some degree at the left base. I suspect this reflects layering pleural effusions. Presence of progressed collapse and/or consolidation at the right base laterally cannot be excluded.",Presence of progressed collapse and/or consolidation at the right base laterally cannot be excluded.,collapse and/or consolidation,Right base laterally,Worse,"['files/p13/p13894716/s55925366/a5ae71de-54cbb819-a5beec7b-4134871f-563b0982.jpg', 'files/p13/p13894716/s55925366/e54e4954-7a3cabf7-4122dcc6-470a5b97-0f7d4bf7.jpg']","['files/p13/p13894716/s55582331/6e3d5d17-01a98d21-6930c329-f9cada6a-03046aa1.jpg\n', 'files/p13/p13894716/s55582331/79bd40db-bf313204-172fcd09-3f35be56-19b3b10a.jpg\n']"
s55925366_11,p13894716,s55925366,11,Impression,"Lines and tubes essentially unchanged. No pneumothorax detected. Mild to moderate cardiomegaly without significant change. CHF with interstitial and probably some degree of alveolar edema. Persistent left lower lobe collapse and/or consolidation. Hazy density at right greater left bases is suggestive of layering pleural effusions, more pronounced than on the prior film. Possibility of new collapse and/or consolidation at the right base laterally cannot be excluded.",Persistent left lower lobe collapse and/or consolidation.,collapse and/or consolidation,Left lower lobe,Stable,"['files/p13/p13894716/s55925366/a5ae71de-54cbb819-a5beec7b-4134871f-563b0982.jpg', 'files/p13/p13894716/s55925366/e54e4954-7a3cabf7-4122dcc6-470a5b97-0f7d4bf7.jpg']","['files/p13/p13894716/s55582331/6e3d5d17-01a98d21-6930c329-f9cada6a-03046aa1.jpg\n', 'files/p13/p13894716/s55582331/79bd40db-bf313204-172fcd09-3f35be56-19b3b10a.jpg\n']"
s55925366_11,p13894716,s55925366,11,Findings,"Allowing for differences in positioning, the ET tube NG tube and 2 right IJ lines are probably similar in position. Again seen is mild to moderate cardiomegaly and CHF with vascular plethora an interstitial edema. Small amount of alveolar edema would be difficult to exclude. Retrocardiac opacity consistent with left lower lobe collapse and/or consolidation is unchanged. There is increased hazy density over the right over lower half of the right lung and to some degree at the left base. I suspect this reflects layering pleural effusions. Presence of progressed collapse and/or consolidation at the right base laterally cannot be excluded.",There is increased hazy density over the right over lower half of the right lung and to some degree at the left base.,hazy density,"Right lower half of the right lung, left base",Worse,"['files/p13/p13894716/s55925366/a5ae71de-54cbb819-a5beec7b-4134871f-563b0982.jpg', 'files/p13/p13894716/s55925366/e54e4954-7a3cabf7-4122dcc6-470a5b97-0f7d4bf7.jpg']","['files/p13/p13894716/s55582331/6e3d5d17-01a98d21-6930c329-f9cada6a-03046aa1.jpg\n', 'files/p13/p13894716/s55582331/79bd40db-bf313204-172fcd09-3f35be56-19b3b10a.jpg\n']"
s55925366_11,p13894716,s55925366,11,Impression,"Lines and tubes essentially unchanged. No pneumothorax detected. Mild to moderate cardiomegaly without significant change. CHF with interstitial and probably some degree of alveolar edema. Persistent left lower lobe collapse and/or consolidation. Hazy density at right greater left bases is suggestive of layering pleural effusions, more pronounced than on the prior film. Possibility of new collapse and/or consolidation at the right base laterally cannot be excluded.","Hazy density at right greater left bases is suggestive of layering pleural effusions, more pronounced than on the prior film.",layering pleural effusions,Right greater left bases,Worse,"['files/p13/p13894716/s55925366/a5ae71de-54cbb819-a5beec7b-4134871f-563b0982.jpg', 'files/p13/p13894716/s55925366/e54e4954-7a3cabf7-4122dcc6-470a5b97-0f7d4bf7.jpg']","['files/p13/p13894716/s55582331/6e3d5d17-01a98d21-6930c329-f9cada6a-03046aa1.jpg\n', 'files/p13/p13894716/s55582331/79bd40db-bf313204-172fcd09-3f35be56-19b3b10a.jpg\n']"
s55925366_11,p13894716,s55925366,11,Findings,"Allowing for differences in positioning, the ET tube NG tube and 2 right IJ lines are probably similar in position. Again seen is mild to moderate cardiomegaly and CHF with vascular plethora an interstitial edema. Small amount of alveolar edema would be difficult to exclude. Retrocardiac opacity consistent with left lower lobe collapse and/or consolidation is unchanged. There is increased hazy density over the right over lower half of the right lung and to some degree at the left base. I suspect this reflects layering pleural effusions. Presence of progressed collapse and/or consolidation at the right base laterally cannot be excluded.","Allowing for differences in positioning, the ET tube NG tube and 2 right IJ lines are probably similar in position.","ET tube, NG tube, right IJ lines",,Stable,"['files/p13/p13894716/s55925366/a5ae71de-54cbb819-a5beec7b-4134871f-563b0982.jpg', 'files/p13/p13894716/s55925366/e54e4954-7a3cabf7-4122dcc6-470a5b97-0f7d4bf7.jpg']","['files/p13/p13894716/s55582331/6e3d5d17-01a98d21-6930c329-f9cada6a-03046aa1.jpg\n', 'files/p13/p13894716/s55582331/79bd40db-bf313204-172fcd09-3f35be56-19b3b10a.jpg\n']"
s55925366_11,p13894716,s55925366,11,Findings,"Allowing for differences in positioning, the ET tube NG tube and 2 right IJ lines are probably similar in position. Again seen is mild to moderate cardiomegaly and CHF with vascular plethora an interstitial edema. Small amount of alveolar edema would be difficult to exclude. Retrocardiac opacity consistent with left lower lobe collapse and/or consolidation is unchanged. There is increased hazy density over the right over lower half of the right lung and to some degree at the left base. I suspect this reflects layering pleural effusions. Presence of progressed collapse and/or consolidation at the right base laterally cannot be excluded.",Retrocardiac opacity consistent with left lower lobe collapse and/or consolidation is unchanged.,left lower lobe collapse and/or consolidation,Retrocardiac,Stable,"['files/p13/p13894716/s55925366/a5ae71de-54cbb819-a5beec7b-4134871f-563b0982.jpg', 'files/p13/p13894716/s55925366/e54e4954-7a3cabf7-4122dcc6-470a5b97-0f7d4bf7.jpg']","['files/p13/p13894716/s55582331/6e3d5d17-01a98d21-6930c329-f9cada6a-03046aa1.jpg\n', 'files/p13/p13894716/s55582331/79bd40db-bf313204-172fcd09-3f35be56-19b3b10a.jpg\n']"
s55929666_14,p10337896,s55929666,14,Impression,"Endotracheal tube continues to have its tip approximately 4 cm above the carina. A right internal jugular central line is unchanged in position. Nasogastric tube appears to have pulled back into the mid esophagus. No interval change in appearance of the multiple calcified nodes, multiple calcified pleural plaques, and multiple calcified parenchymal opacities. Layering effusions with retrocardiac opacity likely reflecting compressive atelectasis. No pneumothorax. Asymmetric biapical pleural thickening unchanged. Bilateral humeral head degenerative changes with remodeling on the left.",Asymmetric biapical pleural thickening unchanged.,pleural thickening,asymmetric biapical,Stable,['files/p10/p10337896/s55929666/69edea97-d76e1e86-638a39dc-13ee8420-6f3385ef.jpg'],['files/p10/p10337896/s55705635/ce5750a7-68ea7a3c-9170b26c-f86bd4a4-dea2e2f2.jpg\n']
s55929666_14,p10337896,s55929666,14,Impression,"Endotracheal tube continues to have its tip approximately 4 cm above the carina. A right internal jugular central line is unchanged in position. Nasogastric tube appears to have pulled back into the mid esophagus. No interval change in appearance of the multiple calcified nodes, multiple calcified pleural plaques, and multiple calcified parenchymal opacities. Layering effusions with retrocardiac opacity likely reflecting compressive atelectasis. No pneumothorax. Asymmetric biapical pleural thickening unchanged. Bilateral humeral head degenerative changes with remodeling on the left.","No interval change in appearance of the multiple calcified nodes, multiple calcified pleural plaques, and multiple calcified parenchymal opacities.","calcified nodes, calcified pleural plaques, and calcified parenchymal opacities",multiple,Stable,['files/p10/p10337896/s55929666/69edea97-d76e1e86-638a39dc-13ee8420-6f3385ef.jpg'],['files/p10/p10337896/s55705635/ce5750a7-68ea7a3c-9170b26c-f86bd4a4-dea2e2f2.jpg\n']
s55929666_14,p10337896,s55929666,14,Impression,"Endotracheal tube continues to have its tip approximately 4 cm above the carina. A right internal jugular central line is unchanged in position. Nasogastric tube appears to have pulled back into the mid esophagus. No interval change in appearance of the multiple calcified nodes, multiple calcified pleural plaques, and multiple calcified parenchymal opacities. Layering effusions with retrocardiac opacity likely reflecting compressive atelectasis. No pneumothorax. Asymmetric biapical pleural thickening unchanged. Bilateral humeral head degenerative changes with remodeling on the left.",A right internal jugular central line is unchanged in position.,internal jugular central line,right,Stable,['files/p10/p10337896/s55929666/69edea97-d76e1e86-638a39dc-13ee8420-6f3385ef.jpg'],['files/p10/p10337896/s55705635/ce5750a7-68ea7a3c-9170b26c-f86bd4a4-dea2e2f2.jpg\n']
s55933985_0,p11842519,s55933985,0,Findings,"PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. Moderate cardiomegaly as before. Upper mediastinal structures are obscured by the presence of two ___ rods each with 4 penetrating fixation screws stabilizing the mid portion of the thoracic spine. Integrity of orthopedic devices appears preserved and is unchanged. Similar as on the previous examination, there is evidence of bilateral pleural effusion blunting the lateral pleural sinuses. The pleural effusion is moderately more marked on the right side than the left. Lateral view indicates extension of fluid into the posteriorly located dependent pleural sinuses. No evidence of new acute discrete pulmonary infiltrates indicating acute pneumonia. No pneumothorax seen in the apical area.",The pleural effusion is moderately more marked on the right side than the left.,pleural effusion,right side,Worse,"['files/p11/p11842519/s55933985/1daf1add-19e374b0-b8e35d65-58f13e97-acb7ed37.jpg', 'files/p11/p11842519/s55933985/c8e45d42-826148f0-ecddc635-78da1bb8-218f17be.jpg']","['files/p11/p11842519/s55737976/112ad818-aecb7d67-24a87957-b69727eb-b71d395e.jpg\n', 'files/p11/p11842519/s55737976/5c411331-4bd0ce00-fa971a77-14b441a9-7988a9a4.jpg\n']"
s55933985_0,p11842519,s55933985,0,Findings,"PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. Moderate cardiomegaly as before. Upper mediastinal structures are obscured by the presence of two ___ rods each with 4 penetrating fixation screws stabilizing the mid portion of the thoracic spine. Integrity of orthopedic devices appears preserved and is unchanged. Similar as on the previous examination, there is evidence of bilateral pleural effusion blunting the lateral pleural sinuses. The pleural effusion is moderately more marked on the right side than the left. Lateral view indicates extension of fluid into the posteriorly located dependent pleural sinuses. No evidence of new acute discrete pulmonary infiltrates indicating acute pneumonia. No pneumothorax seen in the apical area.","Similar as on the previous examination, there is evidence of bilateral pleural effusion blunting the lateral pleural sinuses.",pleural effusion,bilateral,Stable,"['files/p11/p11842519/s55933985/1daf1add-19e374b0-b8e35d65-58f13e97-acb7ed37.jpg', 'files/p11/p11842519/s55933985/c8e45d42-826148f0-ecddc635-78da1bb8-218f17be.jpg']","['files/p11/p11842519/s55737976/112ad818-aecb7d67-24a87957-b69727eb-b71d395e.jpg\n', 'files/p11/p11842519/s55737976/5c411331-4bd0ce00-fa971a77-14b441a9-7988a9a4.jpg\n']"
s55933985_0,p11842519,s55933985,0,Findings,"PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. Moderate cardiomegaly as before. Upper mediastinal structures are obscured by the presence of two ___ rods each with 4 penetrating fixation screws stabilizing the mid portion of the thoracic spine. Integrity of orthopedic devices appears preserved and is unchanged. Similar as on the previous examination, there is evidence of bilateral pleural effusion blunting the lateral pleural sinuses. The pleural effusion is moderately more marked on the right side than the left. Lateral view indicates extension of fluid into the posteriorly located dependent pleural sinuses. No evidence of new acute discrete pulmonary infiltrates indicating acute pneumonia. No pneumothorax seen in the apical area.",No evidence of new acute discrete pulmonary infiltrates indicating acute pneumonia.,acute discrete pulmonary infiltrates,,New,"['files/p11/p11842519/s55933985/1daf1add-19e374b0-b8e35d65-58f13e97-acb7ed37.jpg', 'files/p11/p11842519/s55933985/c8e45d42-826148f0-ecddc635-78da1bb8-218f17be.jpg']","['files/p11/p11842519/s55737976/112ad818-aecb7d67-24a87957-b69727eb-b71d395e.jpg\n', 'files/p11/p11842519/s55737976/5c411331-4bd0ce00-fa971a77-14b441a9-7988a9a4.jpg\n']"
s55933985_0,p11842519,s55933985,0,Findings,"PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. Moderate cardiomegaly as before. Upper mediastinal structures are obscured by the presence of two ___ rods each with 4 penetrating fixation screws stabilizing the mid portion of the thoracic spine. Integrity of orthopedic devices appears preserved and is unchanged. Similar as on the previous examination, there is evidence of bilateral pleural effusion blunting the lateral pleural sinuses. The pleural effusion is moderately more marked on the right side than the left. Lateral view indicates extension of fluid into the posteriorly located dependent pleural sinuses. No evidence of new acute discrete pulmonary infiltrates indicating acute pneumonia. No pneumothorax seen in the apical area.",Moderate cardiomegaly as before.,cardiomegaly,,Stable,"['files/p11/p11842519/s55933985/1daf1add-19e374b0-b8e35d65-58f13e97-acb7ed37.jpg', 'files/p11/p11842519/s55933985/c8e45d42-826148f0-ecddc635-78da1bb8-218f17be.jpg']","['files/p11/p11842519/s55737976/112ad818-aecb7d67-24a87957-b69727eb-b71d395e.jpg\n', 'files/p11/p11842519/s55737976/5c411331-4bd0ce00-fa971a77-14b441a9-7988a9a4.jpg\n']"
s55933985_0,p11842519,s55933985,0,Findings,"PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. Moderate cardiomegaly as before. Upper mediastinal structures are obscured by the presence of two ___ rods each with 4 penetrating fixation screws stabilizing the mid portion of the thoracic spine. Integrity of orthopedic devices appears preserved and is unchanged. Similar as on the previous examination, there is evidence of bilateral pleural effusion blunting the lateral pleural sinuses. The pleural effusion is moderately more marked on the right side than the left. Lateral view indicates extension of fluid into the posteriorly located dependent pleural sinuses. No evidence of new acute discrete pulmonary infiltrates indicating acute pneumonia. No pneumothorax seen in the apical area.",Integrity of orthopedic devices appears preserved and is unchanged.,orthopedic devices integrity,,Stable,"['files/p11/p11842519/s55933985/1daf1add-19e374b0-b8e35d65-58f13e97-acb7ed37.jpg', 'files/p11/p11842519/s55933985/c8e45d42-826148f0-ecddc635-78da1bb8-218f17be.jpg']","['files/p11/p11842519/s55737976/112ad818-aecb7d67-24a87957-b69727eb-b71d395e.jpg\n', 'files/p11/p11842519/s55737976/5c411331-4bd0ce00-fa971a77-14b441a9-7988a9a4.jpg\n']"
s55933985_0,p11842519,s55933985,0,Impression,"Bilateral small pleural effusions and moderate congestive pulmonary vascular pattern. In comparison with the next previous examination 18 months ago, the patient's pulmonary congestion and pleural effusions were markedly more pronounced than they are now. Whether the present degree of chronic CHF is related to fluid overload must be judged on clinical grounds.","In comparison with the next previous examination 18 months ago, the patient's pulmonary congestion and pleural effusions were markedly more pronounced than they are now.",pulmonary congestion and pleural effusions,,Better,"['files/p11/p11842519/s55933985/1daf1add-19e374b0-b8e35d65-58f13e97-acb7ed37.jpg', 'files/p11/p11842519/s55933985/c8e45d42-826148f0-ecddc635-78da1bb8-218f17be.jpg']","['files/p11/p11842519/s55737976/112ad818-aecb7d67-24a87957-b69727eb-b71d395e.jpg\n', 'files/p11/p11842519/s55737976/5c411331-4bd0ce00-fa971a77-14b441a9-7988a9a4.jpg\n']"
s55935470_14,p11932181,s55935470,14,Impression,Stable left lung asymmetry in a patient who has had left upper lobectomy and thoracotomy. Improvement of left lung base opacity with improved lung ventilation.,Stable left lung asymmetry in a patient who has had left upper lobectomy and thoracotomy. Improvement of left lung base opacity with improved lung ventilation.,opacity,left lung base,Better,"['files/p11/p11932181/s55935470/9244882d-c90352d9-806e731d-e028242b-a619a04c.jpg', 'files/p11/p11932181/s55935470/eab0888d-6b3b2814-4f0e59da-6f0c9408-d4cab1b0.jpg']","['files/p11/p11932181/s55708104/7875fcba-da8aa12e-d091f393-527e729b-65c7d344.jpg\n', 'files/p11/p11932181/s55708104/8894a073-a8fc7130-d4c16a1a-200a8663-2f3577f8.jpg\n']"
s55935470_14,p11932181,s55935470,14,Impression,Stable left lung asymmetry in a patient who has had left upper lobectomy and thoracotomy. Improvement of left lung base opacity with improved lung ventilation.,Stable left lung asymmetry in a patient who has had left upper lobectomy and thoracotomy. Improvement of left lung base opacity with improved lung ventilation.,asymmetry,left lung,Stable,"['files/p11/p11932181/s55935470/9244882d-c90352d9-806e731d-e028242b-a619a04c.jpg', 'files/p11/p11932181/s55935470/eab0888d-6b3b2814-4f0e59da-6f0c9408-d4cab1b0.jpg']","['files/p11/p11932181/s55708104/7875fcba-da8aa12e-d091f393-527e729b-65c7d344.jpg\n', 'files/p11/p11932181/s55708104/8894a073-a8fc7130-d4c16a1a-200a8663-2f3577f8.jpg\n']"
s55935470_14,p11932181,s55935470,14,Findings,"PA and lateral images of the chest shows stable left lung asymmetry due to left upper lobectomy, the left lung base opacity is minimally improved since ___ due to increased lung ventilation. There is no pneumothorax. Cardiomediastinal silhouette is normal. The posterior left chest wall osteotomy is due to thoracotomy.","PA and lateral images of the chest shows stable left lung asymmetry due to left upper lobectomy, the left lung base opacity is minimally improved since ___ due to increased lung ventilation.",asymmetry,left lung,Stable,"['files/p11/p11932181/s55935470/9244882d-c90352d9-806e731d-e028242b-a619a04c.jpg', 'files/p11/p11932181/s55935470/eab0888d-6b3b2814-4f0e59da-6f0c9408-d4cab1b0.jpg']","['files/p11/p11932181/s55708104/7875fcba-da8aa12e-d091f393-527e729b-65c7d344.jpg\n', 'files/p11/p11932181/s55708104/8894a073-a8fc7130-d4c16a1a-200a8663-2f3577f8.jpg\n']"
s55935470_14,p11932181,s55935470,14,Findings,"PA and lateral images of the chest shows stable left lung asymmetry due to left upper lobectomy, the left lung base opacity is minimally improved since ___ due to increased lung ventilation. There is no pneumothorax. Cardiomediastinal silhouette is normal. The posterior left chest wall osteotomy is due to thoracotomy.","PA and lateral images of the chest shows stable left lung asymmetry due to left upper lobectomy, the left lung base opacity is minimally improved since ___ due to increased lung ventilation.",opacity,left lung base,Better,"['files/p11/p11932181/s55935470/9244882d-c90352d9-806e731d-e028242b-a619a04c.jpg', 'files/p11/p11932181/s55935470/eab0888d-6b3b2814-4f0e59da-6f0c9408-d4cab1b0.jpg']","['files/p11/p11932181/s55708104/7875fcba-da8aa12e-d091f393-527e729b-65c7d344.jpg\n', 'files/p11/p11932181/s55708104/8894a073-a8fc7130-d4c16a1a-200a8663-2f3577f8.jpg\n']"
s55937978_4,p19112585,s55937978,4,Impression,"As compared to the previous radiograph, the chest tubes and mediastinal drains have been removed. There is no evidence for the presence of a pneumothorax. The other monitoring and support devices, including the intra-aortic balloon pump are in unchanged correct position. Mild right-sided pleural effusion. Mild fluid overload but no overt pulmonary edema. Unchanged bilateral areas of atelectasis. No pneumothorax.","The other monitoring and support devices, including the intra-aortic balloon pump are in unchanged correct position.",intra-aortic balloon pump,correct position,Stable,['files/p19/p19112585/s55937978/2d9ed611-bc3073f4-d4e08942-1248dbfd-bacafcb5.jpg'],"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg\n', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg\n']"
s55937978_4,p19112585,s55937978,4,Impression,"As compared to the previous radiograph, the chest tubes and mediastinal drains have been removed. There is no evidence for the presence of a pneumothorax. The other monitoring and support devices, including the intra-aortic balloon pump are in unchanged correct position. Mild right-sided pleural effusion. Mild fluid overload but no overt pulmonary edema. Unchanged bilateral areas of atelectasis. No pneumothorax.",Mild fluid overload but no overt pulmonary edema.,fluid overload,pulmonary,New,['files/p19/p19112585/s55937978/2d9ed611-bc3073f4-d4e08942-1248dbfd-bacafcb5.jpg'],"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg\n', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg\n']"
s55937978_4,p19112585,s55937978,4,Impression,"As compared to the previous radiograph, the chest tubes and mediastinal drains have been removed. There is no evidence for the presence of a pneumothorax. The other monitoring and support devices, including the intra-aortic balloon pump are in unchanged correct position. Mild right-sided pleural effusion. Mild fluid overload but no overt pulmonary edema. Unchanged bilateral areas of atelectasis. No pneumothorax.",Mild right-sided pleural effusion.,pleural effusion,right-sided,New,['files/p19/p19112585/s55937978/2d9ed611-bc3073f4-d4e08942-1248dbfd-bacafcb5.jpg'],"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg\n', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg\n']"
s55937978_4,p19112585,s55937978,4,Impression,"As compared to the previous radiograph, the chest tubes and mediastinal drains have been removed. There is no evidence for the presence of a pneumothorax. The other monitoring and support devices, including the intra-aortic balloon pump are in unchanged correct position. Mild right-sided pleural effusion. Mild fluid overload but no overt pulmonary edema. Unchanged bilateral areas of atelectasis. No pneumothorax.","The other monitoring and support devices, including the intra-aortic balloon pump are in unchanged correct position.",monitoring and support devices,correct position,Stable,['files/p19/p19112585/s55937978/2d9ed611-bc3073f4-d4e08942-1248dbfd-bacafcb5.jpg'],"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg\n', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg\n']"
s55937978_4,p19112585,s55937978,4,Impression,"As compared to the previous radiograph, the chest tubes and mediastinal drains have been removed. There is no evidence for the presence of a pneumothorax. The other monitoring and support devices, including the intra-aortic balloon pump are in unchanged correct position. Mild right-sided pleural effusion. Mild fluid overload but no overt pulmonary edema. Unchanged bilateral areas of atelectasis. No pneumothorax.",Unchanged bilateral areas of atelectasis.,areas of atelectasis,bilateral,Stable,['files/p19/p19112585/s55937978/2d9ed611-bc3073f4-d4e08942-1248dbfd-bacafcb5.jpg'],"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg\n', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg\n']"
s55937978_4,p19112585,s55937978,4,Impression,"As compared to the previous radiograph, the chest tubes and mediastinal drains have been removed. There is no evidence for the presence of a pneumothorax. The other monitoring and support devices, including the intra-aortic balloon pump are in unchanged correct position. Mild right-sided pleural effusion. Mild fluid overload but no overt pulmonary edema. Unchanged bilateral areas of atelectasis. No pneumothorax.","As compared to the previous radiograph, the chest tubes and mediastinal drains have been removed.",drains,mediastinal,Resolve,['files/p19/p19112585/s55937978/2d9ed611-bc3073f4-d4e08942-1248dbfd-bacafcb5.jpg'],"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg\n', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg\n']"
s55937978_4,p19112585,s55937978,4,Impression,"As compared to the previous radiograph, the chest tubes and mediastinal drains have been removed. There is no evidence for the presence of a pneumothorax. The other monitoring and support devices, including the intra-aortic balloon pump are in unchanged correct position. Mild right-sided pleural effusion. Mild fluid overload but no overt pulmonary edema. Unchanged bilateral areas of atelectasis. No pneumothorax.","As compared to the previous radiograph, the chest tubes and mediastinal drains have been removed.",tubes,chest,Resolve,['files/p19/p19112585/s55937978/2d9ed611-bc3073f4-d4e08942-1248dbfd-bacafcb5.jpg'],"['files/p19/p19112585/s55747398/2245b56c-bef29181-03fb974d-088f889f-31d7c6e7.jpg\n', 'files/p19/p19112585/s55747398/3e8150f5-16ec8826-edb42d0e-18f9504b-dc42097f.jpg\n']"
s55943354_4,p18711952,s55943354,4,Impression,"1. Persistent left-sided pleural effusion which may have slightly increased in size with some associated patchy opacity most likely reflecting patchy atelectasis, although pneumonia could also have this appearance. There is increasing prominence to the interstitium suggesting a component of superimposed interstitial edema. A smaller right effusion is likely. Overall cardiac and mediastinal contours are unchanged. No pneumothorax.","Persistent left-sided pleural effusion which may have slightly increased in size with some associated patchy opacity most likely reflecting patchy atelectasis, although pneumonia could also have this appearance.",pleural effusion,left,Stable,"['files/p18/p18711952/s55943354/25c7bb46-2f48e062-15356d65-3d966297-9b9bf105.jpg', 'files/p18/p18711952/s55943354/8918e0bb-74e205be-380e930e-9217a419-27d4eab0.jpg']","['files/p18/p18711952/s55724407/694a7591-50712b48-fbfaf08a-6b31c47d-5bce159e.jpg\n', 'files/p18/p18711952/s55724407/ee82f2ad-31d58c5b-8760e53b-07c17cf2-7ebebc97.jpg\n']"
s55943354_4,p18711952,s55943354,4,Impression,"1. Persistent left-sided pleural effusion which may have slightly increased in size with some associated patchy opacity most likely reflecting patchy atelectasis, although pneumonia could also have this appearance. There is increasing prominence to the interstitium suggesting a component of superimposed interstitial edema. A smaller right effusion is likely. Overall cardiac and mediastinal contours are unchanged. No pneumothorax.",Overall cardiac and mediastinal contours are unchanged.,cardiac and mediastinal contours,,Stable,"['files/p18/p18711952/s55943354/25c7bb46-2f48e062-15356d65-3d966297-9b9bf105.jpg', 'files/p18/p18711952/s55943354/8918e0bb-74e205be-380e930e-9217a419-27d4eab0.jpg']","['files/p18/p18711952/s55724407/694a7591-50712b48-fbfaf08a-6b31c47d-5bce159e.jpg\n', 'files/p18/p18711952/s55724407/ee82f2ad-31d58c5b-8760e53b-07c17cf2-7ebebc97.jpg\n']"
s55945977_2,p11068484,s55945977,2,Impression,"Lung volumes remain low with crowding of the vasculature and bibasilar opacities likely representing atelectasis, although pneumonia or aspiration cannot be excluded. Worsening mild perihilar edema. Stable cardiac and mediastinal contours with calcification of the aortic knob. No pneumothorax.","Lung volumes remain low with crowding of the vasculature and bibasilar opacities likely representing atelectasis, although pneumonia or aspiration cannot be excluded.",Lung volumes,,Stable,['files/p11/p11068484/s55945977/c4752408-15e8abd3-707ec66e-a1449931-5430926e.jpg'],['files/p11/p11068484/s54047608/5a686ceb-f01792db-cdba870c-da79a22f-f34265ea.jpg\n']
s55945977_2,p11068484,s55945977,2,Impression,"Lung volumes remain low with crowding of the vasculature and bibasilar opacities likely representing atelectasis, although pneumonia or aspiration cannot be excluded. Worsening mild perihilar edema. Stable cardiac and mediastinal contours with calcification of the aortic knob. No pneumothorax.",Worsening mild perihilar edema.,edema,perihilar,Worse,['files/p11/p11068484/s55945977/c4752408-15e8abd3-707ec66e-a1449931-5430926e.jpg'],['files/p11/p11068484/s54047608/5a686ceb-f01792db-cdba870c-da79a22f-f34265ea.jpg\n']
s55945977_2,p11068484,s55945977,2,Impression,"Lung volumes remain low with crowding of the vasculature and bibasilar opacities likely representing atelectasis, although pneumonia or aspiration cannot be excluded. Worsening mild perihilar edema. Stable cardiac and mediastinal contours with calcification of the aortic knob. No pneumothorax.",Stable cardiac and mediastinal contours with calcification of the aortic knob.,cardiac and mediastinal contours,,Stable,['files/p11/p11068484/s55945977/c4752408-15e8abd3-707ec66e-a1449931-5430926e.jpg'],['files/p11/p11068484/s54047608/5a686ceb-f01792db-cdba870c-da79a22f-f34265ea.jpg\n']
s55953262_21,p11717909,s55953262,21,Impression,Left Swan-Ganz catheter tip is in themain pulmonary artery. Cardiomegaly is enable. There is no pneumothorax. Left pleural effusion has resolved. Retrocardiac atelectasis have improved . Vascular congestion has resolved. ET tube is in standard position. New mediastinal and chest tubes are noted. LVAD is unchanged. Sternal wires are aligned. NG tube tip is out of view below the diaphragm. Left PICC tip is at the cavoatrial junction.,Vascular congestion has resolved.,vascular congestion,,Resolve,['files/p11/p11717909/s55953262/488f88a2-0d2c244c-a15f605b-2cf68a06-cb42cd3b.jpg'],['files/p11/p11717909/s55912597/1f19bc2a-ca226782-41cd1a10-2c3c3346-a73ba6b7.jpg\n']
s55953262_21,p11717909,s55953262,21,Impression,Left Swan-Ganz catheter tip is in themain pulmonary artery. Cardiomegaly is enable. There is no pneumothorax. Left pleural effusion has resolved. Retrocardiac atelectasis have improved . Vascular congestion has resolved. ET tube is in standard position. New mediastinal and chest tubes are noted. LVAD is unchanged. Sternal wires are aligned. NG tube tip is out of view below the diaphragm. Left PICC tip is at the cavoatrial junction.,LVAD is unchanged.,LVAD,,Stable,['files/p11/p11717909/s55953262/488f88a2-0d2c244c-a15f605b-2cf68a06-cb42cd3b.jpg'],['files/p11/p11717909/s55912597/1f19bc2a-ca226782-41cd1a10-2c3c3346-a73ba6b7.jpg\n']
s55953262_21,p11717909,s55953262,21,Impression,Left Swan-Ganz catheter tip is in themain pulmonary artery. Cardiomegaly is enable. There is no pneumothorax. Left pleural effusion has resolved. Retrocardiac atelectasis have improved . Vascular congestion has resolved. ET tube is in standard position. New mediastinal and chest tubes are noted. LVAD is unchanged. Sternal wires are aligned. NG tube tip is out of view below the diaphragm. Left PICC tip is at the cavoatrial junction.,Retrocardiac atelectasis have improved.,atelectasis,retrocardiac,Better,['files/p11/p11717909/s55953262/488f88a2-0d2c244c-a15f605b-2cf68a06-cb42cd3b.jpg'],['files/p11/p11717909/s55912597/1f19bc2a-ca226782-41cd1a10-2c3c3346-a73ba6b7.jpg\n']
s55953262_21,p11717909,s55953262,21,Impression,Left Swan-Ganz catheter tip is in themain pulmonary artery. Cardiomegaly is enable. There is no pneumothorax. Left pleural effusion has resolved. Retrocardiac atelectasis have improved . Vascular congestion has resolved. ET tube is in standard position. New mediastinal and chest tubes are noted. LVAD is unchanged. Sternal wires are aligned. NG tube tip is out of view below the diaphragm. Left PICC tip is at the cavoatrial junction.,Left pleural effusion has resolved.,pleural effusion,left,Resolve,['files/p11/p11717909/s55953262/488f88a2-0d2c244c-a15f605b-2cf68a06-cb42cd3b.jpg'],['files/p11/p11717909/s55912597/1f19bc2a-ca226782-41cd1a10-2c3c3346-a73ba6b7.jpg\n']
s55953262_21,p11717909,s55953262,21,Impression,Left Swan-Ganz catheter tip is in themain pulmonary artery. Cardiomegaly is enable. There is no pneumothorax. Left pleural effusion has resolved. Retrocardiac atelectasis have improved . Vascular congestion has resolved. ET tube is in standard position. New mediastinal and chest tubes are noted. LVAD is unchanged. Sternal wires are aligned. NG tube tip is out of view below the diaphragm. Left PICC tip is at the cavoatrial junction.,New mediastinal and chest tubes are noted.,chest tubes,,New,['files/p11/p11717909/s55953262/488f88a2-0d2c244c-a15f605b-2cf68a06-cb42cd3b.jpg'],['files/p11/p11717909/s55912597/1f19bc2a-ca226782-41cd1a10-2c3c3346-a73ba6b7.jpg\n']
s55953262_21,p11717909,s55953262,21,Impression,Left Swan-Ganz catheter tip is in themain pulmonary artery. Cardiomegaly is enable. There is no pneumothorax. Left pleural effusion has resolved. Retrocardiac atelectasis have improved . Vascular congestion has resolved. ET tube is in standard position. New mediastinal and chest tubes are noted. LVAD is unchanged. Sternal wires are aligned. NG tube tip is out of view below the diaphragm. Left PICC tip is at the cavoatrial junction.,New mediastinal and chest tubes are noted.,mediastinal tubes,,New,['files/p11/p11717909/s55953262/488f88a2-0d2c244c-a15f605b-2cf68a06-cb42cd3b.jpg'],['files/p11/p11717909/s55912597/1f19bc2a-ca226782-41cd1a10-2c3c3346-a73ba6b7.jpg\n']
s55954897_18,p17055995,s55954897,18,Impression,"As compared to the previous radiograph, no relevant change is seen. Low lung volumes. Mild cardiomegaly. No pneumonia, no pulmonary edema, minimal platelike atelectasis at the left lung bases. Cervical fixation devices are in unchanged position.",Cervical fixation devices are in unchanged position.,fixation devices,cervical,Stable,['files/p17/p17055995/s55954897/40b1972f-2f6feba2-c5ac00f1-9149a247-96ff94e9.jpg'],['files/p17/p17055995/s55045318/04ac83c1-740154cd-378f0bed-f4615e94-8e883aaa.jpg\n']
s55956507_3,p16346354,s55956507,3,Findings,The cardiac and mediastinal silhouettes are stable. Hilar contours are stable. There is persistent blunting of the right costophrenic angle. There is mild increased interstitial markings bilaterally suggesting interstitial edema. Left mid lung atelectasis is linear. No pneumothorax is seen.,The cardiac and mediastinal silhouettes are stable.,,cardiac and mediastinal silhouettes,Stable,"['files/p16/p16346354/s55956507/195e59ff-99dfa45c-784404dd-c284ed2f-d30e03e4.jpg', 'files/p16/p16346354/s55956507/4dd14141-717a2a23-ca41af2c-d7723505-840e9c37.jpg']","['files/p16/p16346354/s55299733/92a5d6c1-3f56ede1-91a82ea3-97a0a28c-b540ac54.jpg\n', 'files/p16/p16346354/s55299733/e0a6f265-a3ad624e-1a24c5ee-d4931cd9-612caad9.jpg\n']"
s55956507_3,p16346354,s55956507,3,Findings,The cardiac and mediastinal silhouettes are stable. Hilar contours are stable. There is persistent blunting of the right costophrenic angle. There is mild increased interstitial markings bilaterally suggesting interstitial edema. Left mid lung atelectasis is linear. No pneumothorax is seen.,There is mild increased interstitial markings bilaterally suggesting interstitial edema.,interstitial markings,bilaterally,Worse,"['files/p16/p16346354/s55956507/195e59ff-99dfa45c-784404dd-c284ed2f-d30e03e4.jpg', 'files/p16/p16346354/s55956507/4dd14141-717a2a23-ca41af2c-d7723505-840e9c37.jpg']","['files/p16/p16346354/s55299733/92a5d6c1-3f56ede1-91a82ea3-97a0a28c-b540ac54.jpg\n', 'files/p16/p16346354/s55299733/e0a6f265-a3ad624e-1a24c5ee-d4931cd9-612caad9.jpg\n']"
s55956507_3,p16346354,s55956507,3,Findings,The cardiac and mediastinal silhouettes are stable. Hilar contours are stable. There is persistent blunting of the right costophrenic angle. There is mild increased interstitial markings bilaterally suggesting interstitial edema. Left mid lung atelectasis is linear. No pneumothorax is seen.,There is persistent blunting of the right costophrenic angle.,blunting,right costophrenic angle,Stable,"['files/p16/p16346354/s55956507/195e59ff-99dfa45c-784404dd-c284ed2f-d30e03e4.jpg', 'files/p16/p16346354/s55956507/4dd14141-717a2a23-ca41af2c-d7723505-840e9c37.jpg']","['files/p16/p16346354/s55299733/92a5d6c1-3f56ede1-91a82ea3-97a0a28c-b540ac54.jpg\n', 'files/p16/p16346354/s55299733/e0a6f265-a3ad624e-1a24c5ee-d4931cd9-612caad9.jpg\n']"
s55956507_3,p16346354,s55956507,3,Findings,The cardiac and mediastinal silhouettes are stable. Hilar contours are stable. There is persistent blunting of the right costophrenic angle. There is mild increased interstitial markings bilaterally suggesting interstitial edema. Left mid lung atelectasis is linear. No pneumothorax is seen.,Hilar contours are stable.,,hilar contours,Stable,"['files/p16/p16346354/s55956507/195e59ff-99dfa45c-784404dd-c284ed2f-d30e03e4.jpg', 'files/p16/p16346354/s55956507/4dd14141-717a2a23-ca41af2c-d7723505-840e9c37.jpg']","['files/p16/p16346354/s55299733/92a5d6c1-3f56ede1-91a82ea3-97a0a28c-b540ac54.jpg\n', 'files/p16/p16346354/s55299733/e0a6f265-a3ad624e-1a24c5ee-d4931cd9-612caad9.jpg\n']"
s55960979_1,p11891514,s55960979,1,Impression,"1. No evidence of pneumonia. 2. Stable mild cardiomegaly. 3. Prominent central pulmonary arteries, which may potentially reflect underlying pulmonary hypertension.",Stable mild cardiomegaly.,Mild cardiomegaly,,Stable,"['files/p11/p11891514/s55960979/50b6f2c0-a99478b8-c1b353a7-66a4347c-af161d2c.jpg', 'files/p11/p11891514/s55960979/f25fd3b1-93706233-89edc8d3-09483d65-361ed6aa.jpg']",
s55960979_1,p11891514,s55960979,1,Findings,"Lung volumes are low-normal. There is no focal consolidation, pleural effusion or pneumothorax. No central vascular congestion or overt pulmonary edema. Prominence of the bilateral pulmonary arteries may reflect pulmonary hypertension. Mild calcification at the aortic knob. Mediastinal and hilar contours are normal. Mild cardiomegaly is unchanged.",Mild cardiomegaly is unchanged.,Mild cardiomegaly,,Stable,"['files/p11/p11891514/s55960979/50b6f2c0-a99478b8-c1b353a7-66a4347c-af161d2c.jpg', 'files/p11/p11891514/s55960979/f25fd3b1-93706233-89edc8d3-09483d65-361ed6aa.jpg']",
s55960980_8,p19890030,s55960980,8,Findings,"In comparison with study of ___, the left IJ Swan-Ganz catheter again extends well into the left pulmonary artery. This could be withdrawn a few centimeters for standard positioning. Otherwise, little change in the diffuse bilateral pulmonary opacifications.","Otherwise, little change in the diffuse bilateral pulmonary opacifications.",pulmonary opacifications,bilateral,Stable,['files/p19/p19890030/s55960980/7836bdb5-cf4a3248-ef755485-efddc4f8-838caea7.jpg'],['files/p19/p19890030/s54123605/4ba74541-1812cc99-3b99acbf-6b40a2bd-03715cdd.jpg\n']
s55965016_0,p16465340,s55965016,0,Findings,"PA and lateral views of the chest were obtained. Cervical fixation hardware is again noted in the lower cervical spine. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact.",Cervical fixation hardware is again noted in the lower cervical spine.,Cervical fixation hardware,lower cervical spine,Stable,"['files/p16/p16465340/s55965016/40437fa2-34b4ba86-3e69088c-78cbfee9-2f099d00.jpg', 'files/p16/p16465340/s55965016/7f76a39b-1a9b1877-23e9be40-c0e12ec5-85d6f74f.jpg', 'files/p16/p16465340/s55965016/dc37af08-8279822c-2a010ca6-ddf93db7-69abdb4e.jpg']",
s55970267_0,p19366448,s55970267,0,Findings,"Lung volumes remain persistently low. Left internal jugular central venous catheter tip terminates at the confluence of the brachiocephalic veins. No pneumothorax. Endotracheal tube is in standard position terminating approximately 4 cm from the carina. Enteric tube courses below the left hemidiaphragm, into the stomach and off the inferior borders of the film. Heart size is normal. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion is slightly improved in the interval. Patchy atelectasis is noted in the lung bases. No large pleural effusion is noted however the extreme left costophrenic angle is excluded from the field of view. No acute osseous abnormalities are detected.",Lung volumes remain persistently low.,Low lung volumes,,Stable,['files/p19/p19366448/s55970267/861e6fd8-db9763b1-684e5bf9-a814a02e-e28cca70.jpg'],['files/p19/p19366448/s51687346/7edb8547-95df07ca-f8f9e9d2-6c7ffe4e-34a97b30.jpg\n']
s55970267_0,p19366448,s55970267,0,Impression,1. Left internal jugular central venous catheter tip at the confluence of the brachiocephalic veins. No pneumothorax. 2. Standard positioning of the endotracheal and enteric tubes. 3. Improving mild pulmonary vascular congestion.,Improving mild pulmonary vascular congestion.,Mild pulmonary vascular congestion,,Better,['files/p19/p19366448/s55970267/861e6fd8-db9763b1-684e5bf9-a814a02e-e28cca70.jpg'],['files/p19/p19366448/s51687346/7edb8547-95df07ca-f8f9e9d2-6c7ffe4e-34a97b30.jpg\n']
s55970267_0,p19366448,s55970267,0,Findings,"Lung volumes remain persistently low. Left internal jugular central venous catheter tip terminates at the confluence of the brachiocephalic veins. No pneumothorax. Endotracheal tube is in standard position terminating approximately 4 cm from the carina. Enteric tube courses below the left hemidiaphragm, into the stomach and off the inferior borders of the film. Heart size is normal. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion is slightly improved in the interval. Patchy atelectasis is noted in the lung bases. No large pleural effusion is noted however the extreme left costophrenic angle is excluded from the field of view. No acute osseous abnormalities are detected.",Mild pulmonary vascular congestion is slightly improved in the interval.,Mild pulmonary vascular congestion,,Better,['files/p19/p19366448/s55970267/861e6fd8-db9763b1-684e5bf9-a814a02e-e28cca70.jpg'],['files/p19/p19366448/s51687346/7edb8547-95df07ca-f8f9e9d2-6c7ffe4e-34a97b30.jpg\n']
s55970267_0,p19366448,s55970267,0,Findings,"Lung volumes remain persistently low. Left internal jugular central venous catheter tip terminates at the confluence of the brachiocephalic veins. No pneumothorax. Endotracheal tube is in standard position terminating approximately 4 cm from the carina. Enteric tube courses below the left hemidiaphragm, into the stomach and off the inferior borders of the film. Heart size is normal. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion is slightly improved in the interval. Patchy atelectasis is noted in the lung bases. No large pleural effusion is noted however the extreme left costophrenic angle is excluded from the field of view. No acute osseous abnormalities are detected.",Mediastinal and hilar contours are unchanged.,Mediastinal and hilar contours,,Stable,['files/p19/p19366448/s55970267/861e6fd8-db9763b1-684e5bf9-a814a02e-e28cca70.jpg'],['files/p19/p19366448/s51687346/7edb8547-95df07ca-f8f9e9d2-6c7ffe4e-34a97b30.jpg\n']
s55979282_38,p13894716,s55979282,38,Findings,"Lungs are relatively hyperinflated with the cardiac silhouette appearing slightly smaller as compared the prior study. Mediastinal contours unremarkable. No overt pulmonary edema. No focal consolidation, large pleural effusion or pneumothorax. Subtle streaky left base retrocardiac opacity is likely atelectasis and overlap of vascular structures. Right-sided central venous catheter terminates in the low SVC. Tracheostomy tube is re- demonstrated.",Tracheostomy tube is re- demonstrated.,tracheostomy tube,,New,['files/p13/p13894716/s55979282/6eb47aae-b9418849-f08de5c5-25a7216a-1f11ca7e.jpg'],"['files/p13/p13894716/s55925366/a5ae71de-54cbb819-a5beec7b-4134871f-563b0982.jpg\n', 'files/p13/p13894716/s55925366/e54e4954-7a3cabf7-4122dcc6-470a5b97-0f7d4bf7.jpg\n']"
s55979282_38,p13894716,s55979282,38,Findings,"Lungs are relatively hyperinflated with the cardiac silhouette appearing slightly smaller as compared the prior study. Mediastinal contours unremarkable. No overt pulmonary edema. No focal consolidation, large pleural effusion or pneumothorax. Subtle streaky left base retrocardiac opacity is likely atelectasis and overlap of vascular structures. Right-sided central venous catheter terminates in the low SVC. Tracheostomy tube is re- demonstrated.",Lungs are relatively hyperinflated with the cardiac silhouette appearing slightly smaller as compared the prior study.,lungs hyperinflated,,Worse,['files/p13/p13894716/s55979282/6eb47aae-b9418849-f08de5c5-25a7216a-1f11ca7e.jpg'],"['files/p13/p13894716/s55925366/a5ae71de-54cbb819-a5beec7b-4134871f-563b0982.jpg\n', 'files/p13/p13894716/s55925366/e54e4954-7a3cabf7-4122dcc6-470a5b97-0f7d4bf7.jpg\n']"
s55984720_4,p13196707,s55984720,4,Impression,Increased right effusion.,Increased right effusion.,Effusion,right,Worse,['files/p13/p13196707/s55984720/ca7d8827-ea1c412d-b6a0a594-12d32534-52028738.jpg'],"['files/p13/p13196707/s54526699/81a0dd10-9675bcc3-97f75def-6373f508-ab005bf0.jpg\n', 'files/p13/p13196707/s54526699/81e49d35-cb37d4ba-9cbace45-72adbd5d-f1cb41ad.jpg\n']"
s55984720_4,p13196707,s55984720,4,Findings,Central line in cavoatrial juncture as previously. Increased haziness over the right hemithorax and suggesting increased pleural effusion. Left lower lobe atelectasis. There may be a small left effusion. No pneumothorax. Cardiomegaly as before.,Central line in cavoatrial juncture as previously.,Central line,cavoatrial juncture,Stable,['files/p13/p13196707/s55984720/ca7d8827-ea1c412d-b6a0a594-12d32534-52028738.jpg'],"['files/p13/p13196707/s54526699/81a0dd10-9675bcc3-97f75def-6373f508-ab005bf0.jpg\n', 'files/p13/p13196707/s54526699/81e49d35-cb37d4ba-9cbace45-72adbd5d-f1cb41ad.jpg\n']"
s55984720_4,p13196707,s55984720,4,Findings,Central line in cavoatrial juncture as previously. Increased haziness over the right hemithorax and suggesting increased pleural effusion. Left lower lobe atelectasis. There may be a small left effusion. No pneumothorax. Cardiomegaly as before.,Increased haziness over the right hemithorax and suggesting increased pleural effusion.,Haziness,right hemithorax,Worse,['files/p13/p13196707/s55984720/ca7d8827-ea1c412d-b6a0a594-12d32534-52028738.jpg'],"['files/p13/p13196707/s54526699/81a0dd10-9675bcc3-97f75def-6373f508-ab005bf0.jpg\n', 'files/p13/p13196707/s54526699/81e49d35-cb37d4ba-9cbace45-72adbd5d-f1cb41ad.jpg\n']"
s55984720_4,p13196707,s55984720,4,Findings,Central line in cavoatrial juncture as previously. Increased haziness over the right hemithorax and suggesting increased pleural effusion. Left lower lobe atelectasis. There may be a small left effusion. No pneumothorax. Cardiomegaly as before.,Cardiomegaly as before.,Cardiomegaly,cardiac,Stable,['files/p13/p13196707/s55984720/ca7d8827-ea1c412d-b6a0a594-12d32534-52028738.jpg'],"['files/p13/p13196707/s54526699/81a0dd10-9675bcc3-97f75def-6373f508-ab005bf0.jpg\n', 'files/p13/p13196707/s54526699/81e49d35-cb37d4ba-9cbace45-72adbd5d-f1cb41ad.jpg\n']"
s55987322_2,p10575262,s55987322,2,Impression,Unchanged mild cardiomegaly. Otherwise no evidence of congestive heart failure or pneumonia.,Unchanged mild cardiomegaly.,cardiomegaly,,Stable,"['files/p10/p10575262/s55987322/30e3504a-2e22ab19-d9dd1362-eb94fd44-91739662.jpg', 'files/p10/p10575262/s55987322/e283e6ee-1e78a429-c05396b5-19ed705f-5de5210a.jpg']","['files/p10/p10575262/s54255491/16e57afa-63382843-a3a5c024-e1af2c42-96184334.jpg\n', 'files/p10/p10575262/s54255491/bbee38bd-f8ab65ce-49fa28b2-f1bcb3e5-3bbffc88.jpg\n']"
s55987322_2,p10575262,s55987322,2,Findings,Cardiac silhouette size remains mildly enlarged but unchanged. Mediastinal and hilar contours are stable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.,Cardiac silhouette size remains mildly enlarged but unchanged.,cardiac silhouette size,,Stable,"['files/p10/p10575262/s55987322/30e3504a-2e22ab19-d9dd1362-eb94fd44-91739662.jpg', 'files/p10/p10575262/s55987322/e283e6ee-1e78a429-c05396b5-19ed705f-5de5210a.jpg']","['files/p10/p10575262/s54255491/16e57afa-63382843-a3a5c024-e1af2c42-96184334.jpg\n', 'files/p10/p10575262/s54255491/bbee38bd-f8ab65ce-49fa28b2-f1bcb3e5-3bbffc88.jpg\n']"
s55987322_2,p10575262,s55987322,2,Findings,Cardiac silhouette size remains mildly enlarged but unchanged. Mediastinal and hilar contours are stable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.,Mediastinal and hilar contours are stable.,mediastinal and hilar contours,,Stable,"['files/p10/p10575262/s55987322/30e3504a-2e22ab19-d9dd1362-eb94fd44-91739662.jpg', 'files/p10/p10575262/s55987322/e283e6ee-1e78a429-c05396b5-19ed705f-5de5210a.jpg']","['files/p10/p10575262/s54255491/16e57afa-63382843-a3a5c024-e1af2c42-96184334.jpg\n', 'files/p10/p10575262/s54255491/bbee38bd-f8ab65ce-49fa28b2-f1bcb3e5-3bbffc88.jpg\n']"
s56009674_4,p13376876,s56009674,4,Findings,"PA and lateral views of the chest redemonstrates a right subclavian Port-A-Cath, unchanged in position, terminating in the mid SVC. There is no evidence of pneumothorax, focal consolidation, pleural effusion or pulmonary edema. The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable.","PA and lateral views of the chest redemonstrates a right subclavian Port-A-Cath, unchanged in position, terminating in the mid SVC.",right subclavian Port-A-Cath,mid SVC,Stable,"['files/p13/p13376876/s56009674/0b15a853-44ea4dcc-e9dcc745-dc75e138-94628837.jpg', 'files/p13/p13376876/s56009674/5dfd702f-14822708-67885b79-475de57e-c4f8f0ca.jpg']","['files/p13/p13376876/s53410013/6c2a89e1-7527c7bc-af55390d-e1a8a046-a6a45f48.jpg\n', 'files/p13/p13376876/s53410013/72b75c31-c89b5e3c-f2a6d852-a3982477-96334886.jpg\n']"
s56011861_0,p14226251,s56011861,0,Findings,The heart size is normal. The hilar and mediastinal contours are within normal limits. A right middle lobe opacity is most compatible with consolidation. There is no pneumothorax or pleural effusion.,A right middle lobe opacity is most compatible with consolidation.,consolidation,right middle lobe,New,"['files/p14/p14226251/s56011861/66da37b9-cee79ad9-575d0c12-3258f935-5b252c22.jpg', 'files/p14/p14226251/s56011861/e1777460-6d35822b-a0255c2a-b847d3fe-2b7faeef.jpg']",
s56011861_0,p14226251,s56011861,0,Impression,Right middle lobe pneumonia. Follow up radiographs are recommended after treatment to ensure resolution of these findings.,Right middle lobe pneumonia.,pneumonia,right middle lobe,New,"['files/p14/p14226251/s56011861/66da37b9-cee79ad9-575d0c12-3258f935-5b252c22.jpg', 'files/p14/p14226251/s56011861/e1777460-6d35822b-a0255c2a-b847d3fe-2b7faeef.jpg']",
s56032638_2,p11307058,s56032638,2,Impression,"In comparison with the study of ___, there is little change. The aneurysm and dilatation of the descending aorta is unchanged. No evidence of vascular congestion or acute focal pneumonia.",The aneurysm and dilatation of the descending aorta is unchanged.,Aneurysm and dilatation of the descending aorta,,Stable,"['files/p11/p11307058/s56032638/a0c5a980-ee72873e-6b8ab2e4-ccf5e1b7-56693b1b.jpg', 'files/p11/p11307058/s56032638/da624dca-d4652abd-453c6fc6-a97f99a7-93578866.jpg']","['files/p11/p11307058/s54070533/1b56958d-2db30a47-c149a47c-5161435f-f70948bd.jpg\n', 'files/p11/p11307058/s54070533/5f053b2c-56f23cae-42d6a64d-cc58332c-8a49a6fe.jpg\n']"
s56045322_12,p11614040,s56045322,12,Findings,"As compared to the previous radiograph, the effusion on the left has minimally increased in extent. On the right, the small pleural effusion is constant. Substantially improved are the signs previously indicative of interstitial lung edema. Fluid marking of the fissures persists. Unchanged evidence of moderate cardiomegaly with left basal atelectasis, unchanged position of the right pectoral Port-A-Cath.","Unchanged evidence of moderate cardiomegaly with left basal atelectasis, unchanged position of the right pectoral Port-A-Cath.",Port-A-Cath position,right,Stable,['files/p11/p11614040/s56045322/050b0481-40bac9ae-ecbb8c83-6251c674-f8dc69a7.jpg'],['files/p11/p11614040/s54620855/003fd23c-264ac00a-8e8225c5-d7f3543f-6ba3ef81.jpg\n']
s56045322_12,p11614040,s56045322,12,Findings,"As compared to the previous radiograph, the effusion on the left has minimally increased in extent. On the right, the small pleural effusion is constant. Substantially improved are the signs previously indicative of interstitial lung edema. Fluid marking of the fissures persists. Unchanged evidence of moderate cardiomegaly with left basal atelectasis, unchanged position of the right pectoral Port-A-Cath.","As compared to the previous radiograph, the effusion on the left has minimally increased in extent.",effusion,left,Worse,['files/p11/p11614040/s56045322/050b0481-40bac9ae-ecbb8c83-6251c674-f8dc69a7.jpg'],['files/p11/p11614040/s54620855/003fd23c-264ac00a-8e8225c5-d7f3543f-6ba3ef81.jpg\n']
s56045322_12,p11614040,s56045322,12,Findings,"As compared to the previous radiograph, the effusion on the left has minimally increased in extent. On the right, the small pleural effusion is constant. Substantially improved are the signs previously indicative of interstitial lung edema. Fluid marking of the fissures persists. Unchanged evidence of moderate cardiomegaly with left basal atelectasis, unchanged position of the right pectoral Port-A-Cath.","On the right, the small pleural effusion is constant.",pleural effusion,right,Stable,['files/p11/p11614040/s56045322/050b0481-40bac9ae-ecbb8c83-6251c674-f8dc69a7.jpg'],['files/p11/p11614040/s54620855/003fd23c-264ac00a-8e8225c5-d7f3543f-6ba3ef81.jpg\n']
s56045322_12,p11614040,s56045322,12,Findings,"As compared to the previous radiograph, the effusion on the left has minimally increased in extent. On the right, the small pleural effusion is constant. Substantially improved are the signs previously indicative of interstitial lung edema. Fluid marking of the fissures persists. Unchanged evidence of moderate cardiomegaly with left basal atelectasis, unchanged position of the right pectoral Port-A-Cath.",Substantially improved are the signs previously indicative of interstitial lung edema.,interstitial lung edema,,Better,['files/p11/p11614040/s56045322/050b0481-40bac9ae-ecbb8c83-6251c674-f8dc69a7.jpg'],['files/p11/p11614040/s54620855/003fd23c-264ac00a-8e8225c5-d7f3543f-6ba3ef81.jpg\n']
s56045322_12,p11614040,s56045322,12,Findings,"As compared to the previous radiograph, the effusion on the left has minimally increased in extent. On the right, the small pleural effusion is constant. Substantially improved are the signs previously indicative of interstitial lung edema. Fluid marking of the fissures persists. Unchanged evidence of moderate cardiomegaly with left basal atelectasis, unchanged position of the right pectoral Port-A-Cath.",Fluid marking of the fissures persists.,fluid marking of the fissures,,Stable,['files/p11/p11614040/s56045322/050b0481-40bac9ae-ecbb8c83-6251c674-f8dc69a7.jpg'],['files/p11/p11614040/s54620855/003fd23c-264ac00a-8e8225c5-d7f3543f-6ba3ef81.jpg\n']
s56045322_12,p11614040,s56045322,12,Findings,"As compared to the previous radiograph, the effusion on the left has minimally increased in extent. On the right, the small pleural effusion is constant. Substantially improved are the signs previously indicative of interstitial lung edema. Fluid marking of the fissures persists. Unchanged evidence of moderate cardiomegaly with left basal atelectasis, unchanged position of the right pectoral Port-A-Cath.","Unchanged evidence of moderate cardiomegaly with left basal atelectasis, unchanged position of the right pectoral Port-A-Cath.",cardiomegaly,,Stable,['files/p11/p11614040/s56045322/050b0481-40bac9ae-ecbb8c83-6251c674-f8dc69a7.jpg'],['files/p11/p11614040/s54620855/003fd23c-264ac00a-8e8225c5-d7f3543f-6ba3ef81.jpg\n']
s56045322_12,p11614040,s56045322,12,Findings,"As compared to the previous radiograph, the effusion on the left has minimally increased in extent. On the right, the small pleural effusion is constant. Substantially improved are the signs previously indicative of interstitial lung edema. Fluid marking of the fissures persists. Unchanged evidence of moderate cardiomegaly with left basal atelectasis, unchanged position of the right pectoral Port-A-Cath.","Unchanged evidence of moderate cardiomegaly with left basal atelectasis, unchanged position of the right pectoral Port-A-Cath.",basal atelectasis,left,Stable,['files/p11/p11614040/s56045322/050b0481-40bac9ae-ecbb8c83-6251c674-f8dc69a7.jpg'],['files/p11/p11614040/s54620855/003fd23c-264ac00a-8e8225c5-d7f3543f-6ba3ef81.jpg\n']
s56049214_1,p12659391,s56049214,1,Findings,Right PICC tip has been somewhat advanced into the upper-to-mid SVC. The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.,Right PICC tip has been somewhat advanced into the upper-to-mid SVC.,PICC tip position,upper-to-mid SVC,Better,"['files/p12/p12659391/s56049214/1ed2756e-369a930f-ffff5e24-2435499b-1e4603e9.jpg', 'files/p12/p12659391/s56049214/c2e4d2ab-1ef3ec14-f7d2ee88-38430789-e17be20c.jpg']",
s56080109_12,p15902493,s56080109,12,Findings,"The endotracheal tube tip is between the clavicular heads. The endogastric tube courses inferiorly through the expected region of the stomach. The heart size is likely within normal limits, exaggerated by the patient's leftward rotation. The mediastinal and hilar contours are also within normal limits. Again prominent soft tissue density in the right superior mediastinal space displaces the normal midline structures towards the left; this mass likely represents a goiter. The lungs demonstrate mild bibasilar atelectasis. There is no large pleural effusion or pneumothorax.",Again prominent soft tissue density in the right superior mediastinal space displaces the normal midline structures towards the left; this mass likely represents a goiter.,soft tissue density,right superior mediastinal space,New,['files/p15/p15902493/s56080109/808f11c6-3458709b-ffe153fb-fe069bb3-717cba85.jpg'],['files/p15/p15902493/s55687082/2daf4706-acb0e111-7c1f165a-1b733130-32f98a94.jpg\n']
s56082008_11,p11614040,s56082008,11,Impression,"AP chest compared to ___: Moderately severe pulmonary edema, transiently improved on ___ has recurred, more pronounced today than on ___. Interval decrease in the volume of moderate left pleural effusions suggests thoracentesis. No pneumothorax. Moderate cardiomegaly, not appreciably changed. Small right pleural effusion stable. Right supraclavicular central venous infusion port ends close to the superior cavoatrial junction. A small elliptical opacity projecting over the right mid lung is probably fissural pleural fluid.",Small right pleural effusion stable.,pleural effusion,right,Stable,['files/p11/p11614040/s56082008/7fccf9d1-bf743f6f-504039f0-d2709205-699a13cc.jpg'],['files/p11/p11614040/s56045322/050b0481-40bac9ae-ecbb8c83-6251c674-f8dc69a7.jpg\n']
s56082008_11,p11614040,s56082008,11,Impression,"AP chest compared to ___: Moderately severe pulmonary edema, transiently improved on ___ has recurred, more pronounced today than on ___. Interval decrease in the volume of moderate left pleural effusions suggests thoracentesis. No pneumothorax. Moderate cardiomegaly, not appreciably changed. Small right pleural effusion stable. Right supraclavicular central venous infusion port ends close to the superior cavoatrial junction. A small elliptical opacity projecting over the right mid lung is probably fissural pleural fluid.","Moderate cardiomegaly, not appreciably changed.",cardiomegaly,,Stable,['files/p11/p11614040/s56082008/7fccf9d1-bf743f6f-504039f0-d2709205-699a13cc.jpg'],['files/p11/p11614040/s56045322/050b0481-40bac9ae-ecbb8c83-6251c674-f8dc69a7.jpg\n']
s56082008_11,p11614040,s56082008,11,Impression,"AP chest compared to ___: Moderately severe pulmonary edema, transiently improved on ___ has recurred, more pronounced today than on ___. Interval decrease in the volume of moderate left pleural effusions suggests thoracentesis. No pneumothorax. Moderate cardiomegaly, not appreciably changed. Small right pleural effusion stable. Right supraclavicular central venous infusion port ends close to the superior cavoatrial junction. A small elliptical opacity projecting over the right mid lung is probably fissural pleural fluid.",Interval decrease in the volume of moderate left pleural effusions suggests thoracentesis.,pleural effusion,left,Better,['files/p11/p11614040/s56082008/7fccf9d1-bf743f6f-504039f0-d2709205-699a13cc.jpg'],['files/p11/p11614040/s56045322/050b0481-40bac9ae-ecbb8c83-6251c674-f8dc69a7.jpg\n']
s56082008_11,p11614040,s56082008,11,Impression,"AP chest compared to ___: Moderately severe pulmonary edema, transiently improved on ___ has recurred, more pronounced today than on ___. Interval decrease in the volume of moderate left pleural effusions suggests thoracentesis. No pneumothorax. Moderate cardiomegaly, not appreciably changed. Small right pleural effusion stable. Right supraclavicular central venous infusion port ends close to the superior cavoatrial junction. A small elliptical opacity projecting over the right mid lung is probably fissural pleural fluid.","Moderately severe pulmonary edema, transiently improved on ___ has recurred, more pronounced today than on ___.",pulmonary edema,,Worse,['files/p11/p11614040/s56082008/7fccf9d1-bf743f6f-504039f0-d2709205-699a13cc.jpg'],['files/p11/p11614040/s56045322/050b0481-40bac9ae-ecbb8c83-6251c674-f8dc69a7.jpg\n']
s56094876_12,p17223574,s56094876,12,Impression,Compared is radiographs dated ___ through ___. Borderline interstitial edema persists along with moderate cardiomegaly and mediastinal vascular engorgement. No focal pulmonary abnormality. No pleural abnormality. Tracheostomy tube midline.,Borderline interstitial edema persists along with moderate cardiomegaly and mediastinal vascular engorgement.,mediastinal vascular engorgement,,Stable,"['files/p17/p17223574/s56094876/1ae239ae-c49b335a-2053350f-d1cc2db8-ae676e6d.jpg', 'files/p17/p17223574/s56094876/64b12f28-e1b71b36-adbe4920-76807755-1fa29f3b.jpg']","['files/p17/p17223574/s53855769/45f4bdf0-94ec8ad6-63252991-1a72f5bf-92cbbefe.jpg\n', 'files/p17/p17223574/s53855769/b058bdb1-6a9896e5-00708569-5736cf87-151a9cd3.jpg\n', 'files/p17/p17223574/s53855769/c462b5d9-11c0b64a-34a7db13-f870d54d-a5d25a19.jpg\n']"
s56094876_12,p17223574,s56094876,12,Impression,Compared is radiographs dated ___ through ___. Borderline interstitial edema persists along with moderate cardiomegaly and mediastinal vascular engorgement. No focal pulmonary abnormality. No pleural abnormality. Tracheostomy tube midline.,Borderline interstitial edema persists along with moderate cardiomegaly and mediastinal vascular engorgement.,cardiomegaly,,Stable,"['files/p17/p17223574/s56094876/1ae239ae-c49b335a-2053350f-d1cc2db8-ae676e6d.jpg', 'files/p17/p17223574/s56094876/64b12f28-e1b71b36-adbe4920-76807755-1fa29f3b.jpg']","['files/p17/p17223574/s53855769/45f4bdf0-94ec8ad6-63252991-1a72f5bf-92cbbefe.jpg\n', 'files/p17/p17223574/s53855769/b058bdb1-6a9896e5-00708569-5736cf87-151a9cd3.jpg\n', 'files/p17/p17223574/s53855769/c462b5d9-11c0b64a-34a7db13-f870d54d-a5d25a19.jpg\n']"
s56094876_12,p17223574,s56094876,12,Impression,Compared is radiographs dated ___ through ___. Borderline interstitial edema persists along with moderate cardiomegaly and mediastinal vascular engorgement. No focal pulmonary abnormality. No pleural abnormality. Tracheostomy tube midline.,Borderline interstitial edema persists along with moderate cardiomegaly and mediastinal vascular engorgement.,interstitial edema,,Stable,"['files/p17/p17223574/s56094876/1ae239ae-c49b335a-2053350f-d1cc2db8-ae676e6d.jpg', 'files/p17/p17223574/s56094876/64b12f28-e1b71b36-adbe4920-76807755-1fa29f3b.jpg']","['files/p17/p17223574/s53855769/45f4bdf0-94ec8ad6-63252991-1a72f5bf-92cbbefe.jpg\n', 'files/p17/p17223574/s53855769/b058bdb1-6a9896e5-00708569-5736cf87-151a9cd3.jpg\n', 'files/p17/p17223574/s53855769/c462b5d9-11c0b64a-34a7db13-f870d54d-a5d25a19.jpg\n']"
s56096550_9,p11925631,s56096550,9,Findings,PA and lateral views of the chest. The lungs remain clear. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable. Surgical clips seen in the upper abdomen.,PA and lateral views of the chest. The lungs remain clear.,lungs,,Stable,"['files/p11/p11925631/s56096550/2e94960c-365a721b-61eb4283-9b7acafa-153beb97.jpg', 'files/p11/p11925631/s56096550/5153eb4a-9454babf-5d463789-3f9111a6-547adedb.jpg']","['files/p11/p11925631/s54487320/760e6240-20f68239-d7c2ad3f-8343eaf8-cd5f770d.jpg\n', 'files/p11/p11925631/s54487320/9dbd6a42-6f6b8a99-892e0d7d-b0765810-57292428.jpg\n']"
s56123546_18,p19358609,s56123546,18,Impression,There is no change in the deformity of the left chest. Heart size and mediastinum are stable in appearance. Scarring in the right apex is unchanged. No definitive new consolidation to suggest interval development of infectious process demonstrated. No pleural effusion is seen. No pneumothorax is seen.,Scarring in the right apex is unchanged.,scarring,right apex,Stable,"['files/p19/p19358609/s56123546/91fea541-2ff9fb67-de3c9030-f50c3461-543cecac.jpg', 'files/p19/p19358609/s56123546/decdc463-6f228ca4-8bdbb0b4-6221f361-a50531bb.jpg']","['files/p19/p19358609/s55682079/e4532f81-d73cf78d-6747f5f7-f662d37a-93adfab2.jpg\n', 'files/p19/p19358609/s55682079/e795300e-988f4a20-2e6a36c2-86804f01-da329264.jpg\n']"
s56123546_18,p19358609,s56123546,18,Impression,There is no change in the deformity of the left chest. Heart size and mediastinum are stable in appearance. Scarring in the right apex is unchanged. No definitive new consolidation to suggest interval development of infectious process demonstrated. No pleural effusion is seen. No pneumothorax is seen.,Heart size and mediastinum are stable in appearance.,heart size and mediastinum,,Stable,"['files/p19/p19358609/s56123546/91fea541-2ff9fb67-de3c9030-f50c3461-543cecac.jpg', 'files/p19/p19358609/s56123546/decdc463-6f228ca4-8bdbb0b4-6221f361-a50531bb.jpg']","['files/p19/p19358609/s55682079/e4532f81-d73cf78d-6747f5f7-f662d37a-93adfab2.jpg\n', 'files/p19/p19358609/s55682079/e795300e-988f4a20-2e6a36c2-86804f01-da329264.jpg\n']"
s56123546_18,p19358609,s56123546,18,Impression,There is no change in the deformity of the left chest. Heart size and mediastinum are stable in appearance. Scarring in the right apex is unchanged. No definitive new consolidation to suggest interval development of infectious process demonstrated. No pleural effusion is seen. No pneumothorax is seen.,There is no change in the deformity of the left chest.,deformity,left chest,Stable,"['files/p19/p19358609/s56123546/91fea541-2ff9fb67-de3c9030-f50c3461-543cecac.jpg', 'files/p19/p19358609/s56123546/decdc463-6f228ca4-8bdbb0b4-6221f361-a50531bb.jpg']","['files/p19/p19358609/s55682079/e4532f81-d73cf78d-6747f5f7-f662d37a-93adfab2.jpg\n', 'files/p19/p19358609/s55682079/e795300e-988f4a20-2e6a36c2-86804f01-da329264.jpg\n']"
s56128182_4,p16522757,s56128182,4,Impression,"Large left pleural effusion has increased substantially since ___. Consolidation in the right lower lobe is considerably larger also, probably worsening pneumonia. Vascular engorgement in the upper lobes and mediastinum suggest biventricular cardiac decompensation. Obscuration of the left heart border could be due to pleural effusion or new consolidation in the lingula.","Consolidation in the right lower lobe is considerably larger also, probably worsening pneumonia.",consolidation,right lower lobe,Worse,['files/p16/p16522757/s56128182/5a29f63b-9703b6a4-015091e1-fd2d093a-b82e7a9e.jpg'],['files/p16/p16522757/s55401499/29625da6-c727bed4-1a61b739-f2bbdb7f-131be12b.jpg\n']
s56128182_4,p16522757,s56128182,4,Impression,"Large left pleural effusion has increased substantially since ___. Consolidation in the right lower lobe is considerably larger also, probably worsening pneumonia. Vascular engorgement in the upper lobes and mediastinum suggest biventricular cardiac decompensation. Obscuration of the left heart border could be due to pleural effusion or new consolidation in the lingula.",Large left pleural effusion has increased substantially since ___.,pleural effusion,left,Worse,['files/p16/p16522757/s56128182/5a29f63b-9703b6a4-015091e1-fd2d093a-b82e7a9e.jpg'],['files/p16/p16522757/s55401499/29625da6-c727bed4-1a61b739-f2bbdb7f-131be12b.jpg\n']
s56128182_4,p16522757,s56128182,4,Impression,"Large left pleural effusion has increased substantially since ___. Consolidation in the right lower lobe is considerably larger also, probably worsening pneumonia. Vascular engorgement in the upper lobes and mediastinum suggest biventricular cardiac decompensation. Obscuration of the left heart border could be due to pleural effusion or new consolidation in the lingula.",Obscuration of the left heart border could be due to pleural effusion or new consolidation in the lingula.,obscuration,left heart border,New,['files/p16/p16522757/s56128182/5a29f63b-9703b6a4-015091e1-fd2d093a-b82e7a9e.jpg'],['files/p16/p16522757/s55401499/29625da6-c727bed4-1a61b739-f2bbdb7f-131be12b.jpg\n']
s56128182_4,p16522757,s56128182,4,Impression,"Large left pleural effusion has increased substantially since ___. Consolidation in the right lower lobe is considerably larger also, probably worsening pneumonia. Vascular engorgement in the upper lobes and mediastinum suggest biventricular cardiac decompensation. Obscuration of the left heart border could be due to pleural effusion or new consolidation in the lingula.",Vascular engorgement in the upper lobes and mediastinum suggest biventricular cardiac decompensation.,vascular engorgement,upper lobes and mediastinum,New,['files/p16/p16522757/s56128182/5a29f63b-9703b6a4-015091e1-fd2d093a-b82e7a9e.jpg'],['files/p16/p16522757/s55401499/29625da6-c727bed4-1a61b739-f2bbdb7f-131be12b.jpg\n']
s56131156_10,p19890030,s56131156,10,Impression,"As compared to the previous radiograph, the interstitial component of the pre-existing pulmonary edema has minimally decreased and the pleural effusions have minimally increased in extent. Signs of pulmonary edema, however, are still clearly present. The monitoring and support devices, including the Swan-Ganz catheter, are in unchanged correct position. No new focal parenchymal opacities. No pneumothorax.","As compared to the previous radiograph, the interstitial component of the pre-existing pulmonary edema has minimally decreased and the pleural effusions have minimally increased in extent.",pulmonary edema,interstitial,Better,['files/p19/p19890030/s56131156/6d0fb843-3f18a296-cc24e0d5-d5196b76-d27ae8c5.jpg'],['files/p19/p19890030/s55960980/7836bdb5-cf4a3248-ef755485-efddc4f8-838caea7.jpg\n']
s56131156_10,p19890030,s56131156,10,Impression,"As compared to the previous radiograph, the interstitial component of the pre-existing pulmonary edema has minimally decreased and the pleural effusions have minimally increased in extent. Signs of pulmonary edema, however, are still clearly present. The monitoring and support devices, including the Swan-Ganz catheter, are in unchanged correct position. No new focal parenchymal opacities. No pneumothorax.","The monitoring and support devices, including the Swan-Ganz catheter, are in unchanged correct position.",Swan-Ganz catheter,,Stable,['files/p19/p19890030/s56131156/6d0fb843-3f18a296-cc24e0d5-d5196b76-d27ae8c5.jpg'],['files/p19/p19890030/s55960980/7836bdb5-cf4a3248-ef755485-efddc4f8-838caea7.jpg\n']
s56131156_10,p19890030,s56131156,10,Impression,"As compared to the previous radiograph, the interstitial component of the pre-existing pulmonary edema has minimally decreased and the pleural effusions have minimally increased in extent. Signs of pulmonary edema, however, are still clearly present. The monitoring and support devices, including the Swan-Ganz catheter, are in unchanged correct position. No new focal parenchymal opacities. No pneumothorax.","As compared to the previous radiograph, the interstitial component of the pre-existing pulmonary edema has minimally decreased and the pleural effusions have minimally increased in extent.",pleural effusions,,Worse,['files/p19/p19890030/s56131156/6d0fb843-3f18a296-cc24e0d5-d5196b76-d27ae8c5.jpg'],['files/p19/p19890030/s55960980/7836bdb5-cf4a3248-ef755485-efddc4f8-838caea7.jpg\n']
s56143095_0,p12659391,s56143095,0,Findings,"As compared to the previous radiograph, the previously well-positioned PICC line has been pulled back. The tip of the line now projects over the confluence of the brachiocephalic in the superior vena cava. The line should be advanced by approximately 2-3 cm to ensure safe position in the superior vena cava. No evidence of complications, notably no pneumothorax.","As compared to the previous radiograph, the previously well-positioned PICC line has been pulled back.",PICC line position,confluence of the brachiocephalic in the superior vena cava,Worse,['files/p12/p12659391/s56143095/3bd7086b-893fe462-f1699be8-dce553d3-1459991d.jpg'],"['files/p12/p12659391/s56056686/06a83fd7-94ed1a00-8227ada6-da0b3c89-371cb132.jpg\n', 'files/p12/p12659391/s56056686/68171d11-5e230d0a-1cc9e056-7712e71e-aaafc894.jpg\n']"
s56165736_17,p10337896,s56165736,17,Impression,"As compared to the previous radiograph, there is a minimal increase in diameter of the vascular structures, likely reflecting increased fluid overload. No other changes. The multiple known calcifications are constant in appearance. In the interval, the patient has received a tracheostomy tube. There is no pneumothorax.",The multiple known calcifications are constant in appearance.,Calcifications,,Stable,"['files/p10/p10337896/s56165736/48cf431a-5b1083d0-c462c8be-aa9fd33a-a36fd88d.jpg', 'files/p10/p10337896/s56165736/7fef0afd-85293903-b15562d2-3b827aee-1405b065.jpg']",['files/p10/p10337896/s55929666/69edea97-d76e1e86-638a39dc-13ee8420-6f3385ef.jpg\n']
s56165736_17,p10337896,s56165736,17,Impression,"As compared to the previous radiograph, there is a minimal increase in diameter of the vascular structures, likely reflecting increased fluid overload. No other changes. The multiple known calcifications are constant in appearance. In the interval, the patient has received a tracheostomy tube. There is no pneumothorax.","As compared to the previous radiograph, there is a minimal increase in diameter of the vascular structures, likely reflecting increased fluid overload.",Diameter of vascular structures,,Worse,"['files/p10/p10337896/s56165736/48cf431a-5b1083d0-c462c8be-aa9fd33a-a36fd88d.jpg', 'files/p10/p10337896/s56165736/7fef0afd-85293903-b15562d2-3b827aee-1405b065.jpg']",['files/p10/p10337896/s55929666/69edea97-d76e1e86-638a39dc-13ee8420-6f3385ef.jpg\n']
s56181168_1,p16346354,s56181168,1,Findings,"The cardiac, mediastinal and hilar contours appear stable including mild to moderate cardiac enlargement including a left ventricular configuration. The aorta is mildly tortuous and calcified. The cardiac, mediastinal and hilar contours appear stable. Streaky scarring in the lingula is unchanged. Fissures are slightly thickened, which is somewhat increased suggesting mild vascular congestion. There is a new trace pleural effusion on the left. Slight pleural thickening of the right is probably unchanged. Increased interstitial opacity in the right lower lung, although regional, may represent vascular congestion. There is no pneumothorax. No definite fracture is seen.",There is a new trace pleural effusion on the left.,trace pleural effusion,left,New,"['files/p16/p16346354/s56181168/9e908d18-6a7658db-5a1fbbaa-b26ea86f-ce549cba.jpg', 'files/p16/p16346354/s56181168/f58f13fc-5e0dd5d2-eb74ea1e-e45cb8dd-be5cda6e.jpg']","['files/p16/p16346354/s55956507/195e59ff-99dfa45c-784404dd-c284ed2f-d30e03e4.jpg\n', 'files/p16/p16346354/s55956507/4dd14141-717a2a23-ca41af2c-d7723505-840e9c37.jpg\n']"
s56181168_1,p16346354,s56181168,1,Findings,"The cardiac, mediastinal and hilar contours appear stable including mild to moderate cardiac enlargement including a left ventricular configuration. The aorta is mildly tortuous and calcified. The cardiac, mediastinal and hilar contours appear stable. Streaky scarring in the lingula is unchanged. Fissures are slightly thickened, which is somewhat increased suggesting mild vascular congestion. There is a new trace pleural effusion on the left. Slight pleural thickening of the right is probably unchanged. Increased interstitial opacity in the right lower lung, although regional, may represent vascular congestion. There is no pneumothorax. No definite fracture is seen.","Fissures are slightly thickened, which is somewhat increased suggesting mild vascular congestion.",thickening,fissures,Worse,"['files/p16/p16346354/s56181168/9e908d18-6a7658db-5a1fbbaa-b26ea86f-ce549cba.jpg', 'files/p16/p16346354/s56181168/f58f13fc-5e0dd5d2-eb74ea1e-e45cb8dd-be5cda6e.jpg']","['files/p16/p16346354/s55956507/195e59ff-99dfa45c-784404dd-c284ed2f-d30e03e4.jpg\n', 'files/p16/p16346354/s55956507/4dd14141-717a2a23-ca41af2c-d7723505-840e9c37.jpg\n']"
s56181168_1,p16346354,s56181168,1,Findings,"The cardiac, mediastinal and hilar contours appear stable including mild to moderate cardiac enlargement including a left ventricular configuration. The aorta is mildly tortuous and calcified. The cardiac, mediastinal and hilar contours appear stable. Streaky scarring in the lingula is unchanged. Fissures are slightly thickened, which is somewhat increased suggesting mild vascular congestion. There is a new trace pleural effusion on the left. Slight pleural thickening of the right is probably unchanged. Increased interstitial opacity in the right lower lung, although regional, may represent vascular congestion. There is no pneumothorax. No definite fracture is seen.",Slight pleural thickening of the right is probably unchanged.,pleural thickening,right,Stable,"['files/p16/p16346354/s56181168/9e908d18-6a7658db-5a1fbbaa-b26ea86f-ce549cba.jpg', 'files/p16/p16346354/s56181168/f58f13fc-5e0dd5d2-eb74ea1e-e45cb8dd-be5cda6e.jpg']","['files/p16/p16346354/s55956507/195e59ff-99dfa45c-784404dd-c284ed2f-d30e03e4.jpg\n', 'files/p16/p16346354/s55956507/4dd14141-717a2a23-ca41af2c-d7723505-840e9c37.jpg\n']"
s56181168_1,p16346354,s56181168,1,Findings,"The cardiac, mediastinal and hilar contours appear stable including mild to moderate cardiac enlargement including a left ventricular configuration. The aorta is mildly tortuous and calcified. The cardiac, mediastinal and hilar contours appear stable. Streaky scarring in the lingula is unchanged. Fissures are slightly thickened, which is somewhat increased suggesting mild vascular congestion. There is a new trace pleural effusion on the left. Slight pleural thickening of the right is probably unchanged. Increased interstitial opacity in the right lower lung, although regional, may represent vascular congestion. There is no pneumothorax. No definite fracture is seen.","The cardiac, mediastinal and hilar contours appear stable including mild to moderate cardiac enlargement including a left ventricular configuration.",mild to moderate cardiac enlargement,"cardiac, mediastinal and hilar contours",Stable,"['files/p16/p16346354/s56181168/9e908d18-6a7658db-5a1fbbaa-b26ea86f-ce549cba.jpg', 'files/p16/p16346354/s56181168/f58f13fc-5e0dd5d2-eb74ea1e-e45cb8dd-be5cda6e.jpg']","['files/p16/p16346354/s55956507/195e59ff-99dfa45c-784404dd-c284ed2f-d30e03e4.jpg\n', 'files/p16/p16346354/s55956507/4dd14141-717a2a23-ca41af2c-d7723505-840e9c37.jpg\n']"
s56181168_1,p16346354,s56181168,1,Findings,"The cardiac, mediastinal and hilar contours appear stable including mild to moderate cardiac enlargement including a left ventricular configuration. The aorta is mildly tortuous and calcified. The cardiac, mediastinal and hilar contours appear stable. Streaky scarring in the lingula is unchanged. Fissures are slightly thickened, which is somewhat increased suggesting mild vascular congestion. There is a new trace pleural effusion on the left. Slight pleural thickening of the right is probably unchanged. Increased interstitial opacity in the right lower lung, although regional, may represent vascular congestion. There is no pneumothorax. No definite fracture is seen.","Increased interstitial opacity in the right lower lung, although regional, may represent vascular congestion.",interstitial opacity,right lower lung,Worse,"['files/p16/p16346354/s56181168/9e908d18-6a7658db-5a1fbbaa-b26ea86f-ce549cba.jpg', 'files/p16/p16346354/s56181168/f58f13fc-5e0dd5d2-eb74ea1e-e45cb8dd-be5cda6e.jpg']","['files/p16/p16346354/s55956507/195e59ff-99dfa45c-784404dd-c284ed2f-d30e03e4.jpg\n', 'files/p16/p16346354/s55956507/4dd14141-717a2a23-ca41af2c-d7723505-840e9c37.jpg\n']"
s56181168_1,p16346354,s56181168,1,Findings,"The cardiac, mediastinal and hilar contours appear stable including mild to moderate cardiac enlargement including a left ventricular configuration. The aorta is mildly tortuous and calcified. The cardiac, mediastinal and hilar contours appear stable. Streaky scarring in the lingula is unchanged. Fissures are slightly thickened, which is somewhat increased suggesting mild vascular congestion. There is a new trace pleural effusion on the left. Slight pleural thickening of the right is probably unchanged. Increased interstitial opacity in the right lower lung, although regional, may represent vascular congestion. There is no pneumothorax. No definite fracture is seen.",Streaky scarring in the lingula is unchanged.,streaky scarring,lingula,Stable,"['files/p16/p16346354/s56181168/9e908d18-6a7658db-5a1fbbaa-b26ea86f-ce549cba.jpg', 'files/p16/p16346354/s56181168/f58f13fc-5e0dd5d2-eb74ea1e-e45cb8dd-be5cda6e.jpg']","['files/p16/p16346354/s55956507/195e59ff-99dfa45c-784404dd-c284ed2f-d30e03e4.jpg\n', 'files/p16/p16346354/s55956507/4dd14141-717a2a23-ca41af2c-d7723505-840e9c37.jpg\n']"
s56199877_2,p10803114,s56199877,2,Findings,"The cardiac, mediastinal and hilar contours appear unchanged. There is no shift of mediastinal structures. There is a large right-sided pleural effusion, which has increased since the earlier radiographs and perhaps slightly since the more recent CT. There is no pneumothorax. The left lung remains clear.",The left lung remains clear.,Lung,Left,Stable,"['files/p10/p10803114/s56199877/d5afdb09-0bfe8802-651a2d06-44efa800-80a795fe.jpg', 'files/p10/p10803114/s56199877/ffc73da5-5e52ccfd-028a2711-ae2702af-ad87c455.jpg']","['files/p10/p10803114/s54240463/583ddbd2-50f85c61-b2d63c29-0c4cc293-77060208.jpg\n', 'files/p10/p10803114/s54240463/a9c0a1f8-cb2a4f30-656ef3e2-e80e3406-e70d3c53.jpg\n', 'files/p10/p10803114/s54240463/b8a69006-58500ba5-3ae8ca5c-e3c7bbde-d18e3034.jpg\n']"
s56199877_2,p10803114,s56199877,2,Impression,"Similar to increased right-sided pleural effusion, large in size. No evidence of pneumothorax.","Similar to increased right-sided pleural effusion, large in size. No evidence of pneumothorax.",Pleural effusion,Right-sided,Worse,"['files/p10/p10803114/s56199877/d5afdb09-0bfe8802-651a2d06-44efa800-80a795fe.jpg', 'files/p10/p10803114/s56199877/ffc73da5-5e52ccfd-028a2711-ae2702af-ad87c455.jpg']","['files/p10/p10803114/s54240463/583ddbd2-50f85c61-b2d63c29-0c4cc293-77060208.jpg\n', 'files/p10/p10803114/s54240463/a9c0a1f8-cb2a4f30-656ef3e2-e80e3406-e70d3c53.jpg\n', 'files/p10/p10803114/s54240463/b8a69006-58500ba5-3ae8ca5c-e3c7bbde-d18e3034.jpg\n']"
s56199877_2,p10803114,s56199877,2,Findings,"The cardiac, mediastinal and hilar contours appear unchanged. There is no shift of mediastinal structures. There is a large right-sided pleural effusion, which has increased since the earlier radiographs and perhaps slightly since the more recent CT. There is no pneumothorax. The left lung remains clear.","The cardiac, mediastinal and hilar contours appear unchanged.","Cardiac, mediastinal and hilar contours",,Stable,"['files/p10/p10803114/s56199877/d5afdb09-0bfe8802-651a2d06-44efa800-80a795fe.jpg', 'files/p10/p10803114/s56199877/ffc73da5-5e52ccfd-028a2711-ae2702af-ad87c455.jpg']","['files/p10/p10803114/s54240463/583ddbd2-50f85c61-b2d63c29-0c4cc293-77060208.jpg\n', 'files/p10/p10803114/s54240463/a9c0a1f8-cb2a4f30-656ef3e2-e80e3406-e70d3c53.jpg\n', 'files/p10/p10803114/s54240463/b8a69006-58500ba5-3ae8ca5c-e3c7bbde-d18e3034.jpg\n']"
s56199877_2,p10803114,s56199877,2,Findings,"The cardiac, mediastinal and hilar contours appear unchanged. There is no shift of mediastinal structures. There is a large right-sided pleural effusion, which has increased since the earlier radiographs and perhaps slightly since the more recent CT. There is no pneumothorax. The left lung remains clear.","There is a large right-sided pleural effusion, which has increased since the earlier radiographs and perhaps slightly since the more recent CT.",Pleural effusion,Right-sided,Worse,"['files/p10/p10803114/s56199877/d5afdb09-0bfe8802-651a2d06-44efa800-80a795fe.jpg', 'files/p10/p10803114/s56199877/ffc73da5-5e52ccfd-028a2711-ae2702af-ad87c455.jpg']","['files/p10/p10803114/s54240463/583ddbd2-50f85c61-b2d63c29-0c4cc293-77060208.jpg\n', 'files/p10/p10803114/s54240463/a9c0a1f8-cb2a4f30-656ef3e2-e80e3406-e70d3c53.jpg\n', 'files/p10/p10803114/s54240463/b8a69006-58500ba5-3ae8ca5c-e3c7bbde-d18e3034.jpg\n']"
s56203584_0,p18057037,s56203584,0,Findings,PA and lateral views of the chest. There is mild bibasilar atelectasis. Persistent slight elevation of the right hemidiaphragm. There is no focal parenchymal opacities concerning for pneumonia. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Multiple surgical clips in the left upper quadrant.,The cardiac and mediastinal silhouettes are stable.,cardiac and mediastinal silhouettes,,Stable,"['files/p18/p18057037/s56203584/b5c48946-bd1838f7-c09076f9-1427ea90-d701bf5d.jpg', 'files/p18/p18057037/s56203584/ba46fee9-9f0df347-3c94ff1d-8e80ed2c-aeea650b.jpg']",['files/p18/p18057037/s55180678/e90a2054-7960de3e-ea00d408-b6a8048d-5361011d.jpg\n']
s56203584_0,p18057037,s56203584,0,Findings,PA and lateral views of the chest. There is mild bibasilar atelectasis. Persistent slight elevation of the right hemidiaphragm. There is no focal parenchymal opacities concerning for pneumonia. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Multiple surgical clips in the left upper quadrant.,Persistent slight elevation of the right hemidiaphragm.,elevation of the hemidiaphragm,right,Stable,"['files/p18/p18057037/s56203584/b5c48946-bd1838f7-c09076f9-1427ea90-d701bf5d.jpg', 'files/p18/p18057037/s56203584/ba46fee9-9f0df347-3c94ff1d-8e80ed2c-aeea650b.jpg']",['files/p18/p18057037/s55180678/e90a2054-7960de3e-ea00d408-b6a8048d-5361011d.jpg\n']
s56207647_38,p11717909,s56207647,38,Findings,"Again seen is heterogeneous ill-defined opacity in the right lower lobe with some central lucency, though not as well seen compared to the exam from the day before. Small pleural effusion on the right is also likely. The left lung is mostly clear. Heart size is large and have increased in size compared to the day before.Mediastinal and hilar contours are unchanged. There is no evidence for pulmonary edema or pneumothorax.Left-sided PICC terminates in the cavoatrial junction or right atrium, unchanged from prior. Sternotomy wires and surgical clips are intact and unchanged.","Again seen is heterogeneous ill-defined opacity in the right lower lobe with some central lucency, though not as well seen compared to the exam from the day before.",heterogeneous ill-defined opacity with some central lucency,right lower lobe,Stable,['files/p11/p11717909/s56207647/ea32b0da-db8371b9-e24620b3-33e572f6-51a33032.jpg'],['files/p11/p11717909/s55953262/488f88a2-0d2c244c-a15f605b-2cf68a06-cb42cd3b.jpg\n']
s56207647_38,p11717909,s56207647,38,Findings,"Again seen is heterogeneous ill-defined opacity in the right lower lobe with some central lucency, though not as well seen compared to the exam from the day before. Small pleural effusion on the right is also likely. The left lung is mostly clear. Heart size is large and have increased in size compared to the day before.Mediastinal and hilar contours are unchanged. There is no evidence for pulmonary edema or pneumothorax.Left-sided PICC terminates in the cavoatrial junction or right atrium, unchanged from prior. Sternotomy wires and surgical clips are intact and unchanged.",Heart size is large and have increased in size compared to the day before.,heart size,,Worse,['files/p11/p11717909/s56207647/ea32b0da-db8371b9-e24620b3-33e572f6-51a33032.jpg'],['files/p11/p11717909/s55953262/488f88a2-0d2c244c-a15f605b-2cf68a06-cb42cd3b.jpg\n']
s56207647_38,p11717909,s56207647,38,Findings,"Again seen is heterogeneous ill-defined opacity in the right lower lobe with some central lucency, though not as well seen compared to the exam from the day before. Small pleural effusion on the right is also likely. The left lung is mostly clear. Heart size is large and have increased in size compared to the day before.Mediastinal and hilar contours are unchanged. There is no evidence for pulmonary edema or pneumothorax.Left-sided PICC terminates in the cavoatrial junction or right atrium, unchanged from prior. Sternotomy wires and surgical clips are intact and unchanged.",Sternotomy wires and surgical clips are intact and unchanged.,sternotomy wires and surgical clips,,Stable,['files/p11/p11717909/s56207647/ea32b0da-db8371b9-e24620b3-33e572f6-51a33032.jpg'],['files/p11/p11717909/s55953262/488f88a2-0d2c244c-a15f605b-2cf68a06-cb42cd3b.jpg\n']
s56207647_38,p11717909,s56207647,38,Impression,"1. Right lower lobe pneumonia, cavitation suspected. Small right pleural effusion. 2. Increase in size of the heart.",2. Increase in size of the heart.,heart size,,Worse,['files/p11/p11717909/s56207647/ea32b0da-db8371b9-e24620b3-33e572f6-51a33032.jpg'],['files/p11/p11717909/s55953262/488f88a2-0d2c244c-a15f605b-2cf68a06-cb42cd3b.jpg\n']
s56207647_38,p11717909,s56207647,38,Findings,"Again seen is heterogeneous ill-defined opacity in the right lower lobe with some central lucency, though not as well seen compared to the exam from the day before. Small pleural effusion on the right is also likely. The left lung is mostly clear. Heart size is large and have increased in size compared to the day before.Mediastinal and hilar contours are unchanged. There is no evidence for pulmonary edema or pneumothorax.Left-sided PICC terminates in the cavoatrial junction or right atrium, unchanged from prior. Sternotomy wires and surgical clips are intact and unchanged.","Left-sided PICC terminates in the cavoatrial junction or right atrium, unchanged from prior.",PICC,left-sided,Stable,['files/p11/p11717909/s56207647/ea32b0da-db8371b9-e24620b3-33e572f6-51a33032.jpg'],['files/p11/p11717909/s55953262/488f88a2-0d2c244c-a15f605b-2cf68a06-cb42cd3b.jpg\n']
s56211786_10,p19932024,s56211786,10,Impression,"As compared to the previous radiograph, the extensive bilateral parenchymal opacities, diffusely distributed in both lungs, are not substantially changed. The lung volumes remain low. Moderate cardiomegaly. No pleural effusions.","As compared to the previous radiograph, the extensive bilateral parenchymal opacities, diffusely distributed in both lungs, are not substantially changed.",parenchymal opacities,bilateral,Stable,['files/p19/p19932024/s56211786/e83af64a-ef08e235-e0e92758-c6fe1b4d-09380b28.jpg'],"['files/p19/p19932024/s55032644/432a51bb-85350756-4fcac5c3-20fcb8d9-11c91668.jpg\n', 'files/p19/p19932024/s55032644/78c46a20-ac46fddc-da7e8f14-eff8d7a7-4ffec0a5.jpg\n', 'files/p19/p19932024/s55032644/94cfab5d-c84c24dc-ebd79acf-b51bfecb-df30081b.jpg\n']"
s56211786_10,p19932024,s56211786,10,Impression,"As compared to the previous radiograph, the extensive bilateral parenchymal opacities, diffusely distributed in both lungs, are not substantially changed. The lung volumes remain low. Moderate cardiomegaly. No pleural effusions.",The lung volumes remain low.,low lung volumes,,Stable,['files/p19/p19932024/s56211786/e83af64a-ef08e235-e0e92758-c6fe1b4d-09380b28.jpg'],"['files/p19/p19932024/s55032644/432a51bb-85350756-4fcac5c3-20fcb8d9-11c91668.jpg\n', 'files/p19/p19932024/s55032644/78c46a20-ac46fddc-da7e8f14-eff8d7a7-4ffec0a5.jpg\n', 'files/p19/p19932024/s55032644/94cfab5d-c84c24dc-ebd79acf-b51bfecb-df30081b.jpg\n']"
s56213448_6,p18711952,s56213448,6,Impression,"PA and lateral chest compared to ___. Previous small-to-moderate left pleural effusion is smaller, although there is residual pleural thickening. Lateral view shows a region of peripheral atelectasis, where previously there was a posteriorly collected pleural effusion. There may be a tiny right pleural effusion in the posterior sulcus. Heart is mildly enlarged, larger today than in ___, but the pulmonary vasculature is unremarkable and there is no edema. A supraclavicular dual-channel central venous catheter ends in the upper right atrium.","PA and lateral chest compared to ___. Previous small-to-moderate left pleural effusion is smaller, although there is residual pleural thickening.",pleural effusion,left,Better,['files/p18/p18711952/s56213448/45efdb5c-2180d248-108c9392-5955178b-868c7a3c.jpg'],"['files/p18/p18711952/s55943354/25c7bb46-2f48e062-15356d65-3d966297-9b9bf105.jpg\n', 'files/p18/p18711952/s55943354/8918e0bb-74e205be-380e930e-9217a419-27d4eab0.jpg\n']"
s56213448_6,p18711952,s56213448,6,Impression,"PA and lateral chest compared to ___. Previous small-to-moderate left pleural effusion is smaller, although there is residual pleural thickening. Lateral view shows a region of peripheral atelectasis, where previously there was a posteriorly collected pleural effusion. There may be a tiny right pleural effusion in the posterior sulcus. Heart is mildly enlarged, larger today than in ___, but the pulmonary vasculature is unremarkable and there is no edema. A supraclavicular dual-channel central venous catheter ends in the upper right atrium.","Heart is mildly enlarged, larger today than in ___, but the pulmonary vasculature is unremarkable and there is no edema.",heart enlargement,,Worse,['files/p18/p18711952/s56213448/45efdb5c-2180d248-108c9392-5955178b-868c7a3c.jpg'],"['files/p18/p18711952/s55943354/25c7bb46-2f48e062-15356d65-3d966297-9b9bf105.jpg\n', 'files/p18/p18711952/s55943354/8918e0bb-74e205be-380e930e-9217a419-27d4eab0.jpg\n']"
s56217740_6,p13571108,s56217740,6,Impression,"Moderate right and small left pleural effusions, both increased since ___. Persistent consolidation at the right lung base, which developed between ___, ___ and ___, persistent, could be pneumonia. Heart size is top normal. No pneumothorax. Feeding tube ends in the stomach.","Persistent consolidation at the right lung base, which developed between ___, ___ and ___, persistent, could be pneumonia.",consolidation,right lung base,Stable,['files/p13/p13571108/s56217740/65cbc543-f6cef27d-ecffe71b-7a1cab1e-28e47ee2.jpg'],"['files/p13/p13571108/s54975015/07623786-8bfec10d-aa286291-61fe86d0-f9371a45.jpg\n', 'files/p13/p13571108/s54975015/c17d8e88-625a9c75-18f1925a-a3ba291b-a309ebb3.jpg\n', 'files/p13/p13571108/s54975015/efd6cb09-2f2d04d4-41f75c29-c95e86ac-5aba4006.jpg\n']"
s56217740_6,p13571108,s56217740,6,Impression,"Moderate right and small left pleural effusions, both increased since ___. Persistent consolidation at the right lung base, which developed between ___, ___ and ___, persistent, could be pneumonia. Heart size is top normal. No pneumothorax. Feeding tube ends in the stomach.","Moderate right and small left pleural effusions, both increased since ___.",pleural effusions,right,Worse,['files/p13/p13571108/s56217740/65cbc543-f6cef27d-ecffe71b-7a1cab1e-28e47ee2.jpg'],"['files/p13/p13571108/s54975015/07623786-8bfec10d-aa286291-61fe86d0-f9371a45.jpg\n', 'files/p13/p13571108/s54975015/c17d8e88-625a9c75-18f1925a-a3ba291b-a309ebb3.jpg\n', 'files/p13/p13571108/s54975015/efd6cb09-2f2d04d4-41f75c29-c95e86ac-5aba4006.jpg\n']"
s56217740_6,p13571108,s56217740,6,Impression,"Moderate right and small left pleural effusions, both increased since ___. Persistent consolidation at the right lung base, which developed between ___, ___ and ___, persistent, could be pneumonia. Heart size is top normal. No pneumothorax. Feeding tube ends in the stomach.","Moderate right and small left pleural effusions, both increased since ___.",pleural effusions,left,Worse,['files/p13/p13571108/s56217740/65cbc543-f6cef27d-ecffe71b-7a1cab1e-28e47ee2.jpg'],"['files/p13/p13571108/s54975015/07623786-8bfec10d-aa286291-61fe86d0-f9371a45.jpg\n', 'files/p13/p13571108/s54975015/c17d8e88-625a9c75-18f1925a-a3ba291b-a309ebb3.jpg\n', 'files/p13/p13571108/s54975015/efd6cb09-2f2d04d4-41f75c29-c95e86ac-5aba4006.jpg\n']"
s56219888_3,p11287042,s56219888,3,Impression,Heart size and mediastinum are stable. Lungs are clear. Elevated right hemidiaphragm is re- demonstrated as well as calcified mitral anulus. There is no definitive pleural effusion seen and there is no pneumothorax. Prior mediastinal lesions to the as seen on the previous chest CT are not clearly seen on the current examination,Heart size and mediastinum are stable,heart size and mediastinum,,Stable,"['files/p11/p11287042/s56219888/579d3a5f-1e6911b4-307a3da3-6a8c84c8-27cfb985.jpg', 'files/p11/p11287042/s56219888/58a552fb-7fb1145c-d82ff0eb-3efacd83-c20fb38f.jpg']",['files/p11/p11287042/s54197597/b8084cc6-129daa21-5e7278cf-1038961e-a964e354.jpg\n']
s56219888_3,p11287042,s56219888,3,Impression,Heart size and mediastinum are stable. Lungs are clear. Elevated right hemidiaphragm is re- demonstrated as well as calcified mitral anulus. There is no definitive pleural effusion seen and there is no pneumothorax. Prior mediastinal lesions to the as seen on the previous chest CT are not clearly seen on the current examination,Elevated right hemidiaphragm is re- demonstrated as well as calcified mitral anulus,hemidiaphragm,right,Worse,"['files/p11/p11287042/s56219888/579d3a5f-1e6911b4-307a3da3-6a8c84c8-27cfb985.jpg', 'files/p11/p11287042/s56219888/58a552fb-7fb1145c-d82ff0eb-3efacd83-c20fb38f.jpg']",['files/p11/p11287042/s54197597/b8084cc6-129daa21-5e7278cf-1038961e-a964e354.jpg\n']
s56219888_3,p11287042,s56219888,3,Impression,Heart size and mediastinum are stable. Lungs are clear. Elevated right hemidiaphragm is re- demonstrated as well as calcified mitral anulus. There is no definitive pleural effusion seen and there is no pneumothorax. Prior mediastinal lesions to the as seen on the previous chest CT are not clearly seen on the current examination,Prior mediastinal lesions to the as seen on the previous chest CT are not clearly seen on the current examination,lesions,mediastinal,Stable,"['files/p11/p11287042/s56219888/579d3a5f-1e6911b4-307a3da3-6a8c84c8-27cfb985.jpg', 'files/p11/p11287042/s56219888/58a552fb-7fb1145c-d82ff0eb-3efacd83-c20fb38f.jpg']",['files/p11/p11287042/s54197597/b8084cc6-129daa21-5e7278cf-1038961e-a964e354.jpg\n']
s56226668_2,p10199765,s56226668,2,Impression,No relevant change as compared to the previous image. Moderate cardiomegaly. Mild central enlargement of the pulmonary arteries. No pleural effusions. No parenchymal opacities. No pneumothorax.,No relevant change as compared to the previous image.,,,Stable,['files/p10/p10199765/s56226668/53875428-43e38b4f-4474877c-8f58e8c1-9a189004.jpg'],"['files/p10/p10199765/s51438218/121773ed-56eae249-ca58c72b-26c66aae-88b837e5.jpg\n', 'files/p10/p10199765/s51438218/9203c21e-1b06abe0-e6fadf69-3d70d893-249f5a2b.jpg\n', 'files/p10/p10199765/s51438218/d389daad-dc012836-92c88796-2f212d75-88cdebf1.jpg\n']"
s56246644_21,p17559288,s56246644,21,Findings,"Since the prior examination there is little relevant change. A small to moderate right apical pneumothorax is unchanged. There is no evidence of tension. A right chest tube is in standard unchanged position. A right subclavian approach central venous catheter tip projects in the cavoatrial junction. An enteric feeding tube courses below the diaphragm out of field of view. There is unchanged diffuse asymmetrically distributed parenchymal opacification, compatible with known pneumocystis carinii pneumonia.",A small to moderate right apical pneumothorax is unchanged.,pneumothorax,right apical,Stable,"['files/p17/p17559288/s56246644/23f1864b-dcf3fec5-0cf991ab-bbc31dd0-ba40ddfc.jpg', 'files/p17/p17559288/s56246644/cb254c2a-704a6902-121ca734-a8fdc3e1-b5111cb3.jpg']","['files/p17/p17559288/s55553088/5157469a-594f980c-2c516e5d-6ff794c7-969d1854.jpg\n', 'files/p17/p17559288/s55553088/5180cc08-8134a7bf-2748567b-1fcd9fcf-836c902c.jpg\n']"
s56246644_21,p17559288,s56246644,21,Impression,No significant change. Unchanged extent of a small-to-moderate right apical pneumothorax.,No significant change. Unchanged extent of a small-to-moderate right apical pneumothorax.,pneumothorax,right apical,Stable,"['files/p17/p17559288/s56246644/23f1864b-dcf3fec5-0cf991ab-bbc31dd0-ba40ddfc.jpg', 'files/p17/p17559288/s56246644/cb254c2a-704a6902-121ca734-a8fdc3e1-b5111cb3.jpg']","['files/p17/p17559288/s55553088/5157469a-594f980c-2c516e5d-6ff794c7-969d1854.jpg\n', 'files/p17/p17559288/s55553088/5180cc08-8134a7bf-2748567b-1fcd9fcf-836c902c.jpg\n']"
s56246644_21,p17559288,s56246644,21,Findings,"Since the prior examination there is little relevant change. A small to moderate right apical pneumothorax is unchanged. There is no evidence of tension. A right chest tube is in standard unchanged position. A right subclavian approach central venous catheter tip projects in the cavoatrial junction. An enteric feeding tube courses below the diaphragm out of field of view. There is unchanged diffuse asymmetrically distributed parenchymal opacification, compatible with known pneumocystis carinii pneumonia.","There is unchanged diffuse asymmetrically distributed parenchymal opacification, compatible with known pneumocystis carinii pneumonia.",parenchymal opacification,diffuse,Stable,"['files/p17/p17559288/s56246644/23f1864b-dcf3fec5-0cf991ab-bbc31dd0-ba40ddfc.jpg', 'files/p17/p17559288/s56246644/cb254c2a-704a6902-121ca734-a8fdc3e1-b5111cb3.jpg']","['files/p17/p17559288/s55553088/5157469a-594f980c-2c516e5d-6ff794c7-969d1854.jpg\n', 'files/p17/p17559288/s55553088/5180cc08-8134a7bf-2748567b-1fcd9fcf-836c902c.jpg\n']"
s56246644_21,p17559288,s56246644,21,Findings,"Since the prior examination there is little relevant change. A small to moderate right apical pneumothorax is unchanged. There is no evidence of tension. A right chest tube is in standard unchanged position. A right subclavian approach central venous catheter tip projects in the cavoatrial junction. An enteric feeding tube courses below the diaphragm out of field of view. There is unchanged diffuse asymmetrically distributed parenchymal opacification, compatible with known pneumocystis carinii pneumonia.",A right chest tube is in standard unchanged position.,chest tube,right,Stable,"['files/p17/p17559288/s56246644/23f1864b-dcf3fec5-0cf991ab-bbc31dd0-ba40ddfc.jpg', 'files/p17/p17559288/s56246644/cb254c2a-704a6902-121ca734-a8fdc3e1-b5111cb3.jpg']","['files/p17/p17559288/s55553088/5157469a-594f980c-2c516e5d-6ff794c7-969d1854.jpg\n', 'files/p17/p17559288/s55553088/5180cc08-8134a7bf-2748567b-1fcd9fcf-836c902c.jpg\n']"
s56260436_2,p13866250,s56260436,2,Impression,AP chest compared to ___: Small left pleural effusion is new. Lungs are clear. Heart size is normal.,AP chest compared to ___: Small left pleural effusion is new.,pleural effusion,left,New,['files/p13/p13866250/s56260436/78ed0647-df6522bd-879ef182-28259d9d-79106b33.jpg'],"['files/p13/p13866250/s53527138/4d4ef5d7-73e11e7a-6f694ce7-0bb5994b-0d7396b2.jpg\n', 'files/p13/p13866250/s53527138/b8d4de5a-4676a6b1-01f6df7f-f0b072c6-e951dffc.jpg\n']"
s56271118_7,p10337896,s56271118,7,Findings,"There is an ET tube which terminates 3.3 cm above the carina. The right IJ central venous catheter is in stable position with tip projecting over the low SVC. Again seen is an enteric tube with distal tip projecting below the lower limit of film, not visualized. Allowing for changes in differences in rotation, the cardiomediastinal silhouette is unchanged. The bilateral hila are not well visualized. There is again seen pulmonary vascular congestion and moderate pulmonary edema, possibly worsened in the left lung in comparison to prior radiograph. There is stable pleural thickening most notable in the left apex. There are at least small bilateral layering pleural effusions, stable in size. There is unchanged appearance of multiple bilateral calcified lymph nodes as well as pleural and parenchymal calcifications. There is no pneumothorax.",There is unchanged appearance of multiple bilateral calcified lymph nodes as well as pleural and parenchymal calcifications.,pleural and parenchymal calcifications,,Stable,['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg'],"['files/p10/p10337896/s56165736/48cf431a-5b1083d0-c462c8be-aa9fd33a-a36fd88d.jpg\n', 'files/p10/p10337896/s56165736/7fef0afd-85293903-b15562d2-3b827aee-1405b065.jpg\n']"
s56271118_7,p10337896,s56271118,7,Impression,"Moderate pulmonary edema, possibly worse in the left lung most prominently. Otherwise stable chest x-ray.","Moderate pulmonary edema, possibly worse in the left lung most prominently.",moderate pulmonary edema,left lung,Worse,['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg'],"['files/p10/p10337896/s56165736/48cf431a-5b1083d0-c462c8be-aa9fd33a-a36fd88d.jpg\n', 'files/p10/p10337896/s56165736/7fef0afd-85293903-b15562d2-3b827aee-1405b065.jpg\n']"
s56271118_7,p10337896,s56271118,7,Impression,"Moderate pulmonary edema, possibly worse in the left lung most prominently. Otherwise stable chest x-ray.",Otherwise stable chest x-ray.,chest x-ray,,Stable,['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg'],"['files/p10/p10337896/s56165736/48cf431a-5b1083d0-c462c8be-aa9fd33a-a36fd88d.jpg\n', 'files/p10/p10337896/s56165736/7fef0afd-85293903-b15562d2-3b827aee-1405b065.jpg\n']"
s56271118_7,p10337896,s56271118,7,Findings,"There is an ET tube which terminates 3.3 cm above the carina. The right IJ central venous catheter is in stable position with tip projecting over the low SVC. Again seen is an enteric tube with distal tip projecting below the lower limit of film, not visualized. Allowing for changes in differences in rotation, the cardiomediastinal silhouette is unchanged. The bilateral hila are not well visualized. There is again seen pulmonary vascular congestion and moderate pulmonary edema, possibly worsened in the left lung in comparison to prior radiograph. There is stable pleural thickening most notable in the left apex. There are at least small bilateral layering pleural effusions, stable in size. There is unchanged appearance of multiple bilateral calcified lymph nodes as well as pleural and parenchymal calcifications. There is no pneumothorax.",The right IJ central venous catheter is in stable position with tip projecting over the low SVC.,central venous catheter,right IJ,Stable,['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg'],"['files/p10/p10337896/s56165736/48cf431a-5b1083d0-c462c8be-aa9fd33a-a36fd88d.jpg\n', 'files/p10/p10337896/s56165736/7fef0afd-85293903-b15562d2-3b827aee-1405b065.jpg\n']"
s56271118_7,p10337896,s56271118,7,Findings,"There is an ET tube which terminates 3.3 cm above the carina. The right IJ central venous catheter is in stable position with tip projecting over the low SVC. Again seen is an enteric tube with distal tip projecting below the lower limit of film, not visualized. Allowing for changes in differences in rotation, the cardiomediastinal silhouette is unchanged. The bilateral hila are not well visualized. There is again seen pulmonary vascular congestion and moderate pulmonary edema, possibly worsened in the left lung in comparison to prior radiograph. There is stable pleural thickening most notable in the left apex. There are at least small bilateral layering pleural effusions, stable in size. There is unchanged appearance of multiple bilateral calcified lymph nodes as well as pleural and parenchymal calcifications. There is no pneumothorax.","Allowing for changes in differences in rotation, the cardiomediastinal silhouette is unchanged.",cardiomediastinal silhouette,,Stable,['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg'],"['files/p10/p10337896/s56165736/48cf431a-5b1083d0-c462c8be-aa9fd33a-a36fd88d.jpg\n', 'files/p10/p10337896/s56165736/7fef0afd-85293903-b15562d2-3b827aee-1405b065.jpg\n']"
s56271118_7,p10337896,s56271118,7,Findings,"There is an ET tube which terminates 3.3 cm above the carina. The right IJ central venous catheter is in stable position with tip projecting over the low SVC. Again seen is an enteric tube with distal tip projecting below the lower limit of film, not visualized. Allowing for changes in differences in rotation, the cardiomediastinal silhouette is unchanged. The bilateral hila are not well visualized. There is again seen pulmonary vascular congestion and moderate pulmonary edema, possibly worsened in the left lung in comparison to prior radiograph. There is stable pleural thickening most notable in the left apex. There are at least small bilateral layering pleural effusions, stable in size. There is unchanged appearance of multiple bilateral calcified lymph nodes as well as pleural and parenchymal calcifications. There is no pneumothorax.","There is again seen pulmonary vascular congestion and moderate pulmonary edema, possibly worsened in the left lung in comparison to prior radiograph.",pulmonary vascular congestion and moderate pulmonary edema,left lung,Worse,['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg'],"['files/p10/p10337896/s56165736/48cf431a-5b1083d0-c462c8be-aa9fd33a-a36fd88d.jpg\n', 'files/p10/p10337896/s56165736/7fef0afd-85293903-b15562d2-3b827aee-1405b065.jpg\n']"
s56271118_7,p10337896,s56271118,7,Findings,"There is an ET tube which terminates 3.3 cm above the carina. The right IJ central venous catheter is in stable position with tip projecting over the low SVC. Again seen is an enteric tube with distal tip projecting below the lower limit of film, not visualized. Allowing for changes in differences in rotation, the cardiomediastinal silhouette is unchanged. The bilateral hila are not well visualized. There is again seen pulmonary vascular congestion and moderate pulmonary edema, possibly worsened in the left lung in comparison to prior radiograph. There is stable pleural thickening most notable in the left apex. There are at least small bilateral layering pleural effusions, stable in size. There is unchanged appearance of multiple bilateral calcified lymph nodes as well as pleural and parenchymal calcifications. There is no pneumothorax.",There is stable pleural thickening most notable in the left apex.,pleural thickening,left apex,Stable,['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg'],"['files/p10/p10337896/s56165736/48cf431a-5b1083d0-c462c8be-aa9fd33a-a36fd88d.jpg\n', 'files/p10/p10337896/s56165736/7fef0afd-85293903-b15562d2-3b827aee-1405b065.jpg\n']"
s56271118_7,p10337896,s56271118,7,Findings,"There is an ET tube which terminates 3.3 cm above the carina. The right IJ central venous catheter is in stable position with tip projecting over the low SVC. Again seen is an enteric tube with distal tip projecting below the lower limit of film, not visualized. Allowing for changes in differences in rotation, the cardiomediastinal silhouette is unchanged. The bilateral hila are not well visualized. There is again seen pulmonary vascular congestion and moderate pulmonary edema, possibly worsened in the left lung in comparison to prior radiograph. There is stable pleural thickening most notable in the left apex. There are at least small bilateral layering pleural effusions, stable in size. There is unchanged appearance of multiple bilateral calcified lymph nodes as well as pleural and parenchymal calcifications. There is no pneumothorax.",There is unchanged appearance of multiple bilateral calcified lymph nodes as well as pleural and parenchymal calcifications.,multiple bilateral calcified lymph nodes,,Stable,['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg'],"['files/p10/p10337896/s56165736/48cf431a-5b1083d0-c462c8be-aa9fd33a-a36fd88d.jpg\n', 'files/p10/p10337896/s56165736/7fef0afd-85293903-b15562d2-3b827aee-1405b065.jpg\n']"
s56271118_7,p10337896,s56271118,7,Findings,"There is an ET tube which terminates 3.3 cm above the carina. The right IJ central venous catheter is in stable position with tip projecting over the low SVC. Again seen is an enteric tube with distal tip projecting below the lower limit of film, not visualized. Allowing for changes in differences in rotation, the cardiomediastinal silhouette is unchanged. The bilateral hila are not well visualized. There is again seen pulmonary vascular congestion and moderate pulmonary edema, possibly worsened in the left lung in comparison to prior radiograph. There is stable pleural thickening most notable in the left apex. There are at least small bilateral layering pleural effusions, stable in size. There is unchanged appearance of multiple bilateral calcified lymph nodes as well as pleural and parenchymal calcifications. There is no pneumothorax.","There are at least small bilateral layering pleural effusions, stable in size.",small bilateral layering pleural effusions,,Stable,['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg'],"['files/p10/p10337896/s56165736/48cf431a-5b1083d0-c462c8be-aa9fd33a-a36fd88d.jpg\n', 'files/p10/p10337896/s56165736/7fef0afd-85293903-b15562d2-3b827aee-1405b065.jpg\n']"
s56271118_7,p10337896,s56271118,7,Findings,"There is an ET tube which terminates 3.3 cm above the carina. The right IJ central venous catheter is in stable position with tip projecting over the low SVC. Again seen is an enteric tube with distal tip projecting below the lower limit of film, not visualized. Allowing for changes in differences in rotation, the cardiomediastinal silhouette is unchanged. The bilateral hila are not well visualized. There is again seen pulmonary vascular congestion and moderate pulmonary edema, possibly worsened in the left lung in comparison to prior radiograph. There is stable pleural thickening most notable in the left apex. There are at least small bilateral layering pleural effusions, stable in size. There is unchanged appearance of multiple bilateral calcified lymph nodes as well as pleural and parenchymal calcifications. There is no pneumothorax.","Again seen is an enteric tube with distal tip projecting below the lower limit of film, not visualized.",enteric tube,,Stable,['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg'],"['files/p10/p10337896/s56165736/48cf431a-5b1083d0-c462c8be-aa9fd33a-a36fd88d.jpg\n', 'files/p10/p10337896/s56165736/7fef0afd-85293903-b15562d2-3b827aee-1405b065.jpg\n']"
s56279753_3,p18373333,s56279753,3,Impression,"As compared to the previous radiograph, the signs of interstitial lung edema have decreased in extent and severity but continue to be clearly visible. Mild cardiomegaly persists. No pleural effusions. No new focal parenchymal opacities.","As compared to the previous radiograph, the signs of interstitial lung edema have decreased in extent and severity but continue to be clearly visible.",signs of interstitial lung edema,,Better,['files/p18/p18373333/s56279753/2c4551ac-f33843fc-07abff12-2c11868b-b5674eea.jpg'],['files/p18/p18373333/s52931972/f476d858-db17c76e-3282dfa8-d9202f8a-764adcbd.jpg\n']
s56279753_3,p18373333,s56279753,3,Impression,"As compared to the previous radiograph, the signs of interstitial lung edema have decreased in extent and severity but continue to be clearly visible. Mild cardiomegaly persists. No pleural effusions. No new focal parenchymal opacities.",Mild cardiomegaly persists.,Mild cardiomegaly,,Stable,['files/p18/p18373333/s56279753/2c4551ac-f33843fc-07abff12-2c11868b-b5674eea.jpg'],['files/p18/p18373333/s52931972/f476d858-db17c76e-3282dfa8-d9202f8a-764adcbd.jpg\n']
s56285032_0,p17055995,s56285032,0,Findings,"Cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. A 5-mm calcified nodule projecting over the right lower lung field is unchanged, compatible with a granuloma. The lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is present. Cervical spinal fusion hardware is noted. There is diffuse gaseous distention of the colonic loops of bowel within the upper abdomen.","A 5-mm calcified nodule projecting over the right lower lung field is unchanged, compatible with a granuloma.",calcified nodule,right lower lung field,Stable,"['files/p17/p17055995/s56285032/3f8cc507-ca77e676-30fe438e-cee4bdae-7e09709e.jpg', 'files/p17/p17055995/s56285032/45cbf41b-9e484305-b9f7cb3b-331ed033-9a492278.jpg', 'files/p17/p17055995/s56285032/665d7742-d067640a-b25afbd2-fcb01db1-b6d6e7c9.jpg']",['files/p17/p17055995/s55954897/40b1972f-2f6feba2-c5ac00f1-9149a247-96ff94e9.jpg\n']
s56299234_3,p13565877,s56299234,3,Impression,1. Bilateral calcified pleural plaques compatible with prior asbestos exposure. 2. Low lung volumes with probable bibasilar atelectasis and possible mild pulmonary vascular congestion. Blunting of the right costophrenic angle suggests a trace pleural effusion.,1. Bilateral calcified pleural plaques compatible with prior asbestos exposure.,calcified pleural plaques,bilateral,Stable,"['files/p13/p13565877/s56299234/0c59944b-dbd8302b-4562d004-5868ec7a-d84395ad.jpg', 'files/p13/p13565877/s56299234/9c4f1537-be70f317-6f6e0f3d-5a469592-c26e0b88.jpg']",['files/p13/p13565877/s55895988/0eca4744-28e28df7-0a6c3a98-dee33b2a-4041ba77.jpg\n']
s56299234_3,p13565877,s56299234,3,Findings,"Lung volumes are lower compared to the prior study. This accentuates the size of the cardiac silhouette which is likely mildly enlarged. The aorta is slightly tortuous. There is crowding of the bronchovascular structures, with mild possible mild pulmonary vascular engorgement likely present. Diffuse calcified pleural plaques limits assessment of the pulmonary parenchyma. There are likely patchy opacities in the lung bases reflective of atelectasis. Minimal blunting of the right costophrenic angle appears new compared to the prior study and may be due to a small pleural effusion. No pneumothorax is identified. No acute osseous abnormalities seen.",Lung volumes are lower compared to the prior study.,volumes,Lung,Worse,"['files/p13/p13565877/s56299234/0c59944b-dbd8302b-4562d004-5868ec7a-d84395ad.jpg', 'files/p13/p13565877/s56299234/9c4f1537-be70f317-6f6e0f3d-5a469592-c26e0b88.jpg']",['files/p13/p13565877/s55895988/0eca4744-28e28df7-0a6c3a98-dee33b2a-4041ba77.jpg\n']
s56299234_3,p13565877,s56299234,3,Findings,"Lung volumes are lower compared to the prior study. This accentuates the size of the cardiac silhouette which is likely mildly enlarged. The aorta is slightly tortuous. There is crowding of the bronchovascular structures, with mild possible mild pulmonary vascular engorgement likely present. Diffuse calcified pleural plaques limits assessment of the pulmonary parenchyma. There are likely patchy opacities in the lung bases reflective of atelectasis. Minimal blunting of the right costophrenic angle appears new compared to the prior study and may be due to a small pleural effusion. No pneumothorax is identified. No acute osseous abnormalities seen.",Minimal blunting of the right costophrenic angle appears new compared to the prior study and may be due to a small pleural effusion.,blunting,right costophrenic angle,New,"['files/p13/p13565877/s56299234/0c59944b-dbd8302b-4562d004-5868ec7a-d84395ad.jpg', 'files/p13/p13565877/s56299234/9c4f1537-be70f317-6f6e0f3d-5a469592-c26e0b88.jpg']",['files/p13/p13565877/s55895988/0eca4744-28e28df7-0a6c3a98-dee33b2a-4041ba77.jpg\n']
s56305857_3,p17934731,s56305857,3,Findings,"In comparison with the study of ___, there is no change in the appearance of the heart and lungs and the severe scoliosis of the thoracic spine convexed to the left. Specifically, no evidence of pulmonary metastases.","In comparison with the study of ___, there is no change in the appearance of the heart and lungs and the severe scoliosis of the thoracic spine convexed to the left.",appearance of the heart,,Stable,"['files/p17/p17934731/s56305857/1c493af8-170d3211-d1a0da94-92ced558-f2b893d8.jpg', 'files/p17/p17934731/s56305857/8d3642d4-efc7352b-cad3fe46-94b15206-23bb6f02.jpg', 'files/p17/p17934731/s56305857/b5585a72-4c67e90c-227b0a64-08b8ab8b-428a83f7.jpg']","['files/p17/p17934731/s54981405/62f76a9c-ad970999-824b1a18-304d5277-9d7467ca.jpg\n', 'files/p17/p17934731/s54981405/dbb5d5c8-c8b687af-eb581dc3-69916e4d-16dcdc9e.jpg\n']"
s56305857_3,p17934731,s56305857,3,Findings,"In comparison with the study of ___, there is no change in the appearance of the heart and lungs and the severe scoliosis of the thoracic spine convexed to the left. Specifically, no evidence of pulmonary metastases.","In comparison with the study of ___, there is no change in the appearance of the heart and lungs and the severe scoliosis of the thoracic spine convexed to the left.",severe scoliosis of the thoracic spine convexed to the left,,Stable,"['files/p17/p17934731/s56305857/1c493af8-170d3211-d1a0da94-92ced558-f2b893d8.jpg', 'files/p17/p17934731/s56305857/8d3642d4-efc7352b-cad3fe46-94b15206-23bb6f02.jpg', 'files/p17/p17934731/s56305857/b5585a72-4c67e90c-227b0a64-08b8ab8b-428a83f7.jpg']","['files/p17/p17934731/s54981405/62f76a9c-ad970999-824b1a18-304d5277-9d7467ca.jpg\n', 'files/p17/p17934731/s54981405/dbb5d5c8-c8b687af-eb581dc3-69916e4d-16dcdc9e.jpg\n']"
s56305857_3,p17934731,s56305857,3,Findings,"In comparison with the study of ___, there is no change in the appearance of the heart and lungs and the severe scoliosis of the thoracic spine convexed to the left. Specifically, no evidence of pulmonary metastases.","In comparison with the study of ___, there is no change in the appearance of the heart and lungs and the severe scoliosis of the thoracic spine convexed to the left.",appearance of the lungs,,Stable,"['files/p17/p17934731/s56305857/1c493af8-170d3211-d1a0da94-92ced558-f2b893d8.jpg', 'files/p17/p17934731/s56305857/8d3642d4-efc7352b-cad3fe46-94b15206-23bb6f02.jpg', 'files/p17/p17934731/s56305857/b5585a72-4c67e90c-227b0a64-08b8ab8b-428a83f7.jpg']","['files/p17/p17934731/s54981405/62f76a9c-ad970999-824b1a18-304d5277-9d7467ca.jpg\n', 'files/p17/p17934731/s54981405/dbb5d5c8-c8b687af-eb581dc3-69916e4d-16dcdc9e.jpg\n']"
s56316715_51,p11717909,s56316715,51,Impression,Tip of intra-aortic balloon pump terminates 3 cm below the superior aspect of the aortic knob. Cardiomediastinal contours are stable. Heterogeneous bilateral lung opacities with nodular component are not appreciably changed in likely relate to history of multifocal infection.,Heterogeneous bilateral lung opacities with nodular component are not appreciably changed in likely relate to history of multifocal infection.,lung opacities with nodular component,bilateral,Stable,['files/p11/p11717909/s56316715/c5987359-2e90a885-b3394108-de36dfa8-bd5bd43f.jpg'],['files/p11/p11717909/s56279353/072f7231-5cf47203-6fd7994e-ed9b5111-008da8c6.jpg\n']
s56316715_51,p11717909,s56316715,51,Impression,Tip of intra-aortic balloon pump terminates 3 cm below the superior aspect of the aortic knob. Cardiomediastinal contours are stable. Heterogeneous bilateral lung opacities with nodular component are not appreciably changed in likely relate to history of multifocal infection.,Cardiomediastinal contours are stable.,Cardiomediastinal contours,,Stable,['files/p11/p11717909/s56316715/c5987359-2e90a885-b3394108-de36dfa8-bd5bd43f.jpg'],['files/p11/p11717909/s56279353/072f7231-5cf47203-6fd7994e-ed9b5111-008da8c6.jpg\n']
s56325235_28,p19358609,s56325235,28,Impression,ET tube tip points toward the left main bronchus and should be pulled back at least 3 cm. Heart size and mediastinum are stable. Bilateral pleural effusions and bibasal consolidations are extensive but unchanged as compared to the previous study.,Bilateral pleural effusions and bibasal consolidations are extensive but unchanged as compared to the previous study.,consolidations,bibasal,Stable,['files/p19/p19358609/s56325235/2fed9c2c-64914c97-cb9d127e-7724fdc3-079b6dc1.jpg'],"['files/p19/p19358609/s56123546/91fea541-2ff9fb67-de3c9030-f50c3461-543cecac.jpg\n', 'files/p19/p19358609/s56123546/decdc463-6f228ca4-8bdbb0b4-6221f361-a50531bb.jpg\n']"
s56325235_28,p19358609,s56325235,28,Impression,ET tube tip points toward the left main bronchus and should be pulled back at least 3 cm. Heart size and mediastinum are stable. Bilateral pleural effusions and bibasal consolidations are extensive but unchanged as compared to the previous study.,Heart size and mediastinum are stable.,condition,mediastinum,Stable,['files/p19/p19358609/s56325235/2fed9c2c-64914c97-cb9d127e-7724fdc3-079b6dc1.jpg'],"['files/p19/p19358609/s56123546/91fea541-2ff9fb67-de3c9030-f50c3461-543cecac.jpg\n', 'files/p19/p19358609/s56123546/decdc463-6f228ca4-8bdbb0b4-6221f361-a50531bb.jpg\n']"
s56325235_28,p19358609,s56325235,28,Impression,ET tube tip points toward the left main bronchus and should be pulled back at least 3 cm. Heart size and mediastinum are stable. Bilateral pleural effusions and bibasal consolidations are extensive but unchanged as compared to the previous study.,Bilateral pleural effusions and bibasal consolidations are extensive but unchanged as compared to the previous study.,pleural effusions,bilateral,Stable,['files/p19/p19358609/s56325235/2fed9c2c-64914c97-cb9d127e-7724fdc3-079b6dc1.jpg'],"['files/p19/p19358609/s56123546/91fea541-2ff9fb67-de3c9030-f50c3461-543cecac.jpg\n', 'files/p19/p19358609/s56123546/decdc463-6f228ca4-8bdbb0b4-6221f361-a50531bb.jpg\n']"
s56325235_28,p19358609,s56325235,28,Impression,ET tube tip points toward the left main bronchus and should be pulled back at least 3 cm. Heart size and mediastinum are stable. Bilateral pleural effusions and bibasal consolidations are extensive but unchanged as compared to the previous study.,Heart size and mediastinum are stable.,size,heart,Stable,['files/p19/p19358609/s56325235/2fed9c2c-64914c97-cb9d127e-7724fdc3-079b6dc1.jpg'],"['files/p19/p19358609/s56123546/91fea541-2ff9fb67-de3c9030-f50c3461-543cecac.jpg\n', 'files/p19/p19358609/s56123546/decdc463-6f228ca4-8bdbb0b4-6221f361-a50531bb.jpg\n']"
s56329890_8,p10337896,s56329890,8,Impression,1. Enteric tube with side port projecting above the GE junction. ___ require advancement. Otherwise stable support structures. 2. Unchanged lung parenchyma and stable small bilateral layering pleural effusions.,2. Unchanged lung parenchyma and stable small bilateral layering pleural effusions.,lung parenchyma,,Stable,"['files/p10/p10337896/s56329890/4bfa0065-4e743c19-876b8f5d-7295f3b5-a37cc274.jpg', 'files/p10/p10337896/s56329890/7a04d256-8236b272-b4ccee81-b556f1dd-9df7b98a.jpg']",['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg\n']
s56329890_8,p10337896,s56329890,8,Findings,"ET tube is seen in stable position 3.7 cm above the carina. Right IJ central venous catheter is in stable position projecting over the mid to lower SVC. Enteric tube is again seen coursing inferiorly with distal tip projecting approximately over the stomach, however side port is most likely above the GE junction, in comparison to prior radiograph. The cardiomediastinal silhouette is unchanged in appearance. The bilateral hila are not well seen. There is unchanged appearance of the bilateral lung parenchyma, with pulmonary vascular congestion and moderate pulmonary edema. There are unchanged small bilateral layering pleural effusions. There are stable multiple bilateral calcified lymph nodes, pleural and parenchymal calcifications. There is no pneumothorax.",There are unchanged small bilateral layering pleural effusions.,small bilateral layering pleural effusions,,Stable,"['files/p10/p10337896/s56329890/4bfa0065-4e743c19-876b8f5d-7295f3b5-a37cc274.jpg', 'files/p10/p10337896/s56329890/7a04d256-8236b272-b4ccee81-b556f1dd-9df7b98a.jpg']",['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg\n']
s56329890_8,p10337896,s56329890,8,Impression,1. Enteric tube with side port projecting above the GE junction. ___ require advancement. Otherwise stable support structures. 2. Unchanged lung parenchyma and stable small bilateral layering pleural effusions.,Otherwise stable support structures.,support structures,,Stable,"['files/p10/p10337896/s56329890/4bfa0065-4e743c19-876b8f5d-7295f3b5-a37cc274.jpg', 'files/p10/p10337896/s56329890/7a04d256-8236b272-b4ccee81-b556f1dd-9df7b98a.jpg']",['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg\n']
s56329890_8,p10337896,s56329890,8,Findings,"ET tube is seen in stable position 3.7 cm above the carina. Right IJ central venous catheter is in stable position projecting over the mid to lower SVC. Enteric tube is again seen coursing inferiorly with distal tip projecting approximately over the stomach, however side port is most likely above the GE junction, in comparison to prior radiograph. The cardiomediastinal silhouette is unchanged in appearance. The bilateral hila are not well seen. There is unchanged appearance of the bilateral lung parenchyma, with pulmonary vascular congestion and moderate pulmonary edema. There are unchanged small bilateral layering pleural effusions. There are stable multiple bilateral calcified lymph nodes, pleural and parenchymal calcifications. There is no pneumothorax.","There are stable multiple bilateral calcified lymph nodes, pleural and parenchymal calcifications.",pleural and parenchymal calcifications,,Stable,"['files/p10/p10337896/s56329890/4bfa0065-4e743c19-876b8f5d-7295f3b5-a37cc274.jpg', 'files/p10/p10337896/s56329890/7a04d256-8236b272-b4ccee81-b556f1dd-9df7b98a.jpg']",['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg\n']
s56329890_8,p10337896,s56329890,8,Findings,"ET tube is seen in stable position 3.7 cm above the carina. Right IJ central venous catheter is in stable position projecting over the mid to lower SVC. Enteric tube is again seen coursing inferiorly with distal tip projecting approximately over the stomach, however side port is most likely above the GE junction, in comparison to prior radiograph. The cardiomediastinal silhouette is unchanged in appearance. The bilateral hila are not well seen. There is unchanged appearance of the bilateral lung parenchyma, with pulmonary vascular congestion and moderate pulmonary edema. There are unchanged small bilateral layering pleural effusions. There are stable multiple bilateral calcified lymph nodes, pleural and parenchymal calcifications. There is no pneumothorax.","There are stable multiple bilateral calcified lymph nodes, pleural and parenchymal calcifications.",multiple bilateral calcified lymph nodes,,Stable,"['files/p10/p10337896/s56329890/4bfa0065-4e743c19-876b8f5d-7295f3b5-a37cc274.jpg', 'files/p10/p10337896/s56329890/7a04d256-8236b272-b4ccee81-b556f1dd-9df7b98a.jpg']",['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg\n']
s56329890_8,p10337896,s56329890,8,Impression,1. Enteric tube with side port projecting above the GE junction. ___ require advancement. Otherwise stable support structures. 2. Unchanged lung parenchyma and stable small bilateral layering pleural effusions.,2. Unchanged lung parenchyma and stable small bilateral layering pleural effusions.,small bilateral layering pleural effusions,,Stable,"['files/p10/p10337896/s56329890/4bfa0065-4e743c19-876b8f5d-7295f3b5-a37cc274.jpg', 'files/p10/p10337896/s56329890/7a04d256-8236b272-b4ccee81-b556f1dd-9df7b98a.jpg']",['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg\n']
s56329890_8,p10337896,s56329890,8,Findings,"ET tube is seen in stable position 3.7 cm above the carina. Right IJ central venous catheter is in stable position projecting over the mid to lower SVC. Enteric tube is again seen coursing inferiorly with distal tip projecting approximately over the stomach, however side port is most likely above the GE junction, in comparison to prior radiograph. The cardiomediastinal silhouette is unchanged in appearance. The bilateral hila are not well seen. There is unchanged appearance of the bilateral lung parenchyma, with pulmonary vascular congestion and moderate pulmonary edema. There are unchanged small bilateral layering pleural effusions. There are stable multiple bilateral calcified lymph nodes, pleural and parenchymal calcifications. There is no pneumothorax.","There is unchanged appearance of the bilateral lung parenchyma, with pulmonary vascular congestion and moderate pulmonary edema.",pulmonary vascular congestion and moderate pulmonary edema,,Stable,"['files/p10/p10337896/s56329890/4bfa0065-4e743c19-876b8f5d-7295f3b5-a37cc274.jpg', 'files/p10/p10337896/s56329890/7a04d256-8236b272-b4ccee81-b556f1dd-9df7b98a.jpg']",['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg\n']
s56329890_8,p10337896,s56329890,8,Findings,"ET tube is seen in stable position 3.7 cm above the carina. Right IJ central venous catheter is in stable position projecting over the mid to lower SVC. Enteric tube is again seen coursing inferiorly with distal tip projecting approximately over the stomach, however side port is most likely above the GE junction, in comparison to prior radiograph. The cardiomediastinal silhouette is unchanged in appearance. The bilateral hila are not well seen. There is unchanged appearance of the bilateral lung parenchyma, with pulmonary vascular congestion and moderate pulmonary edema. There are unchanged small bilateral layering pleural effusions. There are stable multiple bilateral calcified lymph nodes, pleural and parenchymal calcifications. There is no pneumothorax.",The cardiomediastinal silhouette is unchanged in appearance.,cardiomediastinal silhouette,,Stable,"['files/p10/p10337896/s56329890/4bfa0065-4e743c19-876b8f5d-7295f3b5-a37cc274.jpg', 'files/p10/p10337896/s56329890/7a04d256-8236b272-b4ccee81-b556f1dd-9df7b98a.jpg']",['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg\n']
s56329890_8,p10337896,s56329890,8,Findings,"ET tube is seen in stable position 3.7 cm above the carina. Right IJ central venous catheter is in stable position projecting over the mid to lower SVC. Enteric tube is again seen coursing inferiorly with distal tip projecting approximately over the stomach, however side port is most likely above the GE junction, in comparison to prior radiograph. The cardiomediastinal silhouette is unchanged in appearance. The bilateral hila are not well seen. There is unchanged appearance of the bilateral lung parenchyma, with pulmonary vascular congestion and moderate pulmonary edema. There are unchanged small bilateral layering pleural effusions. There are stable multiple bilateral calcified lymph nodes, pleural and parenchymal calcifications. There is no pneumothorax.","Enteric tube is again seen coursing inferiorly with distal tip projecting approximately over the stomach, however side port is most likely above the GE junction, in comparison to prior radiograph.",enteric tube,,Stable,"['files/p10/p10337896/s56329890/4bfa0065-4e743c19-876b8f5d-7295f3b5-a37cc274.jpg', 'files/p10/p10337896/s56329890/7a04d256-8236b272-b4ccee81-b556f1dd-9df7b98a.jpg']",['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg\n']
s56329890_8,p10337896,s56329890,8,Findings,"ET tube is seen in stable position 3.7 cm above the carina. Right IJ central venous catheter is in stable position projecting over the mid to lower SVC. Enteric tube is again seen coursing inferiorly with distal tip projecting approximately over the stomach, however side port is most likely above the GE junction, in comparison to prior radiograph. The cardiomediastinal silhouette is unchanged in appearance. The bilateral hila are not well seen. There is unchanged appearance of the bilateral lung parenchyma, with pulmonary vascular congestion and moderate pulmonary edema. There are unchanged small bilateral layering pleural effusions. There are stable multiple bilateral calcified lymph nodes, pleural and parenchymal calcifications. There is no pneumothorax.",Right IJ central venous catheter is in stable position projecting over the mid to lower SVC.,central venous catheter,right IJ,Stable,"['files/p10/p10337896/s56329890/4bfa0065-4e743c19-876b8f5d-7295f3b5-a37cc274.jpg', 'files/p10/p10337896/s56329890/7a04d256-8236b272-b4ccee81-b556f1dd-9df7b98a.jpg']",['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg\n']
s56329890_8,p10337896,s56329890,8,Findings,"ET tube is seen in stable position 3.7 cm above the carina. Right IJ central venous catheter is in stable position projecting over the mid to lower SVC. Enteric tube is again seen coursing inferiorly with distal tip projecting approximately over the stomach, however side port is most likely above the GE junction, in comparison to prior radiograph. The cardiomediastinal silhouette is unchanged in appearance. The bilateral hila are not well seen. There is unchanged appearance of the bilateral lung parenchyma, with pulmonary vascular congestion and moderate pulmonary edema. There are unchanged small bilateral layering pleural effusions. There are stable multiple bilateral calcified lymph nodes, pleural and parenchymal calcifications. There is no pneumothorax.",ET tube is seen in stable position 3.7 cm above the carina.,ET tube,,Stable,"['files/p10/p10337896/s56329890/4bfa0065-4e743c19-876b8f5d-7295f3b5-a37cc274.jpg', 'files/p10/p10337896/s56329890/7a04d256-8236b272-b4ccee81-b556f1dd-9df7b98a.jpg']",['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg\n']
s56329890_8,p10337896,s56329890,8,Findings,"ET tube is seen in stable position 3.7 cm above the carina. Right IJ central venous catheter is in stable position projecting over the mid to lower SVC. Enteric tube is again seen coursing inferiorly with distal tip projecting approximately over the stomach, however side port is most likely above the GE junction, in comparison to prior radiograph. The cardiomediastinal silhouette is unchanged in appearance. The bilateral hila are not well seen. There is unchanged appearance of the bilateral lung parenchyma, with pulmonary vascular congestion and moderate pulmonary edema. There are unchanged small bilateral layering pleural effusions. There are stable multiple bilateral calcified lymph nodes, pleural and parenchymal calcifications. There is no pneumothorax.","There is unchanged appearance of the bilateral lung parenchyma, with pulmonary vascular congestion and moderate pulmonary edema.",bilateral lung parenchyma,,Stable,"['files/p10/p10337896/s56329890/4bfa0065-4e743c19-876b8f5d-7295f3b5-a37cc274.jpg', 'files/p10/p10337896/s56329890/7a04d256-8236b272-b4ccee81-b556f1dd-9df7b98a.jpg']",['files/p10/p10337896/s56271118/c81c9275-d9fbf1b0-d61f3278-28a1d56b-6fc5dec5.jpg\n']
s56336499_25,p17559288,s56336499,25,Impression,1. Worsening diffuse parenchymal opacities in the lungs concerning for worsening PCP. More focal consolidation in the right lung base may represent a secondary pneumonic process. 2. Previously noted small right apical pneumothorax is not visualized on the current exam.,Worsening diffuse parenchymal opacities in the lungs concerning for worsening PCP. More focal consolidation in the right lung base may represent a secondary pneumonic process.,consolidation,right lung base,Worse,['files/p17/p17559288/s56336499/7438cd11-ca6cba83-c3d0b14e-b4f04d84-cdd824b4.jpg'],"['files/p17/p17559288/s56246644/23f1864b-dcf3fec5-0cf991ab-bbc31dd0-ba40ddfc.jpg\n', 'files/p17/p17559288/s56246644/cb254c2a-704a6902-121ca734-a8fdc3e1-b5111cb3.jpg\n']"
s56336499_25,p17559288,s56336499,25,Findings,"Previously noted right apical pneumothorax is not visualized on the current study. The left PICC tip remains in unchanged position within the upper SVC. Heart size is normal. Aortic knob calcifications are again noted. Worsening parenchymal opacities are demonstrated in both lungs, with more focal consolidative opacity in the right lung base. No pleural effusion is identified. There are no acute osseous abnormalities.",Previously noted right apical pneumothorax is not visualized on the current study.,pneumothorax,right apical,Resolve,['files/p17/p17559288/s56336499/7438cd11-ca6cba83-c3d0b14e-b4f04d84-cdd824b4.jpg'],"['files/p17/p17559288/s56246644/23f1864b-dcf3fec5-0cf991ab-bbc31dd0-ba40ddfc.jpg\n', 'files/p17/p17559288/s56246644/cb254c2a-704a6902-121ca734-a8fdc3e1-b5111cb3.jpg\n']"
s56336499_25,p17559288,s56336499,25,Findings,"Previously noted right apical pneumothorax is not visualized on the current study. The left PICC tip remains in unchanged position within the upper SVC. Heart size is normal. Aortic knob calcifications are again noted. Worsening parenchymal opacities are demonstrated in both lungs, with more focal consolidative opacity in the right lung base. No pleural effusion is identified. There are no acute osseous abnormalities.","Worsening parenchymal opacities are demonstrated in both lungs, with more focal consolidative opacity in the right lung base.",consolidative opacity,right lung base,Worse,['files/p17/p17559288/s56336499/7438cd11-ca6cba83-c3d0b14e-b4f04d84-cdd824b4.jpg'],"['files/p17/p17559288/s56246644/23f1864b-dcf3fec5-0cf991ab-bbc31dd0-ba40ddfc.jpg\n', 'files/p17/p17559288/s56246644/cb254c2a-704a6902-121ca734-a8fdc3e1-b5111cb3.jpg\n']"
s56336499_25,p17559288,s56336499,25,Findings,"Previously noted right apical pneumothorax is not visualized on the current study. The left PICC tip remains in unchanged position within the upper SVC. Heart size is normal. Aortic knob calcifications are again noted. Worsening parenchymal opacities are demonstrated in both lungs, with more focal consolidative opacity in the right lung base. No pleural effusion is identified. There are no acute osseous abnormalities.","Worsening parenchymal opacities are demonstrated in both lungs, with more focal consolidative opacity in the right lung base.",parenchymal opacities,both lungs,Worse,['files/p17/p17559288/s56336499/7438cd11-ca6cba83-c3d0b14e-b4f04d84-cdd824b4.jpg'],"['files/p17/p17559288/s56246644/23f1864b-dcf3fec5-0cf991ab-bbc31dd0-ba40ddfc.jpg\n', 'files/p17/p17559288/s56246644/cb254c2a-704a6902-121ca734-a8fdc3e1-b5111cb3.jpg\n']"
s56336499_25,p17559288,s56336499,25,Impression,1. Worsening diffuse parenchymal opacities in the lungs concerning for worsening PCP. More focal consolidation in the right lung base may represent a secondary pneumonic process. 2. Previously noted small right apical pneumothorax is not visualized on the current exam.,Worsening diffuse parenchymal opacities in the lungs concerning for worsening PCP. More focal consolidation in the right lung base may represent a secondary pneumonic process.,parenchymal opacities,lungs,Worse,['files/p17/p17559288/s56336499/7438cd11-ca6cba83-c3d0b14e-b4f04d84-cdd824b4.jpg'],"['files/p17/p17559288/s56246644/23f1864b-dcf3fec5-0cf991ab-bbc31dd0-ba40ddfc.jpg\n', 'files/p17/p17559288/s56246644/cb254c2a-704a6902-121ca734-a8fdc3e1-b5111cb3.jpg\n']"
s56336499_25,p17559288,s56336499,25,Impression,1. Worsening diffuse parenchymal opacities in the lungs concerning for worsening PCP. More focal consolidation in the right lung base may represent a secondary pneumonic process. 2. Previously noted small right apical pneumothorax is not visualized on the current exam.,Previously noted small right apical pneumothorax is not visualized on the current exam.,pneumothorax,right apical,Resolve,['files/p17/p17559288/s56336499/7438cd11-ca6cba83-c3d0b14e-b4f04d84-cdd824b4.jpg'],"['files/p17/p17559288/s56246644/23f1864b-dcf3fec5-0cf991ab-bbc31dd0-ba40ddfc.jpg\n', 'files/p17/p17559288/s56246644/cb254c2a-704a6902-121ca734-a8fdc3e1-b5111cb3.jpg\n']"
s56336499_25,p17559288,s56336499,25,Findings,"Previously noted right apical pneumothorax is not visualized on the current study. The left PICC tip remains in unchanged position within the upper SVC. Heart size is normal. Aortic knob calcifications are again noted. Worsening parenchymal opacities are demonstrated in both lungs, with more focal consolidative opacity in the right lung base. No pleural effusion is identified. There are no acute osseous abnormalities.",The left PICC tip remains in unchanged position within the upper SVC.,left PICC tip position,upper SVC,Stable,['files/p17/p17559288/s56336499/7438cd11-ca6cba83-c3d0b14e-b4f04d84-cdd824b4.jpg'],"['files/p17/p17559288/s56246644/23f1864b-dcf3fec5-0cf991ab-bbc31dd0-ba40ddfc.jpg\n', 'files/p17/p17559288/s56246644/cb254c2a-704a6902-121ca734-a8fdc3e1-b5111cb3.jpg\n']"
s56345686_33,p19358609,s56345686,33,Impression,"Compared to chest radiographs ___ through ___. Greater opacification in the right lower hemi thorax is due to increasing moderate right pleural effusion and probable substantial consolidation or atelectasis in the right lower lobe, both persistent, recurrent problems. Left pleural effusion is small. No pneumothorax. Scarring following left upper thoracoplasty unchanged. Heart size indeterminate. ET tube in standard placement. Nasogastric drainage tube ends in the upper stomach. Right central venous line ends in the low SVC.","Compared to chest radiographs ___ through ___. Greater opacification in the right lower hemi thorax is due to increasing moderate right pleural effusion and probable substantial consolidation or atelectasis in the right lower lobe, both persistent, recurrent problems.",consolidation or atelectasis,right lower lobe,Worse,['files/p19/p19358609/s56345686/2eded953-12e403aa-4515137d-deea45f7-2743ebe9.jpg'],['files/p19/p19358609/s56325235/2fed9c2c-64914c97-cb9d127e-7724fdc3-079b6dc1.jpg\n']
s56345686_33,p19358609,s56345686,33,Impression,"Compared to chest radiographs ___ through ___. Greater opacification in the right lower hemi thorax is due to increasing moderate right pleural effusion and probable substantial consolidation or atelectasis in the right lower lobe, both persistent, recurrent problems. Left pleural effusion is small. No pneumothorax. Scarring following left upper thoracoplasty unchanged. Heart size indeterminate. ET tube in standard placement. Nasogastric drainage tube ends in the upper stomach. Right central venous line ends in the low SVC.","Compared to chest radiographs ___ through ___. Greater opacification in the right lower hemi thorax is due to increasing moderate right pleural effusion and probable substantial consolidation or atelectasis in the right lower lobe, both persistent, recurrent problems.",pleural effusion,right lower hemi thorax,Worse,['files/p19/p19358609/s56345686/2eded953-12e403aa-4515137d-deea45f7-2743ebe9.jpg'],['files/p19/p19358609/s56325235/2fed9c2c-64914c97-cb9d127e-7724fdc3-079b6dc1.jpg\n']
s56345686_33,p19358609,s56345686,33,Impression,"Compared to chest radiographs ___ through ___. Greater opacification in the right lower hemi thorax is due to increasing moderate right pleural effusion and probable substantial consolidation or atelectasis in the right lower lobe, both persistent, recurrent problems. Left pleural effusion is small. No pneumothorax. Scarring following left upper thoracoplasty unchanged. Heart size indeterminate. ET tube in standard placement. Nasogastric drainage tube ends in the upper stomach. Right central venous line ends in the low SVC.",Scarring following left upper thoracoplasty unchanged.,scarring,left upper,Stable,['files/p19/p19358609/s56345686/2eded953-12e403aa-4515137d-deea45f7-2743ebe9.jpg'],['files/p19/p19358609/s56325235/2fed9c2c-64914c97-cb9d127e-7724fdc3-079b6dc1.jpg\n']
s56346242_5,p10773739,s56346242,5,Findings,The left-sided chest tube is been removed. There is a small left apical lateral pneumothorax. The volume loss/a atelectasis/effusion on the left is similar compared to prior Compared to the prior study there is no significant interval change,The left-sided chest tube is been removed.,chest tube,left-sided,Resolve,"['files/p10/p10773739/s56346242/1ded0fc6-dc59870e-c054eea2-5b6cceee-6151983d.jpg', 'files/p10/p10773739/s56346242/fa7b20f1-0fd5ce93-b4aaf450-db44d8ec-8f3df713.jpg']","['files/p10/p10773739/s54534488/b9fdfdc1-42d67c45-63b38c7e-de4fa8e6-5a9cbd11.jpg\n', 'files/p10/p10773739/s54534488/bdf8a413-f48f8e5a-6915b2b1-3bd1bc9e-8540ec99.jpg\n', 'files/p10/p10773739/s54534488/e6f661d0-3ef9f93a-c00603f2-8e7d049d-6a3a0581.jpg\n']"
s56346242_5,p10773739,s56346242,5,Findings,The left-sided chest tube is been removed. There is a small left apical lateral pneumothorax. The volume loss/a atelectasis/effusion on the left is similar compared to prior Compared to the prior study there is no significant interval change,The volume loss/a atelectasis/effusion on the left is similar compared to prior Compared to the prior study there is no significant interval change,volume loss/atelectasis/effusion,left,Stable,"['files/p10/p10773739/s56346242/1ded0fc6-dc59870e-c054eea2-5b6cceee-6151983d.jpg', 'files/p10/p10773739/s56346242/fa7b20f1-0fd5ce93-b4aaf450-db44d8ec-8f3df713.jpg']","['files/p10/p10773739/s54534488/b9fdfdc1-42d67c45-63b38c7e-de4fa8e6-5a9cbd11.jpg\n', 'files/p10/p10773739/s54534488/bdf8a413-f48f8e5a-6915b2b1-3bd1bc9e-8540ec99.jpg\n', 'files/p10/p10773739/s54534488/e6f661d0-3ef9f93a-c00603f2-8e7d049d-6a3a0581.jpg\n']"
s56360523_1,p11068484,s56360523,1,Findings,AP upright and lateral views the chest were provided. Lung volumes are low limiting assessment. Elevation of the right hemidiaphragm is again noted. There is bibasilar atelectasis. Hilar congestion and mild pulmonary edema is noted. No large effusions are seen. Heart size cannot be assessed. Mediastinal contour appears grossly unchanged with atherosclerotic calcifications of the aortic knob. Bony structures are grossly intact.,Elevation of the right hemidiaphragm is again noted.,hemidiaphragm elevation,right,Stable,"['files/p11/p11068484/s56360523/5da374a7-95f81d01-9c2072c5-7a5799b7-2f7164e0.jpg', 'files/p11/p11068484/s56360523/fadc81b1-9ea238c0-58b6e7a8-915e4bbc-34aee7b4.jpg']",['files/p11/p11068484/s55984935/4cac02f5-71a07948-2e40edb0-d546dcad-b3683965.jpg\n']
s56360523_1,p11068484,s56360523,1,Findings,AP upright and lateral views the chest were provided. Lung volumes are low limiting assessment. Elevation of the right hemidiaphragm is again noted. There is bibasilar atelectasis. Hilar congestion and mild pulmonary edema is noted. No large effusions are seen. Heart size cannot be assessed. Mediastinal contour appears grossly unchanged with atherosclerotic calcifications of the aortic knob. Bony structures are grossly intact.,Mediastinal contour appears grossly unchanged with atherosclerotic calcifications of the aortic knob.,Mediastinal contour,,Stable,"['files/p11/p11068484/s56360523/5da374a7-95f81d01-9c2072c5-7a5799b7-2f7164e0.jpg', 'files/p11/p11068484/s56360523/fadc81b1-9ea238c0-58b6e7a8-915e4bbc-34aee7b4.jpg']",['files/p11/p11068484/s55984935/4cac02f5-71a07948-2e40edb0-d546dcad-b3683965.jpg\n']
s56360897_9,p19358609,s56360897,9,Findings,"AP upright and lateral views of the chest were provided. The lungs are hyperinflated with chronic deformity of the left upper hemithorax and rib cage. There are opacities in the lower lungs which raise concern for pneumonia. Underlying scarring is better assessed on the prior CT. The heart size is difficult to assess, though appears grossly stable. The mediastinal contour also is grossly unchanged. Small right pleural effusion is present.","The heart size is difficult to assess, though appears grossly stable.",size,heart,Stable,"['files/p19/p19358609/s56360897/17563248-b5619d12-71d589df-57facf81-8d6a38bc.jpg', 'files/p19/p19358609/s56360897/731ab0b4-e2d74d1d-aa17c85c-e9b48928-13109378.jpg']",['files/p19/p19358609/s56345686/2eded953-12e403aa-4515137d-deea45f7-2743ebe9.jpg\n']
s56360897_9,p19358609,s56360897,9,Findings,"AP upright and lateral views of the chest were provided. The lungs are hyperinflated with chronic deformity of the left upper hemithorax and rib cage. There are opacities in the lower lungs which raise concern for pneumonia. Underlying scarring is better assessed on the prior CT. The heart size is difficult to assess, though appears grossly stable. The mediastinal contour also is grossly unchanged. Small right pleural effusion is present.",The mediastinal contour also is grossly unchanged.,appearance,mediastinal contour,Stable,"['files/p19/p19358609/s56360897/17563248-b5619d12-71d589df-57facf81-8d6a38bc.jpg', 'files/p19/p19358609/s56360897/731ab0b4-e2d74d1d-aa17c85c-e9b48928-13109378.jpg']",['files/p19/p19358609/s56345686/2eded953-12e403aa-4515137d-deea45f7-2743ebe9.jpg\n']
s56377178_5,p13196707,s56377178,5,Findings,The Dobbhoff tube terminates in the stomach. The right IJ central venous catheter terminates in caval atrial junction. Lung volume is small. The right atelectasis and pleural effusion has increased. The left atelectasis is unchanged. The left costophrenic angle is out of view. The lungs are otherwise clear. The cardiac silhouette is enlarged and unchanged. The mediastinum is unchanged.,The right atelectasis and pleural effusion has increased.,pleural effusion,right,Worse,"['files/p13/p13196707/s56377178/73c4f0b3-857d48d6-62f18f50-6000ea9c-43e2d25c.jpg', 'files/p13/p13196707/s56377178/be18562e-74237b2c-c9ebfcb8-ba1b5c02-7b949433.jpg']",['files/p13/p13196707/s55984720/ca7d8827-ea1c412d-b6a0a594-12d32534-52028738.jpg\n']
s56377178_5,p13196707,s56377178,5,Findings,The Dobbhoff tube terminates in the stomach. The right IJ central venous catheter terminates in caval atrial junction. Lung volume is small. The right atelectasis and pleural effusion has increased. The left atelectasis is unchanged. The left costophrenic angle is out of view. The lungs are otherwise clear. The cardiac silhouette is enlarged and unchanged. The mediastinum is unchanged.,The cardiac silhouette is enlarged and unchanged.,cardiac silhouette enlargement,,Stable,"['files/p13/p13196707/s56377178/73c4f0b3-857d48d6-62f18f50-6000ea9c-43e2d25c.jpg', 'files/p13/p13196707/s56377178/be18562e-74237b2c-c9ebfcb8-ba1b5c02-7b949433.jpg']",['files/p13/p13196707/s55984720/ca7d8827-ea1c412d-b6a0a594-12d32534-52028738.jpg\n']
s56377178_5,p13196707,s56377178,5,Findings,The Dobbhoff tube terminates in the stomach. The right IJ central venous catheter terminates in caval atrial junction. Lung volume is small. The right atelectasis and pleural effusion has increased. The left atelectasis is unchanged. The left costophrenic angle is out of view. The lungs are otherwise clear. The cardiac silhouette is enlarged and unchanged. The mediastinum is unchanged.,The right atelectasis and pleural effusion has increased.,atelectasis,right,Worse,"['files/p13/p13196707/s56377178/73c4f0b3-857d48d6-62f18f50-6000ea9c-43e2d25c.jpg', 'files/p13/p13196707/s56377178/be18562e-74237b2c-c9ebfcb8-ba1b5c02-7b949433.jpg']",['files/p13/p13196707/s55984720/ca7d8827-ea1c412d-b6a0a594-12d32534-52028738.jpg\n']
s56377178_5,p13196707,s56377178,5,Findings,The Dobbhoff tube terminates in the stomach. The right IJ central venous catheter terminates in caval atrial junction. Lung volume is small. The right atelectasis and pleural effusion has increased. The left atelectasis is unchanged. The left costophrenic angle is out of view. The lungs are otherwise clear. The cardiac silhouette is enlarged and unchanged. The mediastinum is unchanged.,The mediastinum is unchanged.,mediastinum,,Stable,"['files/p13/p13196707/s56377178/73c4f0b3-857d48d6-62f18f50-6000ea9c-43e2d25c.jpg', 'files/p13/p13196707/s56377178/be18562e-74237b2c-c9ebfcb8-ba1b5c02-7b949433.jpg']",['files/p13/p13196707/s55984720/ca7d8827-ea1c412d-b6a0a594-12d32534-52028738.jpg\n']
s56377178_5,p13196707,s56377178,5,Findings,The Dobbhoff tube terminates in the stomach. The right IJ central venous catheter terminates in caval atrial junction. Lung volume is small. The right atelectasis and pleural effusion has increased. The left atelectasis is unchanged. The left costophrenic angle is out of view. The lungs are otherwise clear. The cardiac silhouette is enlarged and unchanged. The mediastinum is unchanged.,The left atelectasis is unchanged.,atelectasis,left,Stable,"['files/p13/p13196707/s56377178/73c4f0b3-857d48d6-62f18f50-6000ea9c-43e2d25c.jpg', 'files/p13/p13196707/s56377178/be18562e-74237b2c-c9ebfcb8-ba1b5c02-7b949433.jpg']",['files/p13/p13196707/s55984720/ca7d8827-ea1c412d-b6a0a594-12d32534-52028738.jpg\n']
s56377178_5,p13196707,s56377178,5,Impression,1.The Dobbhoff tube terminates in the stomach. 2. Worsening right atelectasis and pleural effusion.,Worsening right atelectasis and pleural effusion.,atelectasis,right,Worse,"['files/p13/p13196707/s56377178/73c4f0b3-857d48d6-62f18f50-6000ea9c-43e2d25c.jpg', 'files/p13/p13196707/s56377178/be18562e-74237b2c-c9ebfcb8-ba1b5c02-7b949433.jpg']",['files/p13/p13196707/s55984720/ca7d8827-ea1c412d-b6a0a594-12d32534-52028738.jpg\n']
s56377178_5,p13196707,s56377178,5,Impression,1.The Dobbhoff tube terminates in the stomach. 2. Worsening right atelectasis and pleural effusion.,Worsening right atelectasis and pleural effusion.,pleural effusion,right,Worse,"['files/p13/p13196707/s56377178/73c4f0b3-857d48d6-62f18f50-6000ea9c-43e2d25c.jpg', 'files/p13/p13196707/s56377178/be18562e-74237b2c-c9ebfcb8-ba1b5c02-7b949433.jpg']",['files/p13/p13196707/s55984720/ca7d8827-ea1c412d-b6a0a594-12d32534-52028738.jpg\n']
s56393323_2,p16034181,s56393323,2,Impression,AP chest compared to ___: Pulmonary and mediastinal vascular engorgement have improved substantially since ___ and pleural effusions have nearly resolved. Residual consolidation in both lower lobes is more pronounced than it was on ___ and therefore might well be pneumonia. Extent of central adenopathy is underestimated by these conventional radiographs. Calcified pleural plaques are visible to some extent. Heart is normal size. Emphysema distorts vascular pattern in the upper lobes. Moderate size hiatus hernia accounts for fluid collection in the lower midline mediastinum.,AP chest compared to ___: Pulmonary and mediastinal vascular engorgement have improved substantially since ___ and pleural effusions have nearly resolved.,pleural effusions,,Resolve,"['files/p16/p16034181/s56393323/6bcf583e-601a494a-f8d72edd-76f3c0b7-1d606076.jpg', 'files/p16/p16034181/s56393323/739fbdc0-688ff77c-e70070b7-1e88db74-4482ae5c.jpg']","['files/p16/p16034181/s53395975/77e5731e-4cd67ee6-56cf33fa-772c6c6b-4e25a333.jpg\n', 'files/p16/p16034181/s53395975/9c83a18d-e7c2386f-1b090c1f-9d7c949f-ded90c8f.jpg\n']"
s56393323_2,p16034181,s56393323,2,Impression,AP chest compared to ___: Pulmonary and mediastinal vascular engorgement have improved substantially since ___ and pleural effusions have nearly resolved. Residual consolidation in both lower lobes is more pronounced than it was on ___ and therefore might well be pneumonia. Extent of central adenopathy is underestimated by these conventional radiographs. Calcified pleural plaques are visible to some extent. Heart is normal size. Emphysema distorts vascular pattern in the upper lobes. Moderate size hiatus hernia accounts for fluid collection in the lower midline mediastinum.,AP chest compared to ___: Pulmonary and mediastinal vascular engorgement have improved substantially since ___ and pleural effusions have nearly resolved.,pulmonary and mediastinal vascular engorgement,,Better,"['files/p16/p16034181/s56393323/6bcf583e-601a494a-f8d72edd-76f3c0b7-1d606076.jpg', 'files/p16/p16034181/s56393323/739fbdc0-688ff77c-e70070b7-1e88db74-4482ae5c.jpg']","['files/p16/p16034181/s53395975/77e5731e-4cd67ee6-56cf33fa-772c6c6b-4e25a333.jpg\n', 'files/p16/p16034181/s53395975/9c83a18d-e7c2386f-1b090c1f-9d7c949f-ded90c8f.jpg\n']"
s56393323_2,p16034181,s56393323,2,Impression,AP chest compared to ___: Pulmonary and mediastinal vascular engorgement have improved substantially since ___ and pleural effusions have nearly resolved. Residual consolidation in both lower lobes is more pronounced than it was on ___ and therefore might well be pneumonia. Extent of central adenopathy is underestimated by these conventional radiographs. Calcified pleural plaques are visible to some extent. Heart is normal size. Emphysema distorts vascular pattern in the upper lobes. Moderate size hiatus hernia accounts for fluid collection in the lower midline mediastinum.,Residual consolidation in both lower lobes is more pronounced than it was on ___ and therefore might well be pneumonia.,consolidation,both lower lobes,Worse,"['files/p16/p16034181/s56393323/6bcf583e-601a494a-f8d72edd-76f3c0b7-1d606076.jpg', 'files/p16/p16034181/s56393323/739fbdc0-688ff77c-e70070b7-1e88db74-4482ae5c.jpg']","['files/p16/p16034181/s53395975/77e5731e-4cd67ee6-56cf33fa-772c6c6b-4e25a333.jpg\n', 'files/p16/p16034181/s53395975/9c83a18d-e7c2386f-1b090c1f-9d7c949f-ded90c8f.jpg\n']"
s56401108_3,p11717909,s56401108,3,Impression,"Severe cardiomegaly improved slightly between ___ and ___, subsequently unchanged. Lungs are grossly clear, pulmonary and mediastinal vasculature are unremarkable. Pleural effusions small if any. Swan-Ganz catheter ends in the right main pulmonary artery. No pneumothorax.","Severe cardiomegaly improved slightly between ___ and ___, subsequently unchanged.",Cardiomegaly,,Better,['files/p11/p11717909/s56401108/2a8f24b1-1ece112d-0b423812-bc4b1305-91950820.jpg'],['files/p11/p11717909/s56316715/c5987359-2e90a885-b3394108-de36dfa8-bd5bd43f.jpg\n']
s56403155_22,p13894716,s56403155,22,Impression,In comparison with the study of ___ the monitoring and support devices are stable. Again there is scatter radiation relating to the size of the patient that is limiting the examination. The cardiac silhouette remains enlarged with pulmonary vascularity and bilateral layering pleural effusions with compressive basilar atelectasis.,The cardiac silhouette remains enlarged with pulmonary vascularity and bilateral layering pleural effusions with compressive basilar atelectasis.,cardiac silhouette,,Stable,"['files/p13/p13894716/s56403155/4f51aedc-e5b947bb-0240fc59-b91b17f7-ebca4c1e.jpg', 'files/p13/p13894716/s56403155/81a75b46-6c709fe1-e7e1b309-b733dccf-293aa917.jpg', 'files/p13/p13894716/s56403155/c7290c26-db21417d-e5ce2c87-a4171ace-026fbeaa.jpg']","['files/p13/p13894716/s56233977/54f1e7cd-7a59a911-1d9db135-654666c9-a0da86f2.jpg\n', 'files/p13/p13894716/s56233977/fb4ed69d-b5eb654c-a8d5d6ad-9555058c-7ad04a6a.jpg\n']"
s56403155_22,p13894716,s56403155,22,Impression,In comparison with the study of ___ the monitoring and support devices are stable. Again there is scatter radiation relating to the size of the patient that is limiting the examination. The cardiac silhouette remains enlarged with pulmonary vascularity and bilateral layering pleural effusions with compressive basilar atelectasis.,In comparison with the study of ___ the monitoring and support devices are stable.,monitoring and support devices,,Stable,"['files/p13/p13894716/s56403155/4f51aedc-e5b947bb-0240fc59-b91b17f7-ebca4c1e.jpg', 'files/p13/p13894716/s56403155/81a75b46-6c709fe1-e7e1b309-b733dccf-293aa917.jpg', 'files/p13/p13894716/s56403155/c7290c26-db21417d-e5ce2c87-a4171ace-026fbeaa.jpg']","['files/p13/p13894716/s56233977/54f1e7cd-7a59a911-1d9db135-654666c9-a0da86f2.jpg\n', 'files/p13/p13894716/s56233977/fb4ed69d-b5eb654c-a8d5d6ad-9555058c-7ad04a6a.jpg\n']"
s56404519_7,p18573829,s56404519,7,Impression,"Large bilateral pleural effusions right greater than left associated with atelectasis are unchanged. Of note the images were taken with the patient very rotated, these limits the evaluation of the study. There is no evident pneumothorax. Cardiomediastinal silhouette is grossly unchanged. Left PICC tip is in the upper SVC There are no new lung abnormalities",There are no new lung abnormalities,Abnormalities,Lungs,New,"['files/p18/p18573829/s56404519/a063e32e-12a44bd1-9ba6e452-1adda21f-511a1751.jpg', 'files/p18/p18573829/s56404519/f1148b37-70b8bdb2-2bf622b4-d2c92d4d-23d892a6.jpg']",['files/p18/p18573829/s54154294/a6a98f2d-89802254-926441f1-5a5948d5-7c207a91.jpg\n']
s56404519_7,p18573829,s56404519,7,Impression,"Large bilateral pleural effusions right greater than left associated with atelectasis are unchanged. Of note the images were taken with the patient very rotated, these limits the evaluation of the study. There is no evident pneumothorax. Cardiomediastinal silhouette is grossly unchanged. Left PICC tip is in the upper SVC There are no new lung abnormalities",Cardiomediastinal silhouette is grossly unchanged.,Silhouette,Cardiomediastinum,Stable,"['files/p18/p18573829/s56404519/a063e32e-12a44bd1-9ba6e452-1adda21f-511a1751.jpg', 'files/p18/p18573829/s56404519/f1148b37-70b8bdb2-2bf622b4-d2c92d4d-23d892a6.jpg']",['files/p18/p18573829/s54154294/a6a98f2d-89802254-926441f1-5a5948d5-7c207a91.jpg\n']
s56404519_7,p18573829,s56404519,7,Impression,"Large bilateral pleural effusions right greater than left associated with atelectasis are unchanged. Of note the images were taken with the patient very rotated, these limits the evaluation of the study. There is no evident pneumothorax. Cardiomediastinal silhouette is grossly unchanged. Left PICC tip is in the upper SVC There are no new lung abnormalities",Large bilateral pleural effusions right greater than left associated with atelectasis are unchanged.,Atelectasis,Pleura,Stable,"['files/p18/p18573829/s56404519/a063e32e-12a44bd1-9ba6e452-1adda21f-511a1751.jpg', 'files/p18/p18573829/s56404519/f1148b37-70b8bdb2-2bf622b4-d2c92d4d-23d892a6.jpg']",['files/p18/p18573829/s54154294/a6a98f2d-89802254-926441f1-5a5948d5-7c207a91.jpg\n']
s56404519_7,p18573829,s56404519,7,Impression,"Large bilateral pleural effusions right greater than left associated with atelectasis are unchanged. Of note the images were taken with the patient very rotated, these limits the evaluation of the study. There is no evident pneumothorax. Cardiomediastinal silhouette is grossly unchanged. Left PICC tip is in the upper SVC There are no new lung abnormalities",Large bilateral pleural effusions right greater than left associated with atelectasis are unchanged.,Large bilateral pleural effusions,Pleura,Stable,"['files/p18/p18573829/s56404519/a063e32e-12a44bd1-9ba6e452-1adda21f-511a1751.jpg', 'files/p18/p18573829/s56404519/f1148b37-70b8bdb2-2bf622b4-d2c92d4d-23d892a6.jpg']",['files/p18/p18573829/s54154294/a6a98f2d-89802254-926441f1-5a5948d5-7c207a91.jpg\n']
s56417700_66,p11717909,s56417700,66,Impression,Compared to the study from ___ at 08:00 there is a new doboff tube with tip in this proximal stomach. There is also an NG tube with tip in the stomach. The remainder of the lines and tubes are unchanged from the study earlier the same day.,Compared to the study from ___ at 08:00 there is a new doboff tube with tip in this proximal stomach.,doboff tube,proximal stomach,New,"['files/p11/p11717909/s56417700/618de111-4fa4977a-9e4832be-bb8b5484-f682b893.jpg', 'files/p11/p11717909/s56417700/a3bc4d65-3db9755b-661a9b86-fdfdb4cf-a04f944e.jpg']",['files/p11/p11717909/s56401108/2a8f24b1-1ece112d-0b423812-bc4b1305-91950820.jpg\n']
s56418467_4,p11614040,s56418467,4,Findings,"In comparison with the earlier study of this date, there has been a thoracentesis on the left with removal of substantial fluid from the pleural space. Specifically, no evidence of appreciable pneumothorax.","In comparison with the earlier study of this date, there has been a thoracentesis on the left with removal of substantial fluid from the pleural space.",substantial fluid in the pleural space,left,Resolve,['files/p11/p11614040/s56418467/c81743fc-40348d42-c468e36f-0c9077e0-46d24e73.jpg'],['files/p11/p11614040/s56082008/7fccf9d1-bf743f6f-504039f0-d2709205-699a13cc.jpg\n']
s56424846_0,p13340246,s56424846,0,Findings,Diffuse peribronchial abnormalities in the right upper lobe as well as the area of consolidation on the lateral margin of the left and right lungs have improved since ___ chest radiograph and ___ chest CT and are likely due to bronchiectasis on the left and pneumonia or possible radiation injury in the left lung. No new opacification concerning for pneumonia identified. Multiple calcified granulomas identified. Cardiomediastinal and hilar contours are normal. No pleural effusion or pneumothorax.,Diffuse peribronchial abnormalities in the right upper lobe as well as the area of consolidation on the lateral margin of the left and right lungs have improved since ___ chest radiograph and ___ chest CT and are likely due to bronchiectasis on the left and pneumonia or possible radiation injury in the left lung.,consolidation,lateral margin of the left and right lungs,Better,"['files/p13/p13340246/s56424846/92b028e1-36a43ec4-b185bbfb-7187e208-3bee4505.jpg', 'files/p13/p13340246/s56424846/c3faa797-8ce7ca41-dfd7d4f1-977729ad-c02062b6.jpg']",
s56424846_0,p13340246,s56424846,0,Impression,No evidence of new infection. Chronic mild bronchiectasis; improved radiation or organized pneumonia.,Chronic mild bronchiectasis; improved radiation or organized pneumonia.,bronchiectasis,,Stable,"['files/p13/p13340246/s56424846/92b028e1-36a43ec4-b185bbfb-7187e208-3bee4505.jpg', 'files/p13/p13340246/s56424846/c3faa797-8ce7ca41-dfd7d4f1-977729ad-c02062b6.jpg']",
s56424846_0,p13340246,s56424846,0,Impression,No evidence of new infection. Chronic mild bronchiectasis; improved radiation or organized pneumonia.,Chronic mild bronchiectasis; improved radiation or organized pneumonia.,radiation or organized pneumonia,,Better,"['files/p13/p13340246/s56424846/92b028e1-36a43ec4-b185bbfb-7187e208-3bee4505.jpg', 'files/p13/p13340246/s56424846/c3faa797-8ce7ca41-dfd7d4f1-977729ad-c02062b6.jpg']",
s56424846_0,p13340246,s56424846,0,Findings,Diffuse peribronchial abnormalities in the right upper lobe as well as the area of consolidation on the lateral margin of the left and right lungs have improved since ___ chest radiograph and ___ chest CT and are likely due to bronchiectasis on the left and pneumonia or possible radiation injury in the left lung. No new opacification concerning for pneumonia identified. Multiple calcified granulomas identified. Cardiomediastinal and hilar contours are normal. No pleural effusion or pneumothorax.,Diffuse peribronchial abnormalities in the right upper lobe as well as the area of consolidation on the lateral margin of the left and right lungs have improved since ___ chest radiograph and ___ chest CT and are likely due to bronchiectasis on the left and pneumonia or possible radiation injury in the left lung.,peribronchial abnormalities,right upper lobe,Better,"['files/p13/p13340246/s56424846/92b028e1-36a43ec4-b185bbfb-7187e208-3bee4505.jpg', 'files/p13/p13340246/s56424846/c3faa797-8ce7ca41-dfd7d4f1-977729ad-c02062b6.jpg']",
s56437767_1,p10337896,s56437767,1,Findings,There has been interval placement of a right internal jugular line with tip terminating in the lower SVC. There is no pneumothorax. There is no improvement in the lung fields since the recent prior study.,There is no improvement in the lung fields since the recent prior study.,,lung fields,Stable,['files/p10/p10337896/s56437767/b6a12938-a1f0ed52-bca8e3f0-728b69ec-d2bc0a92.jpg'],"['files/p10/p10337896/s56329890/4bfa0065-4e743c19-876b8f5d-7295f3b5-a37cc274.jpg\n', 'files/p10/p10337896/s56329890/7a04d256-8236b272-b4ccee81-b556f1dd-9df7b98a.jpg\n']"
s56446041_0,p17978047,s56446041,0,Impression,Stable appearance of the chest without evidence for acute abnormalities.,Stable appearance of the chest without evidence for acute abnormalities.,Chest appearance,,Stable,['files/p17/p17978047/s56446041/86dbc6ef-f634f370-e999d971-ce11f386-667e8955.jpg'],"['files/p17/p17978047/s52381069/10012b3a-50cadc6b-2c7edc30-cd4462d7-94cc5a75.jpg\n', 'files/p17/p17978047/s52381069/9b8e858a-9dcf3d99-30cd9e93-a545b503-a374c56f.jpg\n', 'files/p17/p17978047/s52381069/c068698d-421eca76-4ca6984d-94179322-8a578d56.jpg\n']"
s56446041_0,p17978047,s56446041,0,Findings,"Mild cardiomegaly and a calcified aorta are again seen. The lungs remain hyperinflated, and central pulmonary arteries remain prominent. Thin linear opacities at the lateral left base on the PA view are similar to prior, compatible with atelectasis or scarring. There is no evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. There are degenerative changes and dextroconvex scoliosis in the thoracic spine.","The lungs remain hyperinflated, and central pulmonary arteries remain prominent.",Hyperinflated lungs,,Stable,['files/p17/p17978047/s56446041/86dbc6ef-f634f370-e999d971-ce11f386-667e8955.jpg'],"['files/p17/p17978047/s52381069/10012b3a-50cadc6b-2c7edc30-cd4462d7-94cc5a75.jpg\n', 'files/p17/p17978047/s52381069/9b8e858a-9dcf3d99-30cd9e93-a545b503-a374c56f.jpg\n', 'files/p17/p17978047/s52381069/c068698d-421eca76-4ca6984d-94179322-8a578d56.jpg\n']"
s56446041_0,p17978047,s56446041,0,Findings,"Mild cardiomegaly and a calcified aorta are again seen. The lungs remain hyperinflated, and central pulmonary arteries remain prominent. Thin linear opacities at the lateral left base on the PA view are similar to prior, compatible with atelectasis or scarring. There is no evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. There are degenerative changes and dextroconvex scoliosis in the thoracic spine.","Thin linear opacities at the lateral left base on the PA view are similar to prior, compatible with atelectasis or scarring.",Thin linear opacities,lateral left base,Stable,['files/p17/p17978047/s56446041/86dbc6ef-f634f370-e999d971-ce11f386-667e8955.jpg'],"['files/p17/p17978047/s52381069/10012b3a-50cadc6b-2c7edc30-cd4462d7-94cc5a75.jpg\n', 'files/p17/p17978047/s52381069/9b8e858a-9dcf3d99-30cd9e93-a545b503-a374c56f.jpg\n', 'files/p17/p17978047/s52381069/c068698d-421eca76-4ca6984d-94179322-8a578d56.jpg\n']"
s56446041_0,p17978047,s56446041,0,Findings,"Mild cardiomegaly and a calcified aorta are again seen. The lungs remain hyperinflated, and central pulmonary arteries remain prominent. Thin linear opacities at the lateral left base on the PA view are similar to prior, compatible with atelectasis or scarring. There is no evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. There are degenerative changes and dextroconvex scoliosis in the thoracic spine.","The lungs remain hyperinflated, and central pulmonary arteries remain prominent.",Prominent pulmonary arteries,central,Stable,['files/p17/p17978047/s56446041/86dbc6ef-f634f370-e999d971-ce11f386-667e8955.jpg'],"['files/p17/p17978047/s52381069/10012b3a-50cadc6b-2c7edc30-cd4462d7-94cc5a75.jpg\n', 'files/p17/p17978047/s52381069/9b8e858a-9dcf3d99-30cd9e93-a545b503-a374c56f.jpg\n', 'files/p17/p17978047/s52381069/c068698d-421eca76-4ca6984d-94179322-8a578d56.jpg\n']"
s56446041_0,p17978047,s56446041,0,Findings,"Mild cardiomegaly and a calcified aorta are again seen. The lungs remain hyperinflated, and central pulmonary arteries remain prominent. Thin linear opacities at the lateral left base on the PA view are similar to prior, compatible with atelectasis or scarring. There is no evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. There are degenerative changes and dextroconvex scoliosis in the thoracic spine.",Mild cardiomegaly and a calcified aorta are again seen.,Calcified aorta,,Stable,['files/p17/p17978047/s56446041/86dbc6ef-f634f370-e999d971-ce11f386-667e8955.jpg'],"['files/p17/p17978047/s52381069/10012b3a-50cadc6b-2c7edc30-cd4462d7-94cc5a75.jpg\n', 'files/p17/p17978047/s52381069/9b8e858a-9dcf3d99-30cd9e93-a545b503-a374c56f.jpg\n', 'files/p17/p17978047/s52381069/c068698d-421eca76-4ca6984d-94179322-8a578d56.jpg\n']"
s56446041_0,p17978047,s56446041,0,Findings,"Mild cardiomegaly and a calcified aorta are again seen. The lungs remain hyperinflated, and central pulmonary arteries remain prominent. Thin linear opacities at the lateral left base on the PA view are similar to prior, compatible with atelectasis or scarring. There is no evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. There are degenerative changes and dextroconvex scoliosis in the thoracic spine.",Mild cardiomegaly and a calcified aorta are again seen.,Mild cardiomegaly,,Stable,['files/p17/p17978047/s56446041/86dbc6ef-f634f370-e999d971-ce11f386-667e8955.jpg'],"['files/p17/p17978047/s52381069/10012b3a-50cadc6b-2c7edc30-cd4462d7-94cc5a75.jpg\n', 'files/p17/p17978047/s52381069/9b8e858a-9dcf3d99-30cd9e93-a545b503-a374c56f.jpg\n', 'files/p17/p17978047/s52381069/c068698d-421eca76-4ca6984d-94179322-8a578d56.jpg\n']"
s56447683_58,p11717909,s56447683,58,Impression,Endotracheal tube tip is 4 cm above the carina. Nasogastric tube tip is in the stomach. Right central line tip is in the SVC right atrial junction. There is no pneumothorax. There is slight decrease in the bilateral basal consolidation. There are no new areas of consolidation present. There is no CHF.,There is slight decrease in the bilateral basal consolidation.,consolidation,bilateral basal,Better,['files/p11/p11717909/s56447683/5c4c8b07-b9c2042c-256f2184-2dcf8b2d-86131204.jpg'],"['files/p11/p11717909/s56417700/618de111-4fa4977a-9e4832be-bb8b5484-f682b893.jpg\n', 'files/p11/p11717909/s56417700/a3bc4d65-3db9755b-661a9b86-fdfdb4cf-a04f944e.jpg\n']"
s56451780_1,p17847770,s56451780,1,Findings,The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Hilar contours are stable.,Hilar contours are stable.,,Hilar contours,Stable,"['files/p17/p17847770/s56451780/547c1419-90bc4319-c6808ba5-6fe0463d-a8f1e508.jpg', 'files/p17/p17847770/s56451780/a200c4d9-39de37d9-f20906a3-87b342f8-59b476da.jpg']","['files/p17/p17847770/s53304221/5f80a35d-198e9b95-a1b7c84d-d982ae5d-58d1e672.jpg\n', 'files/p17/p17847770/s53304221/e1ce5809-b1cbeb24-fde041d3-54a42f81-043462f0.jpg\n']"
s56453461_52,p11717909,s56453461,52,Impression,"Since a recent radiograph from earlier today, a feeding tube is been placed within the stomach and a pre-existing nasogastric tube remains in place as well. Exam is otherwise remarkable for persistent widespread airspace opacities with relative sparing of the left upper lobe. Since a recent radiograph, this has slightly improved in the right upper lobe and worsened in the left lower lobe. Bilateral pleural effusions are again demonstrated, right greater than left.","Since a recent radiograph, this has slightly improved in the right upper lobe and worsened in the left lower lobe.",,right upper lobe,Better,"['files/p11/p11717909/s56453461/1259489f-8000cb0e-9f205915-088eab59-dd4b2b40.jpg', 'files/p11/p11717909/s56453461/388a4a27-03e4f888-3e5d47a5-2c869953-d020a180.jpg', 'files/p11/p11717909/s56453461/eb44dfa3-6e1ec3a7-87fcfad9-4b141aa7-889a0d2e.jpg']",['files/p11/p11717909/s56447683/5c4c8b07-b9c2042c-256f2184-2dcf8b2d-86131204.jpg\n']
s56453461_52,p11717909,s56453461,52,Impression,"Since a recent radiograph from earlier today, a feeding tube is been placed within the stomach and a pre-existing nasogastric tube remains in place as well. Exam is otherwise remarkable for persistent widespread airspace opacities with relative sparing of the left upper lobe. Since a recent radiograph, this has slightly improved in the right upper lobe and worsened in the left lower lobe. Bilateral pleural effusions are again demonstrated, right greater than left.",Exam is otherwise remarkable for persistent widespread airspace opacities with relative sparing of the left upper lobe.,airspace opacities,widespread,Stable,"['files/p11/p11717909/s56453461/1259489f-8000cb0e-9f205915-088eab59-dd4b2b40.jpg', 'files/p11/p11717909/s56453461/388a4a27-03e4f888-3e5d47a5-2c869953-d020a180.jpg', 'files/p11/p11717909/s56453461/eb44dfa3-6e1ec3a7-87fcfad9-4b141aa7-889a0d2e.jpg']",['files/p11/p11717909/s56447683/5c4c8b07-b9c2042c-256f2184-2dcf8b2d-86131204.jpg\n']
s56453461_52,p11717909,s56453461,52,Impression,"Since a recent radiograph from earlier today, a feeding tube is been placed within the stomach and a pre-existing nasogastric tube remains in place as well. Exam is otherwise remarkable for persistent widespread airspace opacities with relative sparing of the left upper lobe. Since a recent radiograph, this has slightly improved in the right upper lobe and worsened in the left lower lobe. Bilateral pleural effusions are again demonstrated, right greater than left.","Since a recent radiograph, this has slightly improved in the right upper lobe and worsened in the left lower lobe.",,left lower lobe,Worse,"['files/p11/p11717909/s56453461/1259489f-8000cb0e-9f205915-088eab59-dd4b2b40.jpg', 'files/p11/p11717909/s56453461/388a4a27-03e4f888-3e5d47a5-2c869953-d020a180.jpg', 'files/p11/p11717909/s56453461/eb44dfa3-6e1ec3a7-87fcfad9-4b141aa7-889a0d2e.jpg']",['files/p11/p11717909/s56447683/5c4c8b07-b9c2042c-256f2184-2dcf8b2d-86131204.jpg\n']
s56456745_1,p11921090,s56456745,1,Impression,"In comparison with the earlier study of this date, there is suggestion of some increasing opacification at the left base that could represent atelectasis or, in the appropriate clinical setting, a developing consolidation. Otherwise little change.","In comparison with the earlier study of this date, there is suggestion of some increasing opacification at the left base that could represent atelectasis or, in the appropriate clinical setting, a developing consolidation.",opacification,left base,Worse,['files/p11/p11921090/s56456745/5448e34a-3c48a8c9-74c33e5b-2f85b885-6f094061.jpg'],['files/p11/p11921090/s51087989/26ee6ee4-e5bb799b-aa5f201b-b27779ab-636db2a4.jpg\n']
s56459009_11,p17223574,s56459009,11,Findings,"Evaluation is limited by body habitus. There is a tracheostomy in similar position. Lung volumes are low causing accentuation of the central bronchovascular structures. The heart is enlarged, and there is no pulmonary edema. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.",There is a tracheostomy in similar position.,tracheostomy,,Stable,['files/p17/p17223574/s56459009/6231218a-08114abf-f7126f7b-47637bda-23592f97.jpg'],"['files/p17/p17223574/s56094876/1ae239ae-c49b335a-2053350f-d1cc2db8-ae676e6d.jpg\n', 'files/p17/p17223574/s56094876/64b12f28-e1b71b36-adbe4920-76807755-1fa29f3b.jpg\n']"
s56461985_0,p11619788,s56461985,0,Findings,"The cardiac silhouette size is mildly enlarged. The aorta is unfolded and calcified but unchanged. The mediastinal and hilar contours are otherwise unremarkable. Minimal linear opacities in the lung bases are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.",The aorta is unfolded and calcified but unchanged.,unfolded and calcified,aorta,Stable,"['files/p11/p11619788/s56461985/09df9e78-971e1a02-c9968fef-e789e1ff-6ca76ab2.jpg', 'files/p11/p11619788/s56461985/34ef720b-67dd22ea-ff045347-55244604-8fc95e70.jpg', 'files/p11/p11619788/s56461985/d04f293e-687f0e9d-4e5eb75c-5a6dbe57-eeb72c9b.jpg']","['files/p11/p11619788/s55041813/63422ad6-e1977068-64602147-0409a128-76499d3c.jpg\n', 'files/p11/p11619788/s55041813/a305262a-fc35773c-be68cd0d-b834e2ec-80646749.jpg\n']"
s56479192_3,p17055995,s56479192,3,Findings,"AP upright and lateral views of the chest is obtained. Cervical fusion hardware is partially imaged in the lower C-spine. A calcified granuloma is again noted in the right lower lung. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear normal. No bony abnormality is seen. No free air below the right hemidiaphragm.",A calcified granuloma is again noted in the right lower lung.,calcified granuloma,right lower lung,Stable,"['files/p17/p17055995/s56479192/11765dae-ae3497e6-acedc8e9-0f57d4de-4c07c9c7.jpg', 'files/p17/p17055995/s56479192/4cbadab1-19a3f1d7-924d71a9-80bd338b-860e33bc.jpg', 'files/p17/p17055995/s56479192/c3c16638-ef4d1533-232b83a0-f2e617fc-2ed79160.jpg']","['files/p17/p17055995/s56285032/3f8cc507-ca77e676-30fe438e-cee4bdae-7e09709e.jpg\n', 'files/p17/p17055995/s56285032/45cbf41b-9e484305-b9f7cb3b-331ed033-9a492278.jpg\n', 'files/p17/p17055995/s56285032/665d7742-d067640a-b25afbd2-fcb01db1-b6d6e7c9.jpg\n']"
s56488515_30,p17559288,s56488515,30,Findings,"A left-sided PICC line has been removed. The cardiac, mediastinal, and hilar contours appear unchanged. Aside from streaky left basilar opacity suggesting minor atelectasis, the lungs appear clear. There is no pleural effusion or pneumothorax. No free air is demonstrated. A partly imaged catheter projects over the left upper quadrant of the abdomen, compatible with a gastrostomy tube.","The cardiac, mediastinal, and hilar contours appear unchanged.",mediastinal contours,,Stable,['files/p17/p17559288/s56488515/a3b20c27-ba0b465e-3eab2b86-991f3d46-80a07aee.jpg'],['files/p17/p17559288/s56336499/7438cd11-ca6cba83-c3d0b14e-b4f04d84-cdd824b4.jpg\n']
s56488515_30,p17559288,s56488515,30,Findings,"A left-sided PICC line has been removed. The cardiac, mediastinal, and hilar contours appear unchanged. Aside from streaky left basilar opacity suggesting minor atelectasis, the lungs appear clear. There is no pleural effusion or pneumothorax. No free air is demonstrated. A partly imaged catheter projects over the left upper quadrant of the abdomen, compatible with a gastrostomy tube.","The cardiac, mediastinal, and hilar contours appear unchanged.",hilar contours,,Stable,['files/p17/p17559288/s56488515/a3b20c27-ba0b465e-3eab2b86-991f3d46-80a07aee.jpg'],['files/p17/p17559288/s56336499/7438cd11-ca6cba83-c3d0b14e-b4f04d84-cdd824b4.jpg\n']
s56488515_30,p17559288,s56488515,30,Findings,"A left-sided PICC line has been removed. The cardiac, mediastinal, and hilar contours appear unchanged. Aside from streaky left basilar opacity suggesting minor atelectasis, the lungs appear clear. There is no pleural effusion or pneumothorax. No free air is demonstrated. A partly imaged catheter projects over the left upper quadrant of the abdomen, compatible with a gastrostomy tube.",A left-sided PICC line has been removed.,PICC line,left-sided,Resolve,['files/p17/p17559288/s56488515/a3b20c27-ba0b465e-3eab2b86-991f3d46-80a07aee.jpg'],['files/p17/p17559288/s56336499/7438cd11-ca6cba83-c3d0b14e-b4f04d84-cdd824b4.jpg\n']
s56488515_30,p17559288,s56488515,30,Findings,"A left-sided PICC line has been removed. The cardiac, mediastinal, and hilar contours appear unchanged. Aside from streaky left basilar opacity suggesting minor atelectasis, the lungs appear clear. There is no pleural effusion or pneumothorax. No free air is demonstrated. A partly imaged catheter projects over the left upper quadrant of the abdomen, compatible with a gastrostomy tube.","The cardiac, mediastinal, and hilar contours appear unchanged.",cardiac contours,,Stable,['files/p17/p17559288/s56488515/a3b20c27-ba0b465e-3eab2b86-991f3d46-80a07aee.jpg'],['files/p17/p17559288/s56336499/7438cd11-ca6cba83-c3d0b14e-b4f04d84-cdd824b4.jpg\n']
s56495618_0,p18920143,s56495618,0,Impression,Findings suggest pneumonia in the left lower lobe.,Findings suggest pneumonia in the left lower lobe.,pneumonia,left lower lobe,New,"['files/p18/p18920143/s56495618/1de067b7-f6abe6fa-821f73e9-23feadb6-1a2bda49.jpg', 'files/p18/p18920143/s56495618/fbe115e8-ec164702-1ef97452-fd82e502-5ea6806a.jpg']",
s56495618_0,p18920143,s56495618,0,Findings,"The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is retrocardiac opacity, probably referring to opacity in the left lower lobe, although best seen on the PA view, suggesting pneumonia. The lungs appear otherwise clear. There is no pleural effusion or pneumothorax.","There is retrocardiac opacity, probably referring to opacity in the left lower lobe, although best seen on the PA view, suggesting pneumonia.",retrocardiac opacity,left lower lobe,New,"['files/p18/p18920143/s56495618/1de067b7-f6abe6fa-821f73e9-23feadb6-1a2bda49.jpg', 'files/p18/p18920143/s56495618/fbe115e8-ec164702-1ef97452-fd82e502-5ea6806a.jpg']",
s56521428_20,p15911529,s56521428,20,Findings,"Allowing for changes in positioning and lung volumes, the small right pleural effusion and adjacent compressive atelectasis is probably unchanged compared with ___. The right-sided pigtail catheter is in unchanged position. The left chest wall atrial and biventricular pacemaker leads are in standard position. There is moderate stable cardiomegaly.",There is moderate stable cardiomegaly.,cardiomegaly,,Stable,['files/p15/p15911529/s56521428/6ba26b3a-5314e906-7366a48a-0598d3bd-73c3ca0f.jpg'],['files/p15/p15911529/s55431093/5f752c85-93a983b0-ac44e646-e4f71e52-f7d6b934.jpg\n']
s56521428_20,p15911529,s56521428,20,Impression,Unchanged small right pleural effusion.,Unchanged small right pleural effusion.,pleural effusion,right,Stable,['files/p15/p15911529/s56521428/6ba26b3a-5314e906-7366a48a-0598d3bd-73c3ca0f.jpg'],['files/p15/p15911529/s55431093/5f752c85-93a983b0-ac44e646-e4f71e52-f7d6b934.jpg\n']
s56521428_20,p15911529,s56521428,20,Findings,"Allowing for changes in positioning and lung volumes, the small right pleural effusion and adjacent compressive atelectasis is probably unchanged compared with ___. The right-sided pigtail catheter is in unchanged position. The left chest wall atrial and biventricular pacemaker leads are in standard position. There is moderate stable cardiomegaly.","Allowing for changes in positioning and lung volumes, the small right pleural effusion and adjacent compressive atelectasis is probably unchanged compared with ___",compressive atelectasis,right,Stable,['files/p15/p15911529/s56521428/6ba26b3a-5314e906-7366a48a-0598d3bd-73c3ca0f.jpg'],['files/p15/p15911529/s55431093/5f752c85-93a983b0-ac44e646-e4f71e52-f7d6b934.jpg\n']
s56521428_20,p15911529,s56521428,20,Findings,"Allowing for changes in positioning and lung volumes, the small right pleural effusion and adjacent compressive atelectasis is probably unchanged compared with ___. The right-sided pigtail catheter is in unchanged position. The left chest wall atrial and biventricular pacemaker leads are in standard position. There is moderate stable cardiomegaly.","Allowing for changes in positioning and lung volumes, the small right pleural effusion and adjacent compressive atelectasis is probably unchanged compared with ___",pleural effusion,right,Stable,['files/p15/p15911529/s56521428/6ba26b3a-5314e906-7366a48a-0598d3bd-73c3ca0f.jpg'],['files/p15/p15911529/s55431093/5f752c85-93a983b0-ac44e646-e4f71e52-f7d6b934.jpg\n']
s56521428_20,p15911529,s56521428,20,Findings,"Allowing for changes in positioning and lung volumes, the small right pleural effusion and adjacent compressive atelectasis is probably unchanged compared with ___. The right-sided pigtail catheter is in unchanged position. The left chest wall atrial and biventricular pacemaker leads are in standard position. There is moderate stable cardiomegaly.",The right-sided pigtail catheter is in unchanged position.,pigtail catheter,right-sided,Stable,['files/p15/p15911529/s56521428/6ba26b3a-5314e906-7366a48a-0598d3bd-73c3ca0f.jpg'],['files/p15/p15911529/s55431093/5f752c85-93a983b0-ac44e646-e4f71e52-f7d6b934.jpg\n']
s56526568_10,p11717909,s56526568,10,Impression,"In comparison with the earlier study of this day, the endotracheal tube has been removed. The tip of the Dobbhoff to appears to be in the distal stomach. Otherwise little change. Retrocardiac opacification with obscuration of the hemidiaphragm persists, consistent with substantial volume loss in the left lower lobe.","Retrocardiac opacification with obscuration of the hemidiaphragm persists, consistent with substantial volume loss in the left lower lobe.",Retrocardiac opacification,left lower lobe,Stable,"['files/p11/p11717909/s56526568/9ce742fc-f08586f1-87a80fc9-edd9c1b9-04218c60.jpg', 'files/p11/p11717909/s56526568/bbeb657c-2c2bd6fe-ec787126-bc79a926-4d1122e9.jpg']","['files/p11/p11717909/s56453461/1259489f-8000cb0e-9f205915-088eab59-dd4b2b40.jpg\n', 'files/p11/p11717909/s56453461/388a4a27-03e4f888-3e5d47a5-2c869953-d020a180.jpg\n', 'files/p11/p11717909/s56453461/eb44dfa3-6e1ec3a7-87fcfad9-4b141aa7-889a0d2e.jpg\n']"
s56526568_10,p11717909,s56526568,10,Impression,"In comparison with the earlier study of this day, the endotracheal tube has been removed. The tip of the Dobbhoff to appears to be in the distal stomach. Otherwise little change. Retrocardiac opacification with obscuration of the hemidiaphragm persists, consistent with substantial volume loss in the left lower lobe.","In comparison with the earlier study of this day, the endotracheal tube has been removed.",endotracheal tube,,Resolve,"['files/p11/p11717909/s56526568/9ce742fc-f08586f1-87a80fc9-edd9c1b9-04218c60.jpg', 'files/p11/p11717909/s56526568/bbeb657c-2c2bd6fe-ec787126-bc79a926-4d1122e9.jpg']","['files/p11/p11717909/s56453461/1259489f-8000cb0e-9f205915-088eab59-dd4b2b40.jpg\n', 'files/p11/p11717909/s56453461/388a4a27-03e4f888-3e5d47a5-2c869953-d020a180.jpg\n', 'files/p11/p11717909/s56453461/eb44dfa3-6e1ec3a7-87fcfad9-4b141aa7-889a0d2e.jpg\n']"
s56530218_9,p10803114,s56530218,9,Impression,"1. Two right basilar chest tubes remain in place. There is a stable small right apical pneumothorax. Contiguous patchy airspace disease at the right base is also seen and stable. There is a small residual right pleural effusion vs. pleural thickening, unchanged. Left lung is clear. No evidence of pulmonary edema. Heart remains enlarged. Mediastinal contours are unchanged.",Contiguous patchy airspace disease at the right base is also seen and stable.,patchy airspace disease,right base,Stable,"['files/p10/p10803114/s56530218/2bbed805-9edabe38-d0476a90-21720847-53aa7ab7.jpg', 'files/p10/p10803114/s56530218/4e706237-7bfcb1f1-73ed2f42-d39a58df-de79389a.jpg']","['files/p10/p10803114/s56199877/d5afdb09-0bfe8802-651a2d06-44efa800-80a795fe.jpg\n', 'files/p10/p10803114/s56199877/ffc73da5-5e52ccfd-028a2711-ae2702af-ad87c455.jpg\n']"
s56530218_9,p10803114,s56530218,9,Impression,"1. Two right basilar chest tubes remain in place. There is a stable small right apical pneumothorax. Contiguous patchy airspace disease at the right base is also seen and stable. There is a small residual right pleural effusion vs. pleural thickening, unchanged. Left lung is clear. No evidence of pulmonary edema. Heart remains enlarged. Mediastinal contours are unchanged.","There is a small residual right pleural effusion vs. pleural thickening, unchanged.",pleural effusion or pleural thickening,right,Stable,"['files/p10/p10803114/s56530218/2bbed805-9edabe38-d0476a90-21720847-53aa7ab7.jpg', 'files/p10/p10803114/s56530218/4e706237-7bfcb1f1-73ed2f42-d39a58df-de79389a.jpg']","['files/p10/p10803114/s56199877/d5afdb09-0bfe8802-651a2d06-44efa800-80a795fe.jpg\n', 'files/p10/p10803114/s56199877/ffc73da5-5e52ccfd-028a2711-ae2702af-ad87c455.jpg\n']"
s56530218_9,p10803114,s56530218,9,Impression,"1. Two right basilar chest tubes remain in place. There is a stable small right apical pneumothorax. Contiguous patchy airspace disease at the right base is also seen and stable. There is a small residual right pleural effusion vs. pleural thickening, unchanged. Left lung is clear. No evidence of pulmonary edema. Heart remains enlarged. Mediastinal contours are unchanged.",Mediastinal contours are unchanged.,Mediastinal contours,,Stable,"['files/p10/p10803114/s56530218/2bbed805-9edabe38-d0476a90-21720847-53aa7ab7.jpg', 'files/p10/p10803114/s56530218/4e706237-7bfcb1f1-73ed2f42-d39a58df-de79389a.jpg']","['files/p10/p10803114/s56199877/d5afdb09-0bfe8802-651a2d06-44efa800-80a795fe.jpg\n', 'files/p10/p10803114/s56199877/ffc73da5-5e52ccfd-028a2711-ae2702af-ad87c455.jpg\n']"
s56530218_9,p10803114,s56530218,9,Impression,"1. Two right basilar chest tubes remain in place. There is a stable small right apical pneumothorax. Contiguous patchy airspace disease at the right base is also seen and stable. There is a small residual right pleural effusion vs. pleural thickening, unchanged. Left lung is clear. No evidence of pulmonary edema. Heart remains enlarged. Mediastinal contours are unchanged.",1. Two right basilar chest tubes remain in place.,chest tubes,right basilar,Stable,"['files/p10/p10803114/s56530218/2bbed805-9edabe38-d0476a90-21720847-53aa7ab7.jpg', 'files/p10/p10803114/s56530218/4e706237-7bfcb1f1-73ed2f42-d39a58df-de79389a.jpg']","['files/p10/p10803114/s56199877/d5afdb09-0bfe8802-651a2d06-44efa800-80a795fe.jpg\n', 'files/p10/p10803114/s56199877/ffc73da5-5e52ccfd-028a2711-ae2702af-ad87c455.jpg\n']"
s56530218_9,p10803114,s56530218,9,Impression,"1. Two right basilar chest tubes remain in place. There is a stable small right apical pneumothorax. Contiguous patchy airspace disease at the right base is also seen and stable. There is a small residual right pleural effusion vs. pleural thickening, unchanged. Left lung is clear. No evidence of pulmonary edema. Heart remains enlarged. Mediastinal contours are unchanged.",Heart remains enlarged.,Heart size,,Stable,"['files/p10/p10803114/s56530218/2bbed805-9edabe38-d0476a90-21720847-53aa7ab7.jpg', 'files/p10/p10803114/s56530218/4e706237-7bfcb1f1-73ed2f42-d39a58df-de79389a.jpg']","['files/p10/p10803114/s56199877/d5afdb09-0bfe8802-651a2d06-44efa800-80a795fe.jpg\n', 'files/p10/p10803114/s56199877/ffc73da5-5e52ccfd-028a2711-ae2702af-ad87c455.jpg\n']"
s56530218_9,p10803114,s56530218,9,Impression,"1. Two right basilar chest tubes remain in place. There is a stable small right apical pneumothorax. Contiguous patchy airspace disease at the right base is also seen and stable. There is a small residual right pleural effusion vs. pleural thickening, unchanged. Left lung is clear. No evidence of pulmonary edema. Heart remains enlarged. Mediastinal contours are unchanged.",There is a stable small right apical pneumothorax.,pneumothorax,right apical,Stable,"['files/p10/p10803114/s56530218/2bbed805-9edabe38-d0476a90-21720847-53aa7ab7.jpg', 'files/p10/p10803114/s56530218/4e706237-7bfcb1f1-73ed2f42-d39a58df-de79389a.jpg']","['files/p10/p10803114/s56199877/d5afdb09-0bfe8802-651a2d06-44efa800-80a795fe.jpg\n', 'files/p10/p10803114/s56199877/ffc73da5-5e52ccfd-028a2711-ae2702af-ad87c455.jpg\n']"
s56531569_5,p11932181,s56531569,5,Impression,Very small left apical and lateral pneumothorax unchanged since earlier in the day following removal of the left pleural drain. Very small left pleural effusion has begun to reaccumulate. The right hemithorax segmental atelectasis adjacent to the minor fissure is stable. Right lung otherwise clear. No right pneumothorax. Tiny right pleural effusion is collected posteriorly. Heart size normal. Mediastinal contour is unremarkable.,Very small left pleural effusion has begun to reaccumulate.,pleural effusion,left,Worse,"['files/p11/p11932181/s56531569/2cdcb041-f3ae8620-9a87decc-2f6c2c14-5178b314.jpg', 'files/p11/p11932181/s56531569/397e0897-311459aa-55923dc8-b8d44d58-0a3db1a0.jpg']","['files/p11/p11932181/s55935470/9244882d-c90352d9-806e731d-e028242b-a619a04c.jpg\n', 'files/p11/p11932181/s55935470/eab0888d-6b3b2814-4f0e59da-6f0c9408-d4cab1b0.jpg\n']"
s56531569_5,p11932181,s56531569,5,Impression,Very small left apical and lateral pneumothorax unchanged since earlier in the day following removal of the left pleural drain. Very small left pleural effusion has begun to reaccumulate. The right hemithorax segmental atelectasis adjacent to the minor fissure is stable. Right lung otherwise clear. No right pneumothorax. Tiny right pleural effusion is collected posteriorly. Heart size normal. Mediastinal contour is unremarkable.,The right hemithorax segmental atelectasis adjacent to the minor fissure is stable.,atelectasis,right hemithorax adjacent to the minor fissure,Stable,"['files/p11/p11932181/s56531569/2cdcb041-f3ae8620-9a87decc-2f6c2c14-5178b314.jpg', 'files/p11/p11932181/s56531569/397e0897-311459aa-55923dc8-b8d44d58-0a3db1a0.jpg']","['files/p11/p11932181/s55935470/9244882d-c90352d9-806e731d-e028242b-a619a04c.jpg\n', 'files/p11/p11932181/s55935470/eab0888d-6b3b2814-4f0e59da-6f0c9408-d4cab1b0.jpg\n']"
s56531569_5,p11932181,s56531569,5,Impression,Very small left apical and lateral pneumothorax unchanged since earlier in the day following removal of the left pleural drain. Very small left pleural effusion has begun to reaccumulate. The right hemithorax segmental atelectasis adjacent to the minor fissure is stable. Right lung otherwise clear. No right pneumothorax. Tiny right pleural effusion is collected posteriorly. Heart size normal. Mediastinal contour is unremarkable.,Very small left apical and lateral pneumothorax unchanged since earlier in the day following removal of the left pleural drain.,pneumothorax,left apical and lateral,Stable,"['files/p11/p11932181/s56531569/2cdcb041-f3ae8620-9a87decc-2f6c2c14-5178b314.jpg', 'files/p11/p11932181/s56531569/397e0897-311459aa-55923dc8-b8d44d58-0a3db1a0.jpg']","['files/p11/p11932181/s55935470/9244882d-c90352d9-806e731d-e028242b-a619a04c.jpg\n', 'files/p11/p11932181/s55935470/eab0888d-6b3b2814-4f0e59da-6f0c9408-d4cab1b0.jpg\n']"
s56539620_12,p10337896,s56539620,12,Impression,"Interval extubation. Nasogastric tube is seen coursing below the diaphragm with the tip not identified but at least within the stomach. Right internal jugular central line is unchanged in position. Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection. Bilateral layering effusions unchanged. Overall cardiac mediastinal contours are stable. No pneumothorax.",Interval extubation.,endotracheal tube,,Resolve,"['files/p10/p10337896/s56539620/15917c30-2a205e52-c91a4c3e-cd99632c-0e9d82d2.jpg', 'files/p10/p10337896/s56539620/603d88d1-87fcfddd-63120bbc-0d84d3ff-c0793f3e.jpg']",['files/p10/p10337896/s56437767/b6a12938-a1f0ed52-bca8e3f0-728b69ec-d2bc0a92.jpg\n']
s56539620_12,p10337896,s56539620,12,Impression,"Interval extubation. Nasogastric tube is seen coursing below the diaphragm with the tip not identified but at least within the stomach. Right internal jugular central line is unchanged in position. Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection. Bilateral layering effusions unchanged. Overall cardiac mediastinal contours are stable. No pneumothorax.",Overall cardiac mediastinal contours are stable.,cardiac mediastinal contours,,Stable,"['files/p10/p10337896/s56539620/15917c30-2a205e52-c91a4c3e-cd99632c-0e9d82d2.jpg', 'files/p10/p10337896/s56539620/603d88d1-87fcfddd-63120bbc-0d84d3ff-c0793f3e.jpg']",['files/p10/p10337896/s56437767/b6a12938-a1f0ed52-bca8e3f0-728b69ec-d2bc0a92.jpg\n']
s56539620_12,p10337896,s56539620,12,Impression,"Interval extubation. Nasogastric tube is seen coursing below the diaphragm with the tip not identified but at least within the stomach. Right internal jugular central line is unchanged in position. Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection. Bilateral layering effusions unchanged. Overall cardiac mediastinal contours are stable. No pneumothorax.","Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection.",calcified parenchymal opacities and pleural calcifications,bilateral,Stable,"['files/p10/p10337896/s56539620/15917c30-2a205e52-c91a4c3e-cd99632c-0e9d82d2.jpg', 'files/p10/p10337896/s56539620/603d88d1-87fcfddd-63120bbc-0d84d3ff-c0793f3e.jpg']",['files/p10/p10337896/s56437767/b6a12938-a1f0ed52-bca8e3f0-728b69ec-d2bc0a92.jpg\n']
s56539620_12,p10337896,s56539620,12,Impression,"Interval extubation. Nasogastric tube is seen coursing below the diaphragm with the tip not identified but at least within the stomach. Right internal jugular central line is unchanged in position. Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection. Bilateral layering effusions unchanged. Overall cardiac mediastinal contours are stable. No pneumothorax.",Right internal jugular central line is unchanged in position.,internal jugular central line,right,Stable,"['files/p10/p10337896/s56539620/15917c30-2a205e52-c91a4c3e-cd99632c-0e9d82d2.jpg', 'files/p10/p10337896/s56539620/603d88d1-87fcfddd-63120bbc-0d84d3ff-c0793f3e.jpg']",['files/p10/p10337896/s56437767/b6a12938-a1f0ed52-bca8e3f0-728b69ec-d2bc0a92.jpg\n']
s56539620_12,p10337896,s56539620,12,Impression,"Interval extubation. Nasogastric tube is seen coursing below the diaphragm with the tip not identified but at least within the stomach. Right internal jugular central line is unchanged in position. Multiple calcified lymph nodes, multiple bilateral calcified parenchymal opacities and pleural calcifications are unchanged consistent with prior granulomatous infection. Bilateral layering effusions unchanged. Overall cardiac mediastinal contours are stable. No pneumothorax.",Bilateral layering effusions unchanged.,layering effusions,bilateral,Stable,"['files/p10/p10337896/s56539620/15917c30-2a205e52-c91a4c3e-cd99632c-0e9d82d2.jpg', 'files/p10/p10337896/s56539620/603d88d1-87fcfddd-63120bbc-0d84d3ff-c0793f3e.jpg']",['files/p10/p10337896/s56437767/b6a12938-a1f0ed52-bca8e3f0-728b69ec-d2bc0a92.jpg\n']
s56558687_3,p13196707,s56558687,3,Impression,Compared to chest radiographs ___ through ___. Worsening opacification at the base of the left lung with slight ipsilateral mediastinal shift is probably new lower lobe collapse. Elevation right lung base and multiple right lung nodules due to carcinoma and/or complications. Previous mediastinal widening has improved. No pneumothorax. Mild enlargement of cardiac silhouette has decreased. Right central venous catheter ends in the region of the superior cavoatrial junction.,Previous mediastinal widening has improved.,Widening,mediastinal,Better,['files/p13/p13196707/s56558687/75872755-7b9a13ad-1980114f-743ec5a7-064e7ac0.jpg'],"['files/p13/p13196707/s56377178/73c4f0b3-857d48d6-62f18f50-6000ea9c-43e2d25c.jpg\n', 'files/p13/p13196707/s56377178/be18562e-74237b2c-c9ebfcb8-ba1b5c02-7b949433.jpg\n']"
s56558687_3,p13196707,s56558687,3,Impression,Compared to chest radiographs ___ through ___. Worsening opacification at the base of the left lung with slight ipsilateral mediastinal shift is probably new lower lobe collapse. Elevation right lung base and multiple right lung nodules due to carcinoma and/or complications. Previous mediastinal widening has improved. No pneumothorax. Mild enlargement of cardiac silhouette has decreased. Right central venous catheter ends in the region of the superior cavoatrial junction.,Mild enlargement of cardiac silhouette has decreased.,Enlargement,cardiac,Better,['files/p13/p13196707/s56558687/75872755-7b9a13ad-1980114f-743ec5a7-064e7ac0.jpg'],"['files/p13/p13196707/s56377178/73c4f0b3-857d48d6-62f18f50-6000ea9c-43e2d25c.jpg\n', 'files/p13/p13196707/s56377178/be18562e-74237b2c-c9ebfcb8-ba1b5c02-7b949433.jpg\n']"
s56558687_3,p13196707,s56558687,3,Impression,Compared to chest radiographs ___ through ___. Worsening opacification at the base of the left lung with slight ipsilateral mediastinal shift is probably new lower lobe collapse. Elevation right lung base and multiple right lung nodules due to carcinoma and/or complications. Previous mediastinal widening has improved. No pneumothorax. Mild enlargement of cardiac silhouette has decreased. Right central venous catheter ends in the region of the superior cavoatrial junction.,Worsening opacification at the base of the left lung with slight ipsilateral mediastinal shift is probably new lower lobe collapse.,Opacification,base of the left lung,Worse,['files/p13/p13196707/s56558687/75872755-7b9a13ad-1980114f-743ec5a7-064e7ac0.jpg'],"['files/p13/p13196707/s56377178/73c4f0b3-857d48d6-62f18f50-6000ea9c-43e2d25c.jpg\n', 'files/p13/p13196707/s56377178/be18562e-74237b2c-c9ebfcb8-ba1b5c02-7b949433.jpg\n']"
s56558940_3,p11226572,s56558940,3,Findings,"The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear aside from minor unchanged scarring in the lingula.","The cardiac, mediastinal and hilar contours appear stable.",,"Cardiac, mediastinal and hilar contours",Stable,['files/p11/p11226572/s56558940/80ebdd2c-d387828d-89e90960-df690604-91bd8696.jpg'],"['files/p11/p11226572/s54348250/648ee6d5-cb5e79fb-b7aca47b-5b20049b-042b1f8a.jpg\n', 'files/p11/p11226572/s54348250/efa7ce32-9434194a-c88b2633-833bc1e5-4b39a4fc.jpg\n']"
s56558940_3,p11226572,s56558940,3,Findings,"The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear aside from minor unchanged scarring in the lingula.",The lungs appear clear aside from minor unchanged scarring in the lingula.,Scarring,Lingula,Stable,['files/p11/p11226572/s56558940/80ebdd2c-d387828d-89e90960-df690604-91bd8696.jpg'],"['files/p11/p11226572/s54348250/648ee6d5-cb5e79fb-b7aca47b-5b20049b-042b1f8a.jpg\n', 'files/p11/p11226572/s54348250/efa7ce32-9434194a-c88b2633-833bc1e5-4b39a4fc.jpg\n']"
s56562091_1,p18580594,s56562091,1,Findings,"AP and lateral views of the chest. The innumerable bilateral nodular densities, better appreciated on recent chest CTA from ___, appear slightly worse compared to study done on ___ but this may be exaggerated by difference in technique and superimposed edema. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.","The innumerable bilateral nodular densities, better appreciated on recent chest CTA from ___, appear slightly worse compared to study done on ___ but this may be exaggerated by difference in technique and superimposed edema.",nodular densities,bilateral,Worse,"['files/p18/p18580594/s56562091/6abe4ea4-169e4ba1-a84d3279-9d50d94c-f5eea071.jpg', 'files/p18/p18580594/s56562091/b298a1e4-63c03117-5b7448ea-6d2e5afd-c1c39bd7.jpg']",['files/p18/p18580594/s55411644/e9fd9d5d-4686d244-07a3bcbf-1f4fe6d7-c8a17d5d.jpg\n']
s56562091_1,p18580594,s56562091,1,Impression,"Innumerable bilateral nodular opacities, better seen on recent chest CT from ___, appear slightly worse compared to study done on ___ but this may be exaggerated by difference in technique and possibly superimposed edema.","Innumerable bilateral nodular opacities, better seen on recent chest CT from ___, appear slightly worse compared to study done on ___ but this may be exaggerated by difference in technique and possibly superimposed edema.",nodular opacities,bilateral,Worse,"['files/p18/p18580594/s56562091/6abe4ea4-169e4ba1-a84d3279-9d50d94c-f5eea071.jpg', 'files/p18/p18580594/s56562091/b298a1e4-63c03117-5b7448ea-6d2e5afd-c1c39bd7.jpg']",['files/p18/p18580594/s55411644/e9fd9d5d-4686d244-07a3bcbf-1f4fe6d7-c8a17d5d.jpg\n']
s56563719_1,p15787214,s56563719,1,Findings,Portable AP chest radiograph. Diffuse opacities throughout the right lung and left lower lobe are unchanged. There are probably small bilateral pleural effusions. There is no pneumothorax.,Portable AP chest radiograph. Diffuse opacities throughout the right lung and left lower lobe are unchanged.,diffuse opacities,right lung and left lower lobe,Stable,['files/p15/p15787214/s56563719/9234b389-6451e413-d153fc6d-87004f87-bbfa50c1.jpg'],['files/p15/p15787214/s55726526/ba26edda-e207b86b-665afaa9-47ddab28-78dd3c6e.jpg\n']
s56563719_1,p15787214,s56563719,1,Impression,Multifocal pneumonia with possibly a component of asymmetric pulmonary edema.,Multifocal pneumonia with possibly a component of asymmetric pulmonary edema.,multifocal pneumonia and asymmetric pulmonary edema,,New,['files/p15/p15787214/s56563719/9234b389-6451e413-d153fc6d-87004f87-bbfa50c1.jpg'],['files/p15/p15787214/s55726526/ba26edda-e207b86b-665afaa9-47ddab28-78dd3c6e.jpg\n']
s56563719_1,p15787214,s56563719,1,Findings,Portable AP chest radiograph. Diffuse opacities throughout the right lung and left lower lobe are unchanged. There are probably small bilateral pleural effusions. There is no pneumothorax.,There are probably small bilateral pleural effusions.,pleural effusions,bilateral,New,['files/p15/p15787214/s56563719/9234b389-6451e413-d153fc6d-87004f87-bbfa50c1.jpg'],['files/p15/p15787214/s55726526/ba26edda-e207b86b-665afaa9-47ddab28-78dd3c6e.jpg\n']
s56582554_84,p11717909,s56582554,84,Impression,The Swan-Ganz catheter inserted on the right side has its tip the right pulmonary artery. There is no pneumothorax or CHF. There is persistent linear atelectasis or scarring in the right lung base and right perihilar region. The cardiac silhouette is unchanged.,There is persistent linear atelectasis or scarring in the right lung base and right perihilar region.,linear atelectasis or scarring,right lung base and right perihilar region,Stable,['files/p11/p11717909/s56582554/0ab5e42c-b66dcafc-80e41036-0be28891-69da4244.jpg'],"['files/p11/p11717909/s56526568/9ce742fc-f08586f1-87a80fc9-edd9c1b9-04218c60.jpg\n', 'files/p11/p11717909/s56526568/bbeb657c-2c2bd6fe-ec787126-bc79a926-4d1122e9.jpg\n']"
s56582554_84,p11717909,s56582554,84,Impression,The Swan-Ganz catheter inserted on the right side has its tip the right pulmonary artery. There is no pneumothorax or CHF. There is persistent linear atelectasis or scarring in the right lung base and right perihilar region. The cardiac silhouette is unchanged.,The cardiac silhouette is unchanged.,cardiac silhouette,,Stable,['files/p11/p11717909/s56582554/0ab5e42c-b66dcafc-80e41036-0be28891-69da4244.jpg'],"['files/p11/p11717909/s56526568/9ce742fc-f08586f1-87a80fc9-edd9c1b9-04218c60.jpg\n', 'files/p11/p11717909/s56526568/bbeb657c-2c2bd6fe-ec787126-bc79a926-4d1122e9.jpg\n']"
s56589490_0,p18437840,s56589490,0,Impression,The lung volumes are low. Moderate cardiomegaly. Small bilateral pleural effusions with areas of subsequent atelectasis. Mild to moderate pulmonary edema. No pneumothorax. No pneumonia.,No pneumothorax.,pneumothorax,,Resolve,['files/p18/p18437840/s56589490/255028bc-0d427abe-7648f577-5c5161c9-7bd1a3e9.jpg'],
s56589490_0,p18437840,s56589490,0,Impression,The lung volumes are low. Moderate cardiomegaly. Small bilateral pleural effusions with areas of subsequent atelectasis. Mild to moderate pulmonary edema. No pneumothorax. No pneumonia.,No pneumonia.,pneumonia,,Resolve,['files/p18/p18437840/s56589490/255028bc-0d427abe-7648f577-5c5161c9-7bd1a3e9.jpg'],
s56591492_1,p18373333,s56591492,1,Impression,"As compared to ___ chest radiograph, subtle interstitial opacities have apparently increased compared to the prior exam. It is uncertain whether this represents acute interstitial edema or an atypical pneumonia. Exam is otherwise unchanged.","As compared to ___ chest radiograph, subtle interstitial opacities have apparently increased compared to the prior exam.",subtle interstitial opacities,,Worse,['files/p18/p18373333/s56591492/809d5574-2c6ccb2e-96dceef8-4833e730-8599ec91.jpg'],['files/p18/p18373333/s56279753/2c4551ac-f33843fc-07abff12-2c11868b-b5674eea.jpg\n']
s56605758_3,p17660889,s56605758,3,Findings,"In comparison with the study of ___, there is continued substantial cardiomegaly with mild-to-moderate pulmonary edema. Hemodialysis catheter again extends to the mid-to-lower portion of the SVC. Mild basilar atelectasis without frank pneumonia.","In comparison with the study of ___, there is continued substantial cardiomegaly with mild-to-moderate pulmonary edema.",substantial cardiomegaly,,Stable,['files/p17/p17660889/s56605758/a680d992-08c800c8-27ab9581-4d70707a-cb5d31db.jpg'],"['files/p17/p17660889/s55570682/e9993aa3-51eb4a8b-349f7984-ef76541a-4aab169c.jpg\n', 'files/p17/p17660889/s55570682/f2cdfb35-5e55a845-072cade1-37104e77-15844094.jpg\n']"
s56605758_3,p17660889,s56605758,3,Findings,"In comparison with the study of ___, there is continued substantial cardiomegaly with mild-to-moderate pulmonary edema. Hemodialysis catheter again extends to the mid-to-lower portion of the SVC. Mild basilar atelectasis without frank pneumonia.","In comparison with the study of ___, there is continued substantial cardiomegaly with mild-to-moderate pulmonary edema.",mild-to-moderate pulmonary edema,,Stable,['files/p17/p17660889/s56605758/a680d992-08c800c8-27ab9581-4d70707a-cb5d31db.jpg'],"['files/p17/p17660889/s55570682/e9993aa3-51eb4a8b-349f7984-ef76541a-4aab169c.jpg\n', 'files/p17/p17660889/s55570682/f2cdfb35-5e55a845-072cade1-37104e77-15844094.jpg\n']"
s56605758_3,p17660889,s56605758,3,Findings,"In comparison with the study of ___, there is continued substantial cardiomegaly with mild-to-moderate pulmonary edema. Hemodialysis catheter again extends to the mid-to-lower portion of the SVC. Mild basilar atelectasis without frank pneumonia.",Hemodialysis catheter again extends to the mid-to-lower portion of the SVC.,Hemodialysis catheter,mid-to-lower portion of the SVC,Stable,['files/p17/p17660889/s56605758/a680d992-08c800c8-27ab9581-4d70707a-cb5d31db.jpg'],"['files/p17/p17660889/s55570682/e9993aa3-51eb4a8b-349f7984-ef76541a-4aab169c.jpg\n', 'files/p17/p17660889/s55570682/f2cdfb35-5e55a845-072cade1-37104e77-15844094.jpg\n']"
s56608606_4,p13421580,s56608606,4,Impression,"AP chest compared to ___ through ___: The large bilateral pleural effusions have increased substantially over the past four days and may account entirely for greater opacification in both hemithoraces, without any real abnormality in the lungs. The heart is normal size. ET tube in standard placement. Right internal jugular line ends low in the SVC.","The large bilateral pleural effusions have increased substantially over the past four days and may account entirely for greater opacification in both hemithoraces, without any real abnormality in the lungs.",pleural effusions,bilateral,Worse,['files/p13/p13421580/s56608606/840781fb-1fe8a6de-7bd6d463-9943d21f-7716fb40.jpg'],['files/p13/p13421580/s56004726/83239aeb-423f4884-3030d0a9-5c624588-7b8dca07.jpg\n']
s56614637_2,p13313381,s56614637,2,Impression,"Comparison to ___. In the interval, the right PICC line was removed. Lung volumes remain low but both the cardiac silhouette and the lung parenchyma are of normal appearance. No pneumonia, pulmonary edema or pleural effusions.","In the interval, the right PICC line was removed.",PICC line,right,Resolve,"['files/p13/p13313381/s56614637/438de949-b994cd81-3e038daa-dfe2c09c-e5a3461b.jpg', 'files/p13/p13313381/s56614637/45164442-e942766a-b268bd24-6807bda5-f1f91440.jpg']","['files/p13/p13313381/s54976328/6f89762b-7470dad3-738456a1-7eca6b8a-27f96f66.jpg\n', 'files/p13/p13313381/s54976328/9de9b3d5-52ceaca4-f8dc1eb9-476071b0-39ec7ea0.jpg\n', 'files/p13/p13313381/s54976328/edf0798f-b3a2fdbf-00c812b0-c8d3b152-10d90abf.jpg\n']"
s56614637_2,p13313381,s56614637,2,Impression,"Comparison to ___. In the interval, the right PICC line was removed. Lung volumes remain low but both the cardiac silhouette and the lung parenchyma are of normal appearance. No pneumonia, pulmonary edema or pleural effusions.",Lung volumes remain low but both the cardiac silhouette and the lung parenchyma are of normal appearance.,lung volumes,,Stable,"['files/p13/p13313381/s56614637/438de949-b994cd81-3e038daa-dfe2c09c-e5a3461b.jpg', 'files/p13/p13313381/s56614637/45164442-e942766a-b268bd24-6807bda5-f1f91440.jpg']","['files/p13/p13313381/s54976328/6f89762b-7470dad3-738456a1-7eca6b8a-27f96f66.jpg\n', 'files/p13/p13313381/s54976328/9de9b3d5-52ceaca4-f8dc1eb9-476071b0-39ec7ea0.jpg\n', 'files/p13/p13313381/s54976328/edf0798f-b3a2fdbf-00c812b0-c8d3b152-10d90abf.jpg\n']"
s56614916_4,p19366448,s56614916,4,Findings,"Lung volumes remain low. There is continued evidence of mild pulmonary edema mediastinal structures are unchanged. An endotracheal tube, nasogastric tube and left internal jugular catheter remain in place. There is no significant change.",Lung volumes remain low.,Low lung volumes,,Stable,['files/p19/p19366448/s56614916/4c21d27a-14b093bd-9c833943-ccdfb838-1b72eec0.jpg'],['files/p19/p19366448/s55970267/861e6fd8-db9763b1-684e5bf9-a814a02e-e28cca70.jpg\n']
s56614916_4,p19366448,s56614916,4,Findings,"Lung volumes remain low. There is continued evidence of mild pulmonary edema mediastinal structures are unchanged. An endotracheal tube, nasogastric tube and left internal jugular catheter remain in place. There is no significant change.",There is continued evidence of mild pulmonary edema mediastinal structures are unchanged.,"Mild pulmonary edema, mediastinal structures",,Stable,['files/p19/p19366448/s56614916/4c21d27a-14b093bd-9c833943-ccdfb838-1b72eec0.jpg'],['files/p19/p19366448/s55970267/861e6fd8-db9763b1-684e5bf9-a814a02e-e28cca70.jpg\n']
s56614916_4,p19366448,s56614916,4,Findings,"Lung volumes remain low. There is continued evidence of mild pulmonary edema mediastinal structures are unchanged. An endotracheal tube, nasogastric tube and left internal jugular catheter remain in place. There is no significant change.","An endotracheal tube, nasogastric tube and left internal jugular catheter remain in place.","Endotracheal tube, nasogastric tube, left internal jugular catheter",,Stable,['files/p19/p19366448/s56614916/4c21d27a-14b093bd-9c833943-ccdfb838-1b72eec0.jpg'],['files/p19/p19366448/s55970267/861e6fd8-db9763b1-684e5bf9-a814a02e-e28cca70.jpg\n']
s56623034_19,p10337896,s56623034,19,Impression,"As compared to the previous radiograph, the right PICC line has been pulled back. The tip of the line, however, still projects over the right atrium and should be pulled back by another 5-6 cm. No evidence of complications. Otherwise unchanged appearance of the lung parenchyma and the cardiac silhouette.",Otherwise unchanged appearance of the lung parenchyma and the cardiac silhouette.,Cardiac silhouette,,Stable,['files/p10/p10337896/s56623034/f06a566d-44137a23-0a4acf0e-15f9c10d-4fcffff2.jpg'],"['files/p10/p10337896/s56539620/15917c30-2a205e52-c91a4c3e-cd99632c-0e9d82d2.jpg\n', 'files/p10/p10337896/s56539620/603d88d1-87fcfddd-63120bbc-0d84d3ff-c0793f3e.jpg\n']"
s56623034_19,p10337896,s56623034,19,Impression,"As compared to the previous radiograph, the right PICC line has been pulled back. The tip of the line, however, still projects over the right atrium and should be pulled back by another 5-6 cm. No evidence of complications. Otherwise unchanged appearance of the lung parenchyma and the cardiac silhouette.",Otherwise unchanged appearance of the lung parenchyma and the cardiac silhouette.,Lung parenchyma,,Stable,['files/p10/p10337896/s56623034/f06a566d-44137a23-0a4acf0e-15f9c10d-4fcffff2.jpg'],"['files/p10/p10337896/s56539620/15917c30-2a205e52-c91a4c3e-cd99632c-0e9d82d2.jpg\n', 'files/p10/p10337896/s56539620/603d88d1-87fcfddd-63120bbc-0d84d3ff-c0793f3e.jpg\n']"
s56625524_0,p16529785,s56625524,0,Findings,"The lungs are hyperinflated. There are no focal opacities suggestive of pneumonia. Cavitary lesion with adjacent scarring is seen in the right upper lobe periphery, unchanged from ___. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Mild pectus excavatum is redemonstrated.",Mild pectus excavatum is redemonstrated.,Mild pectus excavatum,,Stable,"['files/p16/p16529785/s56625524/6d896995-e8f0c6a9-33a67c60-4e7b80f4-9e94ac30.jpg', 'files/p16/p16529785/s56625524/74fb5360-e5fd0fe8-a6ec7e2a-b9567e77-7f9fb1de.jpg']",
s56625524_0,p16529785,s56625524,0,Findings,"The lungs are hyperinflated. There are no focal opacities suggestive of pneumonia. Cavitary lesion with adjacent scarring is seen in the right upper lobe periphery, unchanged from ___. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Mild pectus excavatum is redemonstrated.","Cavitary lesion with adjacent scarring is seen in the right upper lobe periphery, unchanged from ___.",Cavitary lesion with adjacent scarring,right upper lobe periphery,Stable,"['files/p16/p16529785/s56625524/6d896995-e8f0c6a9-33a67c60-4e7b80f4-9e94ac30.jpg', 'files/p16/p16529785/s56625524/74fb5360-e5fd0fe8-a6ec7e2a-b9567e77-7f9fb1de.jpg']",
s56629662_2,p18713335,s56629662,2,Findings,"As compared to the previous radiograph, the lung volumes have slightly increased, however, not returned to normal. There is decrease of the pre-existing pulmonary edema bilaterally, however there is still mild-to-moderate pulmonary edema bilaterally. The cardiomediastinal silhouette is slightly smaller than the prior radiograph.","As compared to the previous radiograph, the lung volumes have slightly increased, however, not returned to normal.",volume,lung volumes,Better,"['files/p18/p18713335/s56629662/20f781f3-8af7bfae-44ed8008-540a4975-ce41f5b7.jpg', 'files/p18/p18713335/s56629662/25d32771-00781a5a-8920ea8f-ae2f4879-373b3c21.jpg', 'files/p18/p18713335/s56629662/2c7ae42e-e41f0d63-f348381f-7888cf5b-491ac2cc.jpg']","['files/p18/p18713335/s50314735/16e01908-f73fd063-90006332-eb5aeba7-50b4fe00.jpg\n', 'files/p18/p18713335/s50314735/b1cd1859-8c39d24b-4a7eabaf-0c5ecbe3-983c532b.jpg\n']"
s56629662_2,p18713335,s56629662,2,Findings,"As compared to the previous radiograph, the lung volumes have slightly increased, however, not returned to normal. There is decrease of the pre-existing pulmonary edema bilaterally, however there is still mild-to-moderate pulmonary edema bilaterally. The cardiomediastinal silhouette is slightly smaller than the prior radiograph.",The cardiomediastinal silhouette is slightly smaller than the prior radiograph.,size,cardiomediastinal silhouette,Better,"['files/p18/p18713335/s56629662/20f781f3-8af7bfae-44ed8008-540a4975-ce41f5b7.jpg', 'files/p18/p18713335/s56629662/25d32771-00781a5a-8920ea8f-ae2f4879-373b3c21.jpg', 'files/p18/p18713335/s56629662/2c7ae42e-e41f0d63-f348381f-7888cf5b-491ac2cc.jpg']","['files/p18/p18713335/s50314735/16e01908-f73fd063-90006332-eb5aeba7-50b4fe00.jpg\n', 'files/p18/p18713335/s50314735/b1cd1859-8c39d24b-4a7eabaf-0c5ecbe3-983c532b.jpg\n']"
s56629662_2,p18713335,s56629662,2,Findings,"As compared to the previous radiograph, the lung volumes have slightly increased, however, not returned to normal. There is decrease of the pre-existing pulmonary edema bilaterally, however there is still mild-to-moderate pulmonary edema bilaterally. The cardiomediastinal silhouette is slightly smaller than the prior radiograph.","There is decrease of the pre-existing pulmonary edema bilaterally, however there is still mild-to-moderate pulmonary edema bilaterally.",pulmonary edema,bilaterally,Better,"['files/p18/p18713335/s56629662/20f781f3-8af7bfae-44ed8008-540a4975-ce41f5b7.jpg', 'files/p18/p18713335/s56629662/25d32771-00781a5a-8920ea8f-ae2f4879-373b3c21.jpg', 'files/p18/p18713335/s56629662/2c7ae42e-e41f0d63-f348381f-7888cf5b-491ac2cc.jpg']","['files/p18/p18713335/s50314735/16e01908-f73fd063-90006332-eb5aeba7-50b4fe00.jpg\n', 'files/p18/p18713335/s50314735/b1cd1859-8c39d24b-4a7eabaf-0c5ecbe3-983c532b.jpg\n']"
s56629750_8,p19254322,s56629750,8,Impression,"Post-treatment changes in the left lung correlate to findings from prior CT chest from ___, not appreciably changed. No evidence of superimposed acute cardiopulmonary process.","Post-treatment changes in the left lung correlate to findings from prior CT chest from ___, not appreciably changed.",post-treatment changes,left lung,Stable,"['files/p19/p19254322/s56629750/98722af0-4be017d3-0f9e710c-130786ed-ce6067ac.jpg', 'files/p19/p19254322/s56629750/f14d047c-4743b199-64f60407-dfd3531f-42186adb.jpg']",['files/p19/p19254322/s54752436/6552c73b-641178aa-c4ebf4fa-a12d5896-b0902876.jpg\n']
s56645801_2,p14482820,s56645801,2,Impression,There is a right IJ line with tip at the cavoatrial junction. There is no pneumothorax. Lung volumes are slightly low. There is increased patchy opacity in both lower lungs. Is unclear if this is due to volume loss or early infiltrate. The ET tube and NG tube are unchanged,The ET tube and NG tube are unchanged,,NG tube,Stable,['files/p14/p14482820/s56645801/ec1d6381-e9419e88-73976f03-de6d851b-3691ae4f.jpg'],"['files/p14/p14482820/s55772608/2602a49c-e35b125f-82408969-f68eb85c-9735bc8b.jpg\n', 'files/p14/p14482820/s55772608/ee48c72c-d6d0aae4-5c6a3951-8146574b-9683d5c4.jpg\n']"
s56645801_2,p14482820,s56645801,2,Impression,There is a right IJ line with tip at the cavoatrial junction. There is no pneumothorax. Lung volumes are slightly low. There is increased patchy opacity in both lower lungs. Is unclear if this is due to volume loss or early infiltrate. The ET tube and NG tube are unchanged,The ET tube and NG tube are unchanged,,ET tube,Stable,['files/p14/p14482820/s56645801/ec1d6381-e9419e88-73976f03-de6d851b-3691ae4f.jpg'],"['files/p14/p14482820/s55772608/2602a49c-e35b125f-82408969-f68eb85c-9735bc8b.jpg\n', 'files/p14/p14482820/s55772608/ee48c72c-d6d0aae4-5c6a3951-8146574b-9683d5c4.jpg\n']"
s56645801_2,p14482820,s56645801,2,Impression,There is a right IJ line with tip at the cavoatrial junction. There is no pneumothorax. Lung volumes are slightly low. There is increased patchy opacity in both lower lungs. Is unclear if this is due to volume loss or early infiltrate. The ET tube and NG tube are unchanged,There is increased patchy opacity in both lower lungs.,patchy opacity,both lower lungs,Worse,['files/p14/p14482820/s56645801/ec1d6381-e9419e88-73976f03-de6d851b-3691ae4f.jpg'],"['files/p14/p14482820/s55772608/2602a49c-e35b125f-82408969-f68eb85c-9735bc8b.jpg\n', 'files/p14/p14482820/s55772608/ee48c72c-d6d0aae4-5c6a3951-8146574b-9683d5c4.jpg\n']"
s56647493_41,p11717909,s56647493,41,Impression,"There has been worsening of both extensive multifocal pneumonia, particularly in the lower lobes, and in moderate pulmonary edema now extending to the level of both hila, moderate right pleural effusion,, small left pleural effusion, and probably increase in moderate cardiomegaly as well. No pneumothorax. Left PIC line ends in the upper right atrium.","There has been worsening of both extensive multifocal pneumonia, particularly in the lower lobes, and in moderate pulmonary edema now extending to the level of both hila, moderate right pleural effusion,, small left pleural effusion, and probably increase in moderate cardiomegaly as well.",pleural effusion,right,Worse,['files/p11/p11717909/s56647493/861996f7-f715090f-6fbfb34e-37a5f763-1e1ff6e7.jpg'],['files/p11/p11717909/s56582554/0ab5e42c-b66dcafc-80e41036-0be28891-69da4244.jpg\n']
s56647493_41,p11717909,s56647493,41,Impression,"There has been worsening of both extensive multifocal pneumonia, particularly in the lower lobes, and in moderate pulmonary edema now extending to the level of both hila, moderate right pleural effusion,, small left pleural effusion, and probably increase in moderate cardiomegaly as well. No pneumothorax. Left PIC line ends in the upper right atrium.","There has been worsening of both extensive multifocal pneumonia, particularly in the lower lobes, and in moderate pulmonary edema now extending to the level of both hila, moderate right pleural effusion,, small left pleural effusion, and probably increase in moderate cardiomegaly as well.",pulmonary edema,both hila,Worse,['files/p11/p11717909/s56647493/861996f7-f715090f-6fbfb34e-37a5f763-1e1ff6e7.jpg'],['files/p11/p11717909/s56582554/0ab5e42c-b66dcafc-80e41036-0be28891-69da4244.jpg\n']
s56647493_41,p11717909,s56647493,41,Impression,"There has been worsening of both extensive multifocal pneumonia, particularly in the lower lobes, and in moderate pulmonary edema now extending to the level of both hila, moderate right pleural effusion,, small left pleural effusion, and probably increase in moderate cardiomegaly as well. No pneumothorax. Left PIC line ends in the upper right atrium.","There has been worsening of both extensive multifocal pneumonia, particularly in the lower lobes, and in moderate pulmonary edema now extending to the level of both hila, moderate right pleural effusion,, small left pleural effusion, and probably increase in moderate cardiomegaly as well.",multifocal pneumonia,lower lobes,Worse,['files/p11/p11717909/s56647493/861996f7-f715090f-6fbfb34e-37a5f763-1e1ff6e7.jpg'],['files/p11/p11717909/s56582554/0ab5e42c-b66dcafc-80e41036-0be28891-69da4244.jpg\n']
s56647493_41,p11717909,s56647493,41,Impression,"There has been worsening of both extensive multifocal pneumonia, particularly in the lower lobes, and in moderate pulmonary edema now extending to the level of both hila, moderate right pleural effusion,, small left pleural effusion, and probably increase in moderate cardiomegaly as well. No pneumothorax. Left PIC line ends in the upper right atrium.","There has been worsening of both extensive multifocal pneumonia, particularly in the lower lobes, and in moderate pulmonary edema now extending to the level of both hila, moderate right pleural effusion,, small left pleural effusion, and probably increase in moderate cardiomegaly as well.",cardiomegaly,cardiac,Worse,['files/p11/p11717909/s56647493/861996f7-f715090f-6fbfb34e-37a5f763-1e1ff6e7.jpg'],['files/p11/p11717909/s56582554/0ab5e42c-b66dcafc-80e41036-0be28891-69da4244.jpg\n']
s56647493_41,p11717909,s56647493,41,Impression,"There has been worsening of both extensive multifocal pneumonia, particularly in the lower lobes, and in moderate pulmonary edema now extending to the level of both hila, moderate right pleural effusion,, small left pleural effusion, and probably increase in moderate cardiomegaly as well. No pneumothorax. Left PIC line ends in the upper right atrium.","There has been worsening of both extensive multifocal pneumonia, particularly in the lower lobes, and in moderate pulmonary edema now extending to the level of both hila, moderate right pleural effusion,, small left pleural effusion, and probably increase in moderate cardiomegaly as well.",pleural effusion,left,Worse,['files/p11/p11717909/s56647493/861996f7-f715090f-6fbfb34e-37a5f763-1e1ff6e7.jpg'],['files/p11/p11717909/s56582554/0ab5e42c-b66dcafc-80e41036-0be28891-69da4244.jpg\n']
s56671598_35,p11717909,s56671598,35,Findings,"The lungs are mildly hypoinflated with crowding of vasculature. There is a new heterogeneous right lower and right middle lobe opacities. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Again seen are intact median sternotomy wires and mediastinal clips.",Again seen are intact median sternotomy wires and mediastinal clips.,median sternotomy wires and mediastinal clips,,Stable,"['files/p11/p11717909/s56671598/9205c9ac-2bc07ba3-7ce03e6e-f5c7a725-31fd481d.jpg', 'files/p11/p11717909/s56671598/be35822b-d15d7251-57872f94-f8e5d649-b71aba02.jpg']",['files/p11/p11717909/s56647493/861996f7-f715090f-6fbfb34e-37a5f763-1e1ff6e7.jpg\n']
s56671598_35,p11717909,s56671598,35,Findings,"The lungs are mildly hypoinflated with crowding of vasculature. There is a new heterogeneous right lower and right middle lobe opacities. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Again seen are intact median sternotomy wires and mediastinal clips.",There is a new heterogeneous right lower and right middle lobe opacities.,opacities,right lower and right middle lobe,New,"['files/p11/p11717909/s56671598/9205c9ac-2bc07ba3-7ce03e6e-f5c7a725-31fd481d.jpg', 'files/p11/p11717909/s56671598/be35822b-d15d7251-57872f94-f8e5d649-b71aba02.jpg']",['files/p11/p11717909/s56647493/861996f7-f715090f-6fbfb34e-37a5f763-1e1ff6e7.jpg\n']
s56672330_7,p13894716,s56672330,7,Impression,Comparison to ___. Monitoring and support devices are in stable position. Stable moderate cardiomegaly with mild retrocardiac atelectasis. Mild fluid overload but no overt pulmonary edema. Small bilateral pleural effusions are unchanged.,Stable moderate cardiomegaly with mild retrocardiac atelectasis.,atelectasis,retrocardiac,Stable,['files/p13/p13894716/s56672330/bb28bb48-5d205700-25fa4499-8d515e45-5cc3286f.jpg'],"['files/p13/p13894716/s56403155/4f51aedc-e5b947bb-0240fc59-b91b17f7-ebca4c1e.jpg\n', 'files/p13/p13894716/s56403155/81a75b46-6c709fe1-e7e1b309-b733dccf-293aa917.jpg\n', 'files/p13/p13894716/s56403155/c7290c26-db21417d-e5ce2c87-a4171ace-026fbeaa.jpg\n']"
s56672330_7,p13894716,s56672330,7,Impression,Comparison to ___. Monitoring and support devices are in stable position. Stable moderate cardiomegaly with mild retrocardiac atelectasis. Mild fluid overload but no overt pulmonary edema. Small bilateral pleural effusions are unchanged.,Comparison to ___. Monitoring and support devices are in stable position.,monitoring and support devices,,Stable,['files/p13/p13894716/s56672330/bb28bb48-5d205700-25fa4499-8d515e45-5cc3286f.jpg'],"['files/p13/p13894716/s56403155/4f51aedc-e5b947bb-0240fc59-b91b17f7-ebca4c1e.jpg\n', 'files/p13/p13894716/s56403155/81a75b46-6c709fe1-e7e1b309-b733dccf-293aa917.jpg\n', 'files/p13/p13894716/s56403155/c7290c26-db21417d-e5ce2c87-a4171ace-026fbeaa.jpg\n']"
s56672330_7,p13894716,s56672330,7,Impression,Comparison to ___. Monitoring and support devices are in stable position. Stable moderate cardiomegaly with mild retrocardiac atelectasis. Mild fluid overload but no overt pulmonary edema. Small bilateral pleural effusions are unchanged.,Stable moderate cardiomegaly with mild retrocardiac atelectasis.,moderate cardiomegaly,,Stable,['files/p13/p13894716/s56672330/bb28bb48-5d205700-25fa4499-8d515e45-5cc3286f.jpg'],"['files/p13/p13894716/s56403155/4f51aedc-e5b947bb-0240fc59-b91b17f7-ebca4c1e.jpg\n', 'files/p13/p13894716/s56403155/81a75b46-6c709fe1-e7e1b309-b733dccf-293aa917.jpg\n', 'files/p13/p13894716/s56403155/c7290c26-db21417d-e5ce2c87-a4171ace-026fbeaa.jpg\n']"
s56672330_7,p13894716,s56672330,7,Impression,Comparison to ___. Monitoring and support devices are in stable position. Stable moderate cardiomegaly with mild retrocardiac atelectasis. Mild fluid overload but no overt pulmonary edema. Small bilateral pleural effusions are unchanged.,Small bilateral pleural effusions are unchanged.,pleural effusions,bilateral,Stable,['files/p13/p13894716/s56672330/bb28bb48-5d205700-25fa4499-8d515e45-5cc3286f.jpg'],"['files/p13/p13894716/s56403155/4f51aedc-e5b947bb-0240fc59-b91b17f7-ebca4c1e.jpg\n', 'files/p13/p13894716/s56403155/81a75b46-6c709fe1-e7e1b309-b733dccf-293aa917.jpg\n', 'files/p13/p13894716/s56403155/c7290c26-db21417d-e5ce2c87-a4171ace-026fbeaa.jpg\n']"
s56703975_37,p11888614,s56703975,37,Findings,AP portable upright view of the chest. Interval intubation noted with the endotracheal tube tip residing approximately 6cm above the carina. The lungs are mostly clear aside from mild lower lung atelectasis. No large effusion or pneumothorax. Cardiomediastinal silhouette appear stable. Bony structures are intact.,Cardiomediastinal silhouette appear stable.,Cardiomediastinal silhouette,,Stable,['files/p11/p11888614/s56703975/88e154a1-fd82784b-588fbc5a-0649ad57-b12ed9cb.jpg'],"['files/p11/p11888614/s56650370/06d06454-e679a2d4-05fcb986-27323b1b-a82e89c8.jpg\n', 'files/p11/p11888614/s56650370/8e1f4766-c0852f98-8c4c8db6-57182af8-99ec6bb1.jpg\n', 'files/p11/p11888614/s56650370/a5c94f55-0a06cd2d-322ee395-331426ff-75fa19b5.jpg\n']"
s56711844_0,p12671922,s56711844,0,Impression,"There is a left-sided PICC line with distal tip in the mid SVC. Heart size is prominent, stable. There has been increase in the bibasilar opacities. Previously felt to represent atelectasis, this may represent developing infiltrate as well. There is a left retrocardiac opacity and left-sided pleural effusion which are stable. There are no pneumothoraces.",There is a left retrocardiac opacity and left-sided pleural effusion which are stable.,pleural effusion,left-sided,Stable,['files/p12/p12671922/s56711844/b7c818c2-bf5dde12-748d7913-48366cba-d787cb7b.jpg'],"['files/p12/p12671922/s54253905/576ea30f-0b6d676e-4fb00e65-c319c423-7445e215.jpg\n', 'files/p12/p12671922/s54253905/ea4d9952-427fe1f1-211bede7-853d99dc-eaaa4a79.jpg\n']"
s56711844_0,p12671922,s56711844,0,Impression,"There is a left-sided PICC line with distal tip in the mid SVC. Heart size is prominent, stable. There has been increase in the bibasilar opacities. Previously felt to represent atelectasis, this may represent developing infiltrate as well. There is a left retrocardiac opacity and left-sided pleural effusion which are stable. There are no pneumothoraces.",There is a left retrocardiac opacity and left-sided pleural effusion which are stable.,opacity,left retrocardiac,Stable,['files/p12/p12671922/s56711844/b7c818c2-bf5dde12-748d7913-48366cba-d787cb7b.jpg'],"['files/p12/p12671922/s54253905/576ea30f-0b6d676e-4fb00e65-c319c423-7445e215.jpg\n', 'files/p12/p12671922/s54253905/ea4d9952-427fe1f1-211bede7-853d99dc-eaaa4a79.jpg\n']"
s56711844_0,p12671922,s56711844,0,Impression,"There is a left-sided PICC line with distal tip in the mid SVC. Heart size is prominent, stable. There has been increase in the bibasilar opacities. Previously felt to represent atelectasis, this may represent developing infiltrate as well. There is a left retrocardiac opacity and left-sided pleural effusion which are stable. There are no pneumothoraces.","Heart size is prominent, stable.",Heart size,,Stable,['files/p12/p12671922/s56711844/b7c818c2-bf5dde12-748d7913-48366cba-d787cb7b.jpg'],"['files/p12/p12671922/s54253905/576ea30f-0b6d676e-4fb00e65-c319c423-7445e215.jpg\n', 'files/p12/p12671922/s54253905/ea4d9952-427fe1f1-211bede7-853d99dc-eaaa4a79.jpg\n']"
s56711844_0,p12671922,s56711844,0,Impression,"There is a left-sided PICC line with distal tip in the mid SVC. Heart size is prominent, stable. There has been increase in the bibasilar opacities. Previously felt to represent atelectasis, this may represent developing infiltrate as well. There is a left retrocardiac opacity and left-sided pleural effusion which are stable. There are no pneumothoraces.",There has been increase in the bibasilar opacities.,opacities,bibasilar,Worse,['files/p12/p12671922/s56711844/b7c818c2-bf5dde12-748d7913-48366cba-d787cb7b.jpg'],"['files/p12/p12671922/s54253905/576ea30f-0b6d676e-4fb00e65-c319c423-7445e215.jpg\n', 'files/p12/p12671922/s54253905/ea4d9952-427fe1f1-211bede7-853d99dc-eaaa4a79.jpg\n']"
s56734350_0,p15436594,s56734350,0,Impression,Right lower lobe pneumonia.,Right lower lobe pneumonia.,pneumonia,right lower lobe,New,"['files/p15/p15436594/s56734350/08dad1a1-e0d9aa0c-43bcb6c8-8038d5ce-3430cd47.jpg', 'files/p15/p15436594/s56734350/2bf97d91-aeecb635-55ed5060-aea787be-5271de06.jpg']",
s56734350_0,p15436594,s56734350,0,Findings,The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. There is a right lower lobe opacity which is concerning for developing infection. The remainder of the lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.,There is a right lower lobe opacity which is concerning for developing infection.,opacity,right lower lobe,New,"['files/p15/p15436594/s56734350/08dad1a1-e0d9aa0c-43bcb6c8-8038d5ce-3430cd47.jpg', 'files/p15/p15436594/s56734350/2bf97d91-aeecb635-55ed5060-aea787be-5271de06.jpg']",
s56772300_3,p18580594,s56772300,3,Findings,"In comparison with study of ___, there is little overall change in the diffuse bilateral pulmonary nodules, consistent with widespread metastases from renal cell carcinoma. The patient has taken a slightly better inspiration. There may be some mild elevation of pulmonary venous pressure.","In comparison with study of ___, there is little overall change in the diffuse bilateral pulmonary nodules, consistent with widespread metastases from renal cell carcinoma.",pulmonary nodules,bilateral,Stable,['files/p18/p18580594/s56772300/184bb758-6458694f-18e228fd-256ef804-8bfa0dba.jpg'],"['files/p18/p18580594/s56562091/6abe4ea4-169e4ba1-a84d3279-9d50d94c-f5eea071.jpg\n', 'files/p18/p18580594/s56562091/b298a1e4-63c03117-5b7448ea-6d2e5afd-c1c39bd7.jpg\n']"
s56780883_19,p11888614,s56780883,19,Findings,"No focal consolidation, pleural effusion, or pneumothorax is seen. Mild pulmonary vascular redistribution persists. Interstitial prominence is likely chronic. Heart and mediastinal contours are within normal limits.",Mild pulmonary vascular redistribution persists.,mild pulmonary vascular redistribution,,Stable,"['files/p11/p11888614/s56780883/3262a2af-cbec2cad-9cd5cba9-7d8623c0-9655977e.jpg', 'files/p11/p11888614/s56780883/c1610076-7344ca52-76ac1da0-6b6e055a-0888a924.jpg']",['files/p11/p11888614/s56703975/88e154a1-fd82784b-588fbc5a-0649ad57-b12ed9cb.jpg\n']
s56780883_19,p11888614,s56780883,19,Impression,"Pulmonary vascular congestion, a little more congested than his best recent chest radiograph on ___.","Pulmonary vascular congestion, a little more congested than his best recent chest radiograph on ___.",pulmonary vascular congestion,,Worse,"['files/p11/p11888614/s56780883/3262a2af-cbec2cad-9cd5cba9-7d8623c0-9655977e.jpg', 'files/p11/p11888614/s56780883/c1610076-7344ca52-76ac1da0-6b6e055a-0888a924.jpg']",['files/p11/p11888614/s56703975/88e154a1-fd82784b-588fbc5a-0649ad57-b12ed9cb.jpg\n']
s56803911_12,p17945610,s56803911,12,Impression,Left-sided pacemaker with leads are unchanged in position. There is unchanged cardiomegaly. There is mild improved aeration. There remains prominence of the pulmonary interstitial markings. There is an opacity at the right medial heart border. This may represent pneumonia or aspiration. No pneumothoraces are seen.,There remains prominence of the pulmonary interstitial markings.,Markings,Pulmonary interstitial,Stable,['files/p17/p17945610/s56803911/7faad21d-d5e10065-97ed8c34-1de6fab7-d7a77f09.jpg'],"['files/p17/p17945610/s55278676/03c75931-b2196163-ee0a3e6e-0decfe16-830818ae.jpg\n', 'files/p17/p17945610/s55278676/6bce6e3d-c0808929-7010788f-068f1c13-2b766a1a.jpg\n']"
s56803911_12,p17945610,s56803911,12,Impression,Left-sided pacemaker with leads are unchanged in position. There is unchanged cardiomegaly. There is mild improved aeration. There remains prominence of the pulmonary interstitial markings. There is an opacity at the right medial heart border. This may represent pneumonia or aspiration. No pneumothoraces are seen.,There is mild improved aeration.,Aeration,,Better,['files/p17/p17945610/s56803911/7faad21d-d5e10065-97ed8c34-1de6fab7-d7a77f09.jpg'],"['files/p17/p17945610/s55278676/03c75931-b2196163-ee0a3e6e-0decfe16-830818ae.jpg\n', 'files/p17/p17945610/s55278676/6bce6e3d-c0808929-7010788f-068f1c13-2b766a1a.jpg\n']"
s56803911_12,p17945610,s56803911,12,Impression,Left-sided pacemaker with leads are unchanged in position. There is unchanged cardiomegaly. There is mild improved aeration. There remains prominence of the pulmonary interstitial markings. There is an opacity at the right medial heart border. This may represent pneumonia or aspiration. No pneumothoraces are seen.,There is unchanged cardiomegaly.,Cardiomegaly,,Stable,['files/p17/p17945610/s56803911/7faad21d-d5e10065-97ed8c34-1de6fab7-d7a77f09.jpg'],"['files/p17/p17945610/s55278676/03c75931-b2196163-ee0a3e6e-0decfe16-830818ae.jpg\n', 'files/p17/p17945610/s55278676/6bce6e3d-c0808929-7010788f-068f1c13-2b766a1a.jpg\n']"
s56803911_12,p17945610,s56803911,12,Impression,Left-sided pacemaker with leads are unchanged in position. There is unchanged cardiomegaly. There is mild improved aeration. There remains prominence of the pulmonary interstitial markings. There is an opacity at the right medial heart border. This may represent pneumonia or aspiration. No pneumothoraces are seen.,Left-sided pacemaker with leads are unchanged in position.,Pacemaker with leads,Left-sided,Stable,['files/p17/p17945610/s56803911/7faad21d-d5e10065-97ed8c34-1de6fab7-d7a77f09.jpg'],"['files/p17/p17945610/s55278676/03c75931-b2196163-ee0a3e6e-0decfe16-830818ae.jpg\n', 'files/p17/p17945610/s55278676/6bce6e3d-c0808929-7010788f-068f1c13-2b766a1a.jpg\n']"
s56813540_6,p16617702,s56813540,6,Findings,Cardiac silhouette is upper limits of normal in size and accompanied by pulmonary vascular engorgement and slight perivascular indistinctness. Subtle basilar predominant interstitial opacities are visible in the right lung base and may reflect interstitial edema. Moderate left and small right pleural effusions are again demonstrated with adjacent basilar opacities which may reflect atelectasis and/or consolidation. This has slightly improved at the right base and is unchanged on the left.,Moderate left and small right pleural effusions are again demonstrated with adjacent basilar opacities which may reflect atelectasis and/or consolidation.,pleural effusion,right,Stable,['files/p16/p16617702/s56813540/1c9ec94e-27e09fa4-bfa23b4a-097d03bb-a6f67389.jpg'],"['files/p16/p16617702/s54056728/61057192-2a26a2e2-8145ae0c-1295cf36-5ac93c98.jpg\n', 'files/p16/p16617702/s54056728/b75e4086-9352431d-f07e12b0-a8669ac7-28a1f693.jpg\n', 'files/p16/p16617702/s54056728/c5d1f913-cd636274-029bb314-6f1e9d2b-d2593f75.jpg\n']"
s56813540_6,p16617702,s56813540,6,Findings,Cardiac silhouette is upper limits of normal in size and accompanied by pulmonary vascular engorgement and slight perivascular indistinctness. Subtle basilar predominant interstitial opacities are visible in the right lung base and may reflect interstitial edema. Moderate left and small right pleural effusions are again demonstrated with adjacent basilar opacities which may reflect atelectasis and/or consolidation. This has slightly improved at the right base and is unchanged on the left.,This has slightly improved at the right base and is unchanged on the left.,,left,Stable,['files/p16/p16617702/s56813540/1c9ec94e-27e09fa4-bfa23b4a-097d03bb-a6f67389.jpg'],"['files/p16/p16617702/s54056728/61057192-2a26a2e2-8145ae0c-1295cf36-5ac93c98.jpg\n', 'files/p16/p16617702/s54056728/b75e4086-9352431d-f07e12b0-a8669ac7-28a1f693.jpg\n', 'files/p16/p16617702/s54056728/c5d1f913-cd636274-029bb314-6f1e9d2b-d2593f75.jpg\n']"
s56813540_6,p16617702,s56813540,6,Findings,Cardiac silhouette is upper limits of normal in size and accompanied by pulmonary vascular engorgement and slight perivascular indistinctness. Subtle basilar predominant interstitial opacities are visible in the right lung base and may reflect interstitial edema. Moderate left and small right pleural effusions are again demonstrated with adjacent basilar opacities which may reflect atelectasis and/or consolidation. This has slightly improved at the right base and is unchanged on the left.,Moderate left and small right pleural effusions are again demonstrated with adjacent basilar opacities which may reflect atelectasis and/or consolidation.,pleural effusion,left,Stable,['files/p16/p16617702/s56813540/1c9ec94e-27e09fa4-bfa23b4a-097d03bb-a6f67389.jpg'],"['files/p16/p16617702/s54056728/61057192-2a26a2e2-8145ae0c-1295cf36-5ac93c98.jpg\n', 'files/p16/p16617702/s54056728/b75e4086-9352431d-f07e12b0-a8669ac7-28a1f693.jpg\n', 'files/p16/p16617702/s54056728/c5d1f913-cd636274-029bb314-6f1e9d2b-d2593f75.jpg\n']"
s56813540_6,p16617702,s56813540,6,Findings,Cardiac silhouette is upper limits of normal in size and accompanied by pulmonary vascular engorgement and slight perivascular indistinctness. Subtle basilar predominant interstitial opacities are visible in the right lung base and may reflect interstitial edema. Moderate left and small right pleural effusions are again demonstrated with adjacent basilar opacities which may reflect atelectasis and/or consolidation. This has slightly improved at the right base and is unchanged on the left.,This has slightly improved at the right base and is unchanged on the left.,,right base,Better,['files/p16/p16617702/s56813540/1c9ec94e-27e09fa4-bfa23b4a-097d03bb-a6f67389.jpg'],"['files/p16/p16617702/s54056728/61057192-2a26a2e2-8145ae0c-1295cf36-5ac93c98.jpg\n', 'files/p16/p16617702/s54056728/b75e4086-9352431d-f07e12b0-a8669ac7-28a1f693.jpg\n', 'files/p16/p16617702/s54056728/c5d1f913-cd636274-029bb314-6f1e9d2b-d2593f75.jpg\n']"
s56831830_10,p16033763,s56831830,10,Findings,"Portable semi-upright radiograph of the chest demonstrates interval decrease in the size of the left pleural effusion, which now occupies approximately half of the left hemithorax. There is improved aeration of the left upper lobe. Cardiomediastinal and hilar contours are unchanged. Persistent rightward shift of the mediastinum. Stable diffuse bilateral pulmonary nodules. No pneumothorax.","Portable semi-upright radiograph of the chest demonstrates interval decrease in the size of the left pleural effusion, which now occupies approximately half of the left hemithorax.",pleural effusion,left hemithorax,Better,['files/p16/p16033763/s56831830/4aec4b05-d210e192-896bee34-0cbe5e5a-634a75d2.jpg'],['files/p16/p16033763/s56607012/25142c57-f3723dbf-b7bd3225-66ec6472-ddc1c56c.jpg\n']
s56831830_10,p16033763,s56831830,10,Findings,"Portable semi-upright radiograph of the chest demonstrates interval decrease in the size of the left pleural effusion, which now occupies approximately half of the left hemithorax. There is improved aeration of the left upper lobe. Cardiomediastinal and hilar contours are unchanged. Persistent rightward shift of the mediastinum. Stable diffuse bilateral pulmonary nodules. No pneumothorax.",Stable diffuse bilateral pulmonary nodules.,pulmonary nodules,bilateral,Stable,['files/p16/p16033763/s56831830/4aec4b05-d210e192-896bee34-0cbe5e5a-634a75d2.jpg'],['files/p16/p16033763/s56607012/25142c57-f3723dbf-b7bd3225-66ec6472-ddc1c56c.jpg\n']
s56831830_10,p16033763,s56831830,10,Findings,"Portable semi-upright radiograph of the chest demonstrates interval decrease in the size of the left pleural effusion, which now occupies approximately half of the left hemithorax. There is improved aeration of the left upper lobe. Cardiomediastinal and hilar contours are unchanged. Persistent rightward shift of the mediastinum. Stable diffuse bilateral pulmonary nodules. No pneumothorax.",Persistent rightward shift of the mediastinum.,rightward shift,mediastinum,Stable,['files/p16/p16033763/s56831830/4aec4b05-d210e192-896bee34-0cbe5e5a-634a75d2.jpg'],['files/p16/p16033763/s56607012/25142c57-f3723dbf-b7bd3225-66ec6472-ddc1c56c.jpg\n']
s56831830_10,p16033763,s56831830,10,Findings,"Portable semi-upright radiograph of the chest demonstrates interval decrease in the size of the left pleural effusion, which now occupies approximately half of the left hemithorax. There is improved aeration of the left upper lobe. Cardiomediastinal and hilar contours are unchanged. Persistent rightward shift of the mediastinum. Stable diffuse bilateral pulmonary nodules. No pneumothorax.",There is improved aeration of the left upper lobe.,aeration,left upper lobe,Better,['files/p16/p16033763/s56831830/4aec4b05-d210e192-896bee34-0cbe5e5a-634a75d2.jpg'],['files/p16/p16033763/s56607012/25142c57-f3723dbf-b7bd3225-66ec6472-ddc1c56c.jpg\n']
s56831830_10,p16033763,s56831830,10,Findings,"Portable semi-upright radiograph of the chest demonstrates interval decrease in the size of the left pleural effusion, which now occupies approximately half of the left hemithorax. There is improved aeration of the left upper lobe. Cardiomediastinal and hilar contours are unchanged. Persistent rightward shift of the mediastinum. Stable diffuse bilateral pulmonary nodules. No pneumothorax.",Cardiomediastinal and hilar contours are unchanged.,,Cardiomediastinal and hilar contours,Stable,['files/p16/p16033763/s56831830/4aec4b05-d210e192-896bee34-0cbe5e5a-634a75d2.jpg'],['files/p16/p16033763/s56607012/25142c57-f3723dbf-b7bd3225-66ec6472-ddc1c56c.jpg\n']
s56835560_6,p15902493,s56835560,6,Impression,"AP chest compared to ___ read in conjunction with the chest CT on ___: Previous moderate right pleural effusion and right basal atelectasis have improved since ___, mild pulmonary edema has cleared and small left pleural effusion has resolved. ET tube in standard position in the trachea which is displaced leftward by large thyroid mass. Moderate cardiomegaly stable. Left subclavian line ends in the low SVC. No pneumothorax. Small right pleural effusion. Persistent elevation of the right hemidiaphragm may be due to phrenic nerve palsy.","Previous moderate right pleural effusion and right basal atelectasis have improved since ___, mild pulmonary edema has cleared and small left pleural effusion has resolved.",atelectasis,right basal,Better,['files/p15/p15902493/s56835560/84e51680-738978f2-ce0ca7b3-037c1468-d96d0c03.jpg'],['files/p15/p15902493/s56080109/808f11c6-3458709b-ffe153fb-fe069bb3-717cba85.jpg\n']
s56835560_6,p15902493,s56835560,6,Impression,"AP chest compared to ___ read in conjunction with the chest CT on ___: Previous moderate right pleural effusion and right basal atelectasis have improved since ___, mild pulmonary edema has cleared and small left pleural effusion has resolved. ET tube in standard position in the trachea which is displaced leftward by large thyroid mass. Moderate cardiomegaly stable. Left subclavian line ends in the low SVC. No pneumothorax. Small right pleural effusion. Persistent elevation of the right hemidiaphragm may be due to phrenic nerve palsy.",Persistent elevation of the right hemidiaphragm may be due to phrenic nerve palsy.,hemidiaphragm elevation,right,Stable,['files/p15/p15902493/s56835560/84e51680-738978f2-ce0ca7b3-037c1468-d96d0c03.jpg'],['files/p15/p15902493/s56080109/808f11c6-3458709b-ffe153fb-fe069bb3-717cba85.jpg\n']
s56835560_6,p15902493,s56835560,6,Impression,"AP chest compared to ___ read in conjunction with the chest CT on ___: Previous moderate right pleural effusion and right basal atelectasis have improved since ___, mild pulmonary edema has cleared and small left pleural effusion has resolved. ET tube in standard position in the trachea which is displaced leftward by large thyroid mass. Moderate cardiomegaly stable. Left subclavian line ends in the low SVC. No pneumothorax. Small right pleural effusion. Persistent elevation of the right hemidiaphragm may be due to phrenic nerve palsy.","Previous moderate right pleural effusion and right basal atelectasis have improved since ___, mild pulmonary edema has cleared and small left pleural effusion has resolved.",pleural effusion,right,Better,['files/p15/p15902493/s56835560/84e51680-738978f2-ce0ca7b3-037c1468-d96d0c03.jpg'],['files/p15/p15902493/s56080109/808f11c6-3458709b-ffe153fb-fe069bb3-717cba85.jpg\n']
s56835560_6,p15902493,s56835560,6,Impression,"AP chest compared to ___ read in conjunction with the chest CT on ___: Previous moderate right pleural effusion and right basal atelectasis have improved since ___, mild pulmonary edema has cleared and small left pleural effusion has resolved. ET tube in standard position in the trachea which is displaced leftward by large thyroid mass. Moderate cardiomegaly stable. Left subclavian line ends in the low SVC. No pneumothorax. Small right pleural effusion. Persistent elevation of the right hemidiaphragm may be due to phrenic nerve palsy.","Previous moderate right pleural effusion and right basal atelectasis have improved since ___, mild pulmonary edema has cleared and small left pleural effusion has resolved.",pulmonary edema,bilateral,Resolve,['files/p15/p15902493/s56835560/84e51680-738978f2-ce0ca7b3-037c1468-d96d0c03.jpg'],['files/p15/p15902493/s56080109/808f11c6-3458709b-ffe153fb-fe069bb3-717cba85.jpg\n']
s56835560_6,p15902493,s56835560,6,Impression,"AP chest compared to ___ read in conjunction with the chest CT on ___: Previous moderate right pleural effusion and right basal atelectasis have improved since ___, mild pulmonary edema has cleared and small left pleural effusion has resolved. ET tube in standard position in the trachea which is displaced leftward by large thyroid mass. Moderate cardiomegaly stable. Left subclavian line ends in the low SVC. No pneumothorax. Small right pleural effusion. Persistent elevation of the right hemidiaphragm may be due to phrenic nerve palsy.","Previous moderate right pleural effusion and right basal atelectasis have improved since ___, mild pulmonary edema has cleared and small left pleural effusion has resolved.",pleural effusion,left,Resolve,['files/p15/p15902493/s56835560/84e51680-738978f2-ce0ca7b3-037c1468-d96d0c03.jpg'],['files/p15/p15902493/s56080109/808f11c6-3458709b-ffe153fb-fe069bb3-717cba85.jpg\n']
s56835560_6,p15902493,s56835560,6,Impression,"AP chest compared to ___ read in conjunction with the chest CT on ___: Previous moderate right pleural effusion and right basal atelectasis have improved since ___, mild pulmonary edema has cleared and small left pleural effusion has resolved. ET tube in standard position in the trachea which is displaced leftward by large thyroid mass. Moderate cardiomegaly stable. Left subclavian line ends in the low SVC. No pneumothorax. Small right pleural effusion. Persistent elevation of the right hemidiaphragm may be due to phrenic nerve palsy.",Moderate cardiomegaly stable.,cardiomegaly,,Stable,['files/p15/p15902493/s56835560/84e51680-738978f2-ce0ca7b3-037c1468-d96d0c03.jpg'],['files/p15/p15902493/s56080109/808f11c6-3458709b-ffe153fb-fe069bb3-717cba85.jpg\n']
s56837754_4,p13299965,s56837754,4,Findings,The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Prominence of the inferior right hila is similar to prior.,The cardiac and mediastinal silhouettes are unchanged.,silhouettes,Cardiac and mediastinal,Stable,"['files/p13/p13299965/s56837754/17d61d08-38d54e3f-a90d2a5a-cc0735ca-16f7c8a9.jpg', 'files/p13/p13299965/s56837754/d654d073-7c55a18f-ede777f5-b8b0cd35-4d8a1782.jpg']","['files/p13/p13299965/s52804736/424512f8-2a1c31d2-9ba3a1a4-63c2f669-1232ca66.jpg\n', 'files/p13/p13299965/s52804736/bc3c796e-6d0d50cb-bbda3fad-e5317feb-9129e16e.jpg\n']"
s56837754_4,p13299965,s56837754,4,Findings,The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Prominence of the inferior right hila is similar to prior.,Prominence of the inferior right hila is similar to prior.,prominence,Inferior right hila,Stable,"['files/p13/p13299965/s56837754/17d61d08-38d54e3f-a90d2a5a-cc0735ca-16f7c8a9.jpg', 'files/p13/p13299965/s56837754/d654d073-7c55a18f-ede777f5-b8b0cd35-4d8a1782.jpg']","['files/p13/p13299965/s52804736/424512f8-2a1c31d2-9ba3a1a4-63c2f669-1232ca66.jpg\n', 'files/p13/p13299965/s52804736/bc3c796e-6d0d50cb-bbda3fad-e5317feb-9129e16e.jpg\n']"
s56868936_0,p13866250,s56868936,0,Findings,"At the level of the middle lobe, on both the frontal and the lateral radiograph, findings indicating pneumonia are seen. The right heart border is obliterated, there is increased density in the middle lobe on the lateral radiograph. No pleural effusions. No other pathologic findings. Borderline size of the cardiac silhouette, normal hilar and mediastinal contours. A wet read was delivered at the time of image acquisition, ___, 6:02 p.m.","At the level of the middle lobe, on both the frontal and the lateral radiograph, findings indicating pneumonia are seen.",pneumonia,middle lobe,New,"['files/p13/p13866250/s56868936/cd93f5ed-8955a049-e8718dc7-1ed931f6-00410869.jpg', 'files/p13/p13866250/s56868936/fb523451-49383564-12e28082-ddb7ebd2-b44d13a1.jpg']",['files/p13/p13866250/s56260436/78ed0647-df6522bd-879ef182-28259d9d-79106b33.jpg\n']
s56868936_0,p13866250,s56868936,0,Findings,"At the level of the middle lobe, on both the frontal and the lateral radiograph, findings indicating pneumonia are seen. The right heart border is obliterated, there is increased density in the middle lobe on the lateral radiograph. No pleural effusions. No other pathologic findings. Borderline size of the cardiac silhouette, normal hilar and mediastinal contours. A wet read was delivered at the time of image acquisition, ___, 6:02 p.m.","The right heart border is obliterated, there is increased density in the middle lobe on the lateral radiograph.",increased density,middle lobe,New,"['files/p13/p13866250/s56868936/cd93f5ed-8955a049-e8718dc7-1ed931f6-00410869.jpg', 'files/p13/p13866250/s56868936/fb523451-49383564-12e28082-ddb7ebd2-b44d13a1.jpg']",['files/p13/p13866250/s56260436/78ed0647-df6522bd-879ef182-28259d9d-79106b33.jpg\n']
s56874598_1,p10199765,s56874598,1,Impression,"As compared to the previous radiograph, no relevant change is seen. Moderate cardiomegaly. Mild tortuosity of the descending aorta. No pleural effusions. No pneumonia, no pulmonary edema.","As compared to the previous radiograph, no relevant change is seen.",,,Stable,['files/p10/p10199765/s56874598/b7b5e3b9-d55d332f-ebd0edf9-b48553d6-376f7a96.jpg'],['files/p10/p10199765/s56226668/53875428-43e38b4f-4474877c-8f58e8c1-9a189004.jpg\n']
s56885460_0,p13376876,s56885460,0,Impression,"New right PICC ends in the mid SVC with no evidence of complication, particularly no pneumothorax.","New right PICC ends in the mid SVC with no evidence of complication, particularly no pneumothorax.",PICC,mid SVC,New,"['files/p13/p13376876/s56885460/508bde7e-579a6a09-068aea43-219e2386-53d7d1cb.jpg', 'files/p13/p13376876/s56885460/c15b6e43-634ad95e-69919edb-abb2028c-661b636c.jpg', 'files/p13/p13376876/s56885460/d510b0bf-95986115-d0440448-4733c4af-00c420aa.jpg']","['files/p13/p13376876/s56009674/0b15a853-44ea4dcc-e9dcc745-dc75e138-94628837.jpg\n', 'files/p13/p13376876/s56009674/5dfd702f-14822708-67885b79-475de57e-c4f8f0ca.jpg\n']"
s56887951_21,p10337896,s56887951,21,Impression,"As compared to the previous radiograph, the tip of the right PICC line now projects over the mid SVC. No other changes are noted. The right internal jugular vein catheter and the tracheostomy tube are in constant position.",The right internal jugular vein catheter and the tracheostomy tube are in constant position.,right internal jugular vein catheter,,Stable,['files/p10/p10337896/s56887951/c6fc6685-e7a9723b-af0fd3b9-b27ab011-0cd0b383.jpg'],['files/p10/p10337896/s56623034/f06a566d-44137a23-0a4acf0e-15f9c10d-4fcffff2.jpg\n']
s56887951_21,p10337896,s56887951,21,Impression,"As compared to the previous radiograph, the tip of the right PICC line now projects over the mid SVC. No other changes are noted. The right internal jugular vein catheter and the tracheostomy tube are in constant position.","As compared to the previous radiograph, the tip of the right PICC line now projects over the mid SVC.",tip of the right PICC line,mid SVC,New,['files/p10/p10337896/s56887951/c6fc6685-e7a9723b-af0fd3b9-b27ab011-0cd0b383.jpg'],['files/p10/p10337896/s56623034/f06a566d-44137a23-0a4acf0e-15f9c10d-4fcffff2.jpg\n']
s56887951_21,p10337896,s56887951,21,Impression,"As compared to the previous radiograph, the tip of the right PICC line now projects over the mid SVC. No other changes are noted. The right internal jugular vein catheter and the tracheostomy tube are in constant position.",The right internal jugular vein catheter and the tracheostomy tube are in constant position.,tracheostomy tube,,Stable,['files/p10/p10337896/s56887951/c6fc6685-e7a9723b-af0fd3b9-b27ab011-0cd0b383.jpg'],['files/p10/p10337896/s56623034/f06a566d-44137a23-0a4acf0e-15f9c10d-4fcffff2.jpg\n']
s56889086_28,p15911529,s56889086,28,Impression,"In comparison with the study of ___, there is little overall change. The right pigtail catheter remains in place, somewhat away from the area of loculated fluid along the right lateral chest wall inferiorly and to the more rounded opacification that probably represents fluid in the major fissure. The remainder the study is unchanged.","The right pigtail catheter remains in place, somewhat away from the area of loculated fluid along the right lateral chest wall inferiorly and to the more rounded opacification that probably represents fluid in the major fissure.",pigtail catheter,right lateral chest wall,Stable,['files/p15/p15911529/s56889086/7ea66041-8955dc19-d570afcf-8b34d01a-f3ecff9a.jpg'],['files/p15/p15911529/s56521428/6ba26b3a-5314e906-7366a48a-0598d3bd-73c3ca0f.jpg\n']
s56893815_0,p11917288,s56893815,0,Findings,The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.,There has been no significant change.,,,Stable,"['files/p11/p11917288/s56893815/406fe27f-63d23a7d-33fa6a30-181e80d4-a1f38ff4.jpg', 'files/p11/p11917288/s56893815/5c43dc33-0a06529a-827bf40b-85849e83-977ad483.jpg', 'files/p11/p11917288/s56893815/d4b90254-71776112-73f647e1-bf4f2291-54ff2751.jpg']",
s56893815_0,p11917288,s56893815,0,Findings,The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.,The mediastinal and hilar contours appear unchanged.,,mediastinal and hilar contours,Stable,"['files/p11/p11917288/s56893815/406fe27f-63d23a7d-33fa6a30-181e80d4-a1f38ff4.jpg', 'files/p11/p11917288/s56893815/5c43dc33-0a06529a-827bf40b-85849e83-977ad483.jpg', 'files/p11/p11917288/s56893815/d4b90254-71776112-73f647e1-bf4f2291-54ff2751.jpg']",
s56895618_0,p18088902,s56895618,0,Findings,Lungs: The lungs are well inflated. There is no consolidation. Pleura: Her hemidiaphragm is elevated as it was in the past. This is likely due to hepatic enlargement or diaphragmatic paresis. Heart: The heart is not enlarged. Mediastinum and hila: There is no mediastinal mass. Osseous structures: The osseous structures are normal for age. Other findings: None,Her hemidiaphragm is elevated as it was in the past.,hemidiaphragm elevation,right,Stable,"['files/p18/p18088902/s56895618/2b1a2dcd-992835fd-c9e705f3-e74f11b1-05d75de9.jpg', 'files/p18/p18088902/s56895618/68ad0229-fbf719ec-6407d47e-398368ac-1c4ffe02.jpg']","['files/p18/p18088902/s53067857/033e88a7-b72e1f61-9e9c608c-95650c3f-87cd1f6a.jpg\n', 'files/p18/p18088902/s53067857/db21cdac-6b505ece-719ff0fc-4c4291ad-e52017ab.jpg\n']"
s56896133_7,p19112585,s56896133,7,Impression,"In comparison with the study of ___, the monitoring and support devices are unchanged, with the nasogastric and Dobhoff tubes extending at least to the distal stomach. The Dobhoff tube appears to take a downward course, suggesting that extends into the duodenum. Continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive basilar atelectasis, more prominent on the right.","In comparison with the study of ___, the monitoring and support devices are unchanged, with the nasogastric and Dobhoff tubes extending at least to the distal stomach.",Nasogastric and Dobhoff tubes,,Stable,"['files/p19/p19112585/s56896133/8a5ed9d8-5074c4ff-013c2e7c-54c8d59c-8dc24871.jpg', 'files/p19/p19112585/s56896133/d3dee386-e9b6900f-6ef74044-1b87f5dc-768f423a.jpg']",['files/p19/p19112585/s55937978/2d9ed611-bc3073f4-d4e08942-1248dbfd-bacafcb5.jpg\n']
s56896133_7,p19112585,s56896133,7,Impression,"In comparison with the study of ___, the monitoring and support devices are unchanged, with the nasogastric and Dobhoff tubes extending at least to the distal stomach. The Dobhoff tube appears to take a downward course, suggesting that extends into the duodenum. Continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive basilar atelectasis, more prominent on the right.","In comparison with the study of ___, the monitoring and support devices are unchanged, with the nasogastric and Dobhoff tubes extending at least to the distal stomach.",Monitoring and support devices,,Stable,"['files/p19/p19112585/s56896133/8a5ed9d8-5074c4ff-013c2e7c-54c8d59c-8dc24871.jpg', 'files/p19/p19112585/s56896133/d3dee386-e9b6900f-6ef74044-1b87f5dc-768f423a.jpg']",['files/p19/p19112585/s55937978/2d9ed611-bc3073f4-d4e08942-1248dbfd-bacafcb5.jpg\n']
s56902361_6,p10337896,s56902361,6,Impression,No significant interval change in moderate pulmonary edema and small bilateral pleural effusions. Lines and tubes in satisfactory position.,No significant interval change in moderate pulmonary edema and small bilateral pleural effusions.,moderate pulmonary edema,,Stable,['files/p10/p10337896/s56902361/7aca64c9-d64297cc-102477f2-a8ca30e1-7b90cf8c.jpg'],['files/p10/p10337896/s56887951/c6fc6685-e7a9723b-af0fd3b9-b27ab011-0cd0b383.jpg\n']
s56902361_6,p10337896,s56902361,6,Findings,"The right IJ central line, endotracheal tube and enteric tube remain in satisfactory position. Moderate pulmonary edema and small layering pleural effusions are also unchanged. There is no pneumothorax. The heart and mediastinum are magnified by the projection. Calcified lymph nodes, as well as pleural and parenchymal calcifications are again noted.","The right IJ central line, endotracheal tube and enteric tube remain in satisfactory position.",central line,right IJ,Stable,['files/p10/p10337896/s56902361/7aca64c9-d64297cc-102477f2-a8ca30e1-7b90cf8c.jpg'],['files/p10/p10337896/s56887951/c6fc6685-e7a9723b-af0fd3b9-b27ab011-0cd0b383.jpg\n']
s56902361_6,p10337896,s56902361,6,Findings,"The right IJ central line, endotracheal tube and enteric tube remain in satisfactory position. Moderate pulmonary edema and small layering pleural effusions are also unchanged. There is no pneumothorax. The heart and mediastinum are magnified by the projection. Calcified lymph nodes, as well as pleural and parenchymal calcifications are again noted.","Calcified lymph nodes, as well as pleural and parenchymal calcifications are again noted.",pleural and parenchymal calcifications,,Stable,['files/p10/p10337896/s56902361/7aca64c9-d64297cc-102477f2-a8ca30e1-7b90cf8c.jpg'],['files/p10/p10337896/s56887951/c6fc6685-e7a9723b-af0fd3b9-b27ab011-0cd0b383.jpg\n']
s56902361_6,p10337896,s56902361,6,Impression,No significant interval change in moderate pulmonary edema and small bilateral pleural effusions. Lines and tubes in satisfactory position.,No significant interval change in moderate pulmonary edema and small bilateral pleural effusions.,small bilateral pleural effusions,,Stable,['files/p10/p10337896/s56902361/7aca64c9-d64297cc-102477f2-a8ca30e1-7b90cf8c.jpg'],['files/p10/p10337896/s56887951/c6fc6685-e7a9723b-af0fd3b9-b27ab011-0cd0b383.jpg\n']
s56902361_6,p10337896,s56902361,6,Findings,"The right IJ central line, endotracheal tube and enteric tube remain in satisfactory position. Moderate pulmonary edema and small layering pleural effusions are also unchanged. There is no pneumothorax. The heart and mediastinum are magnified by the projection. Calcified lymph nodes, as well as pleural and parenchymal calcifications are again noted.",Moderate pulmonary edema and small layering pleural effusions are also unchanged.,small layering pleural effusions,,Stable,['files/p10/p10337896/s56902361/7aca64c9-d64297cc-102477f2-a8ca30e1-7b90cf8c.jpg'],['files/p10/p10337896/s56887951/c6fc6685-e7a9723b-af0fd3b9-b27ab011-0cd0b383.jpg\n']
s56902361_6,p10337896,s56902361,6,Findings,"The right IJ central line, endotracheal tube and enteric tube remain in satisfactory position. Moderate pulmonary edema and small layering pleural effusions are also unchanged. There is no pneumothorax. The heart and mediastinum are magnified by the projection. Calcified lymph nodes, as well as pleural and parenchymal calcifications are again noted.",Moderate pulmonary edema and small layering pleural effusions are also unchanged.,moderate pulmonary edema,,Stable,['files/p10/p10337896/s56902361/7aca64c9-d64297cc-102477f2-a8ca30e1-7b90cf8c.jpg'],['files/p10/p10337896/s56887951/c6fc6685-e7a9723b-af0fd3b9-b27ab011-0cd0b383.jpg\n']
s56902361_6,p10337896,s56902361,6,Findings,"The right IJ central line, endotracheal tube and enteric tube remain in satisfactory position. Moderate pulmonary edema and small layering pleural effusions are also unchanged. There is no pneumothorax. The heart and mediastinum are magnified by the projection. Calcified lymph nodes, as well as pleural and parenchymal calcifications are again noted.","The right IJ central line, endotracheal tube and enteric tube remain in satisfactory position.",enteric tube,,Stable,['files/p10/p10337896/s56902361/7aca64c9-d64297cc-102477f2-a8ca30e1-7b90cf8c.jpg'],['files/p10/p10337896/s56887951/c6fc6685-e7a9723b-af0fd3b9-b27ab011-0cd0b383.jpg\n']
s56902361_6,p10337896,s56902361,6,Findings,"The right IJ central line, endotracheal tube and enteric tube remain in satisfactory position. Moderate pulmonary edema and small layering pleural effusions are also unchanged. There is no pneumothorax. The heart and mediastinum are magnified by the projection. Calcified lymph nodes, as well as pleural and parenchymal calcifications are again noted.","Calcified lymph nodes, as well as pleural and parenchymal calcifications are again noted.",calcified lymph nodes,,Stable,['files/p10/p10337896/s56902361/7aca64c9-d64297cc-102477f2-a8ca30e1-7b90cf8c.jpg'],['files/p10/p10337896/s56887951/c6fc6685-e7a9723b-af0fd3b9-b27ab011-0cd0b383.jpg\n']
s56902361_6,p10337896,s56902361,6,Findings,"The right IJ central line, endotracheal tube and enteric tube remain in satisfactory position. Moderate pulmonary edema and small layering pleural effusions are also unchanged. There is no pneumothorax. The heart and mediastinum are magnified by the projection. Calcified lymph nodes, as well as pleural and parenchymal calcifications are again noted.","The right IJ central line, endotracheal tube and enteric tube remain in satisfactory position.",endotracheal tube,,Stable,['files/p10/p10337896/s56902361/7aca64c9-d64297cc-102477f2-a8ca30e1-7b90cf8c.jpg'],['files/p10/p10337896/s56887951/c6fc6685-e7a9723b-af0fd3b9-b27ab011-0cd0b383.jpg\n']
s56907723_5,p11842519,s56907723,5,Findings,"In comparison with the study of ___, the right PICC line has been removed. Continued enlargement of the cardiac silhouette with the pulmonary vascularity essentially within normal limits. Small bilateral effusions with compressive atelectasis at the bases. No definite focal pneumonia. Surgical clips and spinal fusion device are seen in the mid dorsal region.","In comparison with the study of ___, the right PICC line has been removed.",PICC line,right,Resolve,['files/p11/p11842519/s56907723/a0cb7557-fa3d1d06-5f378c5a-b3cb4a26-f3af6c4f.jpg'],"['files/p11/p11842519/s55933985/1daf1add-19e374b0-b8e35d65-58f13e97-acb7ed37.jpg\n', 'files/p11/p11842519/s55933985/c8e45d42-826148f0-ecddc635-78da1bb8-218f17be.jpg\n']"
s56915281_11,p10803114,s56915281,11,Findings,Frontal and lateral views of the chest demonstrate similar configuration as a right basal approach pleural catheter in place. There is a persistent small right pleural effusion with associated atelectasis and a small perifissural component. Previously seen pneumothorax component in the right basal hydropneumothorax is no longer visible. The right upper lung and left lung appear well aerated. There is no pulmonary edema or left pleural effusion. The heart is normal in size. The mediastinal and hilar contours are within normal limits. Multilevel upper thoracic anterior spondylosis is present.,There is a persistent small right pleural effusion with associated atelectasis and a small perifissural component.,small pleural effusion,right,Stable,"['files/p10/p10803114/s56915281/6e7b243d-a11a3f29-49057751-677985e1-c29b0e67.jpg', 'files/p10/p10803114/s56915281/c9cf7fd7-7209115e-f7497506-5548d12f-30259e65.jpg', 'files/p10/p10803114/s56915281/d4eb74b1-f44ac0fc-aaaa580a-ebd12892-d8aef5e2.jpg']",['files/p10/p10803114/s56814699/44a77474-9433858c-b46ea842-b78cbd76-b08fc180.jpg\n']
s56915281_11,p10803114,s56915281,11,Findings,Frontal and lateral views of the chest demonstrate similar configuration as a right basal approach pleural catheter in place. There is a persistent small right pleural effusion with associated atelectasis and a small perifissural component. Previously seen pneumothorax component in the right basal hydropneumothorax is no longer visible. The right upper lung and left lung appear well aerated. There is no pulmonary edema or left pleural effusion. The heart is normal in size. The mediastinal and hilar contours are within normal limits. Multilevel upper thoracic anterior spondylosis is present.,There is a persistent small right pleural effusion with associated atelectasis and a small perifissural component.,associated atelectasis,right,Stable,"['files/p10/p10803114/s56915281/6e7b243d-a11a3f29-49057751-677985e1-c29b0e67.jpg', 'files/p10/p10803114/s56915281/c9cf7fd7-7209115e-f7497506-5548d12f-30259e65.jpg', 'files/p10/p10803114/s56915281/d4eb74b1-f44ac0fc-aaaa580a-ebd12892-d8aef5e2.jpg']",['files/p10/p10803114/s56814699/44a77474-9433858c-b46ea842-b78cbd76-b08fc180.jpg\n']
s56915281_11,p10803114,s56915281,11,Impression,Stable small right pleural effusion with associated atelectasis and pleural chest catheter in place.,Stable small right pleural effusion with associated atelectasis and pleural chest catheter in place.,associated atelectasis,right,Stable,"['files/p10/p10803114/s56915281/6e7b243d-a11a3f29-49057751-677985e1-c29b0e67.jpg', 'files/p10/p10803114/s56915281/c9cf7fd7-7209115e-f7497506-5548d12f-30259e65.jpg', 'files/p10/p10803114/s56915281/d4eb74b1-f44ac0fc-aaaa580a-ebd12892-d8aef5e2.jpg']",['files/p10/p10803114/s56814699/44a77474-9433858c-b46ea842-b78cbd76-b08fc180.jpg\n']
s56915281_11,p10803114,s56915281,11,Findings,Frontal and lateral views of the chest demonstrate similar configuration as a right basal approach pleural catheter in place. There is a persistent small right pleural effusion with associated atelectasis and a small perifissural component. Previously seen pneumothorax component in the right basal hydropneumothorax is no longer visible. The right upper lung and left lung appear well aerated. There is no pulmonary edema or left pleural effusion. The heart is normal in size. The mediastinal and hilar contours are within normal limits. Multilevel upper thoracic anterior spondylosis is present.,Previously seen pneumothorax component in the right basal hydropneumothorax is no longer visible.,pneumothorax component,right basal,Resolve,"['files/p10/p10803114/s56915281/6e7b243d-a11a3f29-49057751-677985e1-c29b0e67.jpg', 'files/p10/p10803114/s56915281/c9cf7fd7-7209115e-f7497506-5548d12f-30259e65.jpg', 'files/p10/p10803114/s56915281/d4eb74b1-f44ac0fc-aaaa580a-ebd12892-d8aef5e2.jpg']",['files/p10/p10803114/s56814699/44a77474-9433858c-b46ea842-b78cbd76-b08fc180.jpg\n']
s56915281_11,p10803114,s56915281,11,Impression,Stable small right pleural effusion with associated atelectasis and pleural chest catheter in place.,Stable small right pleural effusion with associated atelectasis and pleural chest catheter in place.,small pleural effusion,right,Stable,"['files/p10/p10803114/s56915281/6e7b243d-a11a3f29-49057751-677985e1-c29b0e67.jpg', 'files/p10/p10803114/s56915281/c9cf7fd7-7209115e-f7497506-5548d12f-30259e65.jpg', 'files/p10/p10803114/s56915281/d4eb74b1-f44ac0fc-aaaa580a-ebd12892-d8aef5e2.jpg']",['files/p10/p10803114/s56814699/44a77474-9433858c-b46ea842-b78cbd76-b08fc180.jpg\n']
s56946073_0,p11465247,s56946073,0,Findings,PA and lateral views of the chest provided. There is a vague consolidation in the lateral aspect of the left lung which localizes anteriorly which is concerning for pneumonia. No large effusion. Right lung is clear. Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p11/p11465247/s56946073/b85ecda1-089e869a-90607e39-84199c93-e66fae7a.jpg', 'files/p11/p11465247/s56946073/e19abbe6-df472023-83481ac8-0a310178-3cdd22d2.jpg']","['files/p11/p11465247/s54829511/5cd7a101-9ff0c026-fd16c237-8cdcd48d-3c4c342b.jpg\n', 'files/p11/p11465247/s54829511/7da61e0c-128804f1-b17951e5-5e34acbe-c01fd2fd.jpg\n']"
s56957928_3,p12548159,s56957928,3,Findings,"As compared to the previous radiograph, there is no relevant change. Mild fluid overload. Cardiomegaly, extensive right pleural effusion with subsequent right middle and lower lung consolidations, likely to represent atelectasis, pneumonia, or a combination of both. Unchanged right PICC line. No pneumothorax.",Unchanged right PICC line,PICC line,right,Stable,['files/p12/p12548159/s56957928/54dc0bb7-ef174450-8314a8e5-b94f3c64-748fd4a3.jpg'],
s56959421_10,p15793456,s56959421,10,Findings,"Lungs are hyperexpanded. Increased lucency in the left base is more prominent than on previous chest radiographs. Increased lucency in the right base is stable and likely represents sequela of emphysema. The mediastinal contours, hila, and cardiac borders are normal. Endotracheal tube terminates 6.3 cm above the carina. Left PICC is stable terminating in the low SVC. No pleural effusion. Enteric tube is unchanged with distal tip coursing out of view.",Enteric tube is unchanged with distal tip coursing out of view.,Enteric tube,distal tip,Stable,['files/p15/p15793456/s56959421/30ee840e-4c41e9b0-23303f79-e117a2f5-3a93632d.jpg'],['files/p15/p15793456/s55164257/d10e0fbd-0e8714e0-da3f58e7-a4f2c13e-a6635080.jpg\n']
s56959421_10,p15793456,s56959421,10,Findings,"Lungs are hyperexpanded. Increased lucency in the left base is more prominent than on previous chest radiographs. Increased lucency in the right base is stable and likely represents sequela of emphysema. The mediastinal contours, hila, and cardiac borders are normal. Endotracheal tube terminates 6.3 cm above the carina. Left PICC is stable terminating in the low SVC. No pleural effusion. Enteric tube is unchanged with distal tip coursing out of view.",Increased lucency in the right base is stable and likely represents sequela of emphysema.,lucency,right base,Stable,['files/p15/p15793456/s56959421/30ee840e-4c41e9b0-23303f79-e117a2f5-3a93632d.jpg'],['files/p15/p15793456/s55164257/d10e0fbd-0e8714e0-da3f58e7-a4f2c13e-a6635080.jpg\n']
s56959421_10,p15793456,s56959421,10,Findings,"Lungs are hyperexpanded. Increased lucency in the left base is more prominent than on previous chest radiographs. Increased lucency in the right base is stable and likely represents sequela of emphysema. The mediastinal contours, hila, and cardiac borders are normal. Endotracheal tube terminates 6.3 cm above the carina. Left PICC is stable terminating in the low SVC. No pleural effusion. Enteric tube is unchanged with distal tip coursing out of view.",Increased lucency in the left base is more prominent than on previous chest radiographs.,lucency,left base,Worse,['files/p15/p15793456/s56959421/30ee840e-4c41e9b0-23303f79-e117a2f5-3a93632d.jpg'],['files/p15/p15793456/s55164257/d10e0fbd-0e8714e0-da3f58e7-a4f2c13e-a6635080.jpg\n']
s56959421_10,p15793456,s56959421,10,Impression,"1. Endotracheal tube in appropriate position. 2. Increased lucency in the left base is more prominent than on previous chest radiographs and likely represents emphysematous bulla although if there is any clinical concern for pneumothorax, CT of the chest is recommended to further characterize.","Increased lucency in the left base is more prominent than on previous chest radiographs and likely represents emphysematous bulla although if there is any clinical concern for pneumothorax, CT of the chest is recommended to further characterize.",lucency,left base,Worse,['files/p15/p15793456/s56959421/30ee840e-4c41e9b0-23303f79-e117a2f5-3a93632d.jpg'],['files/p15/p15793456/s55164257/d10e0fbd-0e8714e0-da3f58e7-a4f2c13e-a6635080.jpg\n']
s56959421_10,p15793456,s56959421,10,Findings,"Lungs are hyperexpanded. Increased lucency in the left base is more prominent than on previous chest radiographs. Increased lucency in the right base is stable and likely represents sequela of emphysema. The mediastinal contours, hila, and cardiac borders are normal. Endotracheal tube terminates 6.3 cm above the carina. Left PICC is stable terminating in the low SVC. No pleural effusion. Enteric tube is unchanged with distal tip coursing out of view.",Left PICC is stable terminating in the low SVC.,Left PICC,low SVC,Stable,['files/p15/p15793456/s56959421/30ee840e-4c41e9b0-23303f79-e117a2f5-3a93632d.jpg'],['files/p15/p15793456/s55164257/d10e0fbd-0e8714e0-da3f58e7-a4f2c13e-a6635080.jpg\n']
s56963809_3,p16034181,s56963809,3,Findings,"There is slight increase in interstitial markings involving the right lung, particularly the right lung base, to a lesser extent the left lung base which may be due to chronic lung disease; however, atypical infection is not excluded. No lobar consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac silhouette is top normal. Aortic knob calcification is again seen. Mediastinal contours are relatively stable.",Aortic knob calcification is again seen.,calcification,aortic knob,Stable,"['files/p16/p16034181/s56963809/7692121e-81594620-38286eb8-1059dec5-06a3d2b9.jpg', 'files/p16/p16034181/s56963809/d64662cd-8c2f0d44-6c22f2a5-0ea0b918-cbc0c3f3.jpg']","['files/p16/p16034181/s56393323/6bcf583e-601a494a-f8d72edd-76f3c0b7-1d606076.jpg\n', 'files/p16/p16034181/s56393323/739fbdc0-688ff77c-e70070b7-1e88db74-4482ae5c.jpg\n']"
s56963809_3,p16034181,s56963809,3,Findings,"There is slight increase in interstitial markings involving the right lung, particularly the right lung base, to a lesser extent the left lung base which may be due to chronic lung disease; however, atypical infection is not excluded. No lobar consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac silhouette is top normal. Aortic knob calcification is again seen. Mediastinal contours are relatively stable.","There is slight increase in interstitial markings involving the right lung, particularly the right lung base, to a lesser extent the left lung base which may be due to chronic lung disease; however, atypical infection is not excluded.",interstitial markings,right lung base,Worse,"['files/p16/p16034181/s56963809/7692121e-81594620-38286eb8-1059dec5-06a3d2b9.jpg', 'files/p16/p16034181/s56963809/d64662cd-8c2f0d44-6c22f2a5-0ea0b918-cbc0c3f3.jpg']","['files/p16/p16034181/s56393323/6bcf583e-601a494a-f8d72edd-76f3c0b7-1d606076.jpg\n', 'files/p16/p16034181/s56393323/739fbdc0-688ff77c-e70070b7-1e88db74-4482ae5c.jpg\n']"
s56963809_3,p16034181,s56963809,3,Findings,"There is slight increase in interstitial markings involving the right lung, particularly the right lung base, to a lesser extent the left lung base which may be due to chronic lung disease; however, atypical infection is not excluded. No lobar consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac silhouette is top normal. Aortic knob calcification is again seen. Mediastinal contours are relatively stable.",Mediastinal contours are relatively stable.,mediastinal contours,,Stable,"['files/p16/p16034181/s56963809/7692121e-81594620-38286eb8-1059dec5-06a3d2b9.jpg', 'files/p16/p16034181/s56963809/d64662cd-8c2f0d44-6c22f2a5-0ea0b918-cbc0c3f3.jpg']","['files/p16/p16034181/s56393323/6bcf583e-601a494a-f8d72edd-76f3c0b7-1d606076.jpg\n', 'files/p16/p16034181/s56393323/739fbdc0-688ff77c-e70070b7-1e88db74-4482ae5c.jpg\n']"
s56963809_3,p16034181,s56963809,3,Findings,"There is slight increase in interstitial markings involving the right lung, particularly the right lung base, to a lesser extent the left lung base which may be due to chronic lung disease; however, atypical infection is not excluded. No lobar consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac silhouette is top normal. Aortic knob calcification is again seen. Mediastinal contours are relatively stable.","There is slight increase in interstitial markings involving the right lung, particularly the right lung base, to a lesser extent the left lung base which may be due to chronic lung disease; however, atypical infection is not excluded.",interstitial markings,left lung base,Worse,"['files/p16/p16034181/s56963809/7692121e-81594620-38286eb8-1059dec5-06a3d2b9.jpg', 'files/p16/p16034181/s56963809/d64662cd-8c2f0d44-6c22f2a5-0ea0b918-cbc0c3f3.jpg']","['files/p16/p16034181/s56393323/6bcf583e-601a494a-f8d72edd-76f3c0b7-1d606076.jpg\n', 'files/p16/p16034181/s56393323/739fbdc0-688ff77c-e70070b7-1e88db74-4482ae5c.jpg\n']"
s56965263_4,p15793456,s56965263,4,Impression,"Compared to chest radiographs since ___, most recently ___ and ___. Bullous emphysema is severe. Today's study shows possible rightward mediastinal shift and new opacification in the right lower lobe, possibly atelectasis. This is commonly due to aspiration or retention of secretions. Follow-up chest radiograph available at the time of this review, performed 04:09 showed improvement in right lower lobe consolidation and decrease in rightward mediastinal shift suggesting interval clearing of the airway. Followup advised.","Today's study shows possible rightward mediastinal shift and new opacification in the right lower lobe, possibly atelectasis.",opacification,right lower lobe,New,['files/p15/p15793456/s56965263/d8a656ef-21f15997-459800a0-5d6f4b41-9340d5f9.jpg'],['files/p15/p15793456/s56959421/30ee840e-4c41e9b0-23303f79-e117a2f5-3a93632d.jpg\n']
s56965263_4,p15793456,s56965263,4,Impression,"Compared to chest radiographs since ___, most recently ___ and ___. Bullous emphysema is severe. Today's study shows possible rightward mediastinal shift and new opacification in the right lower lobe, possibly atelectasis. This is commonly due to aspiration or retention of secretions. Follow-up chest radiograph available at the time of this review, performed 04:09 showed improvement in right lower lobe consolidation and decrease in rightward mediastinal shift suggesting interval clearing of the airway. Followup advised.","Compared to chest radiographs since ___, most recently ___ and ___. Bullous emphysema is severe.",bullous emphysema,,Worse,['files/p15/p15793456/s56965263/d8a656ef-21f15997-459800a0-5d6f4b41-9340d5f9.jpg'],['files/p15/p15793456/s56959421/30ee840e-4c41e9b0-23303f79-e117a2f5-3a93632d.jpg\n']
s56965263_4,p15793456,s56965263,4,Impression,"Compared to chest radiographs since ___, most recently ___ and ___. Bullous emphysema is severe. Today's study shows possible rightward mediastinal shift and new opacification in the right lower lobe, possibly atelectasis. This is commonly due to aspiration or retention of secretions. Follow-up chest radiograph available at the time of this review, performed 04:09 showed improvement in right lower lobe consolidation and decrease in rightward mediastinal shift suggesting interval clearing of the airway. Followup advised.","Follow-up chest radiograph available at the time of this review, performed 04:09 showed improvement in right lower lobe consolidation and decrease in rightward mediastinal shift suggesting interval clearing of the airway.",consolidation,right lower lobe,Better,['files/p15/p15793456/s56965263/d8a656ef-21f15997-459800a0-5d6f4b41-9340d5f9.jpg'],['files/p15/p15793456/s56959421/30ee840e-4c41e9b0-23303f79-e117a2f5-3a93632d.jpg\n']
s56968110_1,p14429763,s56968110,1,Findings,"In comparison with the earlier study of this date, there has been placement of an enteric catheter. Although the tip is not well seen, it appears to extend at least to the lower stomach. Remainder of the study is essentially unchanged with some retrocardiac opacification consistent with volume loss in the left lower lobe.","In comparison with the earlier study of this date, there has been placement of an enteric catheter.",Enteric catheter,Unknown,New,['files/p14/p14429763/s56968110/2c27614d-df5d18b9-d93249b6-10178a5f-05a69b81.jpg'],"['files/p14/p14429763/s51748293/361c4750-2c4908c8-6102209f-69a347d0-887ee04b.jpg\n', 'files/p14/p14429763/s51748293/aee9dc7d-9e6d2430-2f04c053-254149b6-e4925a31.jpg\n']"
s56968110_1,p14429763,s56968110,1,Findings,"In comparison with the earlier study of this date, there has been placement of an enteric catheter. Although the tip is not well seen, it appears to extend at least to the lower stomach. Remainder of the study is essentially unchanged with some retrocardiac opacification consistent with volume loss in the left lower lobe.",Remainder of the study is essentially unchanged with some retrocardiac opacification consistent with volume loss in the left lower lobe.,Retrocardiac opacification,Left lower lobe,Stable,['files/p14/p14429763/s56968110/2c27614d-df5d18b9-d93249b6-10178a5f-05a69b81.jpg'],"['files/p14/p14429763/s51748293/361c4750-2c4908c8-6102209f-69a347d0-887ee04b.jpg\n', 'files/p14/p14429763/s51748293/aee9dc7d-9e6d2430-2f04c053-254149b6-e4925a31.jpg\n']"
s56969632_4,p11287042,s56969632,4,Findings,PA and lateral views of the chest provided. There is new retrocardiac opacity consistent with left lower lobe pneumonia. Mild elevation of the right hemidiaphragm is again noted with stable blunting of the right CP angle suggesting small right pleural effusion versus pleural thickening. No pneumothorax. No edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.,There is new retrocardiac opacity consistent with left lower lobe pneumonia,pneumonia,left lower lobe,New,"['files/p11/p11287042/s56969632/620d7dcf-06e6a794-87f53b98-bc55811e-8fc54800.jpg', 'files/p11/p11287042/s56969632/a19d711b-6c29af26-11883860-c9e6a00a-dd8b349c.jpg']","['files/p11/p11287042/s56219888/579d3a5f-1e6911b4-307a3da3-6a8c84c8-27cfb985.jpg\n', 'files/p11/p11287042/s56219888/58a552fb-7fb1145c-d82ff0eb-3efacd83-c20fb38f.jpg\n']"
s56969632_4,p11287042,s56969632,4,Findings,PA and lateral views of the chest provided. There is new retrocardiac opacity consistent with left lower lobe pneumonia. Mild elevation of the right hemidiaphragm is again noted with stable blunting of the right CP angle suggesting small right pleural effusion versus pleural thickening. No pneumothorax. No edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.,Mild elevation of the right hemidiaphragm is again noted with stable blunting of the right CP angle suggesting small right pleural effusion versus pleural thickening,hemidiaphragm,right,Stable,"['files/p11/p11287042/s56969632/620d7dcf-06e6a794-87f53b98-bc55811e-8fc54800.jpg', 'files/p11/p11287042/s56969632/a19d711b-6c29af26-11883860-c9e6a00a-dd8b349c.jpg']","['files/p11/p11287042/s56219888/579d3a5f-1e6911b4-307a3da3-6a8c84c8-27cfb985.jpg\n', 'files/p11/p11287042/s56219888/58a552fb-7fb1145c-d82ff0eb-3efacd83-c20fb38f.jpg\n']"
s56969632_4,p11287042,s56969632,4,Findings,PA and lateral views of the chest provided. There is new retrocardiac opacity consistent with left lower lobe pneumonia. Mild elevation of the right hemidiaphragm is again noted with stable blunting of the right CP angle suggesting small right pleural effusion versus pleural thickening. No pneumothorax. No edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.,Cardiomediastinal silhouette is stable,cardiomediastinal silhouette,,Stable,"['files/p11/p11287042/s56969632/620d7dcf-06e6a794-87f53b98-bc55811e-8fc54800.jpg', 'files/p11/p11287042/s56969632/a19d711b-6c29af26-11883860-c9e6a00a-dd8b349c.jpg']","['files/p11/p11287042/s56219888/579d3a5f-1e6911b4-307a3da3-6a8c84c8-27cfb985.jpg\n', 'files/p11/p11287042/s56219888/58a552fb-7fb1145c-d82ff0eb-3efacd83-c20fb38f.jpg\n']"
s56972774_20,p18057037,s56972774,20,Findings,"Lung volumes are low. Assessment of the apices is somewhat obscured by the patient's chin and soft tissues of the neck projecting over and obscuring this region. The heart size appears unchanged, which is within normal limits. There does appear to be a left ventricular predominance. The mediastinal and hilar contours are unchanged. There is crowding of the bronchovascular structures as a result of low lung volumes. Streaky opacities in the lung bases likely reflect atelectasis, and appear improved compared to the previous radiograph. No pleural effusion or focal consolidation is seen. There is no pneumothorax. Numerous clips are demonstrated in the left upper quadrant of the abdomen. Diffuse demineralization of the osseous structures is redemonstrated.",Diffuse demineralization of the osseous structures is redemonstrated.,Diffuse demineralization of the osseous structures,,Stable,"['files/p18/p18057037/s56972774/3ada78bb-a6dcb49e-ac2a09e8-3671d4fe-e3b5aa68.jpg', 'files/p18/p18057037/s56972774/96783e57-b5dd59af-319563e6-f8f155cf-ffa2de57.jpg']","['files/p18/p18057037/s56203584/b5c48946-bd1838f7-c09076f9-1427ea90-d701bf5d.jpg\n', 'files/p18/p18057037/s56203584/ba46fee9-9f0df347-3c94ff1d-8e80ed2c-aeea650b.jpg\n']"
s56972774_20,p18057037,s56972774,20,Impression,Low lung volumes with improving bibasilar atelectasis.,Low lung volumes with improving bibasilar atelectasis.,atelectasis,bibasilar,Better,"['files/p18/p18057037/s56972774/3ada78bb-a6dcb49e-ac2a09e8-3671d4fe-e3b5aa68.jpg', 'files/p18/p18057037/s56972774/96783e57-b5dd59af-319563e6-f8f155cf-ffa2de57.jpg']","['files/p18/p18057037/s56203584/b5c48946-bd1838f7-c09076f9-1427ea90-d701bf5d.jpg\n', 'files/p18/p18057037/s56203584/ba46fee9-9f0df347-3c94ff1d-8e80ed2c-aeea650b.jpg\n']"
s56972774_20,p18057037,s56972774,20,Findings,"Lung volumes are low. Assessment of the apices is somewhat obscured by the patient's chin and soft tissues of the neck projecting over and obscuring this region. The heart size appears unchanged, which is within normal limits. There does appear to be a left ventricular predominance. The mediastinal and hilar contours are unchanged. There is crowding of the bronchovascular structures as a result of low lung volumes. Streaky opacities in the lung bases likely reflect atelectasis, and appear improved compared to the previous radiograph. No pleural effusion or focal consolidation is seen. There is no pneumothorax. Numerous clips are demonstrated in the left upper quadrant of the abdomen. Diffuse demineralization of the osseous structures is redemonstrated.","The heart size appears unchanged, which is within normal limits.",Heart size,,Stable,"['files/p18/p18057037/s56972774/3ada78bb-a6dcb49e-ac2a09e8-3671d4fe-e3b5aa68.jpg', 'files/p18/p18057037/s56972774/96783e57-b5dd59af-319563e6-f8f155cf-ffa2de57.jpg']","['files/p18/p18057037/s56203584/b5c48946-bd1838f7-c09076f9-1427ea90-d701bf5d.jpg\n', 'files/p18/p18057037/s56203584/ba46fee9-9f0df347-3c94ff1d-8e80ed2c-aeea650b.jpg\n']"
s56972774_20,p18057037,s56972774,20,Findings,"Lung volumes are low. Assessment of the apices is somewhat obscured by the patient's chin and soft tissues of the neck projecting over and obscuring this region. The heart size appears unchanged, which is within normal limits. There does appear to be a left ventricular predominance. The mediastinal and hilar contours are unchanged. There is crowding of the bronchovascular structures as a result of low lung volumes. Streaky opacities in the lung bases likely reflect atelectasis, and appear improved compared to the previous radiograph. No pleural effusion or focal consolidation is seen. There is no pneumothorax. Numerous clips are demonstrated in the left upper quadrant of the abdomen. Diffuse demineralization of the osseous structures is redemonstrated.",The mediastinal and hilar contours are unchanged.,Mediastinal and hilar contours,,Stable,"['files/p18/p18057037/s56972774/3ada78bb-a6dcb49e-ac2a09e8-3671d4fe-e3b5aa68.jpg', 'files/p18/p18057037/s56972774/96783e57-b5dd59af-319563e6-f8f155cf-ffa2de57.jpg']","['files/p18/p18057037/s56203584/b5c48946-bd1838f7-c09076f9-1427ea90-d701bf5d.jpg\n', 'files/p18/p18057037/s56203584/ba46fee9-9f0df347-3c94ff1d-8e80ed2c-aeea650b.jpg\n']"
s56972774_20,p18057037,s56972774,20,Findings,"Lung volumes are low. Assessment of the apices is somewhat obscured by the patient's chin and soft tissues of the neck projecting over and obscuring this region. The heart size appears unchanged, which is within normal limits. There does appear to be a left ventricular predominance. The mediastinal and hilar contours are unchanged. There is crowding of the bronchovascular structures as a result of low lung volumes. Streaky opacities in the lung bases likely reflect atelectasis, and appear improved compared to the previous radiograph. No pleural effusion or focal consolidation is seen. There is no pneumothorax. Numerous clips are demonstrated in the left upper quadrant of the abdomen. Diffuse demineralization of the osseous structures is redemonstrated.","Streaky opacities in the lung bases likely reflect atelectasis, and appear improved compared to the previous radiograph.",Streaky opacities,lung bases,Better,"['files/p18/p18057037/s56972774/3ada78bb-a6dcb49e-ac2a09e8-3671d4fe-e3b5aa68.jpg', 'files/p18/p18057037/s56972774/96783e57-b5dd59af-319563e6-f8f155cf-ffa2de57.jpg']","['files/p18/p18057037/s56203584/b5c48946-bd1838f7-c09076f9-1427ea90-d701bf5d.jpg\n', 'files/p18/p18057037/s56203584/ba46fee9-9f0df347-3c94ff1d-8e80ed2c-aeea650b.jpg\n']"
s56991914_22,p17055995,s56991914,22,Impression,"As compared to the previous radiograph, the patient has received a nasogastric tube. The tip of the tube projects over the pre-pyloric parts of the stomach. No complications, notably no pneumothorax. The left internal jugular vein catheter is in unchanged position. In the interval, the patient has developed a new parenchymal opacity at the bases of the right upper lobe, likely reflecting pneumonia. The cardiac silhouette and the left lung are normal.","In the interval, the patient has developed a new parenchymal opacity at the bases of the right upper lobe, likely reflecting pneumonia.",parenchymal opacity,bases of the right upper lobe,New,['files/p17/p17055995/s56991914/18b5326b-5b4f4980-614310d4-32ef9bce-f33707f6.jpg'],"['files/p17/p17055995/s56479192/11765dae-ae3497e6-acedc8e9-0f57d4de-4c07c9c7.jpg\n', 'files/p17/p17055995/s56479192/4cbadab1-19a3f1d7-924d71a9-80bd338b-860e33bc.jpg\n', 'files/p17/p17055995/s56479192/c3c16638-ef4d1533-232b83a0-f2e617fc-2ed79160.jpg\n']"
s56991914_22,p17055995,s56991914,22,Impression,"As compared to the previous radiograph, the patient has received a nasogastric tube. The tip of the tube projects over the pre-pyloric parts of the stomach. No complications, notably no pneumothorax. The left internal jugular vein catheter is in unchanged position. In the interval, the patient has developed a new parenchymal opacity at the bases of the right upper lobe, likely reflecting pneumonia. The cardiac silhouette and the left lung are normal.",The left internal jugular vein catheter is in unchanged position.,catheter,left internal jugular vein,Stable,['files/p17/p17055995/s56991914/18b5326b-5b4f4980-614310d4-32ef9bce-f33707f6.jpg'],"['files/p17/p17055995/s56479192/11765dae-ae3497e6-acedc8e9-0f57d4de-4c07c9c7.jpg\n', 'files/p17/p17055995/s56479192/4cbadab1-19a3f1d7-924d71a9-80bd338b-860e33bc.jpg\n', 'files/p17/p17055995/s56479192/c3c16638-ef4d1533-232b83a0-f2e617fc-2ed79160.jpg\n']"
s56995004_11,p17559288,s56995004,11,Findings,"As compared to the previous radiograph, the monitoring and support devices are in unchanged position. Unchanged bilateral diffuse parenchymal opacities, that are unchanged in extent. No newly appeared parenchymal opacities. No pleural effusions. Borderline size of the cardiac silhouette without substantial areas of basal atelectasis.","Unchanged bilateral diffuse parenchymal opacities, that are unchanged in extent.",diffuse parenchymal opacities,bilateral,Stable,['files/p17/p17559288/s56995004/a8d102b8-6cc0e5e7-21fc3831-79e95011-003fc4f9.jpg'],['files/p17/p17559288/s56488515/a3b20c27-ba0b465e-3eab2b86-991f3d46-80a07aee.jpg\n']
s56995004_11,p17559288,s56995004,11,Findings,"As compared to the previous radiograph, the monitoring and support devices are in unchanged position. Unchanged bilateral diffuse parenchymal opacities, that are unchanged in extent. No newly appeared parenchymal opacities. No pleural effusions. Borderline size of the cardiac silhouette without substantial areas of basal atelectasis.","As compared to the previous radiograph, the monitoring and support devices are in unchanged position.",monitoring and support devices,,Stable,['files/p17/p17559288/s56995004/a8d102b8-6cc0e5e7-21fc3831-79e95011-003fc4f9.jpg'],['files/p17/p17559288/s56488515/a3b20c27-ba0b465e-3eab2b86-991f3d46-80a07aee.jpg\n']
s57011081_0,p14962059,s57011081,0,Findings,"AP upright and lateral views of the chest provided.There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size again noted. Imaged osseous structures are intact. No definite acute osseous injury. No free air below the right hemidiaphragm is seen.",The cardiomediastinal silhouette is stable with top-normal heart size again noted.,silhouette,cardiomediastinal,Stable,"['files/p14/p14962059/s57011081/4d00dd83-4db65b59-cb9eb0c2-5b70a148-82334ea6.jpg', 'files/p14/p14962059/s57011081/7e009c56-a431fd3d-61f9ac9c-c67bebaa-04316f10.jpg', 'files/p14/p14962059/s57011081/95f0da87-3b457cea-f92cc7c9-1cbeefcb-2b599786.jpg', 'files/p14/p14962059/s57011081/97bfaad2-fb4b2ffe-ad057631-11574fbb-c19ec356.jpg']",
s57022813_49,p11717909,s57022813,49,Impression,"Very severe pulmonary consolidation in the right lung than accompanying moderate right pleural effusion have worsened and there may be more nodular areas of new infection in the left lung, compared to ___. Moderate cardiomegaly is probably stable of right heart border is obscured by adjacent cardiopulmonary abnormalities. There is no pneumothorax. Left pleural effusion is probably small. Left PIC line a right jugular line both end close to the superior cavoatrial junction. ET tube is in standard placement. Nasogastric drainage tube ends in the midportion of the nondistended stomach.","Very severe pulmonary consolidation in the right lung than accompanying moderate right pleural effusion have worsened and there may be more nodular areas of new infection in the left lung, compared to ___.",nodular areas of infection,left lung,New,['files/p11/p11717909/s57022813/6d3458a1-7651b4c9-e3a4ca51-1483a45c-6a421d53.jpg'],"['files/p11/p11717909/s56671598/9205c9ac-2bc07ba3-7ce03e6e-f5c7a725-31fd481d.jpg\n', 'files/p11/p11717909/s56671598/be35822b-d15d7251-57872f94-f8e5d649-b71aba02.jpg\n']"
s57022813_49,p11717909,s57022813,49,Impression,"Very severe pulmonary consolidation in the right lung than accompanying moderate right pleural effusion have worsened and there may be more nodular areas of new infection in the left lung, compared to ___. Moderate cardiomegaly is probably stable of right heart border is obscured by adjacent cardiopulmonary abnormalities. There is no pneumothorax. Left pleural effusion is probably small. Left PIC line a right jugular line both end close to the superior cavoatrial junction. ET tube is in standard placement. Nasogastric drainage tube ends in the midportion of the nondistended stomach.","Very severe pulmonary consolidation in the right lung than accompanying moderate right pleural effusion have worsened and there may be more nodular areas of new infection in the left lung, compared to ___.",pleural effusion,right,Worse,['files/p11/p11717909/s57022813/6d3458a1-7651b4c9-e3a4ca51-1483a45c-6a421d53.jpg'],"['files/p11/p11717909/s56671598/9205c9ac-2bc07ba3-7ce03e6e-f5c7a725-31fd481d.jpg\n', 'files/p11/p11717909/s56671598/be35822b-d15d7251-57872f94-f8e5d649-b71aba02.jpg\n']"
s57022813_49,p11717909,s57022813,49,Impression,"Very severe pulmonary consolidation in the right lung than accompanying moderate right pleural effusion have worsened and there may be more nodular areas of new infection in the left lung, compared to ___. Moderate cardiomegaly is probably stable of right heart border is obscured by adjacent cardiopulmonary abnormalities. There is no pneumothorax. Left pleural effusion is probably small. Left PIC line a right jugular line both end close to the superior cavoatrial junction. ET tube is in standard placement. Nasogastric drainage tube ends in the midportion of the nondistended stomach.","Very severe pulmonary consolidation in the right lung than accompanying moderate right pleural effusion have worsened and there may be more nodular areas of new infection in the left lung, compared to ___.",pulmonary consolidation,right lung,Worse,['files/p11/p11717909/s57022813/6d3458a1-7651b4c9-e3a4ca51-1483a45c-6a421d53.jpg'],"['files/p11/p11717909/s56671598/9205c9ac-2bc07ba3-7ce03e6e-f5c7a725-31fd481d.jpg\n', 'files/p11/p11717909/s56671598/be35822b-d15d7251-57872f94-f8e5d649-b71aba02.jpg\n']"
s57022813_49,p11717909,s57022813,49,Impression,"Very severe pulmonary consolidation in the right lung than accompanying moderate right pleural effusion have worsened and there may be more nodular areas of new infection in the left lung, compared to ___. Moderate cardiomegaly is probably stable of right heart border is obscured by adjacent cardiopulmonary abnormalities. There is no pneumothorax. Left pleural effusion is probably small. Left PIC line a right jugular line both end close to the superior cavoatrial junction. ET tube is in standard placement. Nasogastric drainage tube ends in the midportion of the nondistended stomach.",Moderate cardiomegaly is probably stable of right heart border is obscured by adjacent cardiopulmonary abnormalities.,moderate cardiomegaly,,Stable,['files/p11/p11717909/s57022813/6d3458a1-7651b4c9-e3a4ca51-1483a45c-6a421d53.jpg'],"['files/p11/p11717909/s56671598/9205c9ac-2bc07ba3-7ce03e6e-f5c7a725-31fd481d.jpg\n', 'files/p11/p11717909/s56671598/be35822b-d15d7251-57872f94-f8e5d649-b71aba02.jpg\n']"
s57023953_1,p10308375,s57023953,1,Findings,"Ill-defined patchy opacities are seen in the right lung base with an associated small right pleural effusion, which is also confirmed in the lateral view. A dense left-sided retrocardiac opacity abutting the left hemidiaphragm is unchanged since at least ___ compatible with a Bochdalek hernia. A small left pleural effusion is also likely present. There is biapical pleuro-parenchymal scarring, more conspicuous in the left apex. No other focal opacities are identified. Mild cardiomegaly is unchanged from prior. There is no pneumothorax.",A dense left-sided retrocardiac opacity abutting the left hemidiaphragm is unchanged since at least ___ compatible with a Bochdalek hernia.,Bochdalek hernia,left-sided retrocardiac,Stable,"['files/p10/p10308375/s57023953/18a4c626-d4481b14-559c1206-26f54875-dd74e59d.jpg', 'files/p10/p10308375/s57023953/aa29a8f7-ec260779-8cb37967-7d5bb1e6-a623e93f.jpg']",['files/p10/p10308375/s55091382/42fb9144-0cd336f1-4e3ecd64-a3e859ef-2647d4b0.jpg\n']
s57023953_1,p10308375,s57023953,1,Findings,"Ill-defined patchy opacities are seen in the right lung base with an associated small right pleural effusion, which is also confirmed in the lateral view. A dense left-sided retrocardiac opacity abutting the left hemidiaphragm is unchanged since at least ___ compatible with a Bochdalek hernia. A small left pleural effusion is also likely present. There is biapical pleuro-parenchymal scarring, more conspicuous in the left apex. No other focal opacities are identified. Mild cardiomegaly is unchanged from prior. There is no pneumothorax.",Mild cardiomegaly is unchanged from prior.,Mild cardiomegaly,,Stable,"['files/p10/p10308375/s57023953/18a4c626-d4481b14-559c1206-26f54875-dd74e59d.jpg', 'files/p10/p10308375/s57023953/aa29a8f7-ec260779-8cb37967-7d5bb1e6-a623e93f.jpg']",['files/p10/p10308375/s55091382/42fb9144-0cd336f1-4e3ecd64-a3e859ef-2647d4b0.jpg\n']
s57032495_0,p18260067,s57032495,0,Impression,"Comparison to ___. The PICC line on the right has been pulled back. The tip of the line now projects over the mid SVC. No evidence of complications, notably no pneumothorax. No pleural effusions. Normal size of the heart.",The PICC line on the right has been pulled back.,PICC line,right,Resolve,['files/p18/p18260067/s57032495/254eb3cc-aa57e502-283895be-388e5661-ad37acfe.jpg'],
s57044212_18,p13421580,s57044212,18,Impression,"Bilateral multifocal nodules with left lower lobe consolidation and small left base pleural effusion. These bilateral nodules are consistent with septic emboli or new opportunistic infection, while the left lower lobe consolidation might be penumonia. Findings were discussed with Dr ___ at 6:12 pm by Dr ___","These bilateral nodules are consistent with septic emboli or new opportunistic infection, while the left lower lobe consolidation might be penumonia.",nodules,bilateral,New,['files/p13/p13421580/s57044212/05c6f437-00c5dd3e-2c78d21e-40683522-8e9ff770.jpg'],['files/p13/p13421580/s56979948/ca37ce49-8fdec0d6-4dc2466b-44543962-762cad72.jpg\n']
s57044212_18,p13421580,s57044212,18,Findings,"All the monitoring and support devices are unchanged and in standard position, in particular right IJ catheter and in lower SVC. Left subclavian PICC ends in lower SVC. ET tube ends at 4 cm from carina. NG tube ends in gastric cavity, but the tip is not visualized. As compared to yesterday, lung volumes are persistently low with left retrocardiac consolidation and multiple bilateral nodules in the mid and upper lungs. The largest in the right upper lobe of 25 mm. These bilateral nodules are consistent with septic emboli or new opportunistic infection. The left lower lobe consolidation is suspicious for pneumonia. Persistent small pleural effusion on the left base. Cardiomediastinal silhouette is normal. There is no pneumothorax.",Persistent small pleural effusion on the left base.,pleural effusion,left base,Stable,['files/p13/p13421580/s57044212/05c6f437-00c5dd3e-2c78d21e-40683522-8e9ff770.jpg'],['files/p13/p13421580/s56979948/ca37ce49-8fdec0d6-4dc2466b-44543962-762cad72.jpg\n']
s57044212_18,p13421580,s57044212,18,Findings,"All the monitoring and support devices are unchanged and in standard position, in particular right IJ catheter and in lower SVC. Left subclavian PICC ends in lower SVC. ET tube ends at 4 cm from carina. NG tube ends in gastric cavity, but the tip is not visualized. As compared to yesterday, lung volumes are persistently low with left retrocardiac consolidation and multiple bilateral nodules in the mid and upper lungs. The largest in the right upper lobe of 25 mm. These bilateral nodules are consistent with septic emboli or new opportunistic infection. The left lower lobe consolidation is suspicious for pneumonia. Persistent small pleural effusion on the left base. Cardiomediastinal silhouette is normal. There is no pneumothorax.",These bilateral nodules are consistent with septic emboli or new opportunistic infection.,nodules,bilateral,New,['files/p13/p13421580/s57044212/05c6f437-00c5dd3e-2c78d21e-40683522-8e9ff770.jpg'],['files/p13/p13421580/s56979948/ca37ce49-8fdec0d6-4dc2466b-44543962-762cad72.jpg\n']
s57044212_18,p13421580,s57044212,18,Findings,"All the monitoring and support devices are unchanged and in standard position, in particular right IJ catheter and in lower SVC. Left subclavian PICC ends in lower SVC. ET tube ends at 4 cm from carina. NG tube ends in gastric cavity, but the tip is not visualized. As compared to yesterday, lung volumes are persistently low with left retrocardiac consolidation and multiple bilateral nodules in the mid and upper lungs. The largest in the right upper lobe of 25 mm. These bilateral nodules are consistent with septic emboli or new opportunistic infection. The left lower lobe consolidation is suspicious for pneumonia. Persistent small pleural effusion on the left base. Cardiomediastinal silhouette is normal. There is no pneumothorax.","As compared to yesterday, lung volumes are persistently low with left retrocardiac consolidation and multiple bilateral nodules in the mid and upper lungs.",nodules,bilateral mid and upper lungs,Stable,['files/p13/p13421580/s57044212/05c6f437-00c5dd3e-2c78d21e-40683522-8e9ff770.jpg'],['files/p13/p13421580/s56979948/ca37ce49-8fdec0d6-4dc2466b-44543962-762cad72.jpg\n']
s57044212_18,p13421580,s57044212,18,Impression,"Bilateral multifocal nodules with left lower lobe consolidation and small left base pleural effusion. These bilateral nodules are consistent with septic emboli or new opportunistic infection, while the left lower lobe consolidation might be penumonia. Findings were discussed with Dr ___ at 6:12 pm by Dr ___","These bilateral nodules are consistent with septic emboli or new opportunistic infection, while the left lower lobe consolidation might be penumonia.",consolidation,left lower lobe,New,['files/p13/p13421580/s57044212/05c6f437-00c5dd3e-2c78d21e-40683522-8e9ff770.jpg'],['files/p13/p13421580/s56979948/ca37ce49-8fdec0d6-4dc2466b-44543962-762cad72.jpg\n']
s57044212_18,p13421580,s57044212,18,Findings,"All the monitoring and support devices are unchanged and in standard position, in particular right IJ catheter and in lower SVC. Left subclavian PICC ends in lower SVC. ET tube ends at 4 cm from carina. NG tube ends in gastric cavity, but the tip is not visualized. As compared to yesterday, lung volumes are persistently low with left retrocardiac consolidation and multiple bilateral nodules in the mid and upper lungs. The largest in the right upper lobe of 25 mm. These bilateral nodules are consistent with septic emboli or new opportunistic infection. The left lower lobe consolidation is suspicious for pneumonia. Persistent small pleural effusion on the left base. Cardiomediastinal silhouette is normal. There is no pneumothorax.","As compared to yesterday, lung volumes are persistently low with left retrocardiac consolidation and multiple bilateral nodules in the mid and upper lungs.",consolidation,left retrocardiac,Stable,['files/p13/p13421580/s57044212/05c6f437-00c5dd3e-2c78d21e-40683522-8e9ff770.jpg'],['files/p13/p13421580/s56979948/ca37ce49-8fdec0d6-4dc2466b-44543962-762cad72.jpg\n']
s57044212_18,p13421580,s57044212,18,Findings,"All the monitoring and support devices are unchanged and in standard position, in particular right IJ catheter and in lower SVC. Left subclavian PICC ends in lower SVC. ET tube ends at 4 cm from carina. NG tube ends in gastric cavity, but the tip is not visualized. As compared to yesterday, lung volumes are persistently low with left retrocardiac consolidation and multiple bilateral nodules in the mid and upper lungs. The largest in the right upper lobe of 25 mm. These bilateral nodules are consistent with septic emboli or new opportunistic infection. The left lower lobe consolidation is suspicious for pneumonia. Persistent small pleural effusion on the left base. Cardiomediastinal silhouette is normal. There is no pneumothorax.","As compared to yesterday, lung volumes are persistently low with left retrocardiac consolidation and multiple bilateral nodules in the mid and upper lungs.",lung volumes,general,Stable,['files/p13/p13421580/s57044212/05c6f437-00c5dd3e-2c78d21e-40683522-8e9ff770.jpg'],['files/p13/p13421580/s56979948/ca37ce49-8fdec0d6-4dc2466b-44543962-762cad72.jpg\n']
s57044212_18,p13421580,s57044212,18,Findings,"All the monitoring and support devices are unchanged and in standard position, in particular right IJ catheter and in lower SVC. Left subclavian PICC ends in lower SVC. ET tube ends at 4 cm from carina. NG tube ends in gastric cavity, but the tip is not visualized. As compared to yesterday, lung volumes are persistently low with left retrocardiac consolidation and multiple bilateral nodules in the mid and upper lungs. The largest in the right upper lobe of 25 mm. These bilateral nodules are consistent with septic emboli or new opportunistic infection. The left lower lobe consolidation is suspicious for pneumonia. Persistent small pleural effusion on the left base. Cardiomediastinal silhouette is normal. There is no pneumothorax.","All the monitoring and support devices are unchanged and in standard position, in particular right IJ catheter and in lower SVC.",monitoring and support devices,various,Stable,['files/p13/p13421580/s57044212/05c6f437-00c5dd3e-2c78d21e-40683522-8e9ff770.jpg'],['files/p13/p13421580/s56979948/ca37ce49-8fdec0d6-4dc2466b-44543962-762cad72.jpg\n']
s57078296_18,p17660889,s57078296,18,Impression,"AP chest compared to ___: Pulmonary edema worsened from ___ through ___, and has remained relatively stable since although there is more opacification in the right lower hemithorax which could be posterior pleural effusion layering in the supine patient. Supine positioning probably accounts for some increase in pulmonary vascular congestion in the upper lungs though moderate cardiomegaly is stable and there is no mediastinal vascular engorgement to speak of. A large bore catheter still cannulates the azygous vein. ET tube is in standard placement and a nasogastric feeding tube passes into the stomach and out of view. No pneumothorax.",A large bore catheter still cannulates the azygous vein.,large bore catheter,,Stable,['files/p17/p17660889/s57078296/ec28f7bb-28ea31db-2380e13d-96518c46-1c3b59d4.jpg'],['files/p17/p17660889/s56605758/a680d992-08c800c8-27ab9581-4d70707a-cb5d31db.jpg\n']
s57078296_18,p17660889,s57078296,18,Impression,"AP chest compared to ___: Pulmonary edema worsened from ___ through ___, and has remained relatively stable since although there is more opacification in the right lower hemithorax which could be posterior pleural effusion layering in the supine patient. Supine positioning probably accounts for some increase in pulmonary vascular congestion in the upper lungs though moderate cardiomegaly is stable and there is no mediastinal vascular engorgement to speak of. A large bore catheter still cannulates the azygous vein. ET tube is in standard placement and a nasogastric feeding tube passes into the stomach and out of view. No pneumothorax.",Supine positioning probably accounts for some increase in pulmonary vascular congestion in the upper lungs though moderate cardiomegaly is stable and there is no mediastinal vascular engorgement to speak of.,moderate cardiomegaly,,Stable,['files/p17/p17660889/s57078296/ec28f7bb-28ea31db-2380e13d-96518c46-1c3b59d4.jpg'],['files/p17/p17660889/s56605758/a680d992-08c800c8-27ab9581-4d70707a-cb5d31db.jpg\n']
s57078296_18,p17660889,s57078296,18,Impression,"AP chest compared to ___: Pulmonary edema worsened from ___ through ___, and has remained relatively stable since although there is more opacification in the right lower hemithorax which could be posterior pleural effusion layering in the supine patient. Supine positioning probably accounts for some increase in pulmonary vascular congestion in the upper lungs though moderate cardiomegaly is stable and there is no mediastinal vascular engorgement to speak of. A large bore catheter still cannulates the azygous vein. ET tube is in standard placement and a nasogastric feeding tube passes into the stomach and out of view. No pneumothorax.","AP chest compared to ___: Pulmonary edema worsened from ___ through ___, and has remained relatively stable since although there is more opacification in the right lower hemithorax which could be posterior pleural effusion layering in the supine patient.",pulmonary edema,right lower hemithorax,Worse,['files/p17/p17660889/s57078296/ec28f7bb-28ea31db-2380e13d-96518c46-1c3b59d4.jpg'],['files/p17/p17660889/s56605758/a680d992-08c800c8-27ab9581-4d70707a-cb5d31db.jpg\n']
s57080785_20,p10337896,s57080785,20,Impression,"As compared to the previous image, tip of the right PICC line still projects over the mid to lower parts of the right atrium. Pulling back of the line should be performed, as indicated in the previous report. No relevant change in appearance of the lung parenchyma and the heart.",No relevant change in appearance of the lung parenchyma and the heart.,heart,,Stable,"['files/p10/p10337896/s57080785/11835a49-689d7896-d692a675-ea26b04a-9b11c20f.jpg', 'files/p10/p10337896/s57080785/3b2a9672-8cd9b992-a96c4d95-6a081155-fd543b5e.jpg']",['files/p10/p10337896/s56902361/7aca64c9-d64297cc-102477f2-a8ca30e1-7b90cf8c.jpg\n']
s57080785_20,p10337896,s57080785,20,Impression,"As compared to the previous image, tip of the right PICC line still projects over the mid to lower parts of the right atrium. Pulling back of the line should be performed, as indicated in the previous report. No relevant change in appearance of the lung parenchyma and the heart.",No relevant change in appearance of the lung parenchyma and the heart.,appearance of the lung parenchyma,,Stable,"['files/p10/p10337896/s57080785/11835a49-689d7896-d692a675-ea26b04a-9b11c20f.jpg', 'files/p10/p10337896/s57080785/3b2a9672-8cd9b992-a96c4d95-6a081155-fd543b5e.jpg']",['files/p10/p10337896/s56902361/7aca64c9-d64297cc-102477f2-a8ca30e1-7b90cf8c.jpg\n']
s57080785_20,p10337896,s57080785,20,Impression,"As compared to the previous image, tip of the right PICC line still projects over the mid to lower parts of the right atrium. Pulling back of the line should be performed, as indicated in the previous report. No relevant change in appearance of the lung parenchyma and the heart.","As compared to the previous image, tip of the right PICC line still projects over the mid to lower parts of the right atrium.",tip of the right PICC line,mid to lower parts of the right atrium,Stable,"['files/p10/p10337896/s57080785/11835a49-689d7896-d692a675-ea26b04a-9b11c20f.jpg', 'files/p10/p10337896/s57080785/3b2a9672-8cd9b992-a96c4d95-6a081155-fd543b5e.jpg']",['files/p10/p10337896/s56902361/7aca64c9-d64297cc-102477f2-a8ca30e1-7b90cf8c.jpg\n']
s57081361_4,p15780880,s57081361,4,Findings,"The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Curvilinear opacity in the right apex appears unchanged compared to the prior exams, compatible with an area of scarring as seen on the prior CT. No new focal consolidation, pleural effusion or pneumothorax is present. Multilevel degenerative changes are demonstrated in the thoracic spine.","Curvilinear opacity in the right apex appears unchanged compared to the prior exams, compatible with an area of scarring as seen on the prior CT.",curvilinear opacity,right apex,Stable,['files/p15/p15780880/s57081361/c46e168d-041b2bfd-39d02b61-186fb589-eb881241.jpg'],"['files/p15/p15780880/s52459455/16693bfb-94c40990-155fb2e7-6dc3f4b0-38ac11cb.jpg\n', 'files/p15/p15780880/s52459455/77d12f34-7559e3b5-ca659cda-05d2e515-b0726d99.jpg\n']"
s57081697_7,p15902493,s57081697,7,Impression,"AP chest compared to ___ through ___: Lung volumes are stable, with relative elevation of the right hemidiaphragm, reflecting persistent right lower lobe atelectasis. Left lung is grossly clear. Moderate cardiomegaly is stable. ET tube ends in standard position at the level of the aortic arch and the trachea is severely displaced and narrowed by a large right-sided goiter. Nasogastric tube passes into the stomach and out of view. Left subclavian line ends in the SVC. No pneumothorax or appreciable pleural effusion.",Moderate cardiomegaly is stable.,cardiomegaly,,Stable,['files/p15/p15902493/s57081697/f6ec06b9-ba98953f-8182f840-4698435b-61296fb9.jpg'],['files/p15/p15902493/s56835560/84e51680-738978f2-ce0ca7b3-037c1468-d96d0c03.jpg\n']
s57081697_7,p15902493,s57081697,7,Impression,"AP chest compared to ___ through ___: Lung volumes are stable, with relative elevation of the right hemidiaphragm, reflecting persistent right lower lobe atelectasis. Left lung is grossly clear. Moderate cardiomegaly is stable. ET tube ends in standard position at the level of the aortic arch and the trachea is severely displaced and narrowed by a large right-sided goiter. Nasogastric tube passes into the stomach and out of view. Left subclavian line ends in the SVC. No pneumothorax or appreciable pleural effusion.","Lung volumes are stable, with relative elevation of the right hemidiaphragm, reflecting persistent right lower lobe atelectasis.",lung volumes,,Stable,['files/p15/p15902493/s57081697/f6ec06b9-ba98953f-8182f840-4698435b-61296fb9.jpg'],['files/p15/p15902493/s56835560/84e51680-738978f2-ce0ca7b3-037c1468-d96d0c03.jpg\n']
s57081697_7,p15902493,s57081697,7,Impression,"AP chest compared to ___ through ___: Lung volumes are stable, with relative elevation of the right hemidiaphragm, reflecting persistent right lower lobe atelectasis. Left lung is grossly clear. Moderate cardiomegaly is stable. ET tube ends in standard position at the level of the aortic arch and the trachea is severely displaced and narrowed by a large right-sided goiter. Nasogastric tube passes into the stomach and out of view. Left subclavian line ends in the SVC. No pneumothorax or appreciable pleural effusion.","Lung volumes are stable, with relative elevation of the right hemidiaphragm, reflecting persistent right lower lobe atelectasis.",atelectasis,right lower lobe,Stable,['files/p15/p15902493/s57081697/f6ec06b9-ba98953f-8182f840-4698435b-61296fb9.jpg'],['files/p15/p15902493/s56835560/84e51680-738978f2-ce0ca7b3-037c1468-d96d0c03.jpg\n']
s57104616_1,p16522757,s57104616,1,Findings,"Rotated positioning. ET tube present, with tip the top of clavicles proximally 6.6 cm above the carina. An NG tube is present, tip beneath diaphragm overlying gastric fundus. Portions of the tuber obscured by the patient's lumbar spine spinal fixation hardware. There is left-sided chest tube. No pneumothorax is detected. There is minimal hazy opacity at the left lung base, slightly increased. This is non-specific in appearance and could represent atelectasis, parenchymal contusion, or early pneumonic infiltrate. No gross effusion. Allowing for overlying tubing and materials, the right lung is grossly clear, without overt CHF, focal consolidation, or effusion. The cardiomediastinal silhouette is grossly unchanged.","There is minimal hazy opacity at the left lung base, slightly increased.",hazy opacity,left lung base,Worse,['files/p16/p16522757/s57104616/df3e801b-e7a2a583-48a4268c-95ae757e-fc8c1172.jpg'],['files/p16/p16522757/s56128182/5a29f63b-9703b6a4-015091e1-fd2d093a-b82e7a9e.jpg\n']
s57104616_1,p16522757,s57104616,1,Impression,"1. Left chest tube present, similar in position. No pneumothorax detected. 2. There is minimal hazy opacity at the left lung base, slightly increased. This is non-specific in appearance and could represent atelectasis, parenchymal contusion, or early pneumonic infiltrate. Attention to this area on followup films is requested.","1. Left chest tube present, similar in position. No pneumothorax detected.",chest tube,left,Stable,['files/p16/p16522757/s57104616/df3e801b-e7a2a583-48a4268c-95ae757e-fc8c1172.jpg'],['files/p16/p16522757/s56128182/5a29f63b-9703b6a4-015091e1-fd2d093a-b82e7a9e.jpg\n']
s57104616_1,p16522757,s57104616,1,Impression,"1. Left chest tube present, similar in position. No pneumothorax detected. 2. There is minimal hazy opacity at the left lung base, slightly increased. This is non-specific in appearance and could represent atelectasis, parenchymal contusion, or early pneumonic infiltrate. Attention to this area on followup films is requested.","2. There is minimal hazy opacity at the left lung base, slightly increased.",hazy opacity,left lung base,Worse,['files/p16/p16522757/s57104616/df3e801b-e7a2a583-48a4268c-95ae757e-fc8c1172.jpg'],['files/p16/p16522757/s56128182/5a29f63b-9703b6a4-015091e1-fd2d093a-b82e7a9e.jpg\n']
s57104616_1,p16522757,s57104616,1,Findings,"Rotated positioning. ET tube present, with tip the top of clavicles proximally 6.6 cm above the carina. An NG tube is present, tip beneath diaphragm overlying gastric fundus. Portions of the tuber obscured by the patient's lumbar spine spinal fixation hardware. There is left-sided chest tube. No pneumothorax is detected. There is minimal hazy opacity at the left lung base, slightly increased. This is non-specific in appearance and could represent atelectasis, parenchymal contusion, or early pneumonic infiltrate. No gross effusion. Allowing for overlying tubing and materials, the right lung is grossly clear, without overt CHF, focal consolidation, or effusion. The cardiomediastinal silhouette is grossly unchanged.",No pneumothorax is detected.,pneumothorax,,Resolve,['files/p16/p16522757/s57104616/df3e801b-e7a2a583-48a4268c-95ae757e-fc8c1172.jpg'],['files/p16/p16522757/s56128182/5a29f63b-9703b6a4-015091e1-fd2d093a-b82e7a9e.jpg\n']
s57104616_1,p16522757,s57104616,1,Findings,"Rotated positioning. ET tube present, with tip the top of clavicles proximally 6.6 cm above the carina. An NG tube is present, tip beneath diaphragm overlying gastric fundus. Portions of the tuber obscured by the patient's lumbar spine spinal fixation hardware. There is left-sided chest tube. No pneumothorax is detected. There is minimal hazy opacity at the left lung base, slightly increased. This is non-specific in appearance and could represent atelectasis, parenchymal contusion, or early pneumonic infiltrate. No gross effusion. Allowing for overlying tubing and materials, the right lung is grossly clear, without overt CHF, focal consolidation, or effusion. The cardiomediastinal silhouette is grossly unchanged.",There is left-sided chest tube.,chest tube,left-sided,New,['files/p16/p16522757/s57104616/df3e801b-e7a2a583-48a4268c-95ae757e-fc8c1172.jpg'],['files/p16/p16522757/s56128182/5a29f63b-9703b6a4-015091e1-fd2d093a-b82e7a9e.jpg\n']
s57104616_1,p16522757,s57104616,1,Findings,"Rotated positioning. ET tube present, with tip the top of clavicles proximally 6.6 cm above the carina. An NG tube is present, tip beneath diaphragm overlying gastric fundus. Portions of the tuber obscured by the patient's lumbar spine spinal fixation hardware. There is left-sided chest tube. No pneumothorax is detected. There is minimal hazy opacity at the left lung base, slightly increased. This is non-specific in appearance and could represent atelectasis, parenchymal contusion, or early pneumonic infiltrate. No gross effusion. Allowing for overlying tubing and materials, the right lung is grossly clear, without overt CHF, focal consolidation, or effusion. The cardiomediastinal silhouette is grossly unchanged.","ET tube present, with tip the top of clavicles proximally 6.6 cm above the carina.",ET tube,6.6 cm above the carina,New,['files/p16/p16522757/s57104616/df3e801b-e7a2a583-48a4268c-95ae757e-fc8c1172.jpg'],['files/p16/p16522757/s56128182/5a29f63b-9703b6a4-015091e1-fd2d093a-b82e7a9e.jpg\n']
s57104616_1,p16522757,s57104616,1,Findings,"Rotated positioning. ET tube present, with tip the top of clavicles proximally 6.6 cm above the carina. An NG tube is present, tip beneath diaphragm overlying gastric fundus. Portions of the tuber obscured by the patient's lumbar spine spinal fixation hardware. There is left-sided chest tube. No pneumothorax is detected. There is minimal hazy opacity at the left lung base, slightly increased. This is non-specific in appearance and could represent atelectasis, parenchymal contusion, or early pneumonic infiltrate. No gross effusion. Allowing for overlying tubing and materials, the right lung is grossly clear, without overt CHF, focal consolidation, or effusion. The cardiomediastinal silhouette is grossly unchanged.","An NG tube is present, tip beneath diaphragm overlying gastric fundus.",NG tube,beneath diaphragm overlying gastric fundus,New,['files/p16/p16522757/s57104616/df3e801b-e7a2a583-48a4268c-95ae757e-fc8c1172.jpg'],['files/p16/p16522757/s56128182/5a29f63b-9703b6a4-015091e1-fd2d093a-b82e7a9e.jpg\n']
s57104616_1,p16522757,s57104616,1,Findings,"Rotated positioning. ET tube present, with tip the top of clavicles proximally 6.6 cm above the carina. An NG tube is present, tip beneath diaphragm overlying gastric fundus. Portions of the tuber obscured by the patient's lumbar spine spinal fixation hardware. There is left-sided chest tube. No pneumothorax is detected. There is minimal hazy opacity at the left lung base, slightly increased. This is non-specific in appearance and could represent atelectasis, parenchymal contusion, or early pneumonic infiltrate. No gross effusion. Allowing for overlying tubing and materials, the right lung is grossly clear, without overt CHF, focal consolidation, or effusion. The cardiomediastinal silhouette is grossly unchanged.",No gross effusion.,effusion,,Resolve,['files/p16/p16522757/s57104616/df3e801b-e7a2a583-48a4268c-95ae757e-fc8c1172.jpg'],['files/p16/p16522757/s56128182/5a29f63b-9703b6a4-015091e1-fd2d093a-b82e7a9e.jpg\n']
s57104616_1,p16522757,s57104616,1,Findings,"Rotated positioning. ET tube present, with tip the top of clavicles proximally 6.6 cm above the carina. An NG tube is present, tip beneath diaphragm overlying gastric fundus. Portions of the tuber obscured by the patient's lumbar spine spinal fixation hardware. There is left-sided chest tube. No pneumothorax is detected. There is minimal hazy opacity at the left lung base, slightly increased. This is non-specific in appearance and could represent atelectasis, parenchymal contusion, or early pneumonic infiltrate. No gross effusion. Allowing for overlying tubing and materials, the right lung is grossly clear, without overt CHF, focal consolidation, or effusion. The cardiomediastinal silhouette is grossly unchanged.",The cardiomediastinal silhouette is grossly unchanged.,cardiomediastinal silhouette,,Stable,['files/p16/p16522757/s57104616/df3e801b-e7a2a583-48a4268c-95ae757e-fc8c1172.jpg'],['files/p16/p16522757/s56128182/5a29f63b-9703b6a4-015091e1-fd2d093a-b82e7a9e.jpg\n']
s57108303_1,p17093296,s57108303,1,Impression,"Compared to chest radiographs ___ through ___. Small bilateral pleural effusions are new or larger. Moderate left basal atelectasis still present. No pneumothorax. No pulmonary edema. Moderate cardiomegaly unchanged. Normal postoperative mediastinum, including small retrosternal air collection appreciated on the lateral view. This also shows small volume of pre sternal subcutaneous emphysema, probably not clinically significant.",Moderate cardiomegaly unchanged.,cardiomegaly,,Stable,"['files/p17/p17093296/s57108303/0aa50d1d-a705af1d-2ae94264-d816f57d-7bf020dc.jpg', 'files/p17/p17093296/s57108303/14a371c8-e698a492-073190b7-4a94b510-d22fbe78.jpg']",['files/p17/p17093296/s55434052/fb12f610-81c4f11d-89fa082e-653ba4ff-ae31e112.jpg\n']
s57108303_1,p17093296,s57108303,1,Impression,"Compared to chest radiographs ___ through ___. Small bilateral pleural effusions are new or larger. Moderate left basal atelectasis still present. No pneumothorax. No pulmonary edema. Moderate cardiomegaly unchanged. Normal postoperative mediastinum, including small retrosternal air collection appreciated on the lateral view. This also shows small volume of pre sternal subcutaneous emphysema, probably not clinically significant.",Moderate left basal atelectasis still present.,atelectasis,left basal,Stable,"['files/p17/p17093296/s57108303/0aa50d1d-a705af1d-2ae94264-d816f57d-7bf020dc.jpg', 'files/p17/p17093296/s57108303/14a371c8-e698a492-073190b7-4a94b510-d22fbe78.jpg']",['files/p17/p17093296/s55434052/fb12f610-81c4f11d-89fa082e-653ba4ff-ae31e112.jpg\n']
s57108303_1,p17093296,s57108303,1,Impression,"Compared to chest radiographs ___ through ___. Small bilateral pleural effusions are new or larger. Moderate left basal atelectasis still present. No pneumothorax. No pulmonary edema. Moderate cardiomegaly unchanged. Normal postoperative mediastinum, including small retrosternal air collection appreciated on the lateral view. This also shows small volume of pre sternal subcutaneous emphysema, probably not clinically significant.",Small bilateral pleural effusions are new or larger.,pleural effusions,bilateral,Worse,"['files/p17/p17093296/s57108303/0aa50d1d-a705af1d-2ae94264-d816f57d-7bf020dc.jpg', 'files/p17/p17093296/s57108303/14a371c8-e698a492-073190b7-4a94b510-d22fbe78.jpg']",['files/p17/p17093296/s55434052/fb12f610-81c4f11d-89fa082e-653ba4ff-ae31e112.jpg\n']
s57114319_5,p19598137,s57114319,5,Findings,"Re- demonstration of a small amount of presumed free subdiaphragmatic air below left hemidiaphragm, described previously as the likely a consequence of recent percutaneous G-tube placement. On this semi-erect view, it is difficult to evaluate for interval change. Persistent mild pulmonary edema, without new focal consolidation or pneumothorax. Small bilateral effusions are unchanged. The cardiomediastinal silhouette is also unchanged.",The cardiomediastinal silhouette is also unchanged.,cardiomediastinal silhouette,,Stable,['files/p19/p19598137/s57114319/837f34fb-f3caa2c0-91f85420-2a52db56-db213e08.jpg'],['files/p19/p19598137/s54003094/2eccb67e-a8677000-bc5af537-c58f2e49-f4234ef1.jpg\n']
s57114319_5,p19598137,s57114319,5,Impression,"1. Persistent presumed free left subdiaphragmatic air due to recent G-tube placement, as discussed with the clinician yesterday. On this semi-erect view, it is difficult to evaluate for interval change. 2. Persistent mild pulmonary edema.","Persistent presumed free left subdiaphragmatic air due to recent G-tube placement, as discussed with the clinician yesterday.",free air,left subdiaphragmatic,Stable,['files/p19/p19598137/s57114319/837f34fb-f3caa2c0-91f85420-2a52db56-db213e08.jpg'],['files/p19/p19598137/s54003094/2eccb67e-a8677000-bc5af537-c58f2e49-f4234ef1.jpg\n']
s57114319_5,p19598137,s57114319,5,Findings,"Re- demonstration of a small amount of presumed free subdiaphragmatic air below left hemidiaphragm, described previously as the likely a consequence of recent percutaneous G-tube placement. On this semi-erect view, it is difficult to evaluate for interval change. Persistent mild pulmonary edema, without new focal consolidation or pneumothorax. Small bilateral effusions are unchanged. The cardiomediastinal silhouette is also unchanged.",Small bilateral effusions are unchanged.,effusions,bilateral,Stable,['files/p19/p19598137/s57114319/837f34fb-f3caa2c0-91f85420-2a52db56-db213e08.jpg'],['files/p19/p19598137/s54003094/2eccb67e-a8677000-bc5af537-c58f2e49-f4234ef1.jpg\n']
s57114319_5,p19598137,s57114319,5,Findings,"Re- demonstration of a small amount of presumed free subdiaphragmatic air below left hemidiaphragm, described previously as the likely a consequence of recent percutaneous G-tube placement. On this semi-erect view, it is difficult to evaluate for interval change. Persistent mild pulmonary edema, without new focal consolidation or pneumothorax. Small bilateral effusions are unchanged. The cardiomediastinal silhouette is also unchanged.","Persistent mild pulmonary edema, without new focal consolidation or pneumothorax.",mild pulmonary edema,,Stable,['files/p19/p19598137/s57114319/837f34fb-f3caa2c0-91f85420-2a52db56-db213e08.jpg'],['files/p19/p19598137/s54003094/2eccb67e-a8677000-bc5af537-c58f2e49-f4234ef1.jpg\n']
s57114319_5,p19598137,s57114319,5,Findings,"Re- demonstration of a small amount of presumed free subdiaphragmatic air below left hemidiaphragm, described previously as the likely a consequence of recent percutaneous G-tube placement. On this semi-erect view, it is difficult to evaluate for interval change. Persistent mild pulmonary edema, without new focal consolidation or pneumothorax. Small bilateral effusions are unchanged. The cardiomediastinal silhouette is also unchanged.","Re- demonstration of a small amount of presumed free subdiaphragmatic air below left hemidiaphragm, described previously as the likely a consequence of recent percutaneous G-tube placement.",free subdiaphragmatic air,below left hemidiaphragm,Stable,['files/p19/p19598137/s57114319/837f34fb-f3caa2c0-91f85420-2a52db56-db213e08.jpg'],['files/p19/p19598137/s54003094/2eccb67e-a8677000-bc5af537-c58f2e49-f4234ef1.jpg\n']
s57114319_5,p19598137,s57114319,5,Impression,"1. Persistent presumed free left subdiaphragmatic air due to recent G-tube placement, as discussed with the clinician yesterday. On this semi-erect view, it is difficult to evaluate for interval change. 2. Persistent mild pulmonary edema.",Persistent mild pulmonary edema.,mild pulmonary edema,,Stable,['files/p19/p19598137/s57114319/837f34fb-f3caa2c0-91f85420-2a52db56-db213e08.jpg'],['files/p19/p19598137/s54003094/2eccb67e-a8677000-bc5af537-c58f2e49-f4234ef1.jpg\n']
s57135581_6,p19358609,s57135581,6,Impression,"AP chest compared to ___ and ___, and ___ ___: Patient has had left upper thoracoplasty, usually for tuberculosis or lung cancer. Heterogeneous opacification in the right lung has worsened since ___, probably pulmonary edema, accompanied by increasing small right pleural effusion. Predominant abnormality in the axillary region of the right upper lobe could be concurrent pneumonia, but I am not surprised by asymmetric distribution of edema in this patient with moderate-to-severe emphysema and scarring at the right lung apex. Heart size is normal, in the leftward shifted mediastinum. No pneumothorax.","Heterogeneous opacification in the right lung has worsened since ___, probably pulmonary edema, accompanied by increasing small right pleural effusion.",heterogeneous opacification,right lung,Worse,['files/p19/p19358609/s57135581/190c77fc-21f447bf-1bcfcedc-289f119d-bf901d30.jpg'],"['files/p19/p19358609/s56360897/17563248-b5619d12-71d589df-57facf81-8d6a38bc.jpg\n', 'files/p19/p19358609/s56360897/731ab0b4-e2d74d1d-aa17c85c-e9b48928-13109378.jpg\n']"
s57136358_7,p10522265,s57136358,7,Impression,"As compared to the previous radiograph, the nasogastric tube was removed. The left PICC line is in unchanged position. Mild cardiomegaly with retrocardiac atelectasis. No overt pulmonary edema. No pneumonia, no pleural effusions.","As compared to the previous radiograph, the nasogastric tube was removed.",Nasogastric tube,,Resolve,['files/p10/p10522265/s57136358/1dd6b552-6d7354f6-6087977b-ed48e39a-5eecc163.jpg'],['files/p10/p10522265/s55807323/88d07416-c595d584-b0eec579-babde77f-c3ce90be.jpg\n']
s57138064_6,p11778596,s57138064,6,Impression,"In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.","In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease.",acute cardiopulmonary disease,,Stable,"['files/p11/p11778596/s57138064/013e8b20-1dd181f6-4abba114-5ab4f096-e8a4d186.jpg', 'files/p11/p11778596/s57138064/15048198-d09e7dbe-22ba5069-9f484be3-8482c96f.jpg']","['files/p11/p11778596/s56643765/0557e604-9479496b-6839fa34-3dfa8788-846e8429.jpg\n', 'files/p11/p11778596/s56643765/2ea89aad-3d076a79-425867fa-0370247c-567a9dd5.jpg\n']"
s57144065_0,p13714536,s57144065,0,Impression,"Heart size and mediastinum are stable. Lungs are clear. There is no pleural effusion or pneumothorax. Overall no evidence of metastatic disease within the limitations of the study technique demonstrated. If clinically warranted, correlation with chest CT is to be considered.",Heart size and mediastinum are stable.,Heart size and mediastinum,,Stable,"['files/p13/p13714536/s57144065/5d5e53a8-06b5826c-f435abd4-e4e4a6e9-41384ae2.jpg', 'files/p13/p13714536/s57144065/794533ad-f257d046-041dd56e-181a50d3-b5643cd0.jpg', 'files/p13/p13714536/s57144065/e735625c-5f7cd567-f61b20ee-9567f980-f3993393.jpg']",
s57147053_9,p12906762,s57147053,9,Impression,Left pigtail catheter is in place. NG tube tip is in the stomach on the last radiograph. Rest of the findings are unchanged except for mild interval increase in the opacity in the right apex.,Rest of the findings are unchanged except for mild interval increase in the opacity in the right apex.,opacity,right apex,Worse,"['files/p12/p12906762/s57147053/4ee41a42-7f2be473-d7d2e1e9-d72bfb6f-3cddd965.jpg', 'files/p12/p12906762/s57147053/6cac8a03-a1f3b00a-09c1d825-66854200-c8e9bae0.jpg', 'files/p12/p12906762/s57147053/f539e030-ad3235bb-bf9f3afc-e2076d14-ddb0c511.jpg']",['files/p12/p12906762/s56802169/21e904a4-539c24eb-be580554-4d15ddda-3546386c.jpg\n']
s57151471_3,p18827738,s57151471,3,Findings,The Dobbhoff tube tip is coiled in the hiatal hernia with the tip pointed upward the appearance of the lungs are unchanged.,The Dobbhoff tube tip is coiled in the hiatal hernia with the tip pointed upward the appearance of the lungs are unchanged.,Dobbhoff tube tip,in the hiatal hernia,Stable,"['files/p18/p18827738/s57151471/4753a502-c0764b72-9dfef68a-2024bf26-7d348cb1.jpg', 'files/p18/p18827738/s57151471/af380c20-a7857620-9cbd8440-6b0b451b-3af932a9.jpg', 'files/p18/p18827738/s57151471/d3192abb-0a9a4cea-e86ebeea-5600dcd0-f6447318.jpg']",['files/p18/p18827738/s55331592/f487266f-6dea1fff-43365092-396868ad-c98b60cb.jpg\n']
s57153575_0,p15787214,s57153575,0,Findings,The heart size is top normal with unchanged mediastinal silhouette and hilar contours. There is a large heterogeneous consolidation of the right lower lung with air bronchograms compatible with pneumonia. There also increased reticulonodular opacities in the upper right lung field likely as a component of asymmetric pulmonary edema or multifocal pneumonia. Small right pleural effusion may be present. There is also a small left-sided effusion with subtle opacities at the left lung base which could be atelectasis or a further component of pneumonia. There is no pneumothorax.,There also increased reticulonodular opacities in the upper right lung field likely as a component of asymmetric pulmonary edema or multifocal pneumonia.,reticulonodular opacities,upper right lung field,Worse,['files/p15/p15787214/s57153575/c710e145-280390c3-5b9ddcf7-faa611b8-b39e60c8.jpg'],['files/p15/p15787214/s56563719/9234b389-6451e413-d153fc6d-87004f87-bbfa50c1.jpg\n']
s57153575_0,p15787214,s57153575,0,Impression,Right lung base pneumonia with further reticulonodular densities in the right upper lung field which could be asymmetric pulmonary edema or multifocal pneumonia. Additional component of a small left-sided pleural effusion with adjacent opacity which is either atelectasis or additional site of pneumonia. Probable small right pleural effusion.,Right lung base pneumonia with further reticulonodular densities in the right upper lung field which could be asymmetric pulmonary edema or multifocal pneumonia.,reticulonodular densities,right upper lung field,New,['files/p15/p15787214/s57153575/c710e145-280390c3-5b9ddcf7-faa611b8-b39e60c8.jpg'],['files/p15/p15787214/s56563719/9234b389-6451e413-d153fc6d-87004f87-bbfa50c1.jpg\n']
s57153575_0,p15787214,s57153575,0,Impression,Right lung base pneumonia with further reticulonodular densities in the right upper lung field which could be asymmetric pulmonary edema or multifocal pneumonia. Additional component of a small left-sided pleural effusion with adjacent opacity which is either atelectasis or additional site of pneumonia. Probable small right pleural effusion.,Right lung base pneumonia with further reticulonodular densities in the right upper lung field which could be asymmetric pulmonary edema or multifocal pneumonia.,pneumonia,right lung base,New,['files/p15/p15787214/s57153575/c710e145-280390c3-5b9ddcf7-faa611b8-b39e60c8.jpg'],['files/p15/p15787214/s56563719/9234b389-6451e413-d153fc6d-87004f87-bbfa50c1.jpg\n']
s57153575_0,p15787214,s57153575,0,Impression,Right lung base pneumonia with further reticulonodular densities in the right upper lung field which could be asymmetric pulmonary edema or multifocal pneumonia. Additional component of a small left-sided pleural effusion with adjacent opacity which is either atelectasis or additional site of pneumonia. Probable small right pleural effusion.,Additional component of a small left-sided pleural effusion with adjacent opacity which is either atelectasis or additional site of pneumonia.,pleural effusion and adjacent opacity,left-sided,New,['files/p15/p15787214/s57153575/c710e145-280390c3-5b9ddcf7-faa611b8-b39e60c8.jpg'],['files/p15/p15787214/s56563719/9234b389-6451e413-d153fc6d-87004f87-bbfa50c1.jpg\n']
s57153575_0,p15787214,s57153575,0,Impression,Right lung base pneumonia with further reticulonodular densities in the right upper lung field which could be asymmetric pulmonary edema or multifocal pneumonia. Additional component of a small left-sided pleural effusion with adjacent opacity which is either atelectasis or additional site of pneumonia. Probable small right pleural effusion.,Probable small right pleural effusion.,pleural effusion,right,New,['files/p15/p15787214/s57153575/c710e145-280390c3-5b9ddcf7-faa611b8-b39e60c8.jpg'],['files/p15/p15787214/s56563719/9234b389-6451e413-d153fc6d-87004f87-bbfa50c1.jpg\n']
s57153575_0,p15787214,s57153575,0,Findings,The heart size is top normal with unchanged mediastinal silhouette and hilar contours. There is a large heterogeneous consolidation of the right lower lung with air bronchograms compatible with pneumonia. There also increased reticulonodular opacities in the upper right lung field likely as a component of asymmetric pulmonary edema or multifocal pneumonia. Small right pleural effusion may be present. There is also a small left-sided effusion with subtle opacities at the left lung base which could be atelectasis or a further component of pneumonia. There is no pneumothorax.,The heart size is top normal with unchanged mediastinal silhouette and hilar contours.,silhouette,mediastinal,Stable,['files/p15/p15787214/s57153575/c710e145-280390c3-5b9ddcf7-faa611b8-b39e60c8.jpg'],['files/p15/p15787214/s56563719/9234b389-6451e413-d153fc6d-87004f87-bbfa50c1.jpg\n']
s57153575_0,p15787214,s57153575,0,Findings,The heart size is top normal with unchanged mediastinal silhouette and hilar contours. There is a large heterogeneous consolidation of the right lower lung with air bronchograms compatible with pneumonia. There also increased reticulonodular opacities in the upper right lung field likely as a component of asymmetric pulmonary edema or multifocal pneumonia. Small right pleural effusion may be present. There is also a small left-sided effusion with subtle opacities at the left lung base which could be atelectasis or a further component of pneumonia. There is no pneumothorax.,The heart size is top normal with unchanged mediastinal silhouette and hilar contours.,contours,hilar,Stable,['files/p15/p15787214/s57153575/c710e145-280390c3-5b9ddcf7-faa611b8-b39e60c8.jpg'],['files/p15/p15787214/s56563719/9234b389-6451e413-d153fc6d-87004f87-bbfa50c1.jpg\n']
s57153575_0,p15787214,s57153575,0,Findings,The heart size is top normal with unchanged mediastinal silhouette and hilar contours. There is a large heterogeneous consolidation of the right lower lung with air bronchograms compatible with pneumonia. There also increased reticulonodular opacities in the upper right lung field likely as a component of asymmetric pulmonary edema or multifocal pneumonia. Small right pleural effusion may be present. There is also a small left-sided effusion with subtle opacities at the left lung base which could be atelectasis or a further component of pneumonia. There is no pneumothorax.,There is also a small left-sided effusion with subtle opacities at the left lung base which could be atelectasis or a further component of pneumonia.,effusion and opacities,left lung base,New,['files/p15/p15787214/s57153575/c710e145-280390c3-5b9ddcf7-faa611b8-b39e60c8.jpg'],['files/p15/p15787214/s56563719/9234b389-6451e413-d153fc6d-87004f87-bbfa50c1.jpg\n']
s57153575_0,p15787214,s57153575,0,Findings,The heart size is top normal with unchanged mediastinal silhouette and hilar contours. There is a large heterogeneous consolidation of the right lower lung with air bronchograms compatible with pneumonia. There also increased reticulonodular opacities in the upper right lung field likely as a component of asymmetric pulmonary edema or multifocal pneumonia. Small right pleural effusion may be present. There is also a small left-sided effusion with subtle opacities at the left lung base which could be atelectasis or a further component of pneumonia. There is no pneumothorax.,There is a large heterogeneous consolidation of the right lower lung with air bronchograms compatible with pneumonia.,consolidation,right lower lung,New,['files/p15/p15787214/s57153575/c710e145-280390c3-5b9ddcf7-faa611b8-b39e60c8.jpg'],['files/p15/p15787214/s56563719/9234b389-6451e413-d153fc6d-87004f87-bbfa50c1.jpg\n']
s57153575_0,p15787214,s57153575,0,Findings,The heart size is top normal with unchanged mediastinal silhouette and hilar contours. There is a large heterogeneous consolidation of the right lower lung with air bronchograms compatible with pneumonia. There also increased reticulonodular opacities in the upper right lung field likely as a component of asymmetric pulmonary edema or multifocal pneumonia. Small right pleural effusion may be present. There is also a small left-sided effusion with subtle opacities at the left lung base which could be atelectasis or a further component of pneumonia. There is no pneumothorax.,Small right pleural effusion may be present.,pleural effusion,right,New,['files/p15/p15787214/s57153575/c710e145-280390c3-5b9ddcf7-faa611b8-b39e60c8.jpg'],['files/p15/p15787214/s56563719/9234b389-6451e413-d153fc6d-87004f87-bbfa50c1.jpg\n']
s57156490_14,p11135350,s57156490,14,Impression,"As compared to the previous radiograph, the patient has been extubated. The right internal jugular vein catheter remains in unchanged position. Unchanged moderate cardiomegaly with new partial left lower lobe atelectasis. No change in appearance of the right lung.",The right internal jugular vein catheter remains in unchanged position.,right internal jugular vein catheter position,,Stable,"['files/p11/p11135350/s57156490/05213484-b9cc6edd-f1208b60-51391906-10549d97.jpg', 'files/p11/p11135350/s57156490/3dd5a5cf-d8a6dc19-0e4fbd9e-3c8cb517-68034727.jpg']",['files/p11/p11135350/s56944245/578626a9-77b33b8d-b729cbff-72ed5102-152cf0e4.jpg\n']
s57156490_14,p11135350,s57156490,14,Impression,"As compared to the previous radiograph, the patient has been extubated. The right internal jugular vein catheter remains in unchanged position. Unchanged moderate cardiomegaly with new partial left lower lobe atelectasis. No change in appearance of the right lung.",Unchanged moderate cardiomegaly with new partial left lower lobe atelectasis.,cardiomegaly,,Stable,"['files/p11/p11135350/s57156490/05213484-b9cc6edd-f1208b60-51391906-10549d97.jpg', 'files/p11/p11135350/s57156490/3dd5a5cf-d8a6dc19-0e4fbd9e-3c8cb517-68034727.jpg']",['files/p11/p11135350/s56944245/578626a9-77b33b8d-b729cbff-72ed5102-152cf0e4.jpg\n']
s57156490_14,p11135350,s57156490,14,Impression,"As compared to the previous radiograph, the patient has been extubated. The right internal jugular vein catheter remains in unchanged position. Unchanged moderate cardiomegaly with new partial left lower lobe atelectasis. No change in appearance of the right lung.",No change in appearance of the right lung.,appearance,right lung,Stable,"['files/p11/p11135350/s57156490/05213484-b9cc6edd-f1208b60-51391906-10549d97.jpg', 'files/p11/p11135350/s57156490/3dd5a5cf-d8a6dc19-0e4fbd9e-3c8cb517-68034727.jpg']",['files/p11/p11135350/s56944245/578626a9-77b33b8d-b729cbff-72ed5102-152cf0e4.jpg\n']
s57156490_14,p11135350,s57156490,14,Impression,"As compared to the previous radiograph, the patient has been extubated. The right internal jugular vein catheter remains in unchanged position. Unchanged moderate cardiomegaly with new partial left lower lobe atelectasis. No change in appearance of the right lung.","As compared to the previous radiograph, the patient has been extubated.",endotracheal tube,,Resolve,"['files/p11/p11135350/s57156490/05213484-b9cc6edd-f1208b60-51391906-10549d97.jpg', 'files/p11/p11135350/s57156490/3dd5a5cf-d8a6dc19-0e4fbd9e-3c8cb517-68034727.jpg']",['files/p11/p11135350/s56944245/578626a9-77b33b8d-b729cbff-72ed5102-152cf0e4.jpg\n']
s57156490_14,p11135350,s57156490,14,Impression,"As compared to the previous radiograph, the patient has been extubated. The right internal jugular vein catheter remains in unchanged position. Unchanged moderate cardiomegaly with new partial left lower lobe atelectasis. No change in appearance of the right lung.",Unchanged moderate cardiomegaly with new partial left lower lobe atelectasis.,atelectasis,left lower lobe,New,"['files/p11/p11135350/s57156490/05213484-b9cc6edd-f1208b60-51391906-10549d97.jpg', 'files/p11/p11135350/s57156490/3dd5a5cf-d8a6dc19-0e4fbd9e-3c8cb517-68034727.jpg']",['files/p11/p11135350/s56944245/578626a9-77b33b8d-b729cbff-72ed5102-152cf0e4.jpg\n']
s57179351_3,p15655633,s57179351,3,Impression,"Left hemidiaphragm has been considerably higher than the right since at least ___. New findings on today's study are mild cardiomegaly, moderate mediastinal venous engorgement and bibasilar interstitial abnormality probably edema. Appearance of the left lung base suggests bronchiectasis, which could be a primary cause of volume loss in the left lower lobe or the result of chronically retained lower lobe secretionsdue to diminished diaphragmatic function.","New findings on today's study are mild cardiomegaly, moderate mediastinal venous engorgement and bibasilar interstitial abnormality probably edema.",interstitial abnormality,bibasilar,New,['files/p15/p15655633/s57179351/b3c095eb-d16fb25c-87e49ad2-ddbe4e2e-2e2e1f55.jpg'],"['files/p15/p15655633/s55921421/196e6bbc-7f643fe4-40918f1f-33529b6d-1ca7ad5f.jpg\n', 'files/p15/p15655633/s55921421/c87420c9-8f9fa780-5f7cbf60-803d30e2-ff1f1a1d.jpg\n']"
s57179351_3,p15655633,s57179351,3,Impression,"Left hemidiaphragm has been considerably higher than the right since at least ___. New findings on today's study are mild cardiomegaly, moderate mediastinal venous engorgement and bibasilar interstitial abnormality probably edema. Appearance of the left lung base suggests bronchiectasis, which could be a primary cause of volume loss in the left lower lobe or the result of chronically retained lower lobe secretionsdue to diminished diaphragmatic function.","New findings on today's study are mild cardiomegaly, moderate mediastinal venous engorgement and bibasilar interstitial abnormality probably edema.",mild cardiomegaly,cardiac,New,['files/p15/p15655633/s57179351/b3c095eb-d16fb25c-87e49ad2-ddbe4e2e-2e2e1f55.jpg'],"['files/p15/p15655633/s55921421/196e6bbc-7f643fe4-40918f1f-33529b6d-1ca7ad5f.jpg\n', 'files/p15/p15655633/s55921421/c87420c9-8f9fa780-5f7cbf60-803d30e2-ff1f1a1d.jpg\n']"
s57179351_3,p15655633,s57179351,3,Impression,"Left hemidiaphragm has been considerably higher than the right since at least ___. New findings on today's study are mild cardiomegaly, moderate mediastinal venous engorgement and bibasilar interstitial abnormality probably edema. Appearance of the left lung base suggests bronchiectasis, which could be a primary cause of volume loss in the left lower lobe or the result of chronically retained lower lobe secretionsdue to diminished diaphragmatic function.","New findings on today's study are mild cardiomegaly, moderate mediastinal venous engorgement and bibasilar interstitial abnormality probably edema.",moderate venous engorgement,mediastinal,New,['files/p15/p15655633/s57179351/b3c095eb-d16fb25c-87e49ad2-ddbe4e2e-2e2e1f55.jpg'],"['files/p15/p15655633/s55921421/196e6bbc-7f643fe4-40918f1f-33529b6d-1ca7ad5f.jpg\n', 'files/p15/p15655633/s55921421/c87420c9-8f9fa780-5f7cbf60-803d30e2-ff1f1a1d.jpg\n']"
s57198522_37,p11717909,s57198522,37,Findings,"Compared to most recent radiograph, there is more confluent appearance of previously seen right middle and lower lobe opacity, concerning for infectious pneumonia. Right pleural effusion is likely increased since prior exam. The left lung is grossly clear. Otherwise the exam is unchanged. Sternotomy wires and surgical clips are again noted to be intact.",Right pleural effusion is likely increased since prior exam.,pleural effusion,right,Worse,['files/p11/p11717909/s57198522/2ee41fdf-c427ca61-d4dad2ce-68c8d635-55b20347.jpg'],['files/p11/p11717909/s57022813/6d3458a1-7651b4c9-e3a4ca51-1483a45c-6a421d53.jpg\n']
s57198522_37,p11717909,s57198522,37,Findings,"Compared to most recent radiograph, there is more confluent appearance of previously seen right middle and lower lobe opacity, concerning for infectious pneumonia. Right pleural effusion is likely increased since prior exam. The left lung is grossly clear. Otherwise the exam is unchanged. Sternotomy wires and surgical clips are again noted to be intact.",Sternotomy wires and surgical clips are again noted to be intact.,sternotomy wires and surgical clips,,Stable,['files/p11/p11717909/s57198522/2ee41fdf-c427ca61-d4dad2ce-68c8d635-55b20347.jpg'],['files/p11/p11717909/s57022813/6d3458a1-7651b4c9-e3a4ca51-1483a45c-6a421d53.jpg\n']
s57198522_37,p11717909,s57198522,37,Impression,Worsening right middle and lower lobes pneumonia. Increased right pleural effusion.,Worsening right middle and lower lobes pneumonia. Increased right pleural effusion.,pneumonia,right middle and lower lobes,Worse,['files/p11/p11717909/s57198522/2ee41fdf-c427ca61-d4dad2ce-68c8d635-55b20347.jpg'],['files/p11/p11717909/s57022813/6d3458a1-7651b4c9-e3a4ca51-1483a45c-6a421d53.jpg\n']
s57198522_37,p11717909,s57198522,37,Findings,"Compared to most recent radiograph, there is more confluent appearance of previously seen right middle and lower lobe opacity, concerning for infectious pneumonia. Right pleural effusion is likely increased since prior exam. The left lung is grossly clear. Otherwise the exam is unchanged. Sternotomy wires and surgical clips are again noted to be intact.","Compared to most recent radiograph, there is more confluent appearance of previously seen right middle and lower lobe opacity, concerning for infectious pneumonia.",opacity,right middle and lower lobe,Worse,['files/p11/p11717909/s57198522/2ee41fdf-c427ca61-d4dad2ce-68c8d635-55b20347.jpg'],['files/p11/p11717909/s57022813/6d3458a1-7651b4c9-e3a4ca51-1483a45c-6a421d53.jpg\n']
s57198522_37,p11717909,s57198522,37,Impression,Worsening right middle and lower lobes pneumonia. Increased right pleural effusion.,Worsening right middle and lower lobes pneumonia. Increased right pleural effusion.,pleural effusion,right,Worse,['files/p11/p11717909/s57198522/2ee41fdf-c427ca61-d4dad2ce-68c8d635-55b20347.jpg'],['files/p11/p11717909/s57022813/6d3458a1-7651b4c9-e3a4ca51-1483a45c-6a421d53.jpg\n']
s57213444_3,p12906762,s57213444,3,Impression,ET tube tip is 6.7 cm above the carinal. Left subclavian line tip is at the level of mid SVC. Apical scarring is unchanged but there is interval development of right lower lobe opacity that potentially might reflect interval development of infectious process. Left pigtail catheter is in place. Subcutaneous air is extensive. Minimal basal pneumothorax might potentially be present,Apical scarring is unchanged but there is interval development of right lower lobe opacity that potentially might reflect interval development of infectious process.,scarring,apical,Stable,['files/p12/p12906762/s57213444/ca1ee5db-fd901beb-4e89749e-da081003-404b404f.jpg'],"['files/p12/p12906762/s57147053/4ee41a42-7f2be473-d7d2e1e9-d72bfb6f-3cddd965.jpg\n', 'files/p12/p12906762/s57147053/6cac8a03-a1f3b00a-09c1d825-66854200-c8e9bae0.jpg\n', 'files/p12/p12906762/s57147053/f539e030-ad3235bb-bf9f3afc-e2076d14-ddb0c511.jpg\n']"
s57213444_3,p12906762,s57213444,3,Impression,ET tube tip is 6.7 cm above the carinal. Left subclavian line tip is at the level of mid SVC. Apical scarring is unchanged but there is interval development of right lower lobe opacity that potentially might reflect interval development of infectious process. Left pigtail catheter is in place. Subcutaneous air is extensive. Minimal basal pneumothorax might potentially be present,Apical scarring is unchanged but there is interval development of right lower lobe opacity that potentially might reflect interval development of infectious process.,opacity,right lower lobe,New,['files/p12/p12906762/s57213444/ca1ee5db-fd901beb-4e89749e-da081003-404b404f.jpg'],"['files/p12/p12906762/s57147053/4ee41a42-7f2be473-d7d2e1e9-d72bfb6f-3cddd965.jpg\n', 'files/p12/p12906762/s57147053/6cac8a03-a1f3b00a-09c1d825-66854200-c8e9bae0.jpg\n', 'files/p12/p12906762/s57147053/f539e030-ad3235bb-bf9f3afc-e2076d14-ddb0c511.jpg\n']"
s57222183_1,p17096560,s57222183,1,Findings,"As compared to the previous radiograph, no relevant change is seen. A pre-existing small left pleural effusion is smaller than on the previous image. Mild cardiomegaly without pulmonary edema. No pneumonia. No pneumothorax. The left pectoral Port-A-Cath is in unchanged position.",The left pectoral Port-A-Cath is in unchanged position.,Port-A-Cath,left pectoral,Stable,['files/p17/p17096560/s57222183/b3cc74ec-d3bd5172-abf56e57-6a47cce6-7e7a9b99.jpg'],['files/p17/p17096560/s54159511/1d8b6f1b-f2623043-0b88aff3-36ffde7e-aba0484f.jpg\n']
s57222183_1,p17096560,s57222183,1,Findings,"As compared to the previous radiograph, no relevant change is seen. A pre-existing small left pleural effusion is smaller than on the previous image. Mild cardiomegaly without pulmonary edema. No pneumonia. No pneumothorax. The left pectoral Port-A-Cath is in unchanged position.",A pre-existing small left pleural effusion is smaller than on the previous image.,pleural effusion,left,Better,['files/p17/p17096560/s57222183/b3cc74ec-d3bd5172-abf56e57-6a47cce6-7e7a9b99.jpg'],['files/p17/p17096560/s54159511/1d8b6f1b-f2623043-0b88aff3-36ffde7e-aba0484f.jpg\n']
s57233121_12,p13894716,s57233121,12,Impression,"In comparison with the study of ___, the monitoring and support devices are unchanged. The cardiac silhouette remains mildly enlarged with stable pulmonary vascular congestion and bilateral pleural effusions, more prominent on the right. Areas of coalescent opacification, especially at the right base, could represent merely volume loss, though in the appropriate clinical setting superimposed pneumonia would have to be considered.","In comparison with the study of ___, the monitoring and support devices are unchanged.",monitoring and support devices,,Stable,['files/p13/p13894716/s57233121/d9c17256-9db4d22d-cefc39d7-6a9988c7-acf0f806.jpg'],"['files/p13/p13894716/s56724473/8da62af3-aa521341-ea84f338-67ebb517-faa5dfa4.jpg\n', 'files/p13/p13894716/s56724473/aad2398a-abbf972f-aafba03e-75a3e3e3-fb2659e5.jpg\n']"
s57233121_12,p13894716,s57233121,12,Impression,"In comparison with the study of ___, the monitoring and support devices are unchanged. The cardiac silhouette remains mildly enlarged with stable pulmonary vascular congestion and bilateral pleural effusions, more prominent on the right. Areas of coalescent opacification, especially at the right base, could represent merely volume loss, though in the appropriate clinical setting superimposed pneumonia would have to be considered.","The cardiac silhouette remains mildly enlarged with stable pulmonary vascular congestion and bilateral pleural effusions, more prominent on the right.",mild enlargement,Cardiac silhouette,Stable,['files/p13/p13894716/s57233121/d9c17256-9db4d22d-cefc39d7-6a9988c7-acf0f806.jpg'],"['files/p13/p13894716/s56724473/8da62af3-aa521341-ea84f338-67ebb517-faa5dfa4.jpg\n', 'files/p13/p13894716/s56724473/aad2398a-abbf972f-aafba03e-75a3e3e3-fb2659e5.jpg\n']"
s57233121_12,p13894716,s57233121,12,Impression,"In comparison with the study of ___, the monitoring and support devices are unchanged. The cardiac silhouette remains mildly enlarged with stable pulmonary vascular congestion and bilateral pleural effusions, more prominent on the right. Areas of coalescent opacification, especially at the right base, could represent merely volume loss, though in the appropriate clinical setting superimposed pneumonia would have to be considered.","The cardiac silhouette remains mildly enlarged with stable pulmonary vascular congestion and bilateral pleural effusions, more prominent on the right.",vascular congestion,Pulmonary,Stable,['files/p13/p13894716/s57233121/d9c17256-9db4d22d-cefc39d7-6a9988c7-acf0f806.jpg'],"['files/p13/p13894716/s56724473/8da62af3-aa521341-ea84f338-67ebb517-faa5dfa4.jpg\n', 'files/p13/p13894716/s56724473/aad2398a-abbf972f-aafba03e-75a3e3e3-fb2659e5.jpg\n']"
s57233121_12,p13894716,s57233121,12,Impression,"In comparison with the study of ___, the monitoring and support devices are unchanged. The cardiac silhouette remains mildly enlarged with stable pulmonary vascular congestion and bilateral pleural effusions, more prominent on the right. Areas of coalescent opacification, especially at the right base, could represent merely volume loss, though in the appropriate clinical setting superimposed pneumonia would have to be considered.","The cardiac silhouette remains mildly enlarged with stable pulmonary vascular congestion and bilateral pleural effusions, more prominent on the right.",pleural effusions,Bilateral,Stable,['files/p13/p13894716/s57233121/d9c17256-9db4d22d-cefc39d7-6a9988c7-acf0f806.jpg'],"['files/p13/p13894716/s56724473/8da62af3-aa521341-ea84f338-67ebb517-faa5dfa4.jpg\n', 'files/p13/p13894716/s56724473/aad2398a-abbf972f-aafba03e-75a3e3e3-fb2659e5.jpg\n']"
s57237692_1,p12671922,s57237692,1,Impression,"As compared to the previous radiograph, the lung volumes have decreased. There is an increasing amount of left pleural effusion, combined to an area of basal left-sided atelectasis. Minimal platelike atelectasis at the right lung base. Borderline size of the cardiac silhouette. No pulmonary edema. No pneumothorax. The position of the left-sided PICC line is constant.","As compared to the previous radiograph, the lung volumes have decreased.",lung volumes,,Worse,"['files/p12/p12671922/s57237692/333178d2-4bfe5359-f4d19da4-d86e611f-96937d04.jpg', 'files/p12/p12671922/s57237692/85ca20a8-de2682d0-369a69ef-aeadfb60-2ab45ffc.jpg', 'files/p12/p12671922/s57237692/9866fc5b-b71ac043-6345c18d-ee6bc1df-e7d5ef92.jpg']",['files/p12/p12671922/s56711844/b7c818c2-bf5dde12-748d7913-48366cba-d787cb7b.jpg\n']
s57237692_1,p12671922,s57237692,1,Impression,"As compared to the previous radiograph, the lung volumes have decreased. There is an increasing amount of left pleural effusion, combined to an area of basal left-sided atelectasis. Minimal platelike atelectasis at the right lung base. Borderline size of the cardiac silhouette. No pulmonary edema. No pneumothorax. The position of the left-sided PICC line is constant.","There is an increasing amount of left pleural effusion, combined to an area of basal left-sided atelectasis.",pleural effusion,left,Worse,"['files/p12/p12671922/s57237692/333178d2-4bfe5359-f4d19da4-d86e611f-96937d04.jpg', 'files/p12/p12671922/s57237692/85ca20a8-de2682d0-369a69ef-aeadfb60-2ab45ffc.jpg', 'files/p12/p12671922/s57237692/9866fc5b-b71ac043-6345c18d-ee6bc1df-e7d5ef92.jpg']",['files/p12/p12671922/s56711844/b7c818c2-bf5dde12-748d7913-48366cba-d787cb7b.jpg\n']
s57237692_1,p12671922,s57237692,1,Impression,"As compared to the previous radiograph, the lung volumes have decreased. There is an increasing amount of left pleural effusion, combined to an area of basal left-sided atelectasis. Minimal platelike atelectasis at the right lung base. Borderline size of the cardiac silhouette. No pulmonary edema. No pneumothorax. The position of the left-sided PICC line is constant.",The position of the left-sided PICC line is constant.,PICC line position,left-sided,Stable,"['files/p12/p12671922/s57237692/333178d2-4bfe5359-f4d19da4-d86e611f-96937d04.jpg', 'files/p12/p12671922/s57237692/85ca20a8-de2682d0-369a69ef-aeadfb60-2ab45ffc.jpg', 'files/p12/p12671922/s57237692/9866fc5b-b71ac043-6345c18d-ee6bc1df-e7d5ef92.jpg']",['files/p12/p12671922/s56711844/b7c818c2-bf5dde12-748d7913-48366cba-d787cb7b.jpg\n']
s57237894_6,p10543994,s57237894,6,Impression,"As compared to the previous radiograph, no relevant change is seen. Low lung volumes. Relatively extensive bilateral parenchymal opacities, right more than left, combined with a moderately enlarged cardiac silhouette. No new parenchymal opacities. The left pectoral pacemaker and the right Port-A-Cath are in unchanged position.",The left pectoral pacemaker and the right Port-A-Cath are in unchanged position.,Port-A-Cath,right,Stable,['files/p10/p10543994/s57237894/95a1bd4e-c011b21e-36ba6f97-6683c294-5b0dd26d.jpg'],['files/p10/p10543994/s54489908/7abd173d-1d1b5df7-ff08e42a-7d346b58-6e49dcec.jpg\n']
s57237894_6,p10543994,s57237894,6,Impression,"As compared to the previous radiograph, no relevant change is seen. Low lung volumes. Relatively extensive bilateral parenchymal opacities, right more than left, combined with a moderately enlarged cardiac silhouette. No new parenchymal opacities. The left pectoral pacemaker and the right Port-A-Cath are in unchanged position.",The left pectoral pacemaker and the right Port-A-Cath are in unchanged position.,pacemaker,left pectoral,Stable,['files/p10/p10543994/s57237894/95a1bd4e-c011b21e-36ba6f97-6683c294-5b0dd26d.jpg'],['files/p10/p10543994/s54489908/7abd173d-1d1b5df7-ff08e42a-7d346b58-6e49dcec.jpg\n']
s57237894_6,p10543994,s57237894,6,Impression,"As compared to the previous radiograph, no relevant change is seen. Low lung volumes. Relatively extensive bilateral parenchymal opacities, right more than left, combined with a moderately enlarged cardiac silhouette. No new parenchymal opacities. The left pectoral pacemaker and the right Port-A-Cath are in unchanged position.","As compared to the previous radiograph, no relevant change is seen.",,,Stable,['files/p10/p10543994/s57237894/95a1bd4e-c011b21e-36ba6f97-6683c294-5b0dd26d.jpg'],['files/p10/p10543994/s54489908/7abd173d-1d1b5df7-ff08e42a-7d346b58-6e49dcec.jpg\n']
s57239326_0,p11216230,s57239326,0,Findings,"No focal consolidation, pleural effusion or pneumothorax is seen. Prominent bilateral interstitial markings are stable from prior exam. The cardiac silhouette is normal in size. Multiple bilateral rib deformities reflect prior fractures.",Prominent bilateral interstitial markings are stable from prior exam.,interstitial markings,bilateral,Stable,"['files/p11/p11216230/s57239326/61f52c00-7a583d5a-eb7fe590-480bddd5-3a5776dc.jpg', 'files/p11/p11216230/s57239326/cb6b6702-9109f7be-cb626f90-5de5b6ef-4f4c7ad9.jpg', 'files/p11/p11216230/s57239326/ded930f3-a5938b06-618826ab-3d33015c-0825424e.jpg']",
s57247661_31,p11888614,s57247661,31,Impression,"In comparison with the study of ___, the nasogastric tube has been removed. Diffuse bilateral pulmonary opacifications are again seen, consistent with substantial pulmonary edema. The cardiac silhouette is within normal limits on this study. Given the extensive pulmonary changes, superimposed pneumonia would be difficult to exclude, especially in the absence of a lateral view. The left spur PICC line extends only to the brachiocephalic vein just before the junction with the SVC.","In comparison with the study of ___, the nasogastric tube has been removed.",nasogastric tube,,Resolve,['files/p11/p11888614/s57247661/c7d68ac0-4b3a8241-8126525e-1868154e-bfe8aae3.jpg'],['files/p11/p11888614/s56839405/a958e3de-279030e2-7bc6d958-4c3d875a-60df89c4.jpg\n']
s57247661_31,p11888614,s57247661,31,Impression,"In comparison with the study of ___, the nasogastric tube has been removed. Diffuse bilateral pulmonary opacifications are again seen, consistent with substantial pulmonary edema. The cardiac silhouette is within normal limits on this study. Given the extensive pulmonary changes, superimposed pneumonia would be difficult to exclude, especially in the absence of a lateral view. The left spur PICC line extends only to the brachiocephalic vein just before the junction with the SVC.","Diffuse bilateral pulmonary opacifications are again seen, consistent with substantial pulmonary edema.",pulmonary opacifications,bilateral,Stable,['files/p11/p11888614/s57247661/c7d68ac0-4b3a8241-8126525e-1868154e-bfe8aae3.jpg'],['files/p11/p11888614/s56839405/a958e3de-279030e2-7bc6d958-4c3d875a-60df89c4.jpg\n']
s57258316_6,p19366448,s57258316,6,Impression,"In comparison with the study of ___, the monitoring and support devices are essentially unchanged. Scatter radiation related to the size of the patient somewhat obscures detail. Cardiac silhouette remains at the upper limits of normal in size with mild elevation of pulmonary venous pressure in bilateral pleural effusions with compressive basilar atelectasis, with the volume loss most prominent in the left lower lobe.","Cardiac silhouette remains at the upper limits of normal in size with mild elevation of pulmonary venous pressure in bilateral pleural effusions with compressive basilar atelectasis, with the volume loss most prominent in the left lower lobe.",compressive basilar atelectasis,left lower lobe,Stable,['files/p19/p19366448/s57258316/c5c9ba27-4ce72de1-06e2852c-338a1906-49904456.jpg'],['files/p19/p19366448/s56614916/4c21d27a-14b093bd-9c833943-ccdfb838-1b72eec0.jpg\n']
s57258316_6,p19366448,s57258316,6,Impression,"In comparison with the study of ___, the monitoring and support devices are essentially unchanged. Scatter radiation related to the size of the patient somewhat obscures detail. Cardiac silhouette remains at the upper limits of normal in size with mild elevation of pulmonary venous pressure in bilateral pleural effusions with compressive basilar atelectasis, with the volume loss most prominent in the left lower lobe.","Cardiac silhouette remains at the upper limits of normal in size with mild elevation of pulmonary venous pressure in bilateral pleural effusions with compressive basilar atelectasis, with the volume loss most prominent in the left lower lobe.",size,Cardiac silhouette,Stable,['files/p19/p19366448/s57258316/c5c9ba27-4ce72de1-06e2852c-338a1906-49904456.jpg'],['files/p19/p19366448/s56614916/4c21d27a-14b093bd-9c833943-ccdfb838-1b72eec0.jpg\n']
s57258316_6,p19366448,s57258316,6,Impression,"In comparison with the study of ___, the monitoring and support devices are essentially unchanged. Scatter radiation related to the size of the patient somewhat obscures detail. Cardiac silhouette remains at the upper limits of normal in size with mild elevation of pulmonary venous pressure in bilateral pleural effusions with compressive basilar atelectasis, with the volume loss most prominent in the left lower lobe.","Cardiac silhouette remains at the upper limits of normal in size with mild elevation of pulmonary venous pressure in bilateral pleural effusions with compressive basilar atelectasis, with the volume loss most prominent in the left lower lobe.",pleural effusions,bilateral,Stable,['files/p19/p19366448/s57258316/c5c9ba27-4ce72de1-06e2852c-338a1906-49904456.jpg'],['files/p19/p19366448/s56614916/4c21d27a-14b093bd-9c833943-ccdfb838-1b72eec0.jpg\n']
s57260304_2,p17002995,s57260304,2,Findings,"There are bibasilar opacities, left greater than right, likely corresponding to findings on recent CT which were felt to most likely represent atelectasis. The dominant left upper lobe pulmonary nodule is re-demonstrated. No other areas of focal consolidation suspicious for pneumonia. No pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits. No free air under in the hemidiaphragms.","There are bibasilar opacities, left greater than right, likely corresponding to findings on recent CT which were felt to most likely represent atelectasis.",opacities,bibasilar,New,"['files/p17/p17002995/s57260304/a630e6f1-a760573b-d0a05341-d9831a18-a8de22c3.jpg', 'files/p17/p17002995/s57260304/f428c50b-ff3f758f-7ec7be0b-831ee404-7190d0ed.jpg']","['files/p17/p17002995/s54961891/2467e1fa-601fff83-f7ee16a8-fa135c0c-e9d15320.jpg\n', 'files/p17/p17002995/s54961891/24d67d52-b980751d-ff001839-ec1fe0d5-494dd5ac.jpg\n']"
s57260304_2,p17002995,s57260304,2,Findings,"There are bibasilar opacities, left greater than right, likely corresponding to findings on recent CT which were felt to most likely represent atelectasis. The dominant left upper lobe pulmonary nodule is re-demonstrated. No other areas of focal consolidation suspicious for pneumonia. No pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits. No free air under in the hemidiaphragms.",The dominant left upper lobe pulmonary nodule is re-demonstrated.,pulmonary nodule,left upper lobe,Stable,"['files/p17/p17002995/s57260304/a630e6f1-a760573b-d0a05341-d9831a18-a8de22c3.jpg', 'files/p17/p17002995/s57260304/f428c50b-ff3f758f-7ec7be0b-831ee404-7190d0ed.jpg']","['files/p17/p17002995/s54961891/2467e1fa-601fff83-f7ee16a8-fa135c0c-e9d15320.jpg\n', 'files/p17/p17002995/s54961891/24d67d52-b980751d-ff001839-ec1fe0d5-494dd5ac.jpg\n']"
s57260304_2,p17002995,s57260304,2,Impression,"Left greater than right bibasilar opacities, felt to most likely represent atelectasis on the recent CT. Re-demonstration of dominant left upper lobe pulmonary nodule.",Re-demonstration of dominant left upper lobe pulmonary nodule.,pulmonary nodule,left upper lobe,Stable,"['files/p17/p17002995/s57260304/a630e6f1-a760573b-d0a05341-d9831a18-a8de22c3.jpg', 'files/p17/p17002995/s57260304/f428c50b-ff3f758f-7ec7be0b-831ee404-7190d0ed.jpg']","['files/p17/p17002995/s54961891/2467e1fa-601fff83-f7ee16a8-fa135c0c-e9d15320.jpg\n', 'files/p17/p17002995/s54961891/24d67d52-b980751d-ff001839-ec1fe0d5-494dd5ac.jpg\n']"
s57260304_2,p17002995,s57260304,2,Impression,"Left greater than right bibasilar opacities, felt to most likely represent atelectasis on the recent CT. Re-demonstration of dominant left upper lobe pulmonary nodule.","Left greater than right bibasilar opacities, felt to most likely represent atelectasis on the recent CT.",opacities,bibasilar,New,"['files/p17/p17002995/s57260304/a630e6f1-a760573b-d0a05341-d9831a18-a8de22c3.jpg', 'files/p17/p17002995/s57260304/f428c50b-ff3f758f-7ec7be0b-831ee404-7190d0ed.jpg']","['files/p17/p17002995/s54961891/2467e1fa-601fff83-f7ee16a8-fa135c0c-e9d15320.jpg\n', 'files/p17/p17002995/s54961891/24d67d52-b980751d-ff001839-ec1fe0d5-494dd5ac.jpg\n']"
s57272076_7,p11614040,s57272076,7,Impression,"Moderate left pleural effusion slightly increased as compared to the prior study. Interval increase in right base opacity may represent combination of pleural effusion and atelectasis, underlying consolidation is not excluded. Pulmonary vascular congestion.","Interval increase in right base opacity may represent combination of pleural effusion and atelectasis, underlying consolidation is not excluded.",opacity,right base,Worse,['files/p11/p11614040/s57272076/a85adbf5-301650f6-e0861ceb-de58948f-66d1a9a4.jpg'],"['files/p11/p11614040/s57214129/551d7076-32d60564-745ab2a8-624b5317-c6f634f8.jpg\n', 'files/p11/p11614040/s57214129/ae000d03-91aa28dd-ccd3897d-ceb92206-fba185ff.jpg\n']"
s57272076_7,p11614040,s57272076,7,Findings,"Moderate left pleural effusion has slightly increased in the interval with overlying atelectasis. New right base opacity is seen, may represent combination of pleural effusion and atelectasis with overlying consolidation. Fluid is seen tracking in the minor fissure on the lateral view. There is mild pulmonary vascular congestion. The cardiac silhouette difficult x-ray assessed due to the bibasilar opacities. The aorta is calcified. Right-sided Port-A-Cath is seen, with distal tip in the expected location of the right atrium.","New right base opacity is seen, may represent combination of pleural effusion and atelectasis with overlying consolidation.",opacity,right base,New,['files/p11/p11614040/s57272076/a85adbf5-301650f6-e0861ceb-de58948f-66d1a9a4.jpg'],"['files/p11/p11614040/s57214129/551d7076-32d60564-745ab2a8-624b5317-c6f634f8.jpg\n', 'files/p11/p11614040/s57214129/ae000d03-91aa28dd-ccd3897d-ceb92206-fba185ff.jpg\n']"
s57272076_7,p11614040,s57272076,7,Findings,"Moderate left pleural effusion has slightly increased in the interval with overlying atelectasis. New right base opacity is seen, may represent combination of pleural effusion and atelectasis with overlying consolidation. Fluid is seen tracking in the minor fissure on the lateral view. There is mild pulmonary vascular congestion. The cardiac silhouette difficult x-ray assessed due to the bibasilar opacities. The aorta is calcified. Right-sided Port-A-Cath is seen, with distal tip in the expected location of the right atrium.",Moderate left pleural effusion has slightly increased in the interval with overlying atelectasis.,atelectasis,left,Worse,['files/p11/p11614040/s57272076/a85adbf5-301650f6-e0861ceb-de58948f-66d1a9a4.jpg'],"['files/p11/p11614040/s57214129/551d7076-32d60564-745ab2a8-624b5317-c6f634f8.jpg\n', 'files/p11/p11614040/s57214129/ae000d03-91aa28dd-ccd3897d-ceb92206-fba185ff.jpg\n']"
s57272076_7,p11614040,s57272076,7,Findings,"Moderate left pleural effusion has slightly increased in the interval with overlying atelectasis. New right base opacity is seen, may represent combination of pleural effusion and atelectasis with overlying consolidation. Fluid is seen tracking in the minor fissure on the lateral view. There is mild pulmonary vascular congestion. The cardiac silhouette difficult x-ray assessed due to the bibasilar opacities. The aorta is calcified. Right-sided Port-A-Cath is seen, with distal tip in the expected location of the right atrium.",Moderate left pleural effusion has slightly increased in the interval with overlying atelectasis.,pleural effusion,left,Worse,['files/p11/p11614040/s57272076/a85adbf5-301650f6-e0861ceb-de58948f-66d1a9a4.jpg'],"['files/p11/p11614040/s57214129/551d7076-32d60564-745ab2a8-624b5317-c6f634f8.jpg\n', 'files/p11/p11614040/s57214129/ae000d03-91aa28dd-ccd3897d-ceb92206-fba185ff.jpg\n']"
s57272076_7,p11614040,s57272076,7,Impression,"Moderate left pleural effusion slightly increased as compared to the prior study. Interval increase in right base opacity may represent combination of pleural effusion and atelectasis, underlying consolidation is not excluded. Pulmonary vascular congestion.",Moderate left pleural effusion slightly increased as compared to the prior study.,pleural effusion,left,Worse,['files/p11/p11614040/s57272076/a85adbf5-301650f6-e0861ceb-de58948f-66d1a9a4.jpg'],"['files/p11/p11614040/s57214129/551d7076-32d60564-745ab2a8-624b5317-c6f634f8.jpg\n', 'files/p11/p11614040/s57214129/ae000d03-91aa28dd-ccd3897d-ceb92206-fba185ff.jpg\n']"
s57308986_0,p17933711,s57308986,0,Findings,"PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. The previously described mild degree of cardiac enlargement persists. There is no typical configurational abnormality; however, the left ventricular contour is relatively prominent. Again noted is an upper zone pulmonary vascular redistribution pattern indicative of mild pulmonary congestion, but there are no signs of advanced interstitial or alveolar edema. Also, the lateral and posterior pleural sinuses are free from any pleural effusion. No discrete local parenchymal infiltrates can be identified. No pneumothorax exists in the apical area on frontal view. Skeletal structures of the thorax remain grossly unremarkable.","Again noted is an upper zone pulmonary vascular redistribution pattern indicative of mild pulmonary congestion, but there are no signs of advanced interstitial or alveolar edema.",Pulmonary vascular redistribution,Upper zone,Worse,"['files/p17/p17933711/s57308986/32de4fe2-db7905e0-235c099f-a12e4212-284542bd.jpg', 'files/p17/p17933711/s57308986/a7742b8b-8d52f218-962c4ea7-dc720df1-a35bdc8b.jpg']",['files/p17/p17933711/s53605255/262aec66-02c3d815-9e02b897-1f697799-42735ce8.jpg\n']
s57308986_0,p17933711,s57308986,0,Findings,"PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. The previously described mild degree of cardiac enlargement persists. There is no typical configurational abnormality; however, the left ventricular contour is relatively prominent. Again noted is an upper zone pulmonary vascular redistribution pattern indicative of mild pulmonary congestion, but there are no signs of advanced interstitial or alveolar edema. Also, the lateral and posterior pleural sinuses are free from any pleural effusion. No discrete local parenchymal infiltrates can be identified. No pneumothorax exists in the apical area on frontal view. Skeletal structures of the thorax remain grossly unremarkable.",Skeletal structures of the thorax remain grossly unremarkable.,Skeletal structures of the thorax,,Stable,"['files/p17/p17933711/s57308986/32de4fe2-db7905e0-235c099f-a12e4212-284542bd.jpg', 'files/p17/p17933711/s57308986/a7742b8b-8d52f218-962c4ea7-dc720df1-a35bdc8b.jpg']",['files/p17/p17933711/s53605255/262aec66-02c3d815-9e02b897-1f697799-42735ce8.jpg\n']
s57308986_0,p17933711,s57308986,0,Findings,"PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. The previously described mild degree of cardiac enlargement persists. There is no typical configurational abnormality; however, the left ventricular contour is relatively prominent. Again noted is an upper zone pulmonary vascular redistribution pattern indicative of mild pulmonary congestion, but there are no signs of advanced interstitial or alveolar edema. Also, the lateral and posterior pleural sinuses are free from any pleural effusion. No discrete local parenchymal infiltrates can be identified. No pneumothorax exists in the apical area on frontal view. Skeletal structures of the thorax remain grossly unremarkable.",The previously described mild degree of cardiac enlargement persists.,Cardiac enlargement,,Stable,"['files/p17/p17933711/s57308986/32de4fe2-db7905e0-235c099f-a12e4212-284542bd.jpg', 'files/p17/p17933711/s57308986/a7742b8b-8d52f218-962c4ea7-dc720df1-a35bdc8b.jpg']",['files/p17/p17933711/s53605255/262aec66-02c3d815-9e02b897-1f697799-42735ce8.jpg\n']
s57308986_0,p17933711,s57308986,0,Impression,"Stable chest findings with mild cardiac enlargement and mild degree of pulmonary congestion, but absence of advanced CHF or acute pulmonary infiltrates. No pleural effusions are seen.","Stable chest findings with mild cardiac enlargement and mild degree of pulmonary congestion, but absence of advanced CHF or acute pulmonary infiltrates.",Chest findings,,Stable,"['files/p17/p17933711/s57308986/32de4fe2-db7905e0-235c099f-a12e4212-284542bd.jpg', 'files/p17/p17933711/s57308986/a7742b8b-8d52f218-962c4ea7-dc720df1-a35bdc8b.jpg']",['files/p17/p17933711/s53605255/262aec66-02c3d815-9e02b897-1f697799-42735ce8.jpg\n']
s57337921_6,p16522757,s57337921,6,Impression,A left apical pneumothorax is unchanged. Left pigtail catheter and right PICC line are unchanged in appearance. Parenchymal consolidations are bilateral in unchanged. There is slight interval improvement in the right basal atelectasis,A left apical pneumothorax is unchanged.,pneumothorax,Left apical,Stable,['files/p16/p16522757/s57337921/a9a45704-613f2878-ab492afe-55b839b6-19a841f7.jpg'],['files/p16/p16522757/s57104616/df3e801b-e7a2a583-48a4268c-95ae757e-fc8c1172.jpg\n']
s57337921_6,p16522757,s57337921,6,Impression,A left apical pneumothorax is unchanged. Left pigtail catheter and right PICC line are unchanged in appearance. Parenchymal consolidations are bilateral in unchanged. There is slight interval improvement in the right basal atelectasis,There is slight interval improvement in the right basal atelectasis,atelectasis,Right basal,Better,['files/p16/p16522757/s57337921/a9a45704-613f2878-ab492afe-55b839b6-19a841f7.jpg'],['files/p16/p16522757/s57104616/df3e801b-e7a2a583-48a4268c-95ae757e-fc8c1172.jpg\n']
s57337921_6,p16522757,s57337921,6,Impression,A left apical pneumothorax is unchanged. Left pigtail catheter and right PICC line are unchanged in appearance. Parenchymal consolidations are bilateral in unchanged. There is slight interval improvement in the right basal atelectasis,Parenchymal consolidations are bilateral in unchanged.,parenchymal consolidations,Bilateral,Stable,['files/p16/p16522757/s57337921/a9a45704-613f2878-ab492afe-55b839b6-19a841f7.jpg'],['files/p16/p16522757/s57104616/df3e801b-e7a2a583-48a4268c-95ae757e-fc8c1172.jpg\n']
s57337921_6,p16522757,s57337921,6,Impression,A left apical pneumothorax is unchanged. Left pigtail catheter and right PICC line are unchanged in appearance. Parenchymal consolidations are bilateral in unchanged. There is slight interval improvement in the right basal atelectasis,Left pigtail catheter and right PICC line are unchanged in appearance.,pigtail catheter,Left,Stable,['files/p16/p16522757/s57337921/a9a45704-613f2878-ab492afe-55b839b6-19a841f7.jpg'],['files/p16/p16522757/s57104616/df3e801b-e7a2a583-48a4268c-95ae757e-fc8c1172.jpg\n']
s57337921_6,p16522757,s57337921,6,Impression,A left apical pneumothorax is unchanged. Left pigtail catheter and right PICC line are unchanged in appearance. Parenchymal consolidations are bilateral in unchanged. There is slight interval improvement in the right basal atelectasis,Left pigtail catheter and right PICC line are unchanged in appearance.,PICC line,Right,Stable,['files/p16/p16522757/s57337921/a9a45704-613f2878-ab492afe-55b839b6-19a841f7.jpg'],['files/p16/p16522757/s57104616/df3e801b-e7a2a583-48a4268c-95ae757e-fc8c1172.jpg\n']
s57343186_0,p18408427,s57343186,0,Findings,PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar chest examination ___ ___. Heart size remains within normal limits. No typical configurational abnormality is identified. Thoracic aorta is unchanged and unremarkable. Pulmonary vasculature is not congested and there is no evidence of pneumothorax on the frontal view in the apical area. The patient is rather heavyset and able to elevate the arms on the lateral view (allegedly related to shoulder discomfort). The pulmonary vasculature is not congested. The lateral and posterior pleural sinuses are free from any fluid accumulation. No acute pulmonary parenchymal infiltrates can be identified. Mild degree of degenerative changes are noted in the thoracic spine but appear unchanged in comparison with the previous study of ___.,Heart size remains within normal limits.,Heart size,,Stable,"['files/p18/p18408427/s57343186/c9da4948-05264240-eb4ff71e-f2c88106-f3c8cf60.jpg', 'files/p18/p18408427/s57343186/d56ec13f-3fe3f117-6b11abb3-4cb39cf6-67273b67.jpg']",
s57343186_0,p18408427,s57343186,0,Findings,PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar chest examination ___ ___. Heart size remains within normal limits. No typical configurational abnormality is identified. Thoracic aorta is unchanged and unremarkable. Pulmonary vasculature is not congested and there is no evidence of pneumothorax on the frontal view in the apical area. The patient is rather heavyset and able to elevate the arms on the lateral view (allegedly related to shoulder discomfort). The pulmonary vasculature is not congested. The lateral and posterior pleural sinuses are free from any fluid accumulation. No acute pulmonary parenchymal infiltrates can be identified. Mild degree of degenerative changes are noted in the thoracic spine but appear unchanged in comparison with the previous study of ___.,Thoracic aorta is unchanged and unremarkable.,Thoracic aorta,,Stable,"['files/p18/p18408427/s57343186/c9da4948-05264240-eb4ff71e-f2c88106-f3c8cf60.jpg', 'files/p18/p18408427/s57343186/d56ec13f-3fe3f117-6b11abb3-4cb39cf6-67273b67.jpg']",
s57343186_0,p18408427,s57343186,0,Findings,PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar chest examination ___ ___. Heart size remains within normal limits. No typical configurational abnormality is identified. Thoracic aorta is unchanged and unremarkable. Pulmonary vasculature is not congested and there is no evidence of pneumothorax on the frontal view in the apical area. The patient is rather heavyset and able to elevate the arms on the lateral view (allegedly related to shoulder discomfort). The pulmonary vasculature is not congested. The lateral and posterior pleural sinuses are free from any fluid accumulation. No acute pulmonary parenchymal infiltrates can be identified. Mild degree of degenerative changes are noted in the thoracic spine but appear unchanged in comparison with the previous study of ___.,Mild degree of degenerative changes are noted in the thoracic spine but appear unchanged in comparison with the previous study of ___.,Degenerative changes,Thoracic spine,Stable,"['files/p18/p18408427/s57343186/c9da4948-05264240-eb4ff71e-f2c88106-f3c8cf60.jpg', 'files/p18/p18408427/s57343186/d56ec13f-3fe3f117-6b11abb3-4cb39cf6-67273b67.jpg']",
s57343186_0,p18408427,s57343186,0,Impression,No evidence of acute infiltrates or CHF. Stable chest findings since ___.,Stable chest findings since ___.,Chest findings,,Stable,"['files/p18/p18408427/s57343186/c9da4948-05264240-eb4ff71e-f2c88106-f3c8cf60.jpg', 'files/p18/p18408427/s57343186/d56ec13f-3fe3f117-6b11abb3-4cb39cf6-67273b67.jpg']",
s57343946_2,p10773739,s57343946,2,Impression,"Interval increase in opacification of the left lung is probably a function of pleural restriction and had asymmetric edema, accompanying increase in the volume of pleural fluid at the base of the left hemi thorax. Apical and basal pleural tubes are unchanged in position. Right lung is clear. Heart is mildly enlarged. Elevation of the left hemi diaphragm is probably a function of left lower lobe atelectasis and pleural fixation. No pneumothorax.","Interval increase in opacification of the left lung is probably a function of pleural restriction and had asymmetric edema, accompanying increase in the volume of pleural fluid at the base of the left hemi thorax.",pleural fluid,left,Worse,['files/p10/p10773739/s57343946/203fcaff-aaa7aa30-f1eeb9d0-d903b93f-b2bc1a10.jpg'],"['files/p10/p10773739/s56346242/1ded0fc6-dc59870e-c054eea2-5b6cceee-6151983d.jpg\n', 'files/p10/p10773739/s56346242/fa7b20f1-0fd5ce93-b4aaf450-db44d8ec-8f3df713.jpg\n']"
s57343946_2,p10773739,s57343946,2,Impression,"Interval increase in opacification of the left lung is probably a function of pleural restriction and had asymmetric edema, accompanying increase in the volume of pleural fluid at the base of the left hemi thorax. Apical and basal pleural tubes are unchanged in position. Right lung is clear. Heart is mildly enlarged. Elevation of the left hemi diaphragm is probably a function of left lower lobe atelectasis and pleural fixation. No pneumothorax.","Interval increase in opacification of the left lung is probably a function of pleural restriction and had asymmetric edema, accompanying increase in the volume of pleural fluid at the base of the left hemi thorax.",opacification,left,Worse,['files/p10/p10773739/s57343946/203fcaff-aaa7aa30-f1eeb9d0-d903b93f-b2bc1a10.jpg'],"['files/p10/p10773739/s56346242/1ded0fc6-dc59870e-c054eea2-5b6cceee-6151983d.jpg\n', 'files/p10/p10773739/s56346242/fa7b20f1-0fd5ce93-b4aaf450-db44d8ec-8f3df713.jpg\n']"
s57343946_2,p10773739,s57343946,2,Impression,"Interval increase in opacification of the left lung is probably a function of pleural restriction and had asymmetric edema, accompanying increase in the volume of pleural fluid at the base of the left hemi thorax. Apical and basal pleural tubes are unchanged in position. Right lung is clear. Heart is mildly enlarged. Elevation of the left hemi diaphragm is probably a function of left lower lobe atelectasis and pleural fixation. No pneumothorax.",Apical and basal pleural tubes are unchanged in position.,pleural tubes,apical and basal,Stable,['files/p10/p10773739/s57343946/203fcaff-aaa7aa30-f1eeb9d0-d903b93f-b2bc1a10.jpg'],"['files/p10/p10773739/s56346242/1ded0fc6-dc59870e-c054eea2-5b6cceee-6151983d.jpg\n', 'files/p10/p10773739/s56346242/fa7b20f1-0fd5ce93-b4aaf450-db44d8ec-8f3df713.jpg\n']"
s57348180_73,p11717909,s57348180,73,Impression,"Compared to prior chest radiographs, ___ through ___:50. 3 frontal chest radiographs show successive advancement of the esophageal feeding tube from the upper to the lower esophagus and finally into the upper stomach. Final radiograph in the series shows clear left lung and mild cardiomegaly. Right pleural abnormality in heterogeneous consolidation or atelectasis in the right lung are unchanged over the past several days. The final radiograph in the series shows repositioning of the right PIC line from a right internal jugular vein to the estimated location of the right superior cavoatrial junction alongside the indwelling right internal jugular catheter.","Compared to prior chest radiographs, ___ through ___:50. 3 frontal chest radiographs show successive advancement of the esophageal feeding tube from the upper to the lower esophagus and finally into the upper stomach.",esophageal feeding tube,"upper to lower esophagus, upper stomach",Resolve,"['files/p11/p11717909/s57348180/20b49aa6-b4422623-e76adcf1-21cb7b84-82bb0fee.jpg', 'files/p11/p11717909/s57348180/59d4377f-2cf11d14-faf7a7fc-1ef6704c-3e0f161b.jpg', 'files/p11/p11717909/s57348180/8908c4da-5bd8a618-c158f213-e0942be7-73d112cb.jpg']",['files/p11/p11717909/s57198522/2ee41fdf-c427ca61-d4dad2ce-68c8d635-55b20347.jpg\n']
s57350348_2,p17680905,s57350348,2,Findings,"PA and lateral views of the chest provided. Left-sided chest tube, endotracheal tube, Swan-Ganz catheter, and nasogastric tubes have been removed. There is a small pneumothorax in the left apex. There is increased hazy opacity in the right lower lung, likely reflecting layering effusion combined with loss of lung volume. Compared to prior study, there is slightly more pulmonary vascular congestion. Heart size has increased in size.",Heart size has increased in size.,Size,Heart,Worse,['files/p17/p17680905/s57350348/aec99028-85963e75-247669dd-f5c64825-6802b7c4.jpg'],"['files/p17/p17680905/s51149106/24df7669-ea39742f-423980e7-094b366d-8eea60d6.jpg\n', 'files/p17/p17680905/s51149106/e0355e24-3d8b8030-c4db843f-a7f08492-b9b58e2c.jpg\n']"
s57350348_2,p17680905,s57350348,2,Findings,"PA and lateral views of the chest provided. Left-sided chest tube, endotracheal tube, Swan-Ganz catheter, and nasogastric tubes have been removed. There is a small pneumothorax in the left apex. There is increased hazy opacity in the right lower lung, likely reflecting layering effusion combined with loss of lung volume. Compared to prior study, there is slightly more pulmonary vascular congestion. Heart size has increased in size.","Compared to prior study, there is slightly more pulmonary vascular congestion.",Vascular congestion,Pulmonary,Worse,['files/p17/p17680905/s57350348/aec99028-85963e75-247669dd-f5c64825-6802b7c4.jpg'],"['files/p17/p17680905/s51149106/24df7669-ea39742f-423980e7-094b366d-8eea60d6.jpg\n', 'files/p17/p17680905/s51149106/e0355e24-3d8b8030-c4db843f-a7f08492-b9b58e2c.jpg\n']"
s57350348_2,p17680905,s57350348,2,Findings,"PA and lateral views of the chest provided. Left-sided chest tube, endotracheal tube, Swan-Ganz catheter, and nasogastric tubes have been removed. There is a small pneumothorax in the left apex. There is increased hazy opacity in the right lower lung, likely reflecting layering effusion combined with loss of lung volume. Compared to prior study, there is slightly more pulmonary vascular congestion. Heart size has increased in size.","Left-sided chest tube, endotracheal tube, Swan-Ganz catheter, and nasogastric tubes have been removed.",Swan-Ganz catheter,Left-sided,Resolve,['files/p17/p17680905/s57350348/aec99028-85963e75-247669dd-f5c64825-6802b7c4.jpg'],"['files/p17/p17680905/s51149106/24df7669-ea39742f-423980e7-094b366d-8eea60d6.jpg\n', 'files/p17/p17680905/s51149106/e0355e24-3d8b8030-c4db843f-a7f08492-b9b58e2c.jpg\n']"
s57350348_2,p17680905,s57350348,2,Findings,"PA and lateral views of the chest provided. Left-sided chest tube, endotracheal tube, Swan-Ganz catheter, and nasogastric tubes have been removed. There is a small pneumothorax in the left apex. There is increased hazy opacity in the right lower lung, likely reflecting layering effusion combined with loss of lung volume. Compared to prior study, there is slightly more pulmonary vascular congestion. Heart size has increased in size.","Left-sided chest tube, endotracheal tube, Swan-Ganz catheter, and nasogastric tubes have been removed.",Chest tube,Left-sided,Resolve,['files/p17/p17680905/s57350348/aec99028-85963e75-247669dd-f5c64825-6802b7c4.jpg'],"['files/p17/p17680905/s51149106/24df7669-ea39742f-423980e7-094b366d-8eea60d6.jpg\n', 'files/p17/p17680905/s51149106/e0355e24-3d8b8030-c4db843f-a7f08492-b9b58e2c.jpg\n']"
s57350348_2,p17680905,s57350348,2,Findings,"PA and lateral views of the chest provided. Left-sided chest tube, endotracheal tube, Swan-Ganz catheter, and nasogastric tubes have been removed. There is a small pneumothorax in the left apex. There is increased hazy opacity in the right lower lung, likely reflecting layering effusion combined with loss of lung volume. Compared to prior study, there is slightly more pulmonary vascular congestion. Heart size has increased in size.","There is increased hazy opacity in the right lower lung, likely reflecting layering effusion combined with loss of lung volume.",Hazy opacity,Right lower lung,Worse,['files/p17/p17680905/s57350348/aec99028-85963e75-247669dd-f5c64825-6802b7c4.jpg'],"['files/p17/p17680905/s51149106/24df7669-ea39742f-423980e7-094b366d-8eea60d6.jpg\n', 'files/p17/p17680905/s51149106/e0355e24-3d8b8030-c4db843f-a7f08492-b9b58e2c.jpg\n']"
s57350348_2,p17680905,s57350348,2,Findings,"PA and lateral views of the chest provided. Left-sided chest tube, endotracheal tube, Swan-Ganz catheter, and nasogastric tubes have been removed. There is a small pneumothorax in the left apex. There is increased hazy opacity in the right lower lung, likely reflecting layering effusion combined with loss of lung volume. Compared to prior study, there is slightly more pulmonary vascular congestion. Heart size has increased in size.","Left-sided chest tube, endotracheal tube, Swan-Ganz catheter, and nasogastric tubes have been removed.",Nasogastric tubes,Left-sided,Resolve,['files/p17/p17680905/s57350348/aec99028-85963e75-247669dd-f5c64825-6802b7c4.jpg'],"['files/p17/p17680905/s51149106/24df7669-ea39742f-423980e7-094b366d-8eea60d6.jpg\n', 'files/p17/p17680905/s51149106/e0355e24-3d8b8030-c4db843f-a7f08492-b9b58e2c.jpg\n']"
s57350348_2,p17680905,s57350348,2,Findings,"PA and lateral views of the chest provided. Left-sided chest tube, endotracheal tube, Swan-Ganz catheter, and nasogastric tubes have been removed. There is a small pneumothorax in the left apex. There is increased hazy opacity in the right lower lung, likely reflecting layering effusion combined with loss of lung volume. Compared to prior study, there is slightly more pulmonary vascular congestion. Heart size has increased in size.","Left-sided chest tube, endotracheal tube, Swan-Ganz catheter, and nasogastric tubes have been removed.",Endotracheal tube,Left-sided,Resolve,['files/p17/p17680905/s57350348/aec99028-85963e75-247669dd-f5c64825-6802b7c4.jpg'],"['files/p17/p17680905/s51149106/24df7669-ea39742f-423980e7-094b366d-8eea60d6.jpg\n', 'files/p17/p17680905/s51149106/e0355e24-3d8b8030-c4db843f-a7f08492-b9b58e2c.jpg\n']"
s57351800_11,p19890030,s57351800,11,Impression,"As compared to the previous radiograph, the patient has been extubated and the nasogastric tube was removed. The lung volumes have slightly decreased. A pleural effusion on the left is minimally increased and signs of mild to moderate pulmonary edema are present in almost unchanged manner. No pneumothorax. No new parenchymal opacities.",The lung volumes have slightly decreased.,lung volumes,,Worse,['files/p19/p19890030/s57351800/a467ed3c-e5c2d31f-310831c5-6bfd3ab4-fc6a815b.jpg'],['files/p19/p19890030/s56131156/6d0fb843-3f18a296-cc24e0d5-d5196b76-d27ae8c5.jpg\n']
s57351800_11,p19890030,s57351800,11,Impression,"As compared to the previous radiograph, the patient has been extubated and the nasogastric tube was removed. The lung volumes have slightly decreased. A pleural effusion on the left is minimally increased and signs of mild to moderate pulmonary edema are present in almost unchanged manner. No pneumothorax. No new parenchymal opacities.",A pleural effusion on the left is minimally increased and signs of mild to moderate pulmonary edema are present in almost unchanged manner.,pulmonary edema,,Stable,['files/p19/p19890030/s57351800/a467ed3c-e5c2d31f-310831c5-6bfd3ab4-fc6a815b.jpg'],['files/p19/p19890030/s56131156/6d0fb843-3f18a296-cc24e0d5-d5196b76-d27ae8c5.jpg\n']
s57351800_11,p19890030,s57351800,11,Impression,"As compared to the previous radiograph, the patient has been extubated and the nasogastric tube was removed. The lung volumes have slightly decreased. A pleural effusion on the left is minimally increased and signs of mild to moderate pulmonary edema are present in almost unchanged manner. No pneumothorax. No new parenchymal opacities.",A pleural effusion on the left is minimally increased and signs of mild to moderate pulmonary edema are present in almost unchanged manner.,pleural effusion,left,Worse,['files/p19/p19890030/s57351800/a467ed3c-e5c2d31f-310831c5-6bfd3ab4-fc6a815b.jpg'],['files/p19/p19890030/s56131156/6d0fb843-3f18a296-cc24e0d5-d5196b76-d27ae8c5.jpg\n']
s57351800_11,p19890030,s57351800,11,Impression,"As compared to the previous radiograph, the patient has been extubated and the nasogastric tube was removed. The lung volumes have slightly decreased. A pleural effusion on the left is minimally increased and signs of mild to moderate pulmonary edema are present in almost unchanged manner. No pneumothorax. No new parenchymal opacities.","As compared to the previous radiograph, the patient has been extubated and the nasogastric tube was removed.",nasogastric tube,,Resolve,['files/p19/p19890030/s57351800/a467ed3c-e5c2d31f-310831c5-6bfd3ab4-fc6a815b.jpg'],['files/p19/p19890030/s56131156/6d0fb843-3f18a296-cc24e0d5-d5196b76-d27ae8c5.jpg\n']
s57362963_0,p13736401,s57362963,0,Impression,"In comparison with the study of ___, there has been a left lower lobectomy with placement of a chest tube. No definite pneumothorax. There are lower lung volumes with streaks of atelectasis at the bases. The cardio mediastinal silhouette is stable and there is no evidence of vascular congestion.",The cardio mediastinal silhouette is stable and there is no evidence of vascular congestion.,,Cardio mediastinal silhouette,Stable,['files/p13/p13736401/s57362963/7077f691-0bb23d05-5205c77a-f3361d79-90cccad8.jpg'],"['files/p13/p13736401/s51531649/96c0d4a5-051e3fc3-f672b6ff-77c9b55c-0d6ca4d4.jpg\n', 'files/p13/p13736401/s51531649/a8a6416c-6e771d64-63dced41-b9cd0570-74de6277.jpg\n']"
s57377879_0,p18969267,s57377879,0,Findings,"The heart remains mildly enlarged but unchanged. The aorta is tortuous. The mediastinal and hilar contours are within normal limits. Pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected.",The heart remains mildly enlarged but unchanged.,mildly enlarged heart,,Stable,"['files/p18/p18969267/s57377879/f0fefa76-d34f1995-4d6ab311-59a4186b-11142bb7.jpg', 'files/p18/p18969267/s57377879/f51f8fb4-e8a08675-4ebd7d90-deaa4b73-bfbd51e5.jpg', 'files/p18/p18969267/s57377879/f72a9857-c7f18038-73f34ab0-7f977374-d544ac69.jpg']","['files/p18/p18969267/s53255510/d0656529-d4148e4d-645f1099-b131dec9-41324e42.jpg\n', 'files/p18/p18969267/s53255510/eed7debf-292679cb-a89b7580-25336d55-4e0d77ef.jpg\n']"
s57378297_1,p19890030,s57378297,1,Findings,"An ET tube terminates 3 cm above the carina. And NG tube passes inferiorly off the image in the expected region of the stomach. The lungs are well expanded. Diffusely increased interstitial markings are again seen, along with engorged pulmonary vasculature and cardiomegaly and bilateral pleural effusions, consistent with moderate pulmonary edema. Increased opacity at the left lung base compared to prior likely reflects atelectasis. No focal consolidation is seen. There is no pneumothorax.","Diffusely increased interstitial markings are again seen, along with engorged pulmonary vasculature and cardiomegaly and bilateral pleural effusions, consistent with moderate pulmonary edema.",interstitial markings,bilateral,Stable,['files/p19/p19890030/s57378297/eac34627-0d789691-739a8249-d2bf5f3c-c4240547.jpg'],['files/p19/p19890030/s57351800/a467ed3c-e5c2d31f-310831c5-6bfd3ab4-fc6a815b.jpg\n']
s57378297_1,p19890030,s57378297,1,Findings,"An ET tube terminates 3 cm above the carina. And NG tube passes inferiorly off the image in the expected region of the stomach. The lungs are well expanded. Diffusely increased interstitial markings are again seen, along with engorged pulmonary vasculature and cardiomegaly and bilateral pleural effusions, consistent with moderate pulmonary edema. Increased opacity at the left lung base compared to prior likely reflects atelectasis. No focal consolidation is seen. There is no pneumothorax.","Diffusely increased interstitial markings are again seen, along with engorged pulmonary vasculature and cardiomegaly and bilateral pleural effusions, consistent with moderate pulmonary edema.",cardiomegaly,,Stable,['files/p19/p19890030/s57378297/eac34627-0d789691-739a8249-d2bf5f3c-c4240547.jpg'],['files/p19/p19890030/s57351800/a467ed3c-e5c2d31f-310831c5-6bfd3ab4-fc6a815b.jpg\n']
s57378297_1,p19890030,s57378297,1,Findings,"An ET tube terminates 3 cm above the carina. And NG tube passes inferiorly off the image in the expected region of the stomach. The lungs are well expanded. Diffusely increased interstitial markings are again seen, along with engorged pulmonary vasculature and cardiomegaly and bilateral pleural effusions, consistent with moderate pulmonary edema. Increased opacity at the left lung base compared to prior likely reflects atelectasis. No focal consolidation is seen. There is no pneumothorax.","Diffusely increased interstitial markings are again seen, along with engorged pulmonary vasculature and cardiomegaly and bilateral pleural effusions, consistent with moderate pulmonary edema.",pulmonary vasculature engorgement,bilateral,Stable,['files/p19/p19890030/s57378297/eac34627-0d789691-739a8249-d2bf5f3c-c4240547.jpg'],['files/p19/p19890030/s57351800/a467ed3c-e5c2d31f-310831c5-6bfd3ab4-fc6a815b.jpg\n']
s57378297_1,p19890030,s57378297,1,Findings,"An ET tube terminates 3 cm above the carina. And NG tube passes inferiorly off the image in the expected region of the stomach. The lungs are well expanded. Diffusely increased interstitial markings are again seen, along with engorged pulmonary vasculature and cardiomegaly and bilateral pleural effusions, consistent with moderate pulmonary edema. Increased opacity at the left lung base compared to prior likely reflects atelectasis. No focal consolidation is seen. There is no pneumothorax.","Diffusely increased interstitial markings are again seen, along with engorged pulmonary vasculature and cardiomegaly and bilateral pleural effusions, consistent with moderate pulmonary edema.",pleural effusions,bilateral,Stable,['files/p19/p19890030/s57378297/eac34627-0d789691-739a8249-d2bf5f3c-c4240547.jpg'],['files/p19/p19890030/s57351800/a467ed3c-e5c2d31f-310831c5-6bfd3ab4-fc6a815b.jpg\n']
s57378297_1,p19890030,s57378297,1,Findings,"An ET tube terminates 3 cm above the carina. And NG tube passes inferiorly off the image in the expected region of the stomach. The lungs are well expanded. Diffusely increased interstitial markings are again seen, along with engorged pulmonary vasculature and cardiomegaly and bilateral pleural effusions, consistent with moderate pulmonary edema. Increased opacity at the left lung base compared to prior likely reflects atelectasis. No focal consolidation is seen. There is no pneumothorax.",Increased opacity at the left lung base compared to prior likely reflects atelectasis.,opacity,left lung base,Worse,['files/p19/p19890030/s57378297/eac34627-0d789691-739a8249-d2bf5f3c-c4240547.jpg'],['files/p19/p19890030/s57351800/a467ed3c-e5c2d31f-310831c5-6bfd3ab4-fc6a815b.jpg\n']
s57385565_1,p17617589,s57385565,1,Findings,"As compared to the previous radiograph, the previously malpositioned endotracheal tube has been pulled back. The tip of the tube now projects approximately 3.5-4 cm above the carina. The course of the nasogastric tube is unchanged. Unchanged appearance of the moderately enlarged cardiac silhouette and of the preexisting parenchymal opacities. These have not changed in extent and severity.","As compared to the previous radiograph, the previously malpositioned endotracheal tube has been pulled back.",Endotracheal tube,Previously malpositioned,Resolve,['files/p17/p17617589/s57385565/51356fab-8f076a2e-2d204a97-8c47b3ca-0b015c10.jpg'],['files/p17/p17617589/s53371757/d3e8fc04-74fae9fb-787da683-4705e3a6-8e7dd7a6.jpg\n']
s57385565_1,p17617589,s57385565,1,Findings,"As compared to the previous radiograph, the previously malpositioned endotracheal tube has been pulled back. The tip of the tube now projects approximately 3.5-4 cm above the carina. The course of the nasogastric tube is unchanged. Unchanged appearance of the moderately enlarged cardiac silhouette and of the preexisting parenchymal opacities. These have not changed in extent and severity.",Unchanged appearance of the moderately enlarged cardiac silhouette and of the preexisting parenchymal opacities.,Opacities,Parenchymal,Stable,['files/p17/p17617589/s57385565/51356fab-8f076a2e-2d204a97-8c47b3ca-0b015c10.jpg'],['files/p17/p17617589/s53371757/d3e8fc04-74fae9fb-787da683-4705e3a6-8e7dd7a6.jpg\n']
s57385565_1,p17617589,s57385565,1,Findings,"As compared to the previous radiograph, the previously malpositioned endotracheal tube has been pulled back. The tip of the tube now projects approximately 3.5-4 cm above the carina. The course of the nasogastric tube is unchanged. Unchanged appearance of the moderately enlarged cardiac silhouette and of the preexisting parenchymal opacities. These have not changed in extent and severity.",Unchanged appearance of the moderately enlarged cardiac silhouette and of the preexisting parenchymal opacities.,Moderately enlarged,Cardiac silhouette,Stable,['files/p17/p17617589/s57385565/51356fab-8f076a2e-2d204a97-8c47b3ca-0b015c10.jpg'],['files/p17/p17617589/s53371757/d3e8fc04-74fae9fb-787da683-4705e3a6-8e7dd7a6.jpg\n']
s57385565_1,p17617589,s57385565,1,Findings,"As compared to the previous radiograph, the previously malpositioned endotracheal tube has been pulled back. The tip of the tube now projects approximately 3.5-4 cm above the carina. The course of the nasogastric tube is unchanged. Unchanged appearance of the moderately enlarged cardiac silhouette and of the preexisting parenchymal opacities. These have not changed in extent and severity.",These have not changed in extent and severity.,Parenchymal opacities,Extent and severity,Stable,['files/p17/p17617589/s57385565/51356fab-8f076a2e-2d204a97-8c47b3ca-0b015c10.jpg'],['files/p17/p17617589/s53371757/d3e8fc04-74fae9fb-787da683-4705e3a6-8e7dd7a6.jpg\n']
s57385565_1,p17617589,s57385565,1,Findings,"As compared to the previous radiograph, the previously malpositioned endotracheal tube has been pulled back. The tip of the tube now projects approximately 3.5-4 cm above the carina. The course of the nasogastric tube is unchanged. Unchanged appearance of the moderately enlarged cardiac silhouette and of the preexisting parenchymal opacities. These have not changed in extent and severity.",The course of the nasogastric tube is unchanged.,Nasogastric tube,Course,Stable,['files/p17/p17617589/s57385565/51356fab-8f076a2e-2d204a97-8c47b3ca-0b015c10.jpg'],['files/p17/p17617589/s53371757/d3e8fc04-74fae9fb-787da683-4705e3a6-8e7dd7a6.jpg\n']
s57386813_2,p16029766,s57386813,2,Findings,Enlargement of the cardiac silhouette is grossly unchanged. Appearance of the mediastinum and hilum is stable. The lungs are hyperinflated. There is no pulmonary edema. There is no pneumothorax. Moderate bilateral effusions right greater than left are associated with adjacent atelectasis. Sternal wires are aligned. Patient is status post CABG. There are mild degenerative changes in the thoracic spine.,Appearance of the mediastinum and hilum is stable.,,Mediastinum and hilum,Stable,['files/p16/p16029766/s57386813/2b6058ea-1a457571-ebed852c-b6879996-ac8b1622.jpg'],"['files/p16/p16029766/s55454745/71138932-dc73f0d5-fa8be28c-a2925dc4-648b9e72.jpg\n', 'files/p16/p16029766/s55454745/c03267f8-f0900e7f-f768fa2d-8ba19ccf-5d5cbc99.jpg\n']"
s57386813_2,p16029766,s57386813,2,Findings,Enlargement of the cardiac silhouette is grossly unchanged. Appearance of the mediastinum and hilum is stable. The lungs are hyperinflated. There is no pulmonary edema. There is no pneumothorax. Moderate bilateral effusions right greater than left are associated with adjacent atelectasis. Sternal wires are aligned. Patient is status post CABG. There are mild degenerative changes in the thoracic spine.,Enlargement of the cardiac silhouette is grossly unchanged.,Enlargement,Cardiac silhouette,Stable,['files/p16/p16029766/s57386813/2b6058ea-1a457571-ebed852c-b6879996-ac8b1622.jpg'],"['files/p16/p16029766/s55454745/71138932-dc73f0d5-fa8be28c-a2925dc4-648b9e72.jpg\n', 'files/p16/p16029766/s55454745/c03267f8-f0900e7f-f768fa2d-8ba19ccf-5d5cbc99.jpg\n']"
s57415824_2,p14385080,s57415824,2,Impression,"As compared to ___ radiograph, the patient is rotated towards the left. The periphery of the left lung base is less well evaluated than on the prior exam. Remainder of the lungs are well visualized and grossly clear. Small bilateral pleural effusions are a persistent finding.",Small bilateral pleural effusions are a persistent finding.,Pleural effusions,Bilateral,Stable,"['files/p14/p14385080/s57415824/1a68207e-a397bf0d-413f074a-b973cdae-87887f1d.jpg', 'files/p14/p14385080/s57415824/cb89b804-c32cd775-5675ae45-5d7037f1-518aa266.jpg']",
s57419136_3,p17622916,s57419136,3,Findings,"In comparison with the study of ___, there again are bilateral pleural effusions with evidence of pulmonary vascular congestion and compressive atelectasis at the bases. In the appropriate clinical setting, superimposed pneumonia would have to be considered. The right IJ catheter extends at least to the cavoatrial junction and quite probably into the upper portion of the right atrium.","In comparison with the study of ___, there again are bilateral pleural effusions with evidence of pulmonary vascular congestion and compressive atelectasis at the bases.",pleural effusions,bilateral,Stable,['files/p17/p17622916/s57419136/468df880-10005e8e-d4fa6433-d08fa89c-7b141448.jpg'],['files/p17/p17622916/s55309653/2e1cd5e0-fd2c7f50-176e7b18-1f7ac651-bcf8152a.jpg\n']
s57419136_3,p17622916,s57419136,3,Findings,"In comparison with the study of ___, there again are bilateral pleural effusions with evidence of pulmonary vascular congestion and compressive atelectasis at the bases. In the appropriate clinical setting, superimposed pneumonia would have to be considered. The right IJ catheter extends at least to the cavoatrial junction and quite probably into the upper portion of the right atrium.","In comparison with the study of ___, there again are bilateral pleural effusions with evidence of pulmonary vascular congestion and compressive atelectasis at the bases.",compressive atelectasis,bases,Stable,['files/p17/p17622916/s57419136/468df880-10005e8e-d4fa6433-d08fa89c-7b141448.jpg'],['files/p17/p17622916/s55309653/2e1cd5e0-fd2c7f50-176e7b18-1f7ac651-bcf8152a.jpg\n']
s57420501_0,p10198310,s57420501,0,Findings,PA and lateral views of the chest provided. Left chest wall AICD is again seen with leads extending into the right atrium and right ventricle. The heart is moderately enlarged. Hila appearing or urged. There is no overt pulmonary edema. No large effusion or pneumothorax. No focal consolidation concerning for pneumonia. The mediastinal contour is stable. Bony structures are intact. No free air below the right hemidiaphragm seen.,The mediastinal contour is stable.,Contour,Mediastinal,Stable,"['files/p10/p10198310/s57420501/691d5bdf-502c05bd-000c22a0-9be0768d-e13bb54d.jpg', 'files/p10/p10198310/s57420501/a94f823a-d1f6f5aa-de10d9b8-37f6c6c1-e9631495.jpg']",['files/p10/p10198310/s55018013/769fd8c6-0c20f1bf-86fa9850-b0b58e74-054967d1.jpg\n']
s57437729_3,p11135350,s57437729,3,Findings,ET tube is seen with tip approximately 1.8 cm from the carina. Enteric tube seen passing below the inferior field of view. Lower lung volumes are noted on the current exam with bilateral parenchymal opacities which could be due to edema or infection. Prominence of the right hilum is again noted. Moderate cardiomegaly and appears to have progressed since prior could potentially be in part due to changes in positioning. No acute osseous abnormalities. Surgical clips project over the left chest wall/axilla.,Moderate cardiomegaly and appears to have progressed since prior could potentially be in part due to changes in positioning.,moderate cardiomegaly,,Worse,['files/p11/p11135350/s57437729/0a7b4797-26061ea5-69f731ec-a45b9e8e-b4a66113.jpg'],"['files/p11/p11135350/s57156490/05213484-b9cc6edd-f1208b60-51391906-10549d97.jpg\n', 'files/p11/p11135350/s57156490/3dd5a5cf-d8a6dc19-0e4fbd9e-3c8cb517-68034727.jpg\n']"
s57437729_3,p11135350,s57437729,3,Findings,ET tube is seen with tip approximately 1.8 cm from the carina. Enteric tube seen passing below the inferior field of view. Lower lung volumes are noted on the current exam with bilateral parenchymal opacities which could be due to edema or infection. Prominence of the right hilum is again noted. Moderate cardiomegaly and appears to have progressed since prior could potentially be in part due to changes in positioning. No acute osseous abnormalities. Surgical clips project over the left chest wall/axilla.,Prominence of the right hilum is again noted.,prominence,right hilum,Stable,['files/p11/p11135350/s57437729/0a7b4797-26061ea5-69f731ec-a45b9e8e-b4a66113.jpg'],"['files/p11/p11135350/s57156490/05213484-b9cc6edd-f1208b60-51391906-10549d97.jpg\n', 'files/p11/p11135350/s57156490/3dd5a5cf-d8a6dc19-0e4fbd9e-3c8cb517-68034727.jpg\n']"
s57443673_4,p17223574,s57443673,4,Impression,"Comparison to ___. No relevant change. Relatively low lung volumes. Borderline size of the cardiac silhouette. Minimal retrocardiac atelectasis. No overinflation, no pneumonia, no pulmonary edema, no pleural effusions.",Comparison to ___. No relevant change.,,,Stable,"['files/p17/p17223574/s57443673/0310ac4a-6a3d539e-8a9a8d70-191de66a-68379772.jpg', 'files/p17/p17223574/s57443673/1832c94a-dc3c5e5e-670d683b-9cea6356-c7b26521.jpg', 'files/p17/p17223574/s57443673/f8be268e-02c80943-b7a77571-28de3ef2-9789ed04.jpg']",['files/p17/p17223574/s56459009/6231218a-08114abf-f7126f7b-47637bda-23592f97.jpg\n']
s57451515_0,p11128012,s57451515,0,Findings,"The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. There continues to be elevation of the right hemidiaphragm, similar to prior radiographs.","There continues to be elevation of the right hemidiaphragm, similar to prior radiographs.",elevation of the hemidiaphragm,right,Stable,"['files/p11/p11128012/s57451515/b4a9606f-2d62a1a5-c7d2c5e1-7ca25c12-e1d2f15f.jpg', 'files/p11/p11128012/s57451515/bc2e5f8e-5fa53cf8-97cc7920-21879c69-eada094b.jpg']",
s57478248_2,p18166102,s57478248,2,Findings,The lungs are hyperexpanded with increased opacification of the right upper and middle lobes with silhouetting of the right cardiac border and retrocardiac opacification on lateral view suggests pneumonia. The mediastinal silhouette and bilateral hemidiaphragms stable. The left lung is clear. No pneumothorax or pleural effusion is present.,The mediastinal silhouette and bilateral hemidiaphragms stable.,,mediastinal silhouette,Stable,"['files/p18/p18166102/s57478248/7173d21e-1df4d0c0-2f84a218-b57e994b-3c112aaf.jpg', 'files/p18/p18166102/s57478248/74148346-3344cf5f-1ce06a31-e433d994-9e1fabd5.jpg', 'files/p18/p18166102/s57478248/8613c804-40b6fa49-a6010f21-c895dbfe-4fe61620.jpg']",
s57478248_2,p18166102,s57478248,2,Findings,The lungs are hyperexpanded with increased opacification of the right upper and middle lobes with silhouetting of the right cardiac border and retrocardiac opacification on lateral view suggests pneumonia. The mediastinal silhouette and bilateral hemidiaphragms stable. The left lung is clear. No pneumothorax or pleural effusion is present.,The mediastinal silhouette and bilateral hemidiaphragms stable.,,bilateral hemidiaphragms,Stable,"['files/p18/p18166102/s57478248/7173d21e-1df4d0c0-2f84a218-b57e994b-3c112aaf.jpg', 'files/p18/p18166102/s57478248/74148346-3344cf5f-1ce06a31-e433d994-9e1fabd5.jpg', 'files/p18/p18166102/s57478248/8613c804-40b6fa49-a6010f21-c895dbfe-4fe61620.jpg']",
s57478248_2,p18166102,s57478248,2,Impression,Retrocardiac opacification concerning for pneumonia. Repeat radiograph 6 weeks after completion of treatment is recommended to ensure resolution.,Repeat radiograph 6 weeks after completion of treatment is recommended to ensure resolution.,opacification,retrocardiac,Resolve,"['files/p18/p18166102/s57478248/7173d21e-1df4d0c0-2f84a218-b57e994b-3c112aaf.jpg', 'files/p18/p18166102/s57478248/74148346-3344cf5f-1ce06a31-e433d994-9e1fabd5.jpg', 'files/p18/p18166102/s57478248/8613c804-40b6fa49-a6010f21-c895dbfe-4fe61620.jpg']",
s57519317_13,p19890030,s57519317,13,Impression,"In comparison with the study of 1 hour previously, there is some worsening of the pulmonary edema. Continued bilateral pleural effusions with compressive atelectasis at the bases.","In comparison with the study of 1 hour previously, there is some worsening of the pulmonary edema.",pulmonary edema,,Worse,['files/p19/p19890030/s57519317/10e73dc9-0b884e25-eafa8a2f-300f0487-def8b4d6.jpg'],['files/p19/p19890030/s57508468/8027d184-a9e2e118-bcdce505-fcbd9f09-34dd5c61.jpg\n']
s57523955_10,p17223574,s57523955,10,Impression,"Comparison to ___, 04:30. Further increase in extent of the right pleural effusion. Otherwise no relevant change. Severe cardiomegaly with mild to moderate pulmonary edema. Extensive areas of atelectasis at the left lung basis. No pneumothorax. Stable position of the tracheostomy tube.","Comparison to ___, 04:30. Further increase in extent of the right pleural effusion.",pleural effusion,right,Worse,['files/p17/p17223574/s57523955/7875b25f-a66526e3-18d0bf41-b6c02def-fecc262f.jpg'],"['files/p17/p17223574/s57443673/0310ac4a-6a3d539e-8a9a8d70-191de66a-68379772.jpg\n', 'files/p17/p17223574/s57443673/1832c94a-dc3c5e5e-670d683b-9cea6356-c7b26521.jpg\n', 'files/p17/p17223574/s57443673/f8be268e-02c80943-b7a77571-28de3ef2-9789ed04.jpg\n']"
s57523955_10,p17223574,s57523955,10,Impression,"Comparison to ___, 04:30. Further increase in extent of the right pleural effusion. Otherwise no relevant change. Severe cardiomegaly with mild to moderate pulmonary edema. Extensive areas of atelectasis at the left lung basis. No pneumothorax. Stable position of the tracheostomy tube.",Stable position of the tracheostomy tube.,tracheostomy tube,,Stable,['files/p17/p17223574/s57523955/7875b25f-a66526e3-18d0bf41-b6c02def-fecc262f.jpg'],"['files/p17/p17223574/s57443673/0310ac4a-6a3d539e-8a9a8d70-191de66a-68379772.jpg\n', 'files/p17/p17223574/s57443673/1832c94a-dc3c5e5e-670d683b-9cea6356-c7b26521.jpg\n', 'files/p17/p17223574/s57443673/f8be268e-02c80943-b7a77571-28de3ef2-9789ed04.jpg\n']"
s57529558_6,p19598137,s57529558,6,Impression,"In comparison to the previous study of 1 day earlier, a new area of right upper lobe opacification is accompanied by a elevation of the minor fissure, favoring atelectasis. Coexisting infection or aspiration are also possible in the appropriate clinical setting. Exam is otherwise remarkable for improved aeration at both lung bases and decreased amount of free intraperitoneal air below the diaphragm. No other relevant changes.",Exam is otherwise remarkable for improved aeration at both lung bases and decreased amount of free intraperitoneal air below the diaphragm.,free intraperitoneal air,below the diaphragm,Resolve,['files/p19/p19598137/s57529558/8057c454-92e4f89a-2c84ed68-c2a9a717-ce21fb60.jpg'],['files/p19/p19598137/s57114319/837f34fb-f3caa2c0-91f85420-2a52db56-db213e08.jpg\n']
s57529558_6,p19598137,s57529558,6,Impression,"In comparison to the previous study of 1 day earlier, a new area of right upper lobe opacification is accompanied by a elevation of the minor fissure, favoring atelectasis. Coexisting infection or aspiration are also possible in the appropriate clinical setting. Exam is otherwise remarkable for improved aeration at both lung bases and decreased amount of free intraperitoneal air below the diaphragm. No other relevant changes.",Exam is otherwise remarkable for improved aeration at both lung bases and decreased amount of free intraperitoneal air below the diaphragm.,aeration,both lung bases,Better,['files/p19/p19598137/s57529558/8057c454-92e4f89a-2c84ed68-c2a9a717-ce21fb60.jpg'],['files/p19/p19598137/s57114319/837f34fb-f3caa2c0-91f85420-2a52db56-db213e08.jpg\n']
s57529558_6,p19598137,s57529558,6,Impression,"In comparison to the previous study of 1 day earlier, a new area of right upper lobe opacification is accompanied by a elevation of the minor fissure, favoring atelectasis. Coexisting infection or aspiration are also possible in the appropriate clinical setting. Exam is otherwise remarkable for improved aeration at both lung bases and decreased amount of free intraperitoneal air below the diaphragm. No other relevant changes.","In comparison to the previous study of 1 day earlier, a new area of right upper lobe opacification is accompanied by a elevation of the minor fissure, favoring atelectasis.",opacification,right upper lobe,New,['files/p19/p19598137/s57529558/8057c454-92e4f89a-2c84ed68-c2a9a717-ce21fb60.jpg'],['files/p19/p19598137/s57114319/837f34fb-f3caa2c0-91f85420-2a52db56-db213e08.jpg\n']
s57545492_21,p15902493,s57545492,21,Findings,Overall little change in comparison to the prior study with continued elevation of the right hemidiaphragm and silhouetting of the right heart border as well as increased opacity in the right retrocardiac region. There is at least partial right lower and middle lobe atelectasis. Cardiomegaly remains stable. Left PICC is visualized in the left brachiocephalic vein. Tracheostomy tube is shifted to the left due to a large superior mediastinal mass shown to be related to the thyroid gland on prior CT scan. Ventriculoperitoneal shunt traversing over the right hemithorax appears stable.,Overall little change in comparison to the prior study with continued elevation of the right hemidiaphragm and silhouetting of the right heart border as well as increased opacity in the right retrocardiac region. There is at least partial right lower and middle lobe atelectasis. Cardiomegaly remains stable. Left PICC is visualized in the left brachiocephalic vein. Tracheostomy tube is shifted to the left due to a large superior mediastinal mass shown to be related to the thyroid gland on prior CT scan. Ventriculoperitoneal shunt traversing over the right hemithorax appears stable.,elevation,right hemidiaphragm,Stable,['files/p15/p15902493/s57545492/1d8209cf-367611d8-dedd4a43-a8026be1-e639022d.jpg'],['files/p15/p15902493/s57081697/f6ec06b9-ba98953f-8182f840-4698435b-61296fb9.jpg\n']
s57545492_21,p15902493,s57545492,21,Findings,Overall little change in comparison to the prior study with continued elevation of the right hemidiaphragm and silhouetting of the right heart border as well as increased opacity in the right retrocardiac region. There is at least partial right lower and middle lobe atelectasis. Cardiomegaly remains stable. Left PICC is visualized in the left brachiocephalic vein. Tracheostomy tube is shifted to the left due to a large superior mediastinal mass shown to be related to the thyroid gland on prior CT scan. Ventriculoperitoneal shunt traversing over the right hemithorax appears stable.,Overall little change in comparison to the prior study with continued elevation of the right hemidiaphragm and silhouetting of the right heart border as well as increased opacity in the right retrocardiac region. There is at least partial right lower and middle lobe atelectasis. Cardiomegaly remains stable. Left PICC is visualized in the left brachiocephalic vein. Tracheostomy tube is shifted to the left due to a large superior mediastinal mass shown to be related to the thyroid gland on prior CT scan. Ventriculoperitoneal shunt traversing over the right hemithorax appears stable.,position,ventriculoperitoneal shunt,Stable,['files/p15/p15902493/s57545492/1d8209cf-367611d8-dedd4a43-a8026be1-e639022d.jpg'],['files/p15/p15902493/s57081697/f6ec06b9-ba98953f-8182f840-4698435b-61296fb9.jpg\n']
s57545492_21,p15902493,s57545492,21,Findings,Overall little change in comparison to the prior study with continued elevation of the right hemidiaphragm and silhouetting of the right heart border as well as increased opacity in the right retrocardiac region. There is at least partial right lower and middle lobe atelectasis. Cardiomegaly remains stable. Left PICC is visualized in the left brachiocephalic vein. Tracheostomy tube is shifted to the left due to a large superior mediastinal mass shown to be related to the thyroid gland on prior CT scan. Ventriculoperitoneal shunt traversing over the right hemithorax appears stable.,Overall little change in comparison to the prior study with continued elevation of the right hemidiaphragm and silhouetting of the right heart border as well as increased opacity in the right retrocardiac region. There is at least partial right lower and middle lobe atelectasis. Cardiomegaly remains stable. Left PICC is visualized in the left brachiocephalic vein. Tracheostomy tube is shifted to the left due to a large superior mediastinal mass shown to be related to the thyroid gland on prior CT scan. Ventriculoperitoneal shunt traversing over the right hemithorax appears stable.,cardiomegaly,cardiomegaly,Stable,['files/p15/p15902493/s57545492/1d8209cf-367611d8-dedd4a43-a8026be1-e639022d.jpg'],['files/p15/p15902493/s57081697/f6ec06b9-ba98953f-8182f840-4698435b-61296fb9.jpg\n']
s57547663_15,p11888614,s57547663,15,Findings,"PA and lateral views of the chest are obtained. There is significant interval improvement in lung aeration. Vague reticular opacities persist in the perihilar regions, possibly representing residual pneumonia. No definite signs of CHF, pleural effusion, or pneumothorax. Heart and mediastinal contours appear normal. Interval removal of the endotracheal and nasogastric tubes. Bony structures are intact.",Interval removal of the endotracheal and nasogastric tubes.,endotracheal and nasogastric tubes,,Resolve,"['files/p11/p11888614/s57547663/8792030f-fa92ef26-20cc8462-d46e5176-1dd9ee64.jpg', 'files/p11/p11888614/s57547663/b4ad1fa1-a7d0c3f5-61065597-401ffc49-7d46d1ed.jpg']","['files/p11/p11888614/s57386788/31716940-bbbe2182-3ed77c6c-2c4bb3d2-e2d71c0e.jpg\n', 'files/p11/p11888614/s57386788/58486732-601a466c-04f4fd39-26bf4291-8cf57364.jpg\n', 'files/p11/p11888614/s57386788/5efa2f05-aa177e84-93949bd0-2744fb04-908b9a48.jpg\n']"
s57547663_15,p11888614,s57547663,15,Findings,"PA and lateral views of the chest are obtained. There is significant interval improvement in lung aeration. Vague reticular opacities persist in the perihilar regions, possibly representing residual pneumonia. No definite signs of CHF, pleural effusion, or pneumothorax. Heart and mediastinal contours appear normal. Interval removal of the endotracheal and nasogastric tubes. Bony structures are intact.",There is significant interval improvement in lung aeration.,lung aeration,,Better,"['files/p11/p11888614/s57547663/8792030f-fa92ef26-20cc8462-d46e5176-1dd9ee64.jpg', 'files/p11/p11888614/s57547663/b4ad1fa1-a7d0c3f5-61065597-401ffc49-7d46d1ed.jpg']","['files/p11/p11888614/s57386788/31716940-bbbe2182-3ed77c6c-2c4bb3d2-e2d71c0e.jpg\n', 'files/p11/p11888614/s57386788/58486732-601a466c-04f4fd39-26bf4291-8cf57364.jpg\n', 'files/p11/p11888614/s57386788/5efa2f05-aa177e84-93949bd0-2744fb04-908b9a48.jpg\n']"
s57547663_15,p11888614,s57547663,15,Impression,"Significant improvement in pulmonary aeration with persistent reticular perihilar markings, possibly representing residua of recent pulmonary infection.","Significant improvement in pulmonary aeration with persistent reticular perihilar markings, possibly representing residua of recent pulmonary infection.",pulmonary aeration,,Better,"['files/p11/p11888614/s57547663/8792030f-fa92ef26-20cc8462-d46e5176-1dd9ee64.jpg', 'files/p11/p11888614/s57547663/b4ad1fa1-a7d0c3f5-61065597-401ffc49-7d46d1ed.jpg']","['files/p11/p11888614/s57386788/31716940-bbbe2182-3ed77c6c-2c4bb3d2-e2d71c0e.jpg\n', 'files/p11/p11888614/s57386788/58486732-601a466c-04f4fd39-26bf4291-8cf57364.jpg\n', 'files/p11/p11888614/s57386788/5efa2f05-aa177e84-93949bd0-2744fb04-908b9a48.jpg\n']"
s57547663_15,p11888614,s57547663,15,Findings,"PA and lateral views of the chest are obtained. There is significant interval improvement in lung aeration. Vague reticular opacities persist in the perihilar regions, possibly representing residual pneumonia. No definite signs of CHF, pleural effusion, or pneumothorax. Heart and mediastinal contours appear normal. Interval removal of the endotracheal and nasogastric tubes. Bony structures are intact.","Vague reticular opacities persist in the perihilar regions, possibly representing residual pneumonia.",vague reticular opacities,perihilar regions,Stable,"['files/p11/p11888614/s57547663/8792030f-fa92ef26-20cc8462-d46e5176-1dd9ee64.jpg', 'files/p11/p11888614/s57547663/b4ad1fa1-a7d0c3f5-61065597-401ffc49-7d46d1ed.jpg']","['files/p11/p11888614/s57386788/31716940-bbbe2182-3ed77c6c-2c4bb3d2-e2d71c0e.jpg\n', 'files/p11/p11888614/s57386788/58486732-601a466c-04f4fd39-26bf4291-8cf57364.jpg\n', 'files/p11/p11888614/s57386788/5efa2f05-aa177e84-93949bd0-2744fb04-908b9a48.jpg\n']"
s57547663_15,p11888614,s57547663,15,Impression,"Significant improvement in pulmonary aeration with persistent reticular perihilar markings, possibly representing residua of recent pulmonary infection.","Significant improvement in pulmonary aeration with persistent reticular perihilar markings, possibly representing residua of recent pulmonary infection.",reticular markings,perihilar,Stable,"['files/p11/p11888614/s57547663/8792030f-fa92ef26-20cc8462-d46e5176-1dd9ee64.jpg', 'files/p11/p11888614/s57547663/b4ad1fa1-a7d0c3f5-61065597-401ffc49-7d46d1ed.jpg']","['files/p11/p11888614/s57386788/31716940-bbbe2182-3ed77c6c-2c4bb3d2-e2d71c0e.jpg\n', 'files/p11/p11888614/s57386788/58486732-601a466c-04f4fd39-26bf4291-8cf57364.jpg\n', 'files/p11/p11888614/s57386788/5efa2f05-aa177e84-93949bd0-2744fb04-908b9a48.jpg\n']"
s57551344_3,p19598137,s57551344,3,Findings,"There is a dobhoff coursing below the diaphragm, however the tip is not visualized. There is increasing interstitial pulmonary edema. There are small bilateral pleural effusions and bibasilar atelectasis, however an underlying pneumonia cannot be excluded. The cardiomediastinal silhouette is stable. There is no pneumothorax.",There is increasing interstitial pulmonary edema.,Pulmonary edema,Interstitial,Worse,['files/p19/p19598137/s57551344/ea288c46-b57777bf-b5b617cc-c21e01ab-f7a752af.jpg'],['files/p19/p19598137/s57529558/8057c454-92e4f89a-2c84ed68-c2a9a717-ce21fb60.jpg\n']
s57551344_3,p19598137,s57551344,3,Findings,"There is a dobhoff coursing below the diaphragm, however the tip is not visualized. There is increasing interstitial pulmonary edema. There are small bilateral pleural effusions and bibasilar atelectasis, however an underlying pneumonia cannot be excluded. The cardiomediastinal silhouette is stable. There is no pneumothorax.",The cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,Unknown,Stable,['files/p19/p19598137/s57551344/ea288c46-b57777bf-b5b617cc-c21e01ab-f7a752af.jpg'],['files/p19/p19598137/s57529558/8057c454-92e4f89a-2c84ed68-c2a9a717-ce21fb60.jpg\n']
s57551344_3,p19598137,s57551344,3,Impression,"1. Appropriately positioned Dobhoff. 2. Increasing interstitial pulmonary edema with small bilateral pleural effusions, however an underlying pneumonia cannot be excluded.","2. Increasing interstitial pulmonary edema with small bilateral pleural effusions, however an underlying pneumonia cannot be excluded.",Pulmonary edema,Interstitial,Worse,['files/p19/p19598137/s57551344/ea288c46-b57777bf-b5b617cc-c21e01ab-f7a752af.jpg'],['files/p19/p19598137/s57529558/8057c454-92e4f89a-2c84ed68-c2a9a717-ce21fb60.jpg\n']
s57552532_80,p11717909,s57552532,80,Findings,AP upright and lateral views the chest provided. Lung volumes are low which limits assessment. Midline sternotomy wires and mediastinal clips again noted. Airspace consolidation in the right lower lung is concerning for pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.,Midline sternotomy wires and mediastinal clips again noted.,sternotomy wires and mediastinal clips,Midline,Stable,"['files/p11/p11717909/s57552532/679090b8-5b08a40b-e515db21-32f95ad4-624698c4.jpg', 'files/p11/p11717909/s57552532/a5d7641b-97e1262f-5f5a9f22-71aaf621-10f7bdc9.jpg']","['files/p11/p11717909/s57348180/20b49aa6-b4422623-e76adcf1-21cb7b84-82bb0fee.jpg\n', 'files/p11/p11717909/s57348180/59d4377f-2cf11d14-faf7a7fc-1ef6704c-3e0f161b.jpg\n', 'files/p11/p11717909/s57348180/8908c4da-5bd8a618-c158f213-e0942be7-73d112cb.jpg\n']"
s57554911_28,p10337896,s57554911,28,Impression,Cardiomediastinal contours are unchanged. Mild to moderate pulmonary edema has worsened. Small to moderate right and small left effusions have increased. Multiple calcified lymph nodes and granulomas are again noted.,Multiple calcified lymph nodes and granulomas are again noted.,calcified lymph nodes and granulomas,,Stable,['files/p10/p10337896/s57554911/a9390c8a-a8ea6990-7b9e1035-281e4eee-754368be.jpg'],"['files/p10/p10337896/s57080785/11835a49-689d7896-d692a675-ea26b04a-9b11c20f.jpg\n', 'files/p10/p10337896/s57080785/3b2a9672-8cd9b992-a96c4d95-6a081155-fd543b5e.jpg\n']"
s57554911_28,p10337896,s57554911,28,Impression,Cardiomediastinal contours are unchanged. Mild to moderate pulmonary edema has worsened. Small to moderate right and small left effusions have increased. Multiple calcified lymph nodes and granulomas are again noted.,Cardiomediastinal contours are unchanged.,Cardiomediastinal contours,,Stable,['files/p10/p10337896/s57554911/a9390c8a-a8ea6990-7b9e1035-281e4eee-754368be.jpg'],"['files/p10/p10337896/s57080785/11835a49-689d7896-d692a675-ea26b04a-9b11c20f.jpg\n', 'files/p10/p10337896/s57080785/3b2a9672-8cd9b992-a96c4d95-6a081155-fd543b5e.jpg\n']"
s57554911_28,p10337896,s57554911,28,Impression,Cardiomediastinal contours are unchanged. Mild to moderate pulmonary edema has worsened. Small to moderate right and small left effusions have increased. Multiple calcified lymph nodes and granulomas are again noted.,Mild to moderate pulmonary edema has worsened.,pulmonary edema,,Worse,['files/p10/p10337896/s57554911/a9390c8a-a8ea6990-7b9e1035-281e4eee-754368be.jpg'],"['files/p10/p10337896/s57080785/11835a49-689d7896-d692a675-ea26b04a-9b11c20f.jpg\n', 'files/p10/p10337896/s57080785/3b2a9672-8cd9b992-a96c4d95-6a081155-fd543b5e.jpg\n']"
s57554911_28,p10337896,s57554911,28,Impression,Cardiomediastinal contours are unchanged. Mild to moderate pulmonary edema has worsened. Small to moderate right and small left effusions have increased. Multiple calcified lymph nodes and granulomas are again noted.,Small to moderate right and small left effusions have increased.,effusions,right and left,Worse,['files/p10/p10337896/s57554911/a9390c8a-a8ea6990-7b9e1035-281e4eee-754368be.jpg'],"['files/p10/p10337896/s57080785/11835a49-689d7896-d692a675-ea26b04a-9b11c20f.jpg\n', 'files/p10/p10337896/s57080785/3b2a9672-8cd9b992-a96c4d95-6a081155-fd543b5e.jpg\n']"
s57563883_0,p19109135,s57563883,0,Findings,"The lungs are clear. There is no consolidation, effusion or edema. Cardiac silhouette is within normal limits. There is somewhat increased density of the aortic arch which may be technical however repeat with PA technique is suggested to further evaluate. No acute osseous abnormalities.",There is somewhat increased density of the aortic arch which may be technical however repeat with PA technique is suggested to further evaluate.,increased density,aortic arch,Worse,"['files/p19/p19109135/s57563883/83dd9edd-80c04183-0af2e87e-2ce059ea-1fe0f5e8.jpg', 'files/p19/p19109135/s57563883/d991387d-c47df4dc-71e59cb0-adf1a788-5c14659b.jpg']","['files/p19/p19109135/s51197801/20d9383c-3fa80c3c-94218c7f-15020bd1-e47ed769.jpg\n', 'files/p19/p19109135/s51197801/ae4d45fc-815b6cd8-d29c078f-ad849410-cbb8cf47.jpg\n']"
s57563883_0,p19109135,s57563883,0,Impression,"No acute cardiopulmonary process. Apparent increased density projecting over the aortic arch, potentially technical however further clarification with PA film is suggested to confirm.","Apparent increased density projecting over the aortic arch, potentially technical however further clarification with PA film is suggested to confirm.",increased density,aortic arch,Worse,"['files/p19/p19109135/s57563883/83dd9edd-80c04183-0af2e87e-2ce059ea-1fe0f5e8.jpg', 'files/p19/p19109135/s57563883/d991387d-c47df4dc-71e59cb0-adf1a788-5c14659b.jpg']","['files/p19/p19109135/s51197801/20d9383c-3fa80c3c-94218c7f-15020bd1-e47ed769.jpg\n', 'files/p19/p19109135/s51197801/ae4d45fc-815b6cd8-d29c078f-ad849410-cbb8cf47.jpg\n']"
s57599964_1,p18166102,s57599964,1,Impression,"Heart size is normal. Mediastinum is normal. Lungs are well inflated. There is left basal opacity, new as compared to ___, concerning for all interval aspiration or infection. There is also slight interval progression of interstitial opacities that might be consistent with mild degree of interstitial edema. No appreciable pleural effusion or pneumothorax is seen.","There is left basal opacity, new as compared to ___, concerning for all interval aspiration or infection.",opacity,left basal,New,['files/p18/p18166102/s57599964/54a0a07c-a256fe2b-d0e96074-68ce7def-af588be7.jpg'],"['files/p18/p18166102/s57478248/7173d21e-1df4d0c0-2f84a218-b57e994b-3c112aaf.jpg\n', 'files/p18/p18166102/s57478248/74148346-3344cf5f-1ce06a31-e433d994-9e1fabd5.jpg\n', 'files/p18/p18166102/s57478248/8613c804-40b6fa49-a6010f21-c895dbfe-4fe61620.jpg\n']"
s57599964_1,p18166102,s57599964,1,Impression,"Heart size is normal. Mediastinum is normal. Lungs are well inflated. There is left basal opacity, new as compared to ___, concerning for all interval aspiration or infection. There is also slight interval progression of interstitial opacities that might be consistent with mild degree of interstitial edema. No appreciable pleural effusion or pneumothorax is seen.",There is also slight interval progression of interstitial opacities that might be consistent with mild degree of interstitial edema.,opacities,interstitial,Worse,['files/p18/p18166102/s57599964/54a0a07c-a256fe2b-d0e96074-68ce7def-af588be7.jpg'],"['files/p18/p18166102/s57478248/7173d21e-1df4d0c0-2f84a218-b57e994b-3c112aaf.jpg\n', 'files/p18/p18166102/s57478248/74148346-3344cf5f-1ce06a31-e433d994-9e1fabd5.jpg\n', 'files/p18/p18166102/s57478248/8613c804-40b6fa49-a6010f21-c895dbfe-4fe61620.jpg\n']"
s57601753_1,p14385080,s57601753,1,Findings,"The lungs are mildly hyperinflated. A dual lead pacemaker is unchanged in position. The cardiomediastinal contour is within normal limits. The heart size is at the upper limits for normal. No consolidation, pneumothorax or pleural effusion seen. Mild atherosclerotic calcification in the thoracic aorta.",A dual lead pacemaker is unchanged in position.,Dual lead pacemaker,,Stable,"['files/p14/p14385080/s57601753/db537b22-dc6a616a-9ffefaf4-ff2d4311-dd035ac7.jpg', 'files/p14/p14385080/s57601753/f9e77f68-e4b4671a-18f9eacb-bae8e615-f4e42a2a.jpg']","['files/p14/p14385080/s57415824/1a68207e-a397bf0d-413f074a-b973cdae-87887f1d.jpg\n', 'files/p14/p14385080/s57415824/cb89b804-c32cd775-5675ae45-5d7037f1-518aa266.jpg\n']"
s57610653_3,p11520249,s57610653,3,Impression,"Patchy bibasilar airspace opacities appear relatively unchanged, and may reflect atelectasis and/or chronic changes. Slight interval increase in size of right upper lobe rounded opacity which remains concerning for adenocarcinoma.",Slight interval increase in size of right upper lobe rounded opacity which remains concerning for adenocarcinoma.,rounded opacity,right upper lobe,Worse,"['files/p11/p11520249/s57610653/79edbc6e-58f13a9d-db0158a9-e1565212-5bdc7e4a.jpg', 'files/p11/p11520249/s57610653/d92fe0aa-f7ceb728-7de56f3f-502cf2b6-1e4ccafc.jpg', 'files/p11/p11520249/s57610653/e7dd53db-aad223bb-65d21903-85c5d0b4-02e26850.jpg']",['files/p11/p11520249/s56831678/47095b32-a853ea62-3c44a0f5-18ba6a9d-bf1ef6f9.jpg\n']
s57610653_3,p11520249,s57610653,3,Impression,"Patchy bibasilar airspace opacities appear relatively unchanged, and may reflect atelectasis and/or chronic changes. Slight interval increase in size of right upper lobe rounded opacity which remains concerning for adenocarcinoma.","Patchy bibasilar airspace opacities appear relatively unchanged, and may reflect atelectasis and/or chronic changes.",patchy airspace opacities,bibasilar,Stable,"['files/p11/p11520249/s57610653/79edbc6e-58f13a9d-db0158a9-e1565212-5bdc7e4a.jpg', 'files/p11/p11520249/s57610653/d92fe0aa-f7ceb728-7de56f3f-502cf2b6-1e4ccafc.jpg', 'files/p11/p11520249/s57610653/e7dd53db-aad223bb-65d21903-85c5d0b4-02e26850.jpg']",['files/p11/p11520249/s56831678/47095b32-a853ea62-3c44a0f5-18ba6a9d-bf1ef6f9.jpg\n']
s57610653_3,p11520249,s57610653,3,Findings,"Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. The heart remains moderately enlarged. Dense atherosclerotic calcifications are present at the aortic knob. Mediastinal and hilar contours are unchanged. Rounded opacity within the right upper lobe appears slightly increased in size compared to the previous exam, which again remains concerning for adenocarcinoma and now measures up to 2.4 cm. Minimal patchy opacities are noted within the lung bases. No pleural effusion or pneumothorax is identified. Multiple ___ are demonstrated within the right upper quadrant of the abdomen.","Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged.",pacemaker device,left-sided,Stable,"['files/p11/p11520249/s57610653/79edbc6e-58f13a9d-db0158a9-e1565212-5bdc7e4a.jpg', 'files/p11/p11520249/s57610653/d92fe0aa-f7ceb728-7de56f3f-502cf2b6-1e4ccafc.jpg', 'files/p11/p11520249/s57610653/e7dd53db-aad223bb-65d21903-85c5d0b4-02e26850.jpg']",['files/p11/p11520249/s56831678/47095b32-a853ea62-3c44a0f5-18ba6a9d-bf1ef6f9.jpg\n']
s57610653_3,p11520249,s57610653,3,Findings,"Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. The heart remains moderately enlarged. Dense atherosclerotic calcifications are present at the aortic knob. Mediastinal and hilar contours are unchanged. Rounded opacity within the right upper lobe appears slightly increased in size compared to the previous exam, which again remains concerning for adenocarcinoma and now measures up to 2.4 cm. Minimal patchy opacities are noted within the lung bases. No pleural effusion or pneumothorax is identified. Multiple ___ are demonstrated within the right upper quadrant of the abdomen.",Mediastinal and hilar contours are unchanged.,contours,mediastinal and hilar,Stable,"['files/p11/p11520249/s57610653/79edbc6e-58f13a9d-db0158a9-e1565212-5bdc7e4a.jpg', 'files/p11/p11520249/s57610653/d92fe0aa-f7ceb728-7de56f3f-502cf2b6-1e4ccafc.jpg', 'files/p11/p11520249/s57610653/e7dd53db-aad223bb-65d21903-85c5d0b4-02e26850.jpg']",['files/p11/p11520249/s56831678/47095b32-a853ea62-3c44a0f5-18ba6a9d-bf1ef6f9.jpg\n']
s57610653_3,p11520249,s57610653,3,Findings,"Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. The heart remains moderately enlarged. Dense atherosclerotic calcifications are present at the aortic knob. Mediastinal and hilar contours are unchanged. Rounded opacity within the right upper lobe appears slightly increased in size compared to the previous exam, which again remains concerning for adenocarcinoma and now measures up to 2.4 cm. Minimal patchy opacities are noted within the lung bases. No pleural effusion or pneumothorax is identified. Multiple ___ are demonstrated within the right upper quadrant of the abdomen.","Rounded opacity within the right upper lobe appears slightly increased in size compared to the previous exam, which again remains concerning for adenocarcinoma and now measures up to 2.4 cm.",rounded opacity,right upper lobe,Worse,"['files/p11/p11520249/s57610653/79edbc6e-58f13a9d-db0158a9-e1565212-5bdc7e4a.jpg', 'files/p11/p11520249/s57610653/d92fe0aa-f7ceb728-7de56f3f-502cf2b6-1e4ccafc.jpg', 'files/p11/p11520249/s57610653/e7dd53db-aad223bb-65d21903-85c5d0b4-02e26850.jpg']",['files/p11/p11520249/s56831678/47095b32-a853ea62-3c44a0f5-18ba6a9d-bf1ef6f9.jpg\n']
s57610653_3,p11520249,s57610653,3,Findings,"Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. The heart remains moderately enlarged. Dense atherosclerotic calcifications are present at the aortic knob. Mediastinal and hilar contours are unchanged. Rounded opacity within the right upper lobe appears slightly increased in size compared to the previous exam, which again remains concerning for adenocarcinoma and now measures up to 2.4 cm. Minimal patchy opacities are noted within the lung bases. No pleural effusion or pneumothorax is identified. Multiple ___ are demonstrated within the right upper quadrant of the abdomen.",The heart remains moderately enlarged.,moderately enlarged heart,,Stable,"['files/p11/p11520249/s57610653/79edbc6e-58f13a9d-db0158a9-e1565212-5bdc7e4a.jpg', 'files/p11/p11520249/s57610653/d92fe0aa-f7ceb728-7de56f3f-502cf2b6-1e4ccafc.jpg', 'files/p11/p11520249/s57610653/e7dd53db-aad223bb-65d21903-85c5d0b4-02e26850.jpg']",['files/p11/p11520249/s56831678/47095b32-a853ea62-3c44a0f5-18ba6a9d-bf1ef6f9.jpg\n']
s57625868_4,p13312840,s57625868,4,Impression,"In comparison with the study of ___, there is little overall change. Again there are low lung volumes with bibasilar opacifications most likely representing atelectasis. In the appropriate clinical setting, superimposed pneumonia could be considered.",Again there are low lung volumes with bibasilar opacifications most likely representing atelectasis.,opacifications,bibasilar,Stable,['files/p13/p13312840/s57625868/ad553034-c4992e1a-b1833fab-e0ca9b5c-472e3a59.jpg'],['files/p13/p13312840/s57623556/222de94a-617f5cad-684d59ce-8ddd536c-aa8aa84a.jpg\n']
s57625868_4,p13312840,s57625868,4,Impression,"In comparison with the study of ___, there is little overall change. Again there are low lung volumes with bibasilar opacifications most likely representing atelectasis. In the appropriate clinical setting, superimposed pneumonia could be considered.","In comparison with the study of ___, there is little overall change.",,,Stable,['files/p13/p13312840/s57625868/ad553034-c4992e1a-b1833fab-e0ca9b5c-472e3a59.jpg'],['files/p13/p13312840/s57623556/222de94a-617f5cad-684d59ce-8ddd536c-aa8aa84a.jpg\n']
s57641661_4,p10003502,s57641661,4,Impression,"Persistent small bilateral effusions, larger on the left which have decreased in size. Decreased pulmonary vascular congestion. No evidence of superimposed acute cardiopulmonary process.",Decreased pulmonary vascular congestion.,pulmonary vascular congestion,,Better,"['files/p10/p10003502/s57641661/31d9847f-987fcf63-704f7496-d2b21eb8-63cd973e.jpg', 'files/p10/p10003502/s57641661/b410634d-0e4278d7-9c9b3561-8f5e5fc4-34a6aac8.jpg']",['files/p10/p10003502/s53836463/371aaea8-195e21b2-ba5a2856-54803ecf-1b72d88b.jpg\n']
s57641661_4,p10003502,s57641661,4,Findings,"Frontal and lateral views of the chest. Size of the bilateral effusions, left greater than right has slightly decreased in size since prior exam. There is less pulmonary vascular congestion on the current exam as well. Cardiac silhouette which appears enlarged, is unchanged. No acute osseous abnormality is detected.",There is less pulmonary vascular congestion on the current exam as well.,pulmonary vascular congestion,,Better,"['files/p10/p10003502/s57641661/31d9847f-987fcf63-704f7496-d2b21eb8-63cd973e.jpg', 'files/p10/p10003502/s57641661/b410634d-0e4278d7-9c9b3561-8f5e5fc4-34a6aac8.jpg']",['files/p10/p10003502/s53836463/371aaea8-195e21b2-ba5a2856-54803ecf-1b72d88b.jpg\n']
s57641661_4,p10003502,s57641661,4,Findings,"Frontal and lateral views of the chest. Size of the bilateral effusions, left greater than right has slightly decreased in size since prior exam. There is less pulmonary vascular congestion on the current exam as well. Cardiac silhouette which appears enlarged, is unchanged. No acute osseous abnormality is detected.","Cardiac silhouette which appears enlarged, is unchanged.",enlarged cardiac silhouette,,Stable,"['files/p10/p10003502/s57641661/31d9847f-987fcf63-704f7496-d2b21eb8-63cd973e.jpg', 'files/p10/p10003502/s57641661/b410634d-0e4278d7-9c9b3561-8f5e5fc4-34a6aac8.jpg']",['files/p10/p10003502/s53836463/371aaea8-195e21b2-ba5a2856-54803ecf-1b72d88b.jpg\n']
s57641661_4,p10003502,s57641661,4,Impression,"Persistent small bilateral effusions, larger on the left which have decreased in size. Decreased pulmonary vascular congestion. No evidence of superimposed acute cardiopulmonary process.","Persistent small bilateral effusions, larger on the left which have decreased in size.",small effusions,"bilateral, left greater",Better,"['files/p10/p10003502/s57641661/31d9847f-987fcf63-704f7496-d2b21eb8-63cd973e.jpg', 'files/p10/p10003502/s57641661/b410634d-0e4278d7-9c9b3561-8f5e5fc4-34a6aac8.jpg']",['files/p10/p10003502/s53836463/371aaea8-195e21b2-ba5a2856-54803ecf-1b72d88b.jpg\n']
s57641661_4,p10003502,s57641661,4,Findings,"Frontal and lateral views of the chest. Size of the bilateral effusions, left greater than right has slightly decreased in size since prior exam. There is less pulmonary vascular congestion on the current exam as well. Cardiac silhouette which appears enlarged, is unchanged. No acute osseous abnormality is detected.","Frontal and lateral views of the chest. Size of the bilateral effusions, left greater than right has slightly decreased in size since prior exam.",effusions,"bilateral, left greater than right",Better,"['files/p10/p10003502/s57641661/31d9847f-987fcf63-704f7496-d2b21eb8-63cd973e.jpg', 'files/p10/p10003502/s57641661/b410634d-0e4278d7-9c9b3561-8f5e5fc4-34a6aac8.jpg']",['files/p10/p10003502/s53836463/371aaea8-195e21b2-ba5a2856-54803ecf-1b72d88b.jpg\n']
s57643826_2,p14544801,s57643826,2,Findings,"As compared to the previous radiograph, the air-fluid level in the large cavitary lesion in the right upper lung is less obvious than on the previous image, but still present. There is unchanged evidence of bilateral basal opacities, right more than left. No opacities have newly occurred. Moderate cardiomegaly. No larger pleural effusions.","As compared to the previous radiograph, the air-fluid level in the large cavitary lesion in the right upper lung is less obvious than on the previous image, but still present.",Air-fluid level in large cavitary lesion,Right upper lung,Stable,['files/p14/p14544801/s57643826/edf7abab-3673a821-5062a41e-9d930ff2-07772f4f.jpg'],['files/p14/p14544801/s55332401/b3d3f351-2f2c324c-963ca19b-fb5f5df2-0d7e9a31.jpg\n']
s57643826_2,p14544801,s57643826,2,Findings,"As compared to the previous radiograph, the air-fluid level in the large cavitary lesion in the right upper lung is less obvious than on the previous image, but still present. There is unchanged evidence of bilateral basal opacities, right more than left. No opacities have newly occurred. Moderate cardiomegaly. No larger pleural effusions.","There is unchanged evidence of bilateral basal opacities, right more than left.",Opacities,Bilateral basal,Stable,['files/p14/p14544801/s57643826/edf7abab-3673a821-5062a41e-9d930ff2-07772f4f.jpg'],['files/p14/p14544801/s55332401/b3d3f351-2f2c324c-963ca19b-fb5f5df2-0d7e9a31.jpg\n']
s57644406_10,p17055995,s57644406,10,Findings,Lungs are clear without confluent consolidation. A peripheral right lower lobe granuloma is unchanged from prior. There is no pulmonary edema or pleural effusions. Cardiomediastinal and hilar contours are within normal limits. Cervical spinal hardware appears in unchanged position.,Cervical spinal hardware appears in unchanged position.,hardware,Cervical spinal,Stable,"['files/p17/p17055995/s57644406/514cd541-74dff7cf-998b6616-ddcd3d4b-d3096e80.jpg', 'files/p17/p17055995/s57644406/7db47847-c66b6992-3edc1bac-364e0750-67557805.jpg', 'files/p17/p17055995/s57644406/c31fd316-747ceb0b-7541d258-352aa94c-8ae4f713.jpg']",['files/p17/p17055995/s56991914/18b5326b-5b4f4980-614310d4-32ef9bce-f33707f6.jpg\n']
s57644406_10,p17055995,s57644406,10,Findings,Lungs are clear without confluent consolidation. A peripheral right lower lobe granuloma is unchanged from prior. There is no pulmonary edema or pleural effusions. Cardiomediastinal and hilar contours are within normal limits. Cervical spinal hardware appears in unchanged position.,A peripheral right lower lobe granuloma is unchanged from prior.,granuloma,peripheral right lower lobe,Stable,"['files/p17/p17055995/s57644406/514cd541-74dff7cf-998b6616-ddcd3d4b-d3096e80.jpg', 'files/p17/p17055995/s57644406/7db47847-c66b6992-3edc1bac-364e0750-67557805.jpg', 'files/p17/p17055995/s57644406/c31fd316-747ceb0b-7541d258-352aa94c-8ae4f713.jpg']",['files/p17/p17055995/s56991914/18b5326b-5b4f4980-614310d4-32ef9bce-f33707f6.jpg\n']
s57649308_7,p18057037,s57649308,7,Findings,"Lung volumes are low, however, no consolidation is identified on this single frontal view. There is no overt pulmonary edema or large pleural effusions. Moderate cardiomegaly is unchanged. Mediastinal and hilar contours are otherwise normal. No pneumothorax or pneumomediastinum is evident. Surgical clips overlie the left upper quadrant of the abdomen.",Moderate cardiomegaly is unchanged.,moderate cardiomegaly,cardiac silhouette,Stable,['files/p18/p18057037/s57649308/3455b174-7955b50f-69214401-26f4d34d-3672b50a.jpg'],"['files/p18/p18057037/s56972774/3ada78bb-a6dcb49e-ac2a09e8-3671d4fe-e3b5aa68.jpg\n', 'files/p18/p18057037/s56972774/96783e57-b5dd59af-319563e6-f8f155cf-ffa2de57.jpg\n']"
s57650038_22,p11717909,s57650038,22,Impression,"Small to moderate left pleural effusion has recurred, despite persistent left pleural drainage catheter. No pneumothorax. Persistent left lower lobe collapse. Right lung cardiomediastinal silhouette clear. Is large but unchanged. Ventricular diversion device grossly unchanged in position. Midline and left pleural drains, Swan-Ganz catheter, left PIC line all in standard placements. Tip of the nasogastric tube lies above the upper margin of the clavicles, no less than 55 mm from the carina. No pneumothorax.",Persistent left lower lobe collapse.,collapse,left lower lobe,Stable,['files/p11/p11717909/s57650038/3d448c7c-b9ba0614-6607cf2a-472022b9-c8f49a4a.jpg'],['files/p11/p11717909/s57616637/b44fb02a-f784c183-f64902ef-a17d7453-69968006.jpg\n']
s57650038_22,p11717909,s57650038,22,Impression,"Small to moderate left pleural effusion has recurred, despite persistent left pleural drainage catheter. No pneumothorax. Persistent left lower lobe collapse. Right lung cardiomediastinal silhouette clear. Is large but unchanged. Ventricular diversion device grossly unchanged in position. Midline and left pleural drains, Swan-Ganz catheter, left PIC line all in standard placements. Tip of the nasogastric tube lies above the upper margin of the clavicles, no less than 55 mm from the carina. No pneumothorax.","Small to moderate left pleural effusion has recurred, despite persistent left pleural drainage catheter.",pleural effusion,left,New,['files/p11/p11717909/s57650038/3d448c7c-b9ba0614-6607cf2a-472022b9-c8f49a4a.jpg'],['files/p11/p11717909/s57616637/b44fb02a-f784c183-f64902ef-a17d7453-69968006.jpg\n']
s57650038_22,p11717909,s57650038,22,Impression,"Small to moderate left pleural effusion has recurred, despite persistent left pleural drainage catheter. No pneumothorax. Persistent left lower lobe collapse. Right lung cardiomediastinal silhouette clear. Is large but unchanged. Ventricular diversion device grossly unchanged in position. Midline and left pleural drains, Swan-Ganz catheter, left PIC line all in standard placements. Tip of the nasogastric tube lies above the upper margin of the clavicles, no less than 55 mm from the carina. No pneumothorax.",Ventricular diversion device grossly unchanged in position.,Ventricular diversion device,,Stable,['files/p11/p11717909/s57650038/3d448c7c-b9ba0614-6607cf2a-472022b9-c8f49a4a.jpg'],['files/p11/p11717909/s57616637/b44fb02a-f784c183-f64902ef-a17d7453-69968006.jpg\n']
s57650038_22,p11717909,s57650038,22,Impression,"Small to moderate left pleural effusion has recurred, despite persistent left pleural drainage catheter. No pneumothorax. Persistent left lower lobe collapse. Right lung cardiomediastinal silhouette clear. Is large but unchanged. Ventricular diversion device grossly unchanged in position. Midline and left pleural drains, Swan-Ganz catheter, left PIC line all in standard placements. Tip of the nasogastric tube lies above the upper margin of the clavicles, no less than 55 mm from the carina. No pneumothorax.",Right lung cardiomediastinal silhouette clear. Is large but unchanged.,cardiomediastinal silhouette,right lung,Stable,['files/p11/p11717909/s57650038/3d448c7c-b9ba0614-6607cf2a-472022b9-c8f49a4a.jpg'],['files/p11/p11717909/s57616637/b44fb02a-f784c183-f64902ef-a17d7453-69968006.jpg\n']
s57650946_2,p17483408,s57650946,2,Findings,"Endotracheal tube is seen with tip between the clavicular heads, 6.8 cm from the carina. Enteric tube seen with tip in the gastric body however the side port is likely proximal to the GE junction. Confluent bilateral parenchymal opacities are grossly unchanged.",Confluent bilateral parenchymal opacities are grossly unchanged.,parenchymal opacities,bilateral,Stable,"['files/p17/p17483408/s57650946/5998dcca-a12ec446-fdfa60b9-3a06b23e-b2d12bf6.jpg', 'files/p17/p17483408/s57650946/fe0ef5cf-90e3c227-e3b3602a-280add66-27988ed3.jpg']",['files/p17/p17483408/s53694670/7ab4bbe7-3b408b7e-6b04c772-f84f0465-402304a0.jpg\n']
s57682201_6,p19932024,s57682201,6,Impression,"Lung volumes are lower, but increased pulmonary vascularity is real, consistent with increase pulmonary circulation or left ventricular dysfunction. There is no definite focal pulmonary abnormality. Heart size top-normal. No appreciable pleural","Lung volumes are lower, but increased pulmonary vascularity is real, consistent with increase pulmonary circulation or left ventricular dysfunction.",Lung volumes,,Worse,['files/p19/p19932024/s57682201/d067947d-61c60fe1-b73bc826-356d3d2c-fd22bb48.jpg'],['files/p19/p19932024/s56211786/e83af64a-ef08e235-e0e92758-c6fe1b4d-09380b28.jpg\n']
s57690878_1,p17223574,s57690878,1,Findings,"As compared to the previous radiograph, the monitoring and support devices are in unchanged position. There is unchanged moderate cardiomegaly at low lung volumes, but evidence suggesting mild-to-moderate pulmonary edema is more tangible than on the previous image. Small bilateral pleural effusions could be present. There is relatively extensive bilateral basal atelectasis. No evidence of pneumothorax.","There is unchanged moderate cardiomegaly at low lung volumes, but evidence suggesting mild-to-moderate pulmonary edema is more tangible than on the previous image.",moderate cardiomegaly,,Stable,['files/p17/p17223574/s57690878/6eb8281f-7dcfeab5-b9e25878-92be8a26-531519ea.jpg'],"['files/p17/p17223574/s57575964/23da6a40-206b0fe5-4430f35c-da1bde03-162f435d.jpg\n', 'files/p17/p17223574/s57575964/ce3497c0-922d4dd2-08069cc3-2a7c30c2-b8169070.jpg\n']"
s57690878_1,p17223574,s57690878,1,Findings,"As compared to the previous radiograph, the monitoring and support devices are in unchanged position. There is unchanged moderate cardiomegaly at low lung volumes, but evidence suggesting mild-to-moderate pulmonary edema is more tangible than on the previous image. Small bilateral pleural effusions could be present. There is relatively extensive bilateral basal atelectasis. No evidence of pneumothorax.","As compared to the previous radiograph, the monitoring and support devices are in unchanged position.",position of monitoring and support devices,,Stable,['files/p17/p17223574/s57690878/6eb8281f-7dcfeab5-b9e25878-92be8a26-531519ea.jpg'],"['files/p17/p17223574/s57575964/23da6a40-206b0fe5-4430f35c-da1bde03-162f435d.jpg\n', 'files/p17/p17223574/s57575964/ce3497c0-922d4dd2-08069cc3-2a7c30c2-b8169070.jpg\n']"
s57701612_2,p16033763,s57701612,2,Findings,"There is a new 1.5 cm nodule within the left lower lobe, abutting the heart border on the AP view. The lungs are otherwise clear. There is no effusion, or pneumothorax. There is unchanged hyperexpansion of the lungs. The cardiac silhouette is unchanged in size, top normal. A left pectoral pacemaker is unchanged in appearance, with a single ventricular lead remaining intact.","There is a new 1.5 cm nodule within the left lower lobe, abutting the heart border on the AP view.",1.5 cm nodule,left lower lobe,New,"['files/p16/p16033763/s57701612/6127f936-4c93476d-3d0cb4aa-85926f79-3d24a610.jpg', 'files/p16/p16033763/s57701612/d143c4e0-d50a23bf-396d59b8-12310813-0965c112.jpg']","['files/p16/p16033763/s57627815/028049a1-529f4270-59068a7c-c6337bd2-a8fe978a.jpg\n', 'files/p16/p16033763/s57627815/91148fbd-f4022f33-a996798f-03c3a1fe-69f478ce.jpg\n']"
s57701612_2,p16033763,s57701612,2,Findings,"There is a new 1.5 cm nodule within the left lower lobe, abutting the heart border on the AP view. The lungs are otherwise clear. There is no effusion, or pneumothorax. There is unchanged hyperexpansion of the lungs. The cardiac silhouette is unchanged in size, top normal. A left pectoral pacemaker is unchanged in appearance, with a single ventricular lead remaining intact.",There is unchanged hyperexpansion of the lungs.,hyperexpansion of the lungs,,Stable,"['files/p16/p16033763/s57701612/6127f936-4c93476d-3d0cb4aa-85926f79-3d24a610.jpg', 'files/p16/p16033763/s57701612/d143c4e0-d50a23bf-396d59b8-12310813-0965c112.jpg']","['files/p16/p16033763/s57627815/028049a1-529f4270-59068a7c-c6337bd2-a8fe978a.jpg\n', 'files/p16/p16033763/s57627815/91148fbd-f4022f33-a996798f-03c3a1fe-69f478ce.jpg\n']"
s57701612_2,p16033763,s57701612,2,Findings,"There is a new 1.5 cm nodule within the left lower lobe, abutting the heart border on the AP view. The lungs are otherwise clear. There is no effusion, or pneumothorax. There is unchanged hyperexpansion of the lungs. The cardiac silhouette is unchanged in size, top normal. A left pectoral pacemaker is unchanged in appearance, with a single ventricular lead remaining intact.","The cardiac silhouette is unchanged in size, top normal.",cardiac silhouette,,Stable,"['files/p16/p16033763/s57701612/6127f936-4c93476d-3d0cb4aa-85926f79-3d24a610.jpg', 'files/p16/p16033763/s57701612/d143c4e0-d50a23bf-396d59b8-12310813-0965c112.jpg']","['files/p16/p16033763/s57627815/028049a1-529f4270-59068a7c-c6337bd2-a8fe978a.jpg\n', 'files/p16/p16033763/s57627815/91148fbd-f4022f33-a996798f-03c3a1fe-69f478ce.jpg\n']"
s57701612_2,p16033763,s57701612,2,Findings,"There is a new 1.5 cm nodule within the left lower lobe, abutting the heart border on the AP view. The lungs are otherwise clear. There is no effusion, or pneumothorax. There is unchanged hyperexpansion of the lungs. The cardiac silhouette is unchanged in size, top normal. A left pectoral pacemaker is unchanged in appearance, with a single ventricular lead remaining intact.","A left pectoral pacemaker is unchanged in appearance, with a single ventricular lead remaining intact.",pacemaker with a single ventricular lead,left pectoral,Stable,"['files/p16/p16033763/s57701612/6127f936-4c93476d-3d0cb4aa-85926f79-3d24a610.jpg', 'files/p16/p16033763/s57701612/d143c4e0-d50a23bf-396d59b8-12310813-0965c112.jpg']","['files/p16/p16033763/s57627815/028049a1-529f4270-59068a7c-c6337bd2-a8fe978a.jpg\n', 'files/p16/p16033763/s57627815/91148fbd-f4022f33-a996798f-03c3a1fe-69f478ce.jpg\n']"
s57701612_2,p16033763,s57701612,2,Impression,"New 1.5 cm nodule in the left lower lobe, in a patient with history of melanoma is concerning for metastasis. Findings were discussed with ___ at 9:40 a.m. by phone.","New 1.5 cm nodule in the left lower lobe, in a patient with history of melanoma is concerning for metastasis.",1.5 cm nodule,left lower lobe,New,"['files/p16/p16033763/s57701612/6127f936-4c93476d-3d0cb4aa-85926f79-3d24a610.jpg', 'files/p16/p16033763/s57701612/d143c4e0-d50a23bf-396d59b8-12310813-0965c112.jpg']","['files/p16/p16033763/s57627815/028049a1-529f4270-59068a7c-c6337bd2-a8fe978a.jpg\n', 'files/p16/p16033763/s57627815/91148fbd-f4022f33-a996798f-03c3a1fe-69f478ce.jpg\n']"
s57704953_0,p18457691,s57704953,0,Impression,Lung volumes are low compared to the prior study. The heart is moderately enlarged. There is pulmonary vascular redistribution. There increased lung markings right greater than left. There small bilateral effusions. The overall impression is that of mild CHF,Lung volumes are low compared to the prior study.,Lung volumes,,Worse,"['files/p18/p18457691/s57704953/13187c87-c2fafea7-4f7713db-b4ad4c62-53985881.jpg', 'files/p18/p18457691/s57704953/f6c5958a-7b37c4fa-304dac93-268f2d4f-0dacd28a.jpg']",
s57708460_0,p13761822,s57708460,0,Findings,"Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No displaced fracture is seen.",The cardiac and mediastinal silhouettes are stable and unremarkable.,cardiac and mediastinal silhouettes,,Stable,"['files/p13/p13761822/s57708460/7db3c46c-7de7d596-bf39fadf-cb34f915-6fcdd3c0.jpg', 'files/p13/p13761822/s57708460/b39765e1-fc527a21-64309812-6f3eb5c1-1069310d.jpg']",
s57708460_0,p13761822,s57708460,0,Impression,No acute cardiopulmonary process. No significant interval change. Please note that dedicated imaging of the spine was not obtained.,No significant interval change.,,,Stable,"['files/p13/p13761822/s57708460/7db3c46c-7de7d596-bf39fadf-cb34f915-6fcdd3c0.jpg', 'files/p13/p13761822/s57708460/b39765e1-fc527a21-64309812-6f3eb5c1-1069310d.jpg']",
s57712518_54,p11717909,s57712518,54,Impression,"Severe consolidation, most of the right lung in the left lung base improved on the right since ___, unchanged since ___. Bilateral pleural effusion, moderate on the right, small on the left, unchanged. Mild cardiac enlargement stable. No pneumothorax. Cardia is pulmonary support devices in standard placements unchanged, including esophagogastric feeding tube which retains a wire stylet.","Severe consolidation, most of the right lung in the left lung base improved on the right since ___, unchanged since ___.",consolidation,left lung base,Stable,['files/p11/p11717909/s57712518/2fb800a3-3eaf68d1-b83393d6-6c72f07a-fa520908.jpg'],['files/p11/p11717909/s57650038/3d448c7c-b9ba0614-6607cf2a-472022b9-c8f49a4a.jpg\n']
s57712518_54,p11717909,s57712518,54,Impression,"Severe consolidation, most of the right lung in the left lung base improved on the right since ___, unchanged since ___. Bilateral pleural effusion, moderate on the right, small on the left, unchanged. Mild cardiac enlargement stable. No pneumothorax. Cardia is pulmonary support devices in standard placements unchanged, including esophagogastric feeding tube which retains a wire stylet.",Mild cardiac enlargement stable.,cardiac enlargement,,Stable,['files/p11/p11717909/s57712518/2fb800a3-3eaf68d1-b83393d6-6c72f07a-fa520908.jpg'],['files/p11/p11717909/s57650038/3d448c7c-b9ba0614-6607cf2a-472022b9-c8f49a4a.jpg\n']
s57712518_54,p11717909,s57712518,54,Impression,"Severe consolidation, most of the right lung in the left lung base improved on the right since ___, unchanged since ___. Bilateral pleural effusion, moderate on the right, small on the left, unchanged. Mild cardiac enlargement stable. No pneumothorax. Cardia is pulmonary support devices in standard placements unchanged, including esophagogastric feeding tube which retains a wire stylet.","Cardia is pulmonary support devices in standard placements unchanged, including esophagogastric feeding tube which retains a wire stylet.",pulmonary support devices,,Stable,['files/p11/p11717909/s57712518/2fb800a3-3eaf68d1-b83393d6-6c72f07a-fa520908.jpg'],['files/p11/p11717909/s57650038/3d448c7c-b9ba0614-6607cf2a-472022b9-c8f49a4a.jpg\n']
s57712518_54,p11717909,s57712518,54,Impression,"Severe consolidation, most of the right lung in the left lung base improved on the right since ___, unchanged since ___. Bilateral pleural effusion, moderate on the right, small on the left, unchanged. Mild cardiac enlargement stable. No pneumothorax. Cardia is pulmonary support devices in standard placements unchanged, including esophagogastric feeding tube which retains a wire stylet.","Severe consolidation, most of the right lung in the left lung base improved on the right since ___, unchanged since ___.",consolidation,right lung,Better,['files/p11/p11717909/s57712518/2fb800a3-3eaf68d1-b83393d6-6c72f07a-fa520908.jpg'],['files/p11/p11717909/s57650038/3d448c7c-b9ba0614-6607cf2a-472022b9-c8f49a4a.jpg\n']
s57712518_54,p11717909,s57712518,54,Impression,"Severe consolidation, most of the right lung in the left lung base improved on the right since ___, unchanged since ___. Bilateral pleural effusion, moderate on the right, small on the left, unchanged. Mild cardiac enlargement stable. No pneumothorax. Cardia is pulmonary support devices in standard placements unchanged, including esophagogastric feeding tube which retains a wire stylet.","Bilateral pleural effusion, moderate on the right, small on the left, unchanged.",pleural effusion,bilateral,Stable,['files/p11/p11717909/s57712518/2fb800a3-3eaf68d1-b83393d6-6c72f07a-fa520908.jpg'],['files/p11/p11717909/s57650038/3d448c7c-b9ba0614-6607cf2a-472022b9-c8f49a4a.jpg\n']
s57713214_7,p12906762,s57713214,7,Impression,Left pigtail catheter is in place. Subcutaneous air within the left chest wall is demonstrated. Apical scarring on the right is unchanged. Cardiomediastinal silhouette is unchanged as well as the position of tubes and lines.,Cardiomediastinal silhouette is unchanged as well as the position of tubes and lines.,silhouette,cardiomediastinal,Stable,"['files/p12/p12906762/s57713214/72fca17c-20ffd75f-4c02967e-021ba0fb-feb01bb7.jpg', 'files/p12/p12906762/s57713214/a8cf2392-a1e39009-f5b6a7ba-7803adc3-0ec7f268.jpg']",['files/p12/p12906762/s57315471/4095996e-f8e2d9b1-6d25ee5b-ba56f785-8cc0eca0.jpg\n']
s57713214_7,p12906762,s57713214,7,Impression,Left pigtail catheter is in place. Subcutaneous air within the left chest wall is demonstrated. Apical scarring on the right is unchanged. Cardiomediastinal silhouette is unchanged as well as the position of tubes and lines.,Apical scarring on the right is unchanged.,scarring,right apex,Stable,"['files/p12/p12906762/s57713214/72fca17c-20ffd75f-4c02967e-021ba0fb-feb01bb7.jpg', 'files/p12/p12906762/s57713214/a8cf2392-a1e39009-f5b6a7ba-7803adc3-0ec7f268.jpg']",['files/p12/p12906762/s57315471/4095996e-f8e2d9b1-6d25ee5b-ba56f785-8cc0eca0.jpg\n']
s57717537_11,p18057037,s57717537,11,Findings,"Frontal and lateral views of the chest. The lung volumes are very low, which is only slightly worsened since ___. This accentuates the cardiac silhouette which appears stably enlarged. There is mild vascular congestion, but no overt pulmonary edema. The mediastinal contour is stable; the pulmonary artery is enlarged. Patchy bilateral lower lobe opacities likely represent atelectasis. There is a small left pleural effusion. No pneumothorax is seen. There are clips in the left upper quadrant of the abdomen.",The mediastinal contour is stable; the pulmonary artery is enlarged.,mediastinal contour,,Stable,"['files/p18/p18057037/s57717537/54cefdc7-0441ba41-15e39589-9ca6ea57-40e19af5.jpg', 'files/p18/p18057037/s57717537/87d13784-35495ec2-cffeda97-23cf108b-c05e835b.jpg', 'files/p18/p18057037/s57717537/8edb2caa-b49b1b29-4d8b547d-30b352ec-abc39baa.jpg']",['files/p18/p18057037/s57649308/3455b174-7955b50f-69214401-26f4d34d-3672b50a.jpg\n']
s57717537_11,p18057037,s57717537,11,Impression,Very low lung volumes have slightly decreased since ___. Patchy bilateral lower lobe opacities most likely represent atelectasis. A small left pleural effusion is unchanged since ___. Mild pulmonary vascular congestion is unchanged since ___.,Mild pulmonary vascular congestion is unchanged since ___.,pulmonary vascular congestion,,Stable,"['files/p18/p18057037/s57717537/54cefdc7-0441ba41-15e39589-9ca6ea57-40e19af5.jpg', 'files/p18/p18057037/s57717537/87d13784-35495ec2-cffeda97-23cf108b-c05e835b.jpg', 'files/p18/p18057037/s57717537/8edb2caa-b49b1b29-4d8b547d-30b352ec-abc39baa.jpg']",['files/p18/p18057037/s57649308/3455b174-7955b50f-69214401-26f4d34d-3672b50a.jpg\n']
s57717537_11,p18057037,s57717537,11,Findings,"Frontal and lateral views of the chest. The lung volumes are very low, which is only slightly worsened since ___. This accentuates the cardiac silhouette which appears stably enlarged. There is mild vascular congestion, but no overt pulmonary edema. The mediastinal contour is stable; the pulmonary artery is enlarged. Patchy bilateral lower lobe opacities likely represent atelectasis. There is a small left pleural effusion. No pneumothorax is seen. There are clips in the left upper quadrant of the abdomen.",This accentuates the cardiac silhouette which appears stably enlarged.,cardiac silhouette,,Stable,"['files/p18/p18057037/s57717537/54cefdc7-0441ba41-15e39589-9ca6ea57-40e19af5.jpg', 'files/p18/p18057037/s57717537/87d13784-35495ec2-cffeda97-23cf108b-c05e835b.jpg', 'files/p18/p18057037/s57717537/8edb2caa-b49b1b29-4d8b547d-30b352ec-abc39baa.jpg']",['files/p18/p18057037/s57649308/3455b174-7955b50f-69214401-26f4d34d-3672b50a.jpg\n']
s57717537_11,p18057037,s57717537,11,Impression,Very low lung volumes have slightly decreased since ___. Patchy bilateral lower lobe opacities most likely represent atelectasis. A small left pleural effusion is unchanged since ___. Mild pulmonary vascular congestion is unchanged since ___.,Very low lung volumes have slightly decreased since ___.,lung volumes,,Worse,"['files/p18/p18057037/s57717537/54cefdc7-0441ba41-15e39589-9ca6ea57-40e19af5.jpg', 'files/p18/p18057037/s57717537/87d13784-35495ec2-cffeda97-23cf108b-c05e835b.jpg', 'files/p18/p18057037/s57717537/8edb2caa-b49b1b29-4d8b547d-30b352ec-abc39baa.jpg']",['files/p18/p18057037/s57649308/3455b174-7955b50f-69214401-26f4d34d-3672b50a.jpg\n']
s57717537_11,p18057037,s57717537,11,Impression,Very low lung volumes have slightly decreased since ___. Patchy bilateral lower lobe opacities most likely represent atelectasis. A small left pleural effusion is unchanged since ___. Mild pulmonary vascular congestion is unchanged since ___.,A small left pleural effusion is unchanged since ___.,pleural effusion,left,Stable,"['files/p18/p18057037/s57717537/54cefdc7-0441ba41-15e39589-9ca6ea57-40e19af5.jpg', 'files/p18/p18057037/s57717537/87d13784-35495ec2-cffeda97-23cf108b-c05e835b.jpg', 'files/p18/p18057037/s57717537/8edb2caa-b49b1b29-4d8b547d-30b352ec-abc39baa.jpg']",['files/p18/p18057037/s57649308/3455b174-7955b50f-69214401-26f4d34d-3672b50a.jpg\n']
s57717537_11,p18057037,s57717537,11,Findings,"Frontal and lateral views of the chest. The lung volumes are very low, which is only slightly worsened since ___. This accentuates the cardiac silhouette which appears stably enlarged. There is mild vascular congestion, but no overt pulmonary edema. The mediastinal contour is stable; the pulmonary artery is enlarged. Patchy bilateral lower lobe opacities likely represent atelectasis. There is a small left pleural effusion. No pneumothorax is seen. There are clips in the left upper quadrant of the abdomen.","The lung volumes are very low, which is only slightly worsened since ___.",lung volumes,,Worse,"['files/p18/p18057037/s57717537/54cefdc7-0441ba41-15e39589-9ca6ea57-40e19af5.jpg', 'files/p18/p18057037/s57717537/87d13784-35495ec2-cffeda97-23cf108b-c05e835b.jpg', 'files/p18/p18057037/s57717537/8edb2caa-b49b1b29-4d8b547d-30b352ec-abc39baa.jpg']",['files/p18/p18057037/s57649308/3455b174-7955b50f-69214401-26f4d34d-3672b50a.jpg\n']
s57718488_0,p14028959,s57718488,0,Findings,"The lungs are clear without evidence of focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no evidence of pulmonary vascular congestion. A focal calcification appears to be within the right breast, unchanged. Surgical clips are noted projecting over the right upper quadrant. No displaced rib fractures are seen.","A focal calcification appears to be within the right breast, unchanged.",focal calcification,right breast,Stable,"['files/p14/p14028959/s57718488/193b6fbc-20817b64-62a0329b-67b74188-7e664d39.jpg', 'files/p14/p14028959/s57718488/d307bd6f-24992159-2810d7aa-2a48cfc0-7696aa07.jpg']",
s57718675_0,p11177224,s57718675,0,Findings,Portable semi-upright radiograph of the chest demonstrates increased interstitial markings in the bilateral lungs concerning for pulmonary edema. Increased opacification in the retrocardiac region raises concern for atelectasis versus pneumonia. There is a small left-sided pleural effusion. Cardiomediastinal and hilar contours are unchanged. No pneumothorax.,Cardiomediastinal and hilar contours are unchanged.,,Cardiomediastinal and hilar contours,Stable,['files/p11/p11177224/s57718675/25a4da29-677dfc01-3c7bc2e9-ca5766ff-8910f5a1.jpg'],['files/p11/p11177224/s54099371/f9624358-214a129c-dc05b026-e49885ed-66224bdb.jpg\n']
s57718675_0,p11177224,s57718675,0,Findings,Portable semi-upright radiograph of the chest demonstrates increased interstitial markings in the bilateral lungs concerning for pulmonary edema. Increased opacification in the retrocardiac region raises concern for atelectasis versus pneumonia. There is a small left-sided pleural effusion. Cardiomediastinal and hilar contours are unchanged. No pneumothorax.,Increased opacification in the retrocardiac region raises concern for atelectasis versus pneumonia.,opacification,retrocardiac region,Worse,['files/p11/p11177224/s57718675/25a4da29-677dfc01-3c7bc2e9-ca5766ff-8910f5a1.jpg'],['files/p11/p11177224/s54099371/f9624358-214a129c-dc05b026-e49885ed-66224bdb.jpg\n']
s57718675_0,p11177224,s57718675,0,Findings,Portable semi-upright radiograph of the chest demonstrates increased interstitial markings in the bilateral lungs concerning for pulmonary edema. Increased opacification in the retrocardiac region raises concern for atelectasis versus pneumonia. There is a small left-sided pleural effusion. Cardiomediastinal and hilar contours are unchanged. No pneumothorax.,Portable semi-upright radiograph of the chest demonstrates increased interstitial markings in the bilateral lungs concerning for pulmonary edema.,interstitial markings,bilateral lungs,Worse,['files/p11/p11177224/s57718675/25a4da29-677dfc01-3c7bc2e9-ca5766ff-8910f5a1.jpg'],['files/p11/p11177224/s54099371/f9624358-214a129c-dc05b026-e49885ed-66224bdb.jpg\n']
s57718675_0,p11177224,s57718675,0,Impression,1. Interval increase in interstitial markings raises concern for pulmonary edema. 2. Retrocardiac opacity is consistent with atelectasis or less likely pneumonia.,Interval increase in interstitial markings raises concern for pulmonary edema.,interstitial markings,bilateral lungs,Worse,['files/p11/p11177224/s57718675/25a4da29-677dfc01-3c7bc2e9-ca5766ff-8910f5a1.jpg'],['files/p11/p11177224/s54099371/f9624358-214a129c-dc05b026-e49885ed-66224bdb.jpg\n']
s57724934_2,p15167936,s57724934,2,Impression,"In comparison with the study of ___, there is little overall change. Again there are low lung volumes that accentuate the transverse diameter of the heart. Central catheter tip is in the mid to lower SVC. Some streaks of atelectasis are noted. Again, the extensive malignant bone destruction seen on the chest CT of ___ is not appreciated on conventional chest radiographs.",Again there are low lung volumes that accentuate the transverse diameter of the heart.,low lung volumes,lungs,Stable,['files/p15/p15167936/s57724934/3b81c9d8-c4ba9c06-8a83c02f-3bb8e8f0-328485e0.jpg'],['files/p15/p15167936/s57549616/6f1d8e56-81ec34dd-4f80edfc-98c577db-9db1f26e.jpg\n']
s57724934_2,p15167936,s57724934,2,Impression,"In comparison with the study of ___, there is little overall change. Again there are low lung volumes that accentuate the transverse diameter of the heart. Central catheter tip is in the mid to lower SVC. Some streaks of atelectasis are noted. Again, the extensive malignant bone destruction seen on the chest CT of ___ is not appreciated on conventional chest radiographs.","Again, the extensive malignant bone destruction seen on the chest CT of ___ is not appreciated on conventional chest radiographs.",malignant bone destruction,bones,Stable,['files/p15/p15167936/s57724934/3b81c9d8-c4ba9c06-8a83c02f-3bb8e8f0-328485e0.jpg'],['files/p15/p15167936/s57549616/6f1d8e56-81ec34dd-4f80edfc-98c577db-9db1f26e.jpg\n']
s57726913_0,p11614040,s57726913,0,Findings,"As compared to the previous radiograph, the patient has newly developed, moderate pulmonary edema. The changes manifest as increase in interstitial markings, a symmetrically increase in lung density and an increase in diameter of the pulmonary vessels and the heart. No pleural effusions. Unchanged right pectoral Port-A-Cath. At the time of dictation and observation, 10:28 a.m., on ___, the referring physician, ___. ___ was paged for notification.",Unchanged right pectoral Port-A-Cath.,Port-A-Cath,right pectoral,Stable,"['files/p11/p11614040/s57726913/7cdbec45-4e0aea44-b466faa1-c762f062-1e61182e.jpg', 'files/p11/p11614040/s57726913/f7afb1fb-980babb9-17a967f1-4ab852ff-c8ecd2fa.jpg']",['files/p11/p11614040/s57272076/a85adbf5-301650f6-e0861ceb-de58948f-66d1a9a4.jpg\n']
s57726913_0,p11614040,s57726913,0,Findings,"As compared to the previous radiograph, the patient has newly developed, moderate pulmonary edema. The changes manifest as increase in interstitial markings, a symmetrically increase in lung density and an increase in diameter of the pulmonary vessels and the heart. No pleural effusions. Unchanged right pectoral Port-A-Cath. At the time of dictation and observation, 10:28 a.m., on ___, the referring physician, ___. ___ was paged for notification.","As compared to the previous radiograph, the patient has newly developed, moderate pulmonary edema.",moderate pulmonary edema,,New,"['files/p11/p11614040/s57726913/7cdbec45-4e0aea44-b466faa1-c762f062-1e61182e.jpg', 'files/p11/p11614040/s57726913/f7afb1fb-980babb9-17a967f1-4ab852ff-c8ecd2fa.jpg']",['files/p11/p11614040/s57272076/a85adbf5-301650f6-e0861ceb-de58948f-66d1a9a4.jpg\n']
s57729179_5,p19366448,s57729179,5,Impression,Comparison to ___. No relevant change is noted. Low lung volumes. Mild fluid overload but no overt pulmonary edema. Borderline size of the cardiac silhouette. Mild bilateral pleural effusions. Stable left lower lobe atelectasis.,Stable left lower lobe atelectasis.,atelectasis,left lower lobe,Stable,['files/p19/p19366448/s57729179/865486e4-6d43765f-e1cebccc-d80670c5-b9aeea25.jpg'],['files/p19/p19366448/s57258316/c5c9ba27-4ce72de1-06e2852c-338a1906-49904456.jpg\n']
s57740453_78,p11717909,s57740453,78,Impression,Right PICC tip is in thelower SVC. Cardiac size is top-normal. Right mid lung and right lower lobe consolidations are stable. The left lung is grossly clear. There is no pneumothorax or pleural effusion there are low lung volumes. Sternal wires are aligned. NG tube tip is out of view below the diaphragm,Right mid lung and right lower lobe consolidations are stable.,consolidations,right mid lung and right lower lobe,Stable,['files/p11/p11717909/s57740453/87d740da-c8e188ac-af29818b-cadad040-6f3ef6ca.jpg'],['files/p11/p11717909/s57712518/2fb800a3-3eaf68d1-b83393d6-6c72f07a-fa520908.jpg\n']
s57755274_1,p18573829,s57755274,1,Impression,"As compared to the previous radiograph, the right pleural effusion has decreased. The effusion is now limited to the right costophrenic sinus. There is no evidence of pneumothorax. No pneumonia, no pulmonary edema. Unchanged alignment of the sternal wires. No cardiomegaly. Mild tortuosity of the thoracic aorta.",The effusion is now limited to the right costophrenic sinus.,pleural effusion,right costophrenic sinus,Stable,"['files/p18/p18573829/s57755274/078eec80-ef37c7df-f352dd0a-ad6da42a-370e6a41.jpg', 'files/p18/p18573829/s57755274/13979aad-0fbe709d-a58598fb-e0033945-fa62f790.jpg']",['files/p18/p18573829/s57045282/dc77150b-061bf4d5-09e23a26-52d9ada0-45856897.jpg\n']
s57755274_1,p18573829,s57755274,1,Impression,"As compared to the previous radiograph, the right pleural effusion has decreased. The effusion is now limited to the right costophrenic sinus. There is no evidence of pneumothorax. No pneumonia, no pulmonary edema. Unchanged alignment of the sternal wires. No cardiomegaly. Mild tortuosity of the thoracic aorta.","As compared to the previous radiograph, the right pleural effusion has decreased.",pleural effusion,right,Better,"['files/p18/p18573829/s57755274/078eec80-ef37c7df-f352dd0a-ad6da42a-370e6a41.jpg', 'files/p18/p18573829/s57755274/13979aad-0fbe709d-a58598fb-e0033945-fa62f790.jpg']",['files/p18/p18573829/s57045282/dc77150b-061bf4d5-09e23a26-52d9ada0-45856897.jpg\n']
s57755274_1,p18573829,s57755274,1,Impression,"As compared to the previous radiograph, the right pleural effusion has decreased. The effusion is now limited to the right costophrenic sinus. There is no evidence of pneumothorax. No pneumonia, no pulmonary edema. Unchanged alignment of the sternal wires. No cardiomegaly. Mild tortuosity of the thoracic aorta.",Unchanged alignment of the sternal wires.,sternal wires alignment,,Stable,"['files/p18/p18573829/s57755274/078eec80-ef37c7df-f352dd0a-ad6da42a-370e6a41.jpg', 'files/p18/p18573829/s57755274/13979aad-0fbe709d-a58598fb-e0033945-fa62f790.jpg']",['files/p18/p18573829/s57045282/dc77150b-061bf4d5-09e23a26-52d9ada0-45856897.jpg\n']
s57783859_5,p15153582,s57783859,5,Impression,"In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease or old tuberculous disease.","In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease or old tuberculous disease.",old tuberculous disease,,Stable,"['files/p15/p15153582/s57783859/0531fdb8-04856772-413738e9-e9c6e619-b6c5dd42.jpg', 'files/p15/p15153582/s57783859/72d57d0a-8b8b1b36-e930bc66-8244f92c-a8c8e5c3.jpg', 'files/p15/p15153582/s57783859/82e72eaa-2b5f7794-f7cd9c3a-11a53c88-0326b947.jpg']","['files/p15/p15153582/s57311421/2b53c5b4-6a087c8d-3e66def7-7fd6604a-77eb0287.jpg\n', 'files/p15/p15153582/s57311421/475a6219-7057587b-12a770b0-665a9510-cbf49fdf.jpg\n']"
s57783859_5,p15153582,s57783859,5,Impression,"In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease or old tuberculous disease.","In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease or old tuberculous disease.",acute cardiopulmonary disease,,Stable,"['files/p15/p15153582/s57783859/0531fdb8-04856772-413738e9-e9c6e619-b6c5dd42.jpg', 'files/p15/p15153582/s57783859/72d57d0a-8b8b1b36-e930bc66-8244f92c-a8c8e5c3.jpg', 'files/p15/p15153582/s57783859/82e72eaa-2b5f7794-f7cd9c3a-11a53c88-0326b947.jpg']","['files/p15/p15153582/s57311421/2b53c5b4-6a087c8d-3e66def7-7fd6604a-77eb0287.jpg\n', 'files/p15/p15153582/s57311421/475a6219-7057587b-12a770b0-665a9510-cbf49fdf.jpg\n']"
s57788036_1,p14798972,s57788036,1,Impression,"PA and lateral chest compared to ___:08 p.m.: Moderate-to-large right pneumothorax has increased over the past five hours, now surrounds the entire right lung, previously basal. New leftward mediastinal shift despite persistent right lower lobe collapse, which would be expected to move the mediastinum rightward, suggests the pneumothorax is accumulating under pressure. Left lung grossly clear. Heart size normal. Findings were discussed by Dr. ___ with Dr. ___ at 6:45 p.m. on ___.","Moderate-to-large right pneumothorax has increased over the past five hours, now surrounds the entire right lung, previously basal.",pneumothorax,right,Worse,"['files/p14/p14798972/s57788036/7c43e78d-ab1bda95-4c4e1601-f5dbfd62-b4890b04.jpg', 'files/p14/p14798972/s57788036/a43ab9e2-2dd2e9ec-032d589e-7b6ae886-941838aa.jpg']",['files/p14/p14798972/s56978673/3a839f77-7d3beba4-cd7263f9-55cea333-3d6908b7.jpg\n']
s57788036_1,p14798972,s57788036,1,Impression,"PA and lateral chest compared to ___:08 p.m.: Moderate-to-large right pneumothorax has increased over the past five hours, now surrounds the entire right lung, previously basal. New leftward mediastinal shift despite persistent right lower lobe collapse, which would be expected to move the mediastinum rightward, suggests the pneumothorax is accumulating under pressure. Left lung grossly clear. Heart size normal. Findings were discussed by Dr. ___ with Dr. ___ at 6:45 p.m. on ___.","New leftward mediastinal shift despite persistent right lower lobe collapse, which would be expected to move the mediastinum rightward, suggests the pneumothorax is accumulating under pressure.",collapse,right lower lobe,Stable,"['files/p14/p14798972/s57788036/7c43e78d-ab1bda95-4c4e1601-f5dbfd62-b4890b04.jpg', 'files/p14/p14798972/s57788036/a43ab9e2-2dd2e9ec-032d589e-7b6ae886-941838aa.jpg']",['files/p14/p14798972/s56978673/3a839f77-7d3beba4-cd7263f9-55cea333-3d6908b7.jpg\n']
s57803270_24,p13894716,s57803270,24,Findings,"Right IJ tunneled catheter ends in the right atrium. Two right IJ central venous catheters ending in the high and mid SVC are unchanged. A endotracheal tube is appropriately positioned ending approximately 7.0 cm above the carina with the patient's chin up. There bilateral layering pleural effusions, right greater than left. There is mild pulmonary edema. Lung bases are not imaged bilaterally. There is no pneumothorax.",Two right IJ central venous catheters ending in the high and mid SVC are unchanged.,central venous catheters,right IJ,Stable,['files/p13/p13894716/s57803270/71ce8c54-2501a856-f9c44787-8585fef6-a6c8ccc6.jpg'],['files/p13/p13894716/s57233121/d9c17256-9db4d22d-cefc39d7-6a9988c7-acf0f806.jpg\n']
s57803270_24,p13894716,s57803270,24,Impression,Appropriate positioning of monitoring and support devices. Unchanged pulmonary edema and bilateral layering pleural effusions.,Unchanged pulmonary edema and bilateral layering pleural effusions.,pulmonary edema,,Stable,['files/p13/p13894716/s57803270/71ce8c54-2501a856-f9c44787-8585fef6-a6c8ccc6.jpg'],['files/p13/p13894716/s57233121/d9c17256-9db4d22d-cefc39d7-6a9988c7-acf0f806.jpg\n']
s57805143_19,p11717909,s57805143,19,Impression,"In comparison with the study ___ ___, there is again substantial enlargement of the cardiac silhouette with retrocardiac opacification most likely reflecting substantial volume loss in the left lower lobe. No definite vascular congestion. The left subclavian catheter in again is at the level of the cavoatrial junction or upper portion of the right atrium.",The left subclavian catheter in again is at the level of the cavoatrial junction or upper portion of the right atrium.,catheter,Left subclavian,Stable,['files/p11/p11717909/s57805143/25e2e3f7-350778cf-d7530deb-eb31e56c-8c2a8744.jpg'],['files/p11/p11717909/s57740453/87d740da-c8e188ac-af29818b-cadad040-6f3ef6ca.jpg\n']
s57805143_19,p11717909,s57805143,19,Impression,"In comparison with the study ___ ___, there is again substantial enlargement of the cardiac silhouette with retrocardiac opacification most likely reflecting substantial volume loss in the left lower lobe. No definite vascular congestion. The left subclavian catheter in again is at the level of the cavoatrial junction or upper portion of the right atrium.","In comparison with the study ___, there is again substantial enlargement of the cardiac silhouette with retrocardiac opacification most likely reflecting substantial volume loss in the left lower lobe.",opacification,Retrocardiac,Worse,['files/p11/p11717909/s57805143/25e2e3f7-350778cf-d7530deb-eb31e56c-8c2a8744.jpg'],['files/p11/p11717909/s57740453/87d740da-c8e188ac-af29818b-cadad040-6f3ef6ca.jpg\n']
s57805143_19,p11717909,s57805143,19,Impression,"In comparison with the study ___ ___, there is again substantial enlargement of the cardiac silhouette with retrocardiac opacification most likely reflecting substantial volume loss in the left lower lobe. No definite vascular congestion. The left subclavian catheter in again is at the level of the cavoatrial junction or upper portion of the right atrium.","In comparison with the study ___, there is again substantial enlargement of the cardiac silhouette with retrocardiac opacification most likely reflecting substantial volume loss in the left lower lobe.",cardiac silhouette,,Worse,['files/p11/p11717909/s57805143/25e2e3f7-350778cf-d7530deb-eb31e56c-8c2a8744.jpg'],['files/p11/p11717909/s57740453/87d740da-c8e188ac-af29818b-cadad040-6f3ef6ca.jpg\n']
s57812613_1,p10003502,s57812613,1,Findings,"There is a moderate-sized left pleural effusion which is increased in size from the prior exam in ___. There is no right pleural effusion. The lungs are clear without pulmonary edema, consolidation, or pneumothorax. A small calcified granuloma in the right mid-to-lower lung zone is unchanged from prior exams. The cardiac size is mildly enlarged, unchanged from prior exams. Mediastinal contours are normal. The aorta is tortuous with mild calcifications. Degenerative changes of the lower thoracic and upper lumbar spine are unchanged.",There is a moderate-sized left pleural effusion which is increased in size from the prior exam in ___.,pleural effusion,left,Worse,"['files/p10/p10003502/s57812613/060b1fcc-5f90c680-8ce2e1f5-40d3ac27-2dced2d6.jpg', 'files/p10/p10003502/s57812613/1efa55e3-0a3856d9-421024b8-408fa7e5-81d83c1e.jpg']","['files/p10/p10003502/s57641661/31d9847f-987fcf63-704f7496-d2b21eb8-63cd973e.jpg\n', 'files/p10/p10003502/s57641661/b410634d-0e4278d7-9c9b3561-8f5e5fc4-34a6aac8.jpg\n']"
s57812613_1,p10003502,s57812613,1,Findings,"There is a moderate-sized left pleural effusion which is increased in size from the prior exam in ___. There is no right pleural effusion. The lungs are clear without pulmonary edema, consolidation, or pneumothorax. A small calcified granuloma in the right mid-to-lower lung zone is unchanged from prior exams. The cardiac size is mildly enlarged, unchanged from prior exams. Mediastinal contours are normal. The aorta is tortuous with mild calcifications. Degenerative changes of the lower thoracic and upper lumbar spine are unchanged.",Degenerative changes of the lower thoracic and upper lumbar spine are unchanged.,degenerative changes,lower thoracic and upper lumbar spine,Stable,"['files/p10/p10003502/s57812613/060b1fcc-5f90c680-8ce2e1f5-40d3ac27-2dced2d6.jpg', 'files/p10/p10003502/s57812613/1efa55e3-0a3856d9-421024b8-408fa7e5-81d83c1e.jpg']","['files/p10/p10003502/s57641661/31d9847f-987fcf63-704f7496-d2b21eb8-63cd973e.jpg\n', 'files/p10/p10003502/s57641661/b410634d-0e4278d7-9c9b3561-8f5e5fc4-34a6aac8.jpg\n']"
s57812613_1,p10003502,s57812613,1,Impression,1. Enlarging moderate left pleural effusion. 2. Stable right calcified granuloma. 3. Stable mild cardiomegaly.,1. Enlarging moderate left pleural effusion.,pleural effusion,left,Worse,"['files/p10/p10003502/s57812613/060b1fcc-5f90c680-8ce2e1f5-40d3ac27-2dced2d6.jpg', 'files/p10/p10003502/s57812613/1efa55e3-0a3856d9-421024b8-408fa7e5-81d83c1e.jpg']","['files/p10/p10003502/s57641661/31d9847f-987fcf63-704f7496-d2b21eb8-63cd973e.jpg\n', 'files/p10/p10003502/s57641661/b410634d-0e4278d7-9c9b3561-8f5e5fc4-34a6aac8.jpg\n']"
s57812613_1,p10003502,s57812613,1,Findings,"There is a moderate-sized left pleural effusion which is increased in size from the prior exam in ___. There is no right pleural effusion. The lungs are clear without pulmonary edema, consolidation, or pneumothorax. A small calcified granuloma in the right mid-to-lower lung zone is unchanged from prior exams. The cardiac size is mildly enlarged, unchanged from prior exams. Mediastinal contours are normal. The aorta is tortuous with mild calcifications. Degenerative changes of the lower thoracic and upper lumbar spine are unchanged.","The cardiac size is mildly enlarged, unchanged from prior exams.",mildly enlarged cardiac size,,Stable,"['files/p10/p10003502/s57812613/060b1fcc-5f90c680-8ce2e1f5-40d3ac27-2dced2d6.jpg', 'files/p10/p10003502/s57812613/1efa55e3-0a3856d9-421024b8-408fa7e5-81d83c1e.jpg']","['files/p10/p10003502/s57641661/31d9847f-987fcf63-704f7496-d2b21eb8-63cd973e.jpg\n', 'files/p10/p10003502/s57641661/b410634d-0e4278d7-9c9b3561-8f5e5fc4-34a6aac8.jpg\n']"
s57812613_1,p10003502,s57812613,1,Impression,1. Enlarging moderate left pleural effusion. 2. Stable right calcified granuloma. 3. Stable mild cardiomegaly.,2. Stable right calcified granuloma.,calcified granuloma,right,Stable,"['files/p10/p10003502/s57812613/060b1fcc-5f90c680-8ce2e1f5-40d3ac27-2dced2d6.jpg', 'files/p10/p10003502/s57812613/1efa55e3-0a3856d9-421024b8-408fa7e5-81d83c1e.jpg']","['files/p10/p10003502/s57641661/31d9847f-987fcf63-704f7496-d2b21eb8-63cd973e.jpg\n', 'files/p10/p10003502/s57641661/b410634d-0e4278d7-9c9b3561-8f5e5fc4-34a6aac8.jpg\n']"
s57812613_1,p10003502,s57812613,1,Findings,"There is a moderate-sized left pleural effusion which is increased in size from the prior exam in ___. There is no right pleural effusion. The lungs are clear without pulmonary edema, consolidation, or pneumothorax. A small calcified granuloma in the right mid-to-lower lung zone is unchanged from prior exams. The cardiac size is mildly enlarged, unchanged from prior exams. Mediastinal contours are normal. The aorta is tortuous with mild calcifications. Degenerative changes of the lower thoracic and upper lumbar spine are unchanged.",A small calcified granuloma in the right mid-to-lower lung zone is unchanged from prior exams.,small calcified granuloma,right mid-to-lower lung zone,Stable,"['files/p10/p10003502/s57812613/060b1fcc-5f90c680-8ce2e1f5-40d3ac27-2dced2d6.jpg', 'files/p10/p10003502/s57812613/1efa55e3-0a3856d9-421024b8-408fa7e5-81d83c1e.jpg']","['files/p10/p10003502/s57641661/31d9847f-987fcf63-704f7496-d2b21eb8-63cd973e.jpg\n', 'files/p10/p10003502/s57641661/b410634d-0e4278d7-9c9b3561-8f5e5fc4-34a6aac8.jpg\n']"
s57812613_1,p10003502,s57812613,1,Impression,1. Enlarging moderate left pleural effusion. 2. Stable right calcified granuloma. 3. Stable mild cardiomegaly.,3. Stable mild cardiomegaly.,mild cardiomegaly,,Stable,"['files/p10/p10003502/s57812613/060b1fcc-5f90c680-8ce2e1f5-40d3ac27-2dced2d6.jpg', 'files/p10/p10003502/s57812613/1efa55e3-0a3856d9-421024b8-408fa7e5-81d83c1e.jpg']","['files/p10/p10003502/s57641661/31d9847f-987fcf63-704f7496-d2b21eb8-63cd973e.jpg\n', 'files/p10/p10003502/s57641661/b410634d-0e4278d7-9c9b3561-8f5e5fc4-34a6aac8.jpg\n']"
s57814257_23,p10337896,s57814257,23,Impression,The overall appearance of the chest is similar to the recent study except for worsening multifocal consolidation in the right lung and standard slight increase in size of moderate right pleural effusion.,The overall appearance of the chest is similar to the recent study except for worsening multifocal consolidation in the right lung and standard slight increase in size of moderate right pleural effusion.,multifocal consolidation,right lung,Worse,['files/p10/p10337896/s57814257/f65f9193-62ebcf82-99968803-f13a04d1-f2c529b5.jpg'],['files/p10/p10337896/s57554911/a9390c8a-a8ea6990-7b9e1035-281e4eee-754368be.jpg\n']
s57814257_23,p10337896,s57814257,23,Impression,The overall appearance of the chest is similar to the recent study except for worsening multifocal consolidation in the right lung and standard slight increase in size of moderate right pleural effusion.,The overall appearance of the chest is similar to the recent study except for worsening multifocal consolidation in the right lung and standard slight increase in size of moderate right pleural effusion.,pleural effusion,right,Worse,['files/p10/p10337896/s57814257/f65f9193-62ebcf82-99968803-f13a04d1-f2c529b5.jpg'],['files/p10/p10337896/s57554911/a9390c8a-a8ea6990-7b9e1035-281e4eee-754368be.jpg\n']
s57817725_6,p19254322,s57817725,6,Impression,"PA and lateral chest compared to ___: Small to moderate left pneumothorax is larger today with both lateral and anterior components of air and fluid. Small left pleural loculation along the posterior chest wall is minimally bigger. Severe atelectasis at the base of the left lung, milder involvement at the right base are unchanged. Heart size top normal. A bulge in the mediastinum in the region of the ascending aorta which developed post-operatively is presumably mediastinal fluid collection. Dr. ___ was paged.","Severe atelectasis at the base of the left lung, milder involvement at the right base are unchanged.",atelectasis,right base,Stable,"['files/p19/p19254322/s57817725/70de4628-3c412e04-166a8fb5-626c80c1-c4d67d13.jpg', 'files/p19/p19254322/s57817725/bf634ae2-90054aa1-a7d7dff4-ff452440-26f18473.jpg']",['files/p19/p19254322/s57699153/07433a77-6618a230-fa1a2487-25bdc989-873a79da.jpg\n']
s57817725_6,p19254322,s57817725,6,Impression,"PA and lateral chest compared to ___: Small to moderate left pneumothorax is larger today with both lateral and anterior components of air and fluid. Small left pleural loculation along the posterior chest wall is minimally bigger. Severe atelectasis at the base of the left lung, milder involvement at the right base are unchanged. Heart size top normal. A bulge in the mediastinum in the region of the ascending aorta which developed post-operatively is presumably mediastinal fluid collection. Dr. ___ was paged.","Severe atelectasis at the base of the left lung, milder involvement at the right base are unchanged.",atelectasis,base of the left lung,Stable,"['files/p19/p19254322/s57817725/70de4628-3c412e04-166a8fb5-626c80c1-c4d67d13.jpg', 'files/p19/p19254322/s57817725/bf634ae2-90054aa1-a7d7dff4-ff452440-26f18473.jpg']",['files/p19/p19254322/s57699153/07433a77-6618a230-fa1a2487-25bdc989-873a79da.jpg\n']
s57817725_6,p19254322,s57817725,6,Impression,"PA and lateral chest compared to ___: Small to moderate left pneumothorax is larger today with both lateral and anterior components of air and fluid. Small left pleural loculation along the posterior chest wall is minimally bigger. Severe atelectasis at the base of the left lung, milder involvement at the right base are unchanged. Heart size top normal. A bulge in the mediastinum in the region of the ascending aorta which developed post-operatively is presumably mediastinal fluid collection. Dr. ___ was paged.",PA and lateral chest compared to ___: Small to moderate left pneumothorax is larger today with both lateral and anterior components of air and fluid.,pneumothorax,left,Worse,"['files/p19/p19254322/s57817725/70de4628-3c412e04-166a8fb5-626c80c1-c4d67d13.jpg', 'files/p19/p19254322/s57817725/bf634ae2-90054aa1-a7d7dff4-ff452440-26f18473.jpg']",['files/p19/p19254322/s57699153/07433a77-6618a230-fa1a2487-25bdc989-873a79da.jpg\n']
s57817725_6,p19254322,s57817725,6,Impression,"PA and lateral chest compared to ___: Small to moderate left pneumothorax is larger today with both lateral and anterior components of air and fluid. Small left pleural loculation along the posterior chest wall is minimally bigger. Severe atelectasis at the base of the left lung, milder involvement at the right base are unchanged. Heart size top normal. A bulge in the mediastinum in the region of the ascending aorta which developed post-operatively is presumably mediastinal fluid collection. Dr. ___ was paged.",Small left pleural loculation along the posterior chest wall is minimally bigger.,pleural loculation,left,Worse,"['files/p19/p19254322/s57817725/70de4628-3c412e04-166a8fb5-626c80c1-c4d67d13.jpg', 'files/p19/p19254322/s57817725/bf634ae2-90054aa1-a7d7dff4-ff452440-26f18473.jpg']",['files/p19/p19254322/s57699153/07433a77-6618a230-fa1a2487-25bdc989-873a79da.jpg\n']
s57820639_24,p17559288,s57820639,24,Findings,"Status post removal of a right chest tube, the known small right apical pneumothorax is decreasing in extent. No evidence of tension. The parenchymal opacities have substantially improved, particularly in the right middle and lower lung. No pleural effusions. Normal size of the cardiac silhouette.","The parenchymal opacities have substantially improved, particularly in the right middle and lower lung.",parenchymal opacities,right middle and lower lung,Better,['files/p17/p17559288/s57820639/464448a4-f1229c37-3a509617-2edb4a04-cef4335c.jpg'],['files/p17/p17559288/s57177744/494f62af-2213616c-20174f23-c3d781fd-fed10e18.jpg\n']
s57820639_24,p17559288,s57820639,24,Findings,"Status post removal of a right chest tube, the known small right apical pneumothorax is decreasing in extent. No evidence of tension. The parenchymal opacities have substantially improved, particularly in the right middle and lower lung. No pleural effusions. Normal size of the cardiac silhouette.","Status post removal of a right chest tube, the known small right apical pneumothorax is decreasing in extent.",chest tube,right,Resolve,['files/p17/p17559288/s57820639/464448a4-f1229c37-3a509617-2edb4a04-cef4335c.jpg'],['files/p17/p17559288/s57177744/494f62af-2213616c-20174f23-c3d781fd-fed10e18.jpg\n']
s57833703_0,p18648021,s57833703,0,Findings,"In comparison with the study of ___, there is little change and no evidence of acute focal pneumonia. Right apical pleural and parenchymal abnormalities again seen, most likely related to previous infection and scarring. Continued hyperinflation of the lungs consistent with chronic pulmonary disease. No vascular congestion or acute focal pneumonia.","In comparison with the study of ___, there is little change and no evidence of acute focal pneumonia.",acute focal pneumonia,,Stable,['files/p18/p18648021/s57833703/93318c78-1b671842-1af554f7-52f54a25-91a64acf.jpg'],
s57833703_0,p18648021,s57833703,0,Findings,"In comparison with the study of ___, there is little change and no evidence of acute focal pneumonia. Right apical pleural and parenchymal abnormalities again seen, most likely related to previous infection and scarring. Continued hyperinflation of the lungs consistent with chronic pulmonary disease. No vascular congestion or acute focal pneumonia.","Right apical pleural and parenchymal abnormalities again seen, most likely related to previous infection and scarring.",pleural and parenchymal abnormalities,Right apical,Stable,['files/p18/p18648021/s57833703/93318c78-1b671842-1af554f7-52f54a25-91a64acf.jpg'],
s57834148_1,p11724488,s57834148,1,Findings,Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragm. Degenerative changes are again seen along the spine.,Degenerative changes are again seen along the spine.,Degenerative changes,spine,Stable,"['files/p11/p11724488/s57834148/16e5b1a2-792c2449-d0f46569-a6fc499f-62628542.jpg', 'files/p11/p11724488/s57834148/21b2ba36-099442f2-f218da36-f0bc8c1a-27305d7c.jpg', 'files/p11/p11724488/s57834148/9be6d2e9-c327b161-d0f2085f-bb403a9c-dfcb4b59.jpg']","['files/p11/p11724488/s55960369/4be77f0f-26020260-0150f74f-f95c85f5-33c47450.jpg\n', 'files/p11/p11724488/s55960369/8a2d0c99-d9c16df8-af4a6670-03baa169-48086bb0.jpg\n']"
s57838646_1,p18711952,s57838646,1,Findings,"Since the thoracentesis, there has been a marked reduction in the size of the left effusion. There is no evidence of a pneumothorax. Some atelectasis is present at the left base, but no obvious underlying lesion is seen. This should be reassessed, however, with a PA and lateral when reexpansion of the left lower lobe has occurred.","Since the thoracentesis, there has been a marked reduction in the size of the left effusion.",pleural effusion,left,Better,['files/p18/p18711952/s57838646/0cb02560-352c9600-b0e42b70-beca070f-e0490c9b.jpg'],"['files/p18/p18711952/s57803827/330a14e1-0c40a813-603d2660-12ea9afb-4349743e.jpg\n', 'files/p18/p18711952/s57803827/44fbc6d0-0c39e6ef-e9181984-728748c3-7d42ff10.jpg\n']"
s57861479_1,p17933711,s57861479,1,Impression,Borderline heart size but stable. Mild upper zone redistribution pattern suggestive of mild chronic pulmonary congestion. Findings are stable and not advanced. No evidence of acute infiltrates.,Findings are stable and not advanced.,Findings,,Stable,"['files/p17/p17933711/s57861479/11f8196c-fabce921-4f144f23-5ae15c0c-791e7464.jpg', 'files/p17/p17933711/s57861479/4d219b1c-e4f9c270-1dd0646e-ac5ef594-d4849258.jpg']","['files/p17/p17933711/s57308986/32de4fe2-db7905e0-235c099f-a12e4212-284542bd.jpg\n', 'files/p17/p17933711/s57308986/a7742b8b-8d52f218-962c4ea7-dc720df1-a35bdc8b.jpg\n']"
s57861479_1,p17933711,s57861479,1,Findings,"PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study ___ ___. Again, borderline heart size is noted without typical configurational abnormality. Unremarkable appearance of thoracic aorta. The pulmonary vasculature demonstrates a mild upper zone redistribution pattern, but there is no evidence of interstitial or alveolar edema. No evidence of acute pulmonary parenchymal infiltrates is present, and the lateral and posterior pleural sinuses are free from any fluid accumulation. No pneumothorax in the apical area. Skeletal structures of the thorax are unchanged and grossly unremarkable.",Skeletal structures of the thorax are unchanged and grossly unremarkable.,Skeletal structures of the thorax,,Stable,"['files/p17/p17933711/s57861479/11f8196c-fabce921-4f144f23-5ae15c0c-791e7464.jpg', 'files/p17/p17933711/s57861479/4d219b1c-e4f9c270-1dd0646e-ac5ef594-d4849258.jpg']","['files/p17/p17933711/s57308986/32de4fe2-db7905e0-235c099f-a12e4212-284542bd.jpg\n', 'files/p17/p17933711/s57308986/a7742b8b-8d52f218-962c4ea7-dc720df1-a35bdc8b.jpg\n']"
s57861479_1,p17933711,s57861479,1,Findings,"PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study ___ ___. Again, borderline heart size is noted without typical configurational abnormality. Unremarkable appearance of thoracic aorta. The pulmonary vasculature demonstrates a mild upper zone redistribution pattern, but there is no evidence of interstitial or alveolar edema. No evidence of acute pulmonary parenchymal infiltrates is present, and the lateral and posterior pleural sinuses are free from any fluid accumulation. No pneumothorax in the apical area. Skeletal structures of the thorax are unchanged and grossly unremarkable.","Again, borderline heart size is noted without typical configurational abnormality.",Heart size,,Worse,"['files/p17/p17933711/s57861479/11f8196c-fabce921-4f144f23-5ae15c0c-791e7464.jpg', 'files/p17/p17933711/s57861479/4d219b1c-e4f9c270-1dd0646e-ac5ef594-d4849258.jpg']","['files/p17/p17933711/s57308986/32de4fe2-db7905e0-235c099f-a12e4212-284542bd.jpg\n', 'files/p17/p17933711/s57308986/a7742b8b-8d52f218-962c4ea7-dc720df1-a35bdc8b.jpg\n']"
s57861479_1,p17933711,s57861479,1,Impression,Borderline heart size but stable. Mild upper zone redistribution pattern suggestive of mild chronic pulmonary congestion. Findings are stable and not advanced. No evidence of acute infiltrates.,Borderline heart size but stable.,Heart size,,Stable,"['files/p17/p17933711/s57861479/11f8196c-fabce921-4f144f23-5ae15c0c-791e7464.jpg', 'files/p17/p17933711/s57861479/4d219b1c-e4f9c270-1dd0646e-ac5ef594-d4849258.jpg']","['files/p17/p17933711/s57308986/32de4fe2-db7905e0-235c099f-a12e4212-284542bd.jpg\n', 'files/p17/p17933711/s57308986/a7742b8b-8d52f218-962c4ea7-dc720df1-a35bdc8b.jpg\n']"
s57870796_5,p10750092,s57870796,5,Impression,Slightly decreased edema with bibasilar atelectasis and newly evident right midlung opacity which may reflect a developing pneumonia. Finding was discussed by phone with Dr. ___ by Dr. ___ at ___ on ___.,Slightly decreased edema with bibasilar atelectasis and newly evident right midlung opacity which may reflect a developing pneumonia.,opacity,right midlung,New,['files/p10/p10750092/s57870796/ce531719-78a6c8a0-6db6ac35-9786e10c-8ff62104.jpg'],"['files/p10/p10750092/s55148571/28bcbc77-70736463-dc95285f-40b115a7-5d7b7f15.jpg\n', 'files/p10/p10750092/s55148571/501b436f-4f6cf540-ca6ea4e6-b4a0a951-03e9baf9.jpg\n', 'files/p10/p10750092/s55148571/791ef542-9bf794a8-96dd48ff-588a38ed-9b686f16.jpg\n', 'files/p10/p10750092/s55148571/8f52469c-b701614e-5a141316-1fa3c9ca-c1d881de.jpg\n']"
s57870796_5,p10750092,s57870796,5,Impression,Slightly decreased edema with bibasilar atelectasis and newly evident right midlung opacity which may reflect a developing pneumonia. Finding was discussed by phone with Dr. ___ by Dr. ___ at ___ on ___.,Slightly decreased edema with bibasilar atelectasis and newly evident right midlung opacity which may reflect a developing pneumonia.,edema,bibasilar,Better,['files/p10/p10750092/s57870796/ce531719-78a6c8a0-6db6ac35-9786e10c-8ff62104.jpg'],"['files/p10/p10750092/s55148571/28bcbc77-70736463-dc95285f-40b115a7-5d7b7f15.jpg\n', 'files/p10/p10750092/s55148571/501b436f-4f6cf540-ca6ea4e6-b4a0a951-03e9baf9.jpg\n', 'files/p10/p10750092/s55148571/791ef542-9bf794a8-96dd48ff-588a38ed-9b686f16.jpg\n', 'files/p10/p10750092/s55148571/8f52469c-b701614e-5a141316-1fa3c9ca-c1d881de.jpg\n']"
s57880555_2,p13722528,s57880555,2,Findings,"Frontal and lateral views of the chest. There is new consolidation in the right upper lobe and likely within the right middle lobe as well. The left lung is grossly clear. There is no effusion. Cardiac silhouette is enlarged, unchanged. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality.",There is new consolidation in the right upper lobe and likely within the right middle lobe as well.,consolidation,right upper lobe,New,"['files/p13/p13722528/s57880555/3454e89a-58e3895d-8af07967-2786fcd9-72c8fe21.jpg', 'files/p13/p13722528/s57880555/ab3c4c55-cffc7fd2-8e57ccab-4932928c-3527dd56.jpg', 'files/p13/p13722528/s57880555/d9c4de0d-c46e17dd-016fd56b-18b872fb-325755c9.jpg']","['files/p13/p13722528/s55960864/96efa075-88b5082c-8576962c-dd1e4238-b16bfefd.jpg\n', 'files/p13/p13722528/s55960864/bb3f07a8-beb19591-79af0942-6ba135e7-d3e24bb7.jpg\n']"
s57880555_2,p13722528,s57880555,2,Findings,"Frontal and lateral views of the chest. There is new consolidation in the right upper lobe and likely within the right middle lobe as well. The left lung is grossly clear. There is no effusion. Cardiac silhouette is enlarged, unchanged. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality.",There is new consolidation in the right upper lobe and likely within the right middle lobe as well.,consolidation,right middle lobe,New,"['files/p13/p13722528/s57880555/3454e89a-58e3895d-8af07967-2786fcd9-72c8fe21.jpg', 'files/p13/p13722528/s57880555/ab3c4c55-cffc7fd2-8e57ccab-4932928c-3527dd56.jpg', 'files/p13/p13722528/s57880555/d9c4de0d-c46e17dd-016fd56b-18b872fb-325755c9.jpg']","['files/p13/p13722528/s55960864/96efa075-88b5082c-8576962c-dd1e4238-b16bfefd.jpg\n', 'files/p13/p13722528/s55960864/bb3f07a8-beb19591-79af0942-6ba135e7-d3e24bb7.jpg\n']"
s57880555_2,p13722528,s57880555,2,Findings,"Frontal and lateral views of the chest. There is new consolidation in the right upper lobe and likely within the right middle lobe as well. The left lung is grossly clear. There is no effusion. Cardiac silhouette is enlarged, unchanged. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality.","Cardiac silhouette is enlarged, unchanged.",Enlarged cardiac silhouette,,Stable,"['files/p13/p13722528/s57880555/3454e89a-58e3895d-8af07967-2786fcd9-72c8fe21.jpg', 'files/p13/p13722528/s57880555/ab3c4c55-cffc7fd2-8e57ccab-4932928c-3527dd56.jpg', 'files/p13/p13722528/s57880555/d9c4de0d-c46e17dd-016fd56b-18b872fb-325755c9.jpg']","['files/p13/p13722528/s55960864/96efa075-88b5082c-8576962c-dd1e4238-b16bfefd.jpg\n', 'files/p13/p13722528/s55960864/bb3f07a8-beb19591-79af0942-6ba135e7-d3e24bb7.jpg\n']"
s57880555_2,p13722528,s57880555,2,Impression,Right upper and potentially middle lobe pneumonia. Recommend repeat after treatment to document resolution.,Right upper and potentially middle lobe pneumonia. Recommend repeat after treatment to document resolution.,pneumonia,right upper and middle lobe,New,"['files/p13/p13722528/s57880555/3454e89a-58e3895d-8af07967-2786fcd9-72c8fe21.jpg', 'files/p13/p13722528/s57880555/ab3c4c55-cffc7fd2-8e57ccab-4932928c-3527dd56.jpg', 'files/p13/p13722528/s57880555/d9c4de0d-c46e17dd-016fd56b-18b872fb-325755c9.jpg']","['files/p13/p13722528/s55960864/96efa075-88b5082c-8576962c-dd1e4238-b16bfefd.jpg\n', 'files/p13/p13722528/s55960864/bb3f07a8-beb19591-79af0942-6ba135e7-d3e24bb7.jpg\n']"
s57880555_2,p13722528,s57880555,2,Findings,"Frontal and lateral views of the chest. There is new consolidation in the right upper lobe and likely within the right middle lobe as well. The left lung is grossly clear. There is no effusion. Cardiac silhouette is enlarged, unchanged. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality.",Atherosclerotic calcifications noted at the aortic arch.,Atherosclerotic calcifications,aortic arch,New,"['files/p13/p13722528/s57880555/3454e89a-58e3895d-8af07967-2786fcd9-72c8fe21.jpg', 'files/p13/p13722528/s57880555/ab3c4c55-cffc7fd2-8e57ccab-4932928c-3527dd56.jpg', 'files/p13/p13722528/s57880555/d9c4de0d-c46e17dd-016fd56b-18b872fb-325755c9.jpg']","['files/p13/p13722528/s55960864/96efa075-88b5082c-8576962c-dd1e4238-b16bfefd.jpg\n', 'files/p13/p13722528/s55960864/bb3f07a8-beb19591-79af0942-6ba135e7-d3e24bb7.jpg\n']"
s57882477_16,p15911529,s57882477,16,Findings,"The new right chest wall pigtail catheter is in appropriate position. There is no pneumothorax. The large right pleural effusion has decreased somewhat, but a moderate pleural effusion still remains in spite of drainage catheter placement. There is probably no left pleural effusion. Pulmonary vascular congestion has improved, now mild. There is stable cardiomegaly. The left chest wall pacemaker leads are in unchanged stable position.",There is stable cardiomegaly.,cardiomegaly,,Stable,['files/p15/p15911529/s57882477/54096c14-0109abb4-f9341bfb-ee3fe012-50d75838.jpg'],['files/p15/p15911529/s56889086/7ea66041-8955dc19-d570afcf-8b34d01a-f3ecff9a.jpg\n']
s57882477_16,p15911529,s57882477,16,Findings,"The new right chest wall pigtail catheter is in appropriate position. There is no pneumothorax. The large right pleural effusion has decreased somewhat, but a moderate pleural effusion still remains in spite of drainage catheter placement. There is probably no left pleural effusion. Pulmonary vascular congestion has improved, now mild. There is stable cardiomegaly. The left chest wall pacemaker leads are in unchanged stable position.",The left chest wall pacemaker leads are in unchanged stable position.,pacemaker leads,left chest wall,Stable,['files/p15/p15911529/s57882477/54096c14-0109abb4-f9341bfb-ee3fe012-50d75838.jpg'],['files/p15/p15911529/s56889086/7ea66041-8955dc19-d570afcf-8b34d01a-f3ecff9a.jpg\n']
s57882477_16,p15911529,s57882477,16,Findings,"The new right chest wall pigtail catheter is in appropriate position. There is no pneumothorax. The large right pleural effusion has decreased somewhat, but a moderate pleural effusion still remains in spite of drainage catheter placement. There is probably no left pleural effusion. Pulmonary vascular congestion has improved, now mild. There is stable cardiomegaly. The left chest wall pacemaker leads are in unchanged stable position.","Pulmonary vascular congestion has improved, now mild.",pulmonary vascular congestion,,Better,['files/p15/p15911529/s57882477/54096c14-0109abb4-f9341bfb-ee3fe012-50d75838.jpg'],['files/p15/p15911529/s56889086/7ea66041-8955dc19-d570afcf-8b34d01a-f3ecff9a.jpg\n']
s57882477_16,p15911529,s57882477,16,Impression,"1. New right chest wall pigtail catheter in appropriate position with moderate residual right pleural effusion PE 2. Interval improvement of pulmonary vascular congestion, now mild.","1. New right chest wall pigtail catheter in appropriate position with moderate residual right pleural effusion PE 2. Interval improvement of pulmonary vascular congestion, now mild.",pigtail catheter,right chest wall,New,['files/p15/p15911529/s57882477/54096c14-0109abb4-f9341bfb-ee3fe012-50d75838.jpg'],['files/p15/p15911529/s56889086/7ea66041-8955dc19-d570afcf-8b34d01a-f3ecff9a.jpg\n']
s57882477_16,p15911529,s57882477,16,Impression,"1. New right chest wall pigtail catheter in appropriate position with moderate residual right pleural effusion PE 2. Interval improvement of pulmonary vascular congestion, now mild.","1. New right chest wall pigtail catheter in appropriate position with moderate residual right pleural effusion PE 2. Interval improvement of pulmonary vascular congestion, now mild.",pulmonary vascular congestion,,Better,['files/p15/p15911529/s57882477/54096c14-0109abb4-f9341bfb-ee3fe012-50d75838.jpg'],['files/p15/p15911529/s56889086/7ea66041-8955dc19-d570afcf-8b34d01a-f3ecff9a.jpg\n']
s57882477_16,p15911529,s57882477,16,Findings,"The new right chest wall pigtail catheter is in appropriate position. There is no pneumothorax. The large right pleural effusion has decreased somewhat, but a moderate pleural effusion still remains in spite of drainage catheter placement. There is probably no left pleural effusion. Pulmonary vascular congestion has improved, now mild. There is stable cardiomegaly. The left chest wall pacemaker leads are in unchanged stable position.","The large right pleural effusion has decreased somewhat, but a moderate pleural effusion still remains in spite of drainage catheter placement.",pleural effusion,right,Better,['files/p15/p15911529/s57882477/54096c14-0109abb4-f9341bfb-ee3fe012-50d75838.jpg'],['files/p15/p15911529/s56889086/7ea66041-8955dc19-d570afcf-8b34d01a-f3ecff9a.jpg\n']
s57885425_2,p18711952,s57885425,2,Findings,"A moderate-sized left pleural effusion has partially reaccumulated following recent thoracentesis procedure. Cardiac silhouette is upper limits of normal in size and accompanied by pulmonary vascular congestion and peribronchial cuffing. Additionally, a widespread reticular and nodular pattern has developed diffusely as well as more confluent opacities in the left mid and lower lung regions.",A moderate-sized left pleural effusion has partially reaccumulated following recent thoracentesis procedure.,pleural effusion,left,Worse,"['files/p18/p18711952/s57885425/9a0a7c9d-1d812343-2d53c9b4-bc13998e-a629c3e5.jpg', 'files/p18/p18711952/s57885425/f73732eb-00de1875-6b069814-599043c8-9c65ba0a.jpg']",['files/p18/p18711952/s57838646/0cb02560-352c9600-b0e42b70-beca070f-e0490c9b.jpg\n']
s57885425_2,p18711952,s57885425,2,Impression,"1. Partial reaccumulation of left pleural effusion, now moderate in size. 2. Diffuse reticulonodular opacities, possibly due to pulmonary edema, but atypical or opportunistic infection is an additional consideration given the nodular appearance. If persistent after diuresis, consider a CT scan for further characterization to exclude a miliary nodular infection. 3. Patchy and linear opacities in left mid and lower lung may be due to atelectasis or infectious consolidation.","Partial reaccumulation of left pleural effusion, now moderate in size.",pleural effusion,left,Worse,"['files/p18/p18711952/s57885425/9a0a7c9d-1d812343-2d53c9b4-bc13998e-a629c3e5.jpg', 'files/p18/p18711952/s57885425/f73732eb-00de1875-6b069814-599043c8-9c65ba0a.jpg']",['files/p18/p18711952/s57838646/0cb02560-352c9600-b0e42b70-beca070f-e0490c9b.jpg\n']
s57889329_2,p18162895,s57889329,2,Findings,"Portable upright radiograph of the chest demonstrates well expanded and clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or opacity. Pneumomediastinum is not apparent on this radiograph.",Pneumomediastinum is not apparent on this radiograph.,Pneumomediastinum,,Resolve,['files/p18/p18162895/s57889329/32f085e4-a986fed6-56bf1ebe-f3cd4874-fd51818f.jpg'],"['files/p18/p18162895/s53273716/1785b82d-5e3ac09e-800e0e20-792c6780-24b63d89.jpg\n', 'files/p18/p18162895/s53273716/af3990fd-dd3e3ef2-b30e6f3b-3e3db1fa-025c0d4f.jpg\n']"
s57901910_1,p18971051,s57901910,1,Findings,"Lungs are hyperinflated and diaphragms are flattened, consistent with COPD. The heart is moderately enlarged. Coronary artery calcification noted. Aortic calcification and mediastinal contours are similar to prior. Bibasilar streaky opacities are consistent with atelectasis. No focal consolidation, pleural effusion, or pneumothorax.",Aortic calcification and mediastinal contours are similar to prior.,Aortic calcification and mediastinal contours,,Stable,"['files/p18/p18971051/s57901910/0469019a-6cd3631d-c792015d-a2891105-1e527c1a.jpg', 'files/p18/p18971051/s57901910/f1b9387f-6abbc55f-e58e81c6-62aebe62-f030ef73.jpg']","['files/p18/p18971051/s52465162/0c088f46-a898f4d0-f2c3ebaf-d0ebdf2f-26b6a95e.jpg\n', 'files/p18/p18971051/s52465162/5370ba78-40e007c3-900db6e0-8e30a136-c8d87452.jpg\n']"
s57905310_1,p19486351,s57905310,1,Impression,"AP chest compared to ___: New heterogeneous opacification in the right mid lung, particularly projecting over the anterior right second and third ribs could be edema or early pneumonia. Careful followup advised. Left lower lobe atelectasis is new, along the descending thoracic aorta. Small left pleural effusion is present. No appreciable pneumothorax, left apical pleural tube in place. Heart size normal. Dr. ___ was paged to report these findings.","Left lower lobe atelectasis is new, along the descending thoracic aorta.",atelectasis,left lower lobe,New,['files/p19/p19486351/s57905310/8a4e1705-f30d7e1d-dd1ef999-a8521d7e-e64ad0c9.jpg'],"['files/p19/p19486351/s55981228/3f2efd86-6d2f7dd3-13733c06-96512585-461537e4.jpg\n', 'files/p19/p19486351/s55981228/a0bbefae-b9205d65-6b6f009e-7a4bda2b-72871e9b.jpg\n', 'files/p19/p19486351/s55981228/ee219be2-16844050-a207fdc4-7f70a5dc-3ef6179a.jpg\n']"
s57905310_1,p19486351,s57905310,1,Impression,"AP chest compared to ___: New heterogeneous opacification in the right mid lung, particularly projecting over the anterior right second and third ribs could be edema or early pneumonia. Careful followup advised. Left lower lobe atelectasis is new, along the descending thoracic aorta. Small left pleural effusion is present. No appreciable pneumothorax, left apical pleural tube in place. Heart size normal. Dr. ___ was paged to report these findings.","AP chest compared to ___: New heterogeneous opacification in the right mid lung, particularly projecting over the anterior right second and third ribs could be edema or early pneumonia.",heterogeneous opacification,right mid lung,New,['files/p19/p19486351/s57905310/8a4e1705-f30d7e1d-dd1ef999-a8521d7e-e64ad0c9.jpg'],"['files/p19/p19486351/s55981228/3f2efd86-6d2f7dd3-13733c06-96512585-461537e4.jpg\n', 'files/p19/p19486351/s55981228/a0bbefae-b9205d65-6b6f009e-7a4bda2b-72871e9b.jpg\n', 'files/p19/p19486351/s55981228/ee219be2-16844050-a207fdc4-7f70a5dc-3ef6179a.jpg\n']"
s57916180_6,p17055995,s57916180,6,Impression,"AP chest compared to ___: What was relatively limited left perihilar consolidation on ___, now involves a good deal more of the left lung. There may also be new cavitary lesions in the right lung, suggesting sepsis. Pleural effusion is small if any. Heart size top normal. No pulmonary edema. Dr. ___ was paged at 2:30 p.m. when the findings were recognized.","There may also be new cavitary lesions in the right lung, suggesting sepsis.",cavitary lesions,right lung,New,['files/p17/p17055995/s57916180/9af43e05-bffaf881-a1c5987f-1e921b28-07fdccc9.jpg'],['files/p17/p17055995/s57722086/63f3fead-8f7067d8-b703f056-7e6d61c7-4ccfad95.jpg\n']
s57916180_6,p17055995,s57916180,6,Impression,"AP chest compared to ___: What was relatively limited left perihilar consolidation on ___, now involves a good deal more of the left lung. There may also be new cavitary lesions in the right lung, suggesting sepsis. Pleural effusion is small if any. Heart size top normal. No pulmonary edema. Dr. ___ was paged at 2:30 p.m. when the findings were recognized.","What was relatively limited left perihilar consolidation on ___, now involves a good deal more of the left lung.",consolidation,left lung,Worse,['files/p17/p17055995/s57916180/9af43e05-bffaf881-a1c5987f-1e921b28-07fdccc9.jpg'],['files/p17/p17055995/s57722086/63f3fead-8f7067d8-b703f056-7e6d61c7-4ccfad95.jpg\n']
s57919531_3,p19890030,s57919531,3,Impression,"As compared to the previous radiograph, the signs indicative of interstitial lung edema have substantially improved. There is a new retrocardiac atelectasis. No pleural effusions. Borderline size of the cardiac silhouette persists. Unchanged position of the monitoring and support devices.","As compared to the previous radiograph, the signs indicative of interstitial lung edema have substantially improved.",interstitial lung edema,,Better,['files/p19/p19890030/s57919531/d1ea5ea1-2de5c378-91bf68a9-68b52f49-c9f7e486.jpg'],['files/p19/p19890030/s57519317/10e73dc9-0b884e25-eafa8a2f-300f0487-def8b4d6.jpg\n']
s57919531_3,p19890030,s57919531,3,Impression,"As compared to the previous radiograph, the signs indicative of interstitial lung edema have substantially improved. There is a new retrocardiac atelectasis. No pleural effusions. Borderline size of the cardiac silhouette persists. Unchanged position of the monitoring and support devices.",Borderline size of the cardiac silhouette persists.,cardiac silhouette,,Stable,['files/p19/p19890030/s57919531/d1ea5ea1-2de5c378-91bf68a9-68b52f49-c9f7e486.jpg'],['files/p19/p19890030/s57519317/10e73dc9-0b884e25-eafa8a2f-300f0487-def8b4d6.jpg\n']
s57919531_3,p19890030,s57919531,3,Impression,"As compared to the previous radiograph, the signs indicative of interstitial lung edema have substantially improved. There is a new retrocardiac atelectasis. No pleural effusions. Borderline size of the cardiac silhouette persists. Unchanged position of the monitoring and support devices.",Unchanged position of the monitoring and support devices.,monitoring and support devices,,Stable,['files/p19/p19890030/s57919531/d1ea5ea1-2de5c378-91bf68a9-68b52f49-c9f7e486.jpg'],['files/p19/p19890030/s57519317/10e73dc9-0b884e25-eafa8a2f-300f0487-def8b4d6.jpg\n']
s57919531_3,p19890030,s57919531,3,Impression,"As compared to the previous radiograph, the signs indicative of interstitial lung edema have substantially improved. There is a new retrocardiac atelectasis. No pleural effusions. Borderline size of the cardiac silhouette persists. Unchanged position of the monitoring and support devices.",No pleural effusions.,pleural effusions,,Resolve,['files/p19/p19890030/s57919531/d1ea5ea1-2de5c378-91bf68a9-68b52f49-c9f7e486.jpg'],['files/p19/p19890030/s57519317/10e73dc9-0b884e25-eafa8a2f-300f0487-def8b4d6.jpg\n']
s57920753_0,p15655633,s57920753,0,Findings,"As compared to the previous radiograph, there is a new area of consolidation at the right upper lobe base. The fissural component of the consolidation is well defined, the parenchymal component is ill-defined. The opacities show several air bronchograms. In the appropriate clinical setting, the findings are strongly suggestive of pneumonia. Otherwise, the lung parenchyma appears normal. The left hemidiaphragm is still elevated. No pleural effusions are present. Normal size of the cardiac silhouette. At the time of dictation and observation, 3:31 p.m. on the ___, the findings were communicated over the telephone to Dr. ___.",The left hemidiaphragm is still elevated.,elevated hemidiaphragm,left,Stable,"['files/p15/p15655633/s57920753/8fb3872f-171fa379-f8c161ed-9c191c05-b0d93589.jpg', 'files/p15/p15655633/s57920753/c0c9f788-0cfe1c90-7453c818-eb4f5ba3-9bffdae8.jpg']",['files/p15/p15655633/s57179351/b3c095eb-d16fb25c-87e49ad2-ddbe4e2e-2e2e1f55.jpg\n']
s57920753_0,p15655633,s57920753,0,Findings,"As compared to the previous radiograph, there is a new area of consolidation at the right upper lobe base. The fissural component of the consolidation is well defined, the parenchymal component is ill-defined. The opacities show several air bronchograms. In the appropriate clinical setting, the findings are strongly suggestive of pneumonia. Otherwise, the lung parenchyma appears normal. The left hemidiaphragm is still elevated. No pleural effusions are present. Normal size of the cardiac silhouette. At the time of dictation and observation, 3:31 p.m. on the ___, the findings were communicated over the telephone to Dr. ___.","As compared to the previous radiograph, there is a new area of consolidation at the right upper lobe base.",consolidation,right upper lobe base,New,"['files/p15/p15655633/s57920753/8fb3872f-171fa379-f8c161ed-9c191c05-b0d93589.jpg', 'files/p15/p15655633/s57920753/c0c9f788-0cfe1c90-7453c818-eb4f5ba3-9bffdae8.jpg']",['files/p15/p15655633/s57179351/b3c095eb-d16fb25c-87e49ad2-ddbe4e2e-2e2e1f55.jpg\n']
s57922122_4,p15911529,s57922122,4,Findings,New left pectoral pacemaker has three leads in adequate position. There is no pneumothorax. Small bilateral pleural effusions are unchanged. Minimal lung haziness and cephalization of pulmonary vessel are consistent with stable mild pulmonary edema.,Small bilateral pleural effusions are unchanged.,Pleural effusions,bilateral,Stable,['files/p15/p15911529/s57922122/69bc2b07-10cc7789-3cc5f3af-4c3c6ba3-992abb1d.jpg'],['files/p15/p15911529/s57882477/54096c14-0109abb4-f9341bfb-ee3fe012-50d75838.jpg\n']
s57922122_4,p15911529,s57922122,4,Findings,New left pectoral pacemaker has three leads in adequate position. There is no pneumothorax. Small bilateral pleural effusions are unchanged. Minimal lung haziness and cephalization of pulmonary vessel are consistent with stable mild pulmonary edema.,Minimal lung haziness and cephalization of pulmonary vessel are consistent with stable mild pulmonary edema.,Pulmonary edema,,Stable,['files/p15/p15911529/s57922122/69bc2b07-10cc7789-3cc5f3af-4c3c6ba3-992abb1d.jpg'],['files/p15/p15911529/s57882477/54096c14-0109abb4-f9341bfb-ee3fe012-50d75838.jpg\n']
s57922122_4,p15911529,s57922122,4,Impression,1. New left-sided pectoral pacemaker is in adequate position. There is no pneumothorax. 2. Pulmonary edema is mild and stable.,1. New left-sided pectoral pacemaker is in adequate position. There is no pneumothorax.,Pacemaker,left-sided pectoral,New,['files/p15/p15911529/s57922122/69bc2b07-10cc7789-3cc5f3af-4c3c6ba3-992abb1d.jpg'],['files/p15/p15911529/s57882477/54096c14-0109abb4-f9341bfb-ee3fe012-50d75838.jpg\n']
s57922122_4,p15911529,s57922122,4,Findings,New left pectoral pacemaker has three leads in adequate position. There is no pneumothorax. Small bilateral pleural effusions are unchanged. Minimal lung haziness and cephalization of pulmonary vessel are consistent with stable mild pulmonary edema.,New left pectoral pacemaker has three leads in adequate position.,Pacemaker,left pectoral,New,['files/p15/p15911529/s57922122/69bc2b07-10cc7789-3cc5f3af-4c3c6ba3-992abb1d.jpg'],['files/p15/p15911529/s57882477/54096c14-0109abb4-f9341bfb-ee3fe012-50d75838.jpg\n']
s57922122_4,p15911529,s57922122,4,Impression,1. New left-sided pectoral pacemaker is in adequate position. There is no pneumothorax. 2. Pulmonary edema is mild and stable.,2. Pulmonary edema is mild and stable.,Pulmonary edema,,Stable,['files/p15/p15911529/s57922122/69bc2b07-10cc7789-3cc5f3af-4c3c6ba3-992abb1d.jpg'],['files/p15/p15911529/s57882477/54096c14-0109abb4-f9341bfb-ee3fe012-50d75838.jpg\n']
s57929210_21,p18057037,s57929210,21,Impression,"Moderately cardiomegaly is worse with small bilateral pleural effusions, and moderate interstitial pulmonary edema in the setting of CHF exacerbation.","Moderately cardiomegaly is worse with small bilateral pleural effusions, and moderate interstitial pulmonary edema in the setting of CHF exacerbation.",Interstitial pulmonary edema,,Worse,"['files/p18/p18057037/s57929210/59d4fab4-679af5b7-5d8299ee-5de4e775-51372e47.jpg', 'files/p18/p18057037/s57929210/a56559c6-1aa73e1f-2d284a2c-337f7055-1780d9e6.jpg', 'files/p18/p18057037/s57929210/ab01ebc0-71496a3e-2e7445dd-732ceb26-0b6aff7c.jpg']","['files/p18/p18057037/s57717537/54cefdc7-0441ba41-15e39589-9ca6ea57-40e19af5.jpg\n', 'files/p18/p18057037/s57717537/87d13784-35495ec2-cffeda97-23cf108b-c05e835b.jpg\n', 'files/p18/p18057037/s57717537/8edb2caa-b49b1b29-4d8b547d-30b352ec-abc39baa.jpg\n']"
s57929210_21,p18057037,s57929210,21,Impression,"Moderately cardiomegaly is worse with small bilateral pleural effusions, and moderate interstitial pulmonary edema in the setting of CHF exacerbation.","Moderately cardiomegaly is worse with small bilateral pleural effusions, and moderate interstitial pulmonary edema in the setting of CHF exacerbation.",Cardiomegaly,,Worse,"['files/p18/p18057037/s57929210/59d4fab4-679af5b7-5d8299ee-5de4e775-51372e47.jpg', 'files/p18/p18057037/s57929210/a56559c6-1aa73e1f-2d284a2c-337f7055-1780d9e6.jpg', 'files/p18/p18057037/s57929210/ab01ebc0-71496a3e-2e7445dd-732ceb26-0b6aff7c.jpg']","['files/p18/p18057037/s57717537/54cefdc7-0441ba41-15e39589-9ca6ea57-40e19af5.jpg\n', 'files/p18/p18057037/s57717537/87d13784-35495ec2-cffeda97-23cf108b-c05e835b.jpg\n', 'files/p18/p18057037/s57717537/8edb2caa-b49b1b29-4d8b547d-30b352ec-abc39baa.jpg\n']"
s57929210_21,p18057037,s57929210,21,Findings,Lung volumes are low. Interstitial markings are increased bilaterally. The lung apices are partially obscured by the patient's chin and incompletely evaluated. The heart size is moderately enlarged. Basilar atelectasis is mild. Bilateral pleural effusions are small. Surgical clips project over the left upper quadrant. The thoracic aorta is unfolded with atherosclerotic calcifications.,Interstitial markings are increased bilaterally.,Interstitial markings,bilaterally,Worse,"['files/p18/p18057037/s57929210/59d4fab4-679af5b7-5d8299ee-5de4e775-51372e47.jpg', 'files/p18/p18057037/s57929210/a56559c6-1aa73e1f-2d284a2c-337f7055-1780d9e6.jpg', 'files/p18/p18057037/s57929210/ab01ebc0-71496a3e-2e7445dd-732ceb26-0b6aff7c.jpg']","['files/p18/p18057037/s57717537/54cefdc7-0441ba41-15e39589-9ca6ea57-40e19af5.jpg\n', 'files/p18/p18057037/s57717537/87d13784-35495ec2-cffeda97-23cf108b-c05e835b.jpg\n', 'files/p18/p18057037/s57717537/8edb2caa-b49b1b29-4d8b547d-30b352ec-abc39baa.jpg\n']"
s57935686_15,p19358609,s57935686,15,Impression,"In comparison with the earlier study of this date, there is increased opacification at the left base with poor definition of the hemidiaphragm. This is consistent with developing pneumonia, possibly associated with some volume loss in the left lower lobe and pleural effusion. Increased opacification at the right base could reflect either atelectatic changes or a multifocal infiltrate.",Increased opacification at the right base could reflect either atelectatic changes or a multifocal infiltrate.,opacification,right base,Worse,['files/p19/p19358609/s57935686/19b27bf0-71c9fedb-001e6ba5-2e5dda70-8c6ed8b4.jpg'],['files/p19/p19358609/s57135581/190c77fc-21f447bf-1bcfcedc-289f119d-bf901d30.jpg\n']
s57935686_15,p19358609,s57935686,15,Impression,"In comparison with the earlier study of this date, there is increased opacification at the left base with poor definition of the hemidiaphragm. This is consistent with developing pneumonia, possibly associated with some volume loss in the left lower lobe and pleural effusion. Increased opacification at the right base could reflect either atelectatic changes or a multifocal infiltrate.","In comparison with the earlier study of this date, there is increased opacification at the left base with poor definition of the hemidiaphragm.",opacification,left base,Worse,['files/p19/p19358609/s57935686/19b27bf0-71c9fedb-001e6ba5-2e5dda70-8c6ed8b4.jpg'],['files/p19/p19358609/s57135581/190c77fc-21f447bf-1bcfcedc-289f119d-bf901d30.jpg\n']
s57950218_1,p13736401,s57950218,1,Impression,"Compared to chest radiographs ___ in ___. Pulmonary vascular congestion, borderline pulmonary edema and slight increase in mild cardiomegaly are new. Otherwise normal postoperative appearance left hemi thorax following lower lobectomy. Pleural drainage tube in place. No pneumothorax or appreciable pleural effusion.","Compared to chest radiographs ___ in ___. Pulmonary vascular congestion, borderline pulmonary edema and slight increase in mild cardiomegaly are new.",Mild cardiomegaly,,New,['files/p13/p13736401/s57950218/12b37691-c36ee41a-5e187544-72273a32-86c10904.jpg'],['files/p13/p13736401/s57362963/7077f691-0bb23d05-5205c77a-f3361d79-90cccad8.jpg\n']
s57950218_1,p13736401,s57950218,1,Impression,"Compared to chest radiographs ___ in ___. Pulmonary vascular congestion, borderline pulmonary edema and slight increase in mild cardiomegaly are new. Otherwise normal postoperative appearance left hemi thorax following lower lobectomy. Pleural drainage tube in place. No pneumothorax or appreciable pleural effusion.","Compared to chest radiographs ___ in ___. Pulmonary vascular congestion, borderline pulmonary edema and slight increase in mild cardiomegaly are new.",Borderline pulmonary edema,,New,['files/p13/p13736401/s57950218/12b37691-c36ee41a-5e187544-72273a32-86c10904.jpg'],['files/p13/p13736401/s57362963/7077f691-0bb23d05-5205c77a-f3361d79-90cccad8.jpg\n']
s57950218_1,p13736401,s57950218,1,Impression,"Compared to chest radiographs ___ in ___. Pulmonary vascular congestion, borderline pulmonary edema and slight increase in mild cardiomegaly are new. Otherwise normal postoperative appearance left hemi thorax following lower lobectomy. Pleural drainage tube in place. No pneumothorax or appreciable pleural effusion.","Compared to chest radiographs ___ in ___. Pulmonary vascular congestion, borderline pulmonary edema and slight increase in mild cardiomegaly are new.",Pulmonary vascular congestion,,New,['files/p13/p13736401/s57950218/12b37691-c36ee41a-5e187544-72273a32-86c10904.jpg'],['files/p13/p13736401/s57362963/7077f691-0bb23d05-5205c77a-f3361d79-90cccad8.jpg\n']
s57975666_3,p10248673,s57975666,3,Findings,"In comparison with the study of ___, there is continued opacification at the left base most likely reflecting pleural effusion and volume loss in the lower lobe. Mild blunting of the right costophrenic angle persists. No evidence of vascular congestion. Right IJ catheter remains in place.",Mild blunting of the right costophrenic angle persists.,Blunting,Right costophrenic angle,Stable,"['files/p10/p10248673/s57975666/2e4690af-c5ad2bcb-ba270540-7605889a-6109aaad.jpg', 'files/p10/p10248673/s57975666/30b681db-78293b4e-edd1a3e2-eece4dc4-5ff2d9ab.jpg']",['files/p10/p10248673/s55680175/81d06e6f-8036e3cb-2cc3e83e-53754192-6adfd7ae.jpg\n']
s57975666_3,p10248673,s57975666,3,Findings,"In comparison with the study of ___, there is continued opacification at the left base most likely reflecting pleural effusion and volume loss in the lower lobe. Mild blunting of the right costophrenic angle persists. No evidence of vascular congestion. Right IJ catheter remains in place.",Right IJ catheter remains in place.,Catheter,Right IJ,Stable,"['files/p10/p10248673/s57975666/2e4690af-c5ad2bcb-ba270540-7605889a-6109aaad.jpg', 'files/p10/p10248673/s57975666/30b681db-78293b4e-edd1a3e2-eece4dc4-5ff2d9ab.jpg']",['files/p10/p10248673/s55680175/81d06e6f-8036e3cb-2cc3e83e-53754192-6adfd7ae.jpg\n']
s57975666_3,p10248673,s57975666,3,Findings,"In comparison with the study of ___, there is continued opacification at the left base most likely reflecting pleural effusion and volume loss in the lower lobe. Mild blunting of the right costophrenic angle persists. No evidence of vascular congestion. Right IJ catheter remains in place.","In comparison with the study of ___, there is continued opacification at the left base most likely reflecting pleural effusion and volume loss in the lower lobe.",Opacification,Left base,Stable,"['files/p10/p10248673/s57975666/2e4690af-c5ad2bcb-ba270540-7605889a-6109aaad.jpg', 'files/p10/p10248673/s57975666/30b681db-78293b4e-edd1a3e2-eece4dc4-5ff2d9ab.jpg']",['files/p10/p10248673/s55680175/81d06e6f-8036e3cb-2cc3e83e-53754192-6adfd7ae.jpg\n']
s57976096_12,p11135350,s57976096,12,Impression,Tip of endotracheal tube continues to terminate within 1.5 cm above the carinal with the neck in a flexed position. Cardiomediastinal contours are stable. Small to moderate right pleural effusion has apparently increased in size in the interval. No other relevant changes.,Small to moderate right pleural effusion has apparently increased in size in the interval.,pleural effusion,right,Worse,['files/p11/p11135350/s57976096/e9151bd8-1aa6fa8b-d9bfa6c6-4035e4a5-e0e856bd.jpg'],['files/p11/p11135350/s57437729/0a7b4797-26061ea5-69f731ec-a45b9e8e-b4a66113.jpg\n']
s57976096_12,p11135350,s57976096,12,Impression,Tip of endotracheal tube continues to terminate within 1.5 cm above the carinal with the neck in a flexed position. Cardiomediastinal contours are stable. Small to moderate right pleural effusion has apparently increased in size in the interval. No other relevant changes.,Cardiomediastinal contours are stable.,Cardiomediastinal contours,,Stable,['files/p11/p11135350/s57976096/e9151bd8-1aa6fa8b-d9bfa6c6-4035e4a5-e0e856bd.jpg'],['files/p11/p11135350/s57437729/0a7b4797-26061ea5-69f731ec-a45b9e8e-b4a66113.jpg\n']
s57976096_12,p11135350,s57976096,12,Impression,Tip of endotracheal tube continues to terminate within 1.5 cm above the carinal with the neck in a flexed position. Cardiomediastinal contours are stable. Small to moderate right pleural effusion has apparently increased in size in the interval. No other relevant changes.,Tip of endotracheal tube continues to terminate within 1.5 cm above the carinal with the neck in a flexed position.,endotracheal tube position,1.5 cm above the carinal,Stable,['files/p11/p11135350/s57976096/e9151bd8-1aa6fa8b-d9bfa6c6-4035e4a5-e0e856bd.jpg'],['files/p11/p11135350/s57437729/0a7b4797-26061ea5-69f731ec-a45b9e8e-b4a66113.jpg\n']
s57980997_17,p19890030,s57980997,17,Findings,The right IJ central venous catheter has been removed. There is no pneumothorax. Mild to moderate pulmonary edema has increased since the prior exam. Small bilateral pleural effusions are unchanged. The patient is status post median sternotomy with stable cardiomegaly. There is generalized osteopenia.,The right IJ central venous catheter has been removed.,right IJ central venous catheter,,Resolve,"['files/p19/p19890030/s57980997/d29ffb8c-6bafdbb6-7063db30-f4646365-4f9eae6e.jpg', 'files/p19/p19890030/s57980997/e174e22d-517ea52f-b085dd2a-be0e9ea0-7d59e8de.jpg']",['files/p19/p19890030/s57919531/d1ea5ea1-2de5c378-91bf68a9-68b52f49-c9f7e486.jpg\n']
s57980997_17,p19890030,s57980997,17,Findings,The right IJ central venous catheter has been removed. There is no pneumothorax. Mild to moderate pulmonary edema has increased since the prior exam. Small bilateral pleural effusions are unchanged. The patient is status post median sternotomy with stable cardiomegaly. There is generalized osteopenia.,Mild to moderate pulmonary edema has increased since the prior exam.,pulmonary edema,,Worse,"['files/p19/p19890030/s57980997/d29ffb8c-6bafdbb6-7063db30-f4646365-4f9eae6e.jpg', 'files/p19/p19890030/s57980997/e174e22d-517ea52f-b085dd2a-be0e9ea0-7d59e8de.jpg']",['files/p19/p19890030/s57919531/d1ea5ea1-2de5c378-91bf68a9-68b52f49-c9f7e486.jpg\n']
s57980997_17,p19890030,s57980997,17,Findings,The right IJ central venous catheter has been removed. There is no pneumothorax. Mild to moderate pulmonary edema has increased since the prior exam. Small bilateral pleural effusions are unchanged. The patient is status post median sternotomy with stable cardiomegaly. There is generalized osteopenia.,Small bilateral pleural effusions are unchanged.,pleural effusions,bilateral,Stable,"['files/p19/p19890030/s57980997/d29ffb8c-6bafdbb6-7063db30-f4646365-4f9eae6e.jpg', 'files/p19/p19890030/s57980997/e174e22d-517ea52f-b085dd2a-be0e9ea0-7d59e8de.jpg']",['files/p19/p19890030/s57919531/d1ea5ea1-2de5c378-91bf68a9-68b52f49-c9f7e486.jpg\n']
s57980997_17,p19890030,s57980997,17,Impression,Interval worsening of pulmonary edema with stable small bilateral pleural effusions. Stable cardiomegaly.,Stable cardiomegaly.,cardiomegaly,,Stable,"['files/p19/p19890030/s57980997/d29ffb8c-6bafdbb6-7063db30-f4646365-4f9eae6e.jpg', 'files/p19/p19890030/s57980997/e174e22d-517ea52f-b085dd2a-be0e9ea0-7d59e8de.jpg']",['files/p19/p19890030/s57919531/d1ea5ea1-2de5c378-91bf68a9-68b52f49-c9f7e486.jpg\n']
s57980997_17,p19890030,s57980997,17,Impression,Interval worsening of pulmonary edema with stable small bilateral pleural effusions. Stable cardiomegaly.,Interval worsening of pulmonary edema with stable small bilateral pleural effusions.,pleural effusions,bilateral,Stable,"['files/p19/p19890030/s57980997/d29ffb8c-6bafdbb6-7063db30-f4646365-4f9eae6e.jpg', 'files/p19/p19890030/s57980997/e174e22d-517ea52f-b085dd2a-be0e9ea0-7d59e8de.jpg']",['files/p19/p19890030/s57919531/d1ea5ea1-2de5c378-91bf68a9-68b52f49-c9f7e486.jpg\n']
s57980997_17,p19890030,s57980997,17,Impression,Interval worsening of pulmonary edema with stable small bilateral pleural effusions. Stable cardiomegaly.,Interval worsening of pulmonary edema with stable small bilateral pleural effusions.,pulmonary edema,,Worse,"['files/p19/p19890030/s57980997/d29ffb8c-6bafdbb6-7063db30-f4646365-4f9eae6e.jpg', 'files/p19/p19890030/s57980997/e174e22d-517ea52f-b085dd2a-be0e9ea0-7d59e8de.jpg']",['files/p19/p19890030/s57919531/d1ea5ea1-2de5c378-91bf68a9-68b52f49-c9f7e486.jpg\n']
s57980997_17,p19890030,s57980997,17,Findings,The right IJ central venous catheter has been removed. There is no pneumothorax. Mild to moderate pulmonary edema has increased since the prior exam. Small bilateral pleural effusions are unchanged. The patient is status post median sternotomy with stable cardiomegaly. There is generalized osteopenia.,The patient is status post median sternotomy with stable cardiomegaly.,cardiomegaly,,Stable,"['files/p19/p19890030/s57980997/d29ffb8c-6bafdbb6-7063db30-f4646365-4f9eae6e.jpg', 'files/p19/p19890030/s57980997/e174e22d-517ea52f-b085dd2a-be0e9ea0-7d59e8de.jpg']",['files/p19/p19890030/s57919531/d1ea5ea1-2de5c378-91bf68a9-68b52f49-c9f7e486.jpg\n']
s57984800_19,p19358609,s57984800,19,Findings,Increased opacity at the left upper and lower lung concerning for multi focal pneumonia. Left basilar atelectasis and pleural effusion is present. Small right pleural effusion is also noted. Right apical scarring is unchanged. There is no pneumothorax. The cardiac and mediastinal silhouettes are unchanged. An endotracheal tube is in standard position. Enteric tube terminates in the stomach. A linear tube extending to the level of the endotracheal tube it may represent esophageal probe. The right PICC terminates in the distal SVC.,The cardiac and mediastinal silhouettes are unchanged.,cardiac and mediastinal silhouettes,,Stable,['files/p19/p19358609/s57984800/feaef4bc-9543453e-5299332e-ba1069aa-f1907e03.jpg'],['files/p19/p19358609/s57935686/19b27bf0-71c9fedb-001e6ba5-2e5dda70-8c6ed8b4.jpg\n']
s57984800_19,p19358609,s57984800,19,Findings,Increased opacity at the left upper and lower lung concerning for multi focal pneumonia. Left basilar atelectasis and pleural effusion is present. Small right pleural effusion is also noted. Right apical scarring is unchanged. There is no pneumothorax. The cardiac and mediastinal silhouettes are unchanged. An endotracheal tube is in standard position. Enteric tube terminates in the stomach. A linear tube extending to the level of the endotracheal tube it may represent esophageal probe. The right PICC terminates in the distal SVC.,Right apical scarring is unchanged.,scarring,right apex,Stable,['files/p19/p19358609/s57984800/feaef4bc-9543453e-5299332e-ba1069aa-f1907e03.jpg'],['files/p19/p19358609/s57935686/19b27bf0-71c9fedb-001e6ba5-2e5dda70-8c6ed8b4.jpg\n']
s57984800_19,p19358609,s57984800,19,Findings,Increased opacity at the left upper and lower lung concerning for multi focal pneumonia. Left basilar atelectasis and pleural effusion is present. Small right pleural effusion is also noted. Right apical scarring is unchanged. There is no pneumothorax. The cardiac and mediastinal silhouettes are unchanged. An endotracheal tube is in standard position. Enteric tube terminates in the stomach. A linear tube extending to the level of the endotracheal tube it may represent esophageal probe. The right PICC terminates in the distal SVC.,Increased opacity at the left upper and lower lung concerning for multi focal pneumonia.,opacity,left upper and lower lung,Worse,['files/p19/p19358609/s57984800/feaef4bc-9543453e-5299332e-ba1069aa-f1907e03.jpg'],['files/p19/p19358609/s57935686/19b27bf0-71c9fedb-001e6ba5-2e5dda70-8c6ed8b4.jpg\n']
s57994301_7,p11717909,s57994301,7,Findings,"Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. The heart remains stably enlarged. There is dense left basilar opacification, which may represent atelectasis or pneumonia, but is not significantly changed from prior. Median sternotomy wires and a left ventricular assist device are in place. A Swan-Ganz catheter is present with the tip ending in the right pulmonary artery, but its ifnerior loop in the right atium appears to be subluxing into the IVC. There is no pneumothorax.",The heart remains stably enlarged.,enlarged heart,,Stable,['files/p11/p11717909/s57994301/6a0b14e0-582c0bb3-fe7625b9-7cd88c64-48f2a1db.jpg'],['files/p11/p11717909/s57805143/25e2e3f7-350778cf-d7530deb-eb31e56c-8c2a8744.jpg\n']
s57994301_7,p11717909,s57994301,7,Impression,"Stable dense left basilar opacification may represent atelectasis, however pneumonia could be considered in the appropriate clinical setting. No pulmonary edema.","Stable dense left basilar opacification may represent atelectasis, however pneumonia could be considered in the appropriate clinical setting.",opacification,left basilar,Stable,['files/p11/p11717909/s57994301/6a0b14e0-582c0bb3-fe7625b9-7cd88c64-48f2a1db.jpg'],['files/p11/p11717909/s57805143/25e2e3f7-350778cf-d7530deb-eb31e56c-8c2a8744.jpg\n']
s57994301_7,p11717909,s57994301,7,Findings,"Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. The heart remains stably enlarged. There is dense left basilar opacification, which may represent atelectasis or pneumonia, but is not significantly changed from prior. Median sternotomy wires and a left ventricular assist device are in place. A Swan-Ganz catheter is present with the tip ending in the right pulmonary artery, but its ifnerior loop in the right atium appears to be subluxing into the IVC. There is no pneumothorax.","There is dense left basilar opacification, which may represent atelectasis or pneumonia, but is not significantly changed from prior.",opacification,left basilar,Stable,['files/p11/p11717909/s57994301/6a0b14e0-582c0bb3-fe7625b9-7cd88c64-48f2a1db.jpg'],['files/p11/p11717909/s57805143/25e2e3f7-350778cf-d7530deb-eb31e56c-8c2a8744.jpg\n']
s57998601_8,p11135350,s57998601,8,Impression,"Compared to prior radiograph of 1 day earlier, endotracheal tube remains relatively low, with tip terminating 2 cm above the carina. Cardiomegaly is accompanied by pulmonary vascular congestion and slight worsening of pulmonary edema. Bilateral pleural effusions are a persistent finding, and left retrocardiac atelectasis or consolidation has improved.","Bilateral pleural effusions are a persistent finding, and left retrocardiac atelectasis or consolidation has improved.",atelectasis or consolidation,left retrocardiac,Better,['files/p11/p11135350/s57998601/7a9248b7-731f2e31-4c7a766b-902c1682-03ec67c8.jpg'],['files/p11/p11135350/s57976096/e9151bd8-1aa6fa8b-d9bfa6c6-4035e4a5-e0e856bd.jpg\n']
s57998601_8,p11135350,s57998601,8,Impression,"Compared to prior radiograph of 1 day earlier, endotracheal tube remains relatively low, with tip terminating 2 cm above the carina. Cardiomegaly is accompanied by pulmonary vascular congestion and slight worsening of pulmonary edema. Bilateral pleural effusions are a persistent finding, and left retrocardiac atelectasis or consolidation has improved.","Compared to prior radiograph of 1 day earlier, endotracheal tube remains relatively low, with tip terminating 2 cm above the carina.",endotracheal tube position,,Stable,['files/p11/p11135350/s57998601/7a9248b7-731f2e31-4c7a766b-902c1682-03ec67c8.jpg'],['files/p11/p11135350/s57976096/e9151bd8-1aa6fa8b-d9bfa6c6-4035e4a5-e0e856bd.jpg\n']
s57998601_8,p11135350,s57998601,8,Impression,"Compared to prior radiograph of 1 day earlier, endotracheal tube remains relatively low, with tip terminating 2 cm above the carina. Cardiomegaly is accompanied by pulmonary vascular congestion and slight worsening of pulmonary edema. Bilateral pleural effusions are a persistent finding, and left retrocardiac atelectasis or consolidation has improved.",Cardiomegaly is accompanied by pulmonary vascular congestion and slight worsening of pulmonary edema.,pulmonary edema,,Worse,['files/p11/p11135350/s57998601/7a9248b7-731f2e31-4c7a766b-902c1682-03ec67c8.jpg'],['files/p11/p11135350/s57976096/e9151bd8-1aa6fa8b-d9bfa6c6-4035e4a5-e0e856bd.jpg\n']
s57998601_8,p11135350,s57998601,8,Impression,"Compared to prior radiograph of 1 day earlier, endotracheal tube remains relatively low, with tip terminating 2 cm above the carina. Cardiomegaly is accompanied by pulmonary vascular congestion and slight worsening of pulmonary edema. Bilateral pleural effusions are a persistent finding, and left retrocardiac atelectasis or consolidation has improved.","Bilateral pleural effusions are a persistent finding, and left retrocardiac atelectasis or consolidation has improved.",pleural effusions,bilateral,Stable,['files/p11/p11135350/s57998601/7a9248b7-731f2e31-4c7a766b-902c1682-03ec67c8.jpg'],['files/p11/p11135350/s57976096/e9151bd8-1aa6fa8b-d9bfa6c6-4035e4a5-e0e856bd.jpg\n']
s58000103_7,p11287042,s58000103,7,Impression,"Small right pleural effusion is overall stable. There is new bandlike opacity in the right mid lung, concerning for atelectasis or developing infectious process. Alternatively it might represent the fluid in the fissure (major). Lungs are essentially clear otherwise. No pleural effusion demonstrated on the left.",Small right pleural effusion is overall stable.,pleural effusion,right,Stable,"['files/p11/p11287042/s58000103/a023e4cc-76bd3d1c-f979a8ac-75fd398c-c5660285.jpg', 'files/p11/p11287042/s58000103/ebff6ece-1b6243e8-1f3cd0af-af4824b5-3f629000.jpg']","['files/p11/p11287042/s56969632/620d7dcf-06e6a794-87f53b98-bc55811e-8fc54800.jpg\n', 'files/p11/p11287042/s56969632/a19d711b-6c29af26-11883860-c9e6a00a-dd8b349c.jpg\n']"
s58000103_7,p11287042,s58000103,7,Impression,"Small right pleural effusion is overall stable. There is new bandlike opacity in the right mid lung, concerning for atelectasis or developing infectious process. Alternatively it might represent the fluid in the fissure (major). Lungs are essentially clear otherwise. No pleural effusion demonstrated on the left.","There is new bandlike opacity in the right mid lung, concerning for atelectasis or developing infectious process.",bandlike opacity,right mid lung,New,"['files/p11/p11287042/s58000103/a023e4cc-76bd3d1c-f979a8ac-75fd398c-c5660285.jpg', 'files/p11/p11287042/s58000103/ebff6ece-1b6243e8-1f3cd0af-af4824b5-3f629000.jpg']","['files/p11/p11287042/s56969632/620d7dcf-06e6a794-87f53b98-bc55811e-8fc54800.jpg\n', 'files/p11/p11287042/s56969632/a19d711b-6c29af26-11883860-c9e6a00a-dd8b349c.jpg\n']"
s58007779_8,p10522265,s58007779,8,Impression,There are low lung volumes. Bibasilar opacities have increased more so in the left side likely due to increasing atelectasis and a small left effusion. The upper lungs are clear. There is no pneumothorax. Cardiomegaly is stable. Left PICC tip is in the lower SVC,Bibasilar opacities have increased more so in the left side likely due to increasing atelectasis and a small left effusion.,Bibasilar opacities,left side,Worse,['files/p10/p10522265/s58007779/5112f0c8-88daad36-4b8ec976-5df44b65-9b6b621b.jpg'],['files/p10/p10522265/s57136358/1dd6b552-6d7354f6-6087977b-ed48e39a-5eecc163.jpg\n']
s58022694_1,p16319384,s58022694,1,Findings,"Single frontal portable view of the chest was obtained. The heart is moderately enlarged, similar to prior. There is calcification of the aortic knob. The pulmonary vasculature is indistinct, compatible with mild pulmonary edema. Small bilateral pleural effusions are present. No pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.","The heart is moderately enlarged, similar to prior.",moderately enlarged heart,,Stable,['files/p16/p16319384/s58022694/17cf7f7c-b27bc3f4-e902bbcb-b4c608b1-5984f415.jpg'],"['files/p16/p16319384/s55648427/024c7d0b-dfaea1e0-ebebd7b0-f71a611b-acf54c04.jpg\n', 'files/p16/p16319384/s55648427/e06c3657-c7a51377-0889b204-130dbf18-21af28ea.jpg\n']"
s58044051_3,p11307058,s58044051,3,Findings,"Compared to prior, there is opacity a partially obscuring the left heart border, concerning for pneumonia or atelectasis. The right lung is clear. No pleural abnormality is seen. Mediastinal contour is consistent with patient's known thoracic aortic dissection and descending aortic dilatation, unchanged from prior.","Mediastinal contour is consistent with patient's known thoracic aortic dissection and descending aortic dilatation, unchanged from prior.",Mediastinal contour with thoracic aortic dissection and descending aortic dilatation,,Stable,"['files/p11/p11307058/s58044051/03270807-5e38a815-9e4f8720-08103828-f27bb4e4.jpg', 'files/p11/p11307058/s58044051/05abb6c4-7cc9ae3c-bc29c9da-5c2f5ab2-8845a3ae.jpg']","['files/p11/p11307058/s56032638/a0c5a980-ee72873e-6b8ab2e4-ccf5e1b7-56693b1b.jpg\n', 'files/p11/p11307058/s56032638/da624dca-d4652abd-453c6fc6-a97f99a7-93578866.jpg\n']"
s58046418_5,p16702545,s58046418,5,Impression,Previous mild pulmonary edema has cleared and vascular congestion in the lungs and mediastinal venous engorgement have slightly improved. Heart size is top-normal. No pneumothorax or appreciable pleural effusion. Left subclavian catheter ends at the origin of the SVC.,Previous mild pulmonary edema has cleared and vascular congestion in the lungs and mediastinal venous engorgement have slightly improved.,vascular congestion,lungs,Better,"['files/p16/p16702545/s58046418/9f6c01e2-587e80f9-3d0eb9bd-43c5bb3e-22e2d551.jpg', 'files/p16/p16702545/s58046418/baeda180-d5f750be-d32ebc14-e145cab4-a6af000c.jpg']",['files/p16/p16702545/s56172736/dfd26dfe-44a8e6b1-7ab24593-1166b595-2313276c.jpg\n']
s58046418_5,p16702545,s58046418,5,Impression,Previous mild pulmonary edema has cleared and vascular congestion in the lungs and mediastinal venous engorgement have slightly improved. Heart size is top-normal. No pneumothorax or appreciable pleural effusion. Left subclavian catheter ends at the origin of the SVC.,Previous mild pulmonary edema has cleared and vascular congestion in the lungs and mediastinal venous engorgement have slightly improved.,pulmonary edema,lungs,Resolve,"['files/p16/p16702545/s58046418/9f6c01e2-587e80f9-3d0eb9bd-43c5bb3e-22e2d551.jpg', 'files/p16/p16702545/s58046418/baeda180-d5f750be-d32ebc14-e145cab4-a6af000c.jpg']",['files/p16/p16702545/s56172736/dfd26dfe-44a8e6b1-7ab24593-1166b595-2313276c.jpg\n']
s58046418_5,p16702545,s58046418,5,Impression,Previous mild pulmonary edema has cleared and vascular congestion in the lungs and mediastinal venous engorgement have slightly improved. Heart size is top-normal. No pneumothorax or appreciable pleural effusion. Left subclavian catheter ends at the origin of the SVC.,Previous mild pulmonary edema has cleared and vascular congestion in the lungs and mediastinal venous engorgement have slightly improved.,venous engorgement,mediastinum,Better,"['files/p16/p16702545/s58046418/9f6c01e2-587e80f9-3d0eb9bd-43c5bb3e-22e2d551.jpg', 'files/p16/p16702545/s58046418/baeda180-d5f750be-d32ebc14-e145cab4-a6af000c.jpg']",['files/p16/p16702545/s56172736/dfd26dfe-44a8e6b1-7ab24593-1166b595-2313276c.jpg\n']
s58049883_20,p14798972,s58049883,20,Impression,"1. New left mid and lower lung zone opacity with small left pleural effusion consistent with pneumonia. 2. Improved right basilar opacity. 3. Retrocardiac atelectasis. Wet read was called to ___ by Dr. ___ ___ telephone at 10:51, 10 minutes after the time of discovery.",2. Improved right basilar opacity.,opacity,right basilar,Better,"['files/p14/p14798972/s58049883/72550433-6fe53947-edefc714-62955b1d-5210cb16.jpg', 'files/p14/p14798972/s58049883/7e8d9d50-584d2cd7-560f5d23-e406dc42-686f01fc.jpg']","['files/p14/p14798972/s57819424/2c6b9c0b-a92050fa-fcb78bd5-95f371a4-255b176c.jpg\n', 'files/p14/p14798972/s57819424/fbf52ad0-afdf43c6-22dda043-b6697c68-ebd4f27f.jpg\n']"
s58049883_20,p14798972,s58049883,20,Findings,"There is a new left mid and lower lung zone parenchymal opacity which is highly suggestive of an infectious process. There is also a small left-sided pleural effusion. The right basilar opacity present on prior chest x-rays is not as extensive on today's chest x-ray. There is retrocardiac atelectasis. The mediastinal and hilar contours are normal, and the heart size is normal.",The right basilar opacity present on prior chest x-rays is not as extensive on today's chest x-ray.,opacity,right basilar,Better,"['files/p14/p14798972/s58049883/72550433-6fe53947-edefc714-62955b1d-5210cb16.jpg', 'files/p14/p14798972/s58049883/7e8d9d50-584d2cd7-560f5d23-e406dc42-686f01fc.jpg']","['files/p14/p14798972/s57819424/2c6b9c0b-a92050fa-fcb78bd5-95f371a4-255b176c.jpg\n', 'files/p14/p14798972/s57819424/fbf52ad0-afdf43c6-22dda043-b6697c68-ebd4f27f.jpg\n']"
s58049883_20,p14798972,s58049883,20,Findings,"There is a new left mid and lower lung zone parenchymal opacity which is highly suggestive of an infectious process. There is also a small left-sided pleural effusion. The right basilar opacity present on prior chest x-rays is not as extensive on today's chest x-ray. There is retrocardiac atelectasis. The mediastinal and hilar contours are normal, and the heart size is normal.",There is a new left mid and lower lung zone parenchymal opacity which is highly suggestive of an infectious process.,parenchymal opacity,left mid and lower lung zone,New,"['files/p14/p14798972/s58049883/72550433-6fe53947-edefc714-62955b1d-5210cb16.jpg', 'files/p14/p14798972/s58049883/7e8d9d50-584d2cd7-560f5d23-e406dc42-686f01fc.jpg']","['files/p14/p14798972/s57819424/2c6b9c0b-a92050fa-fcb78bd5-95f371a4-255b176c.jpg\n', 'files/p14/p14798972/s57819424/fbf52ad0-afdf43c6-22dda043-b6697c68-ebd4f27f.jpg\n']"
s58049883_20,p14798972,s58049883,20,Impression,"1. New left mid and lower lung zone opacity with small left pleural effusion consistent with pneumonia. 2. Improved right basilar opacity. 3. Retrocardiac atelectasis. Wet read was called to ___ by Dr. ___ ___ telephone at 10:51, 10 minutes after the time of discovery.",1. New left mid and lower lung zone opacity with small left pleural effusion consistent with pneumonia.,opacity,left mid and lower lung zone,New,"['files/p14/p14798972/s58049883/72550433-6fe53947-edefc714-62955b1d-5210cb16.jpg', 'files/p14/p14798972/s58049883/7e8d9d50-584d2cd7-560f5d23-e406dc42-686f01fc.jpg']","['files/p14/p14798972/s57819424/2c6b9c0b-a92050fa-fcb78bd5-95f371a4-255b176c.jpg\n', 'files/p14/p14798972/s57819424/fbf52ad0-afdf43c6-22dda043-b6697c68-ebd4f27f.jpg\n']"
s58049883_20,p14798972,s58049883,20,Impression,"1. New left mid and lower lung zone opacity with small left pleural effusion consistent with pneumonia. 2. Improved right basilar opacity. 3. Retrocardiac atelectasis. Wet read was called to ___ by Dr. ___ ___ telephone at 10:51, 10 minutes after the time of discovery.",1. New left mid and lower lung zone opacity with small left pleural effusion consistent with pneumonia.,pleural effusion,left,New,"['files/p14/p14798972/s58049883/72550433-6fe53947-edefc714-62955b1d-5210cb16.jpg', 'files/p14/p14798972/s58049883/7e8d9d50-584d2cd7-560f5d23-e406dc42-686f01fc.jpg']","['files/p14/p14798972/s57819424/2c6b9c0b-a92050fa-fcb78bd5-95f371a4-255b176c.jpg\n', 'files/p14/p14798972/s57819424/fbf52ad0-afdf43c6-22dda043-b6697c68-ebd4f27f.jpg\n']"
s58052191_12,p19112585,s58052191,12,Impression,"There has been interval removal of the right internal jugular Swan-Ganz catheter with the introducer sheath remaining in place. Interval placement of a left internal jugular Swan-Ganz catheter which has its tip in the right pulmonary artery. A nasogastric tube is seen coursing below the diaphragm with the tip not identified. No pneumothorax is seen. There continues to be perihilar fullness and pulmonary vascular indistinctness consistent with mild pulmonary edema. Overall, aeration has improved at the right base but the left basilar opacity is unchanged and likely reflects lower lobe atelectasis in the setting of a layering effusion. Status post median sternotomy with stable postoperative cardiac and mediastinal contours.","Overall, aeration has improved at the right base but the left basilar opacity is unchanged and likely reflects lower lobe atelectasis in the setting of a layering effusion.",opacity,left basilar,Stable,['files/p19/p19112585/s58052191/9f997d60-cf0331fe-18c6ed7f-d56768f9-1fac8323.jpg'],"['files/p19/p19112585/s56896133/8a5ed9d8-5074c4ff-013c2e7c-54c8d59c-8dc24871.jpg\n', 'files/p19/p19112585/s56896133/d3dee386-e9b6900f-6ef74044-1b87f5dc-768f423a.jpg\n']"
s58052191_12,p19112585,s58052191,12,Impression,"There has been interval removal of the right internal jugular Swan-Ganz catheter with the introducer sheath remaining in place. Interval placement of a left internal jugular Swan-Ganz catheter which has its tip in the right pulmonary artery. A nasogastric tube is seen coursing below the diaphragm with the tip not identified. No pneumothorax is seen. There continues to be perihilar fullness and pulmonary vascular indistinctness consistent with mild pulmonary edema. Overall, aeration has improved at the right base but the left basilar opacity is unchanged and likely reflects lower lobe atelectasis in the setting of a layering effusion. Status post median sternotomy with stable postoperative cardiac and mediastinal contours.",Status post median sternotomy with stable postoperative cardiac and mediastinal contours.,postoperative cardiac and mediastinal contours,,Stable,['files/p19/p19112585/s58052191/9f997d60-cf0331fe-18c6ed7f-d56768f9-1fac8323.jpg'],"['files/p19/p19112585/s56896133/8a5ed9d8-5074c4ff-013c2e7c-54c8d59c-8dc24871.jpg\n', 'files/p19/p19112585/s56896133/d3dee386-e9b6900f-6ef74044-1b87f5dc-768f423a.jpg\n']"
s58052191_12,p19112585,s58052191,12,Impression,"There has been interval removal of the right internal jugular Swan-Ganz catheter with the introducer sheath remaining in place. Interval placement of a left internal jugular Swan-Ganz catheter which has its tip in the right pulmonary artery. A nasogastric tube is seen coursing below the diaphragm with the tip not identified. No pneumothorax is seen. There continues to be perihilar fullness and pulmonary vascular indistinctness consistent with mild pulmonary edema. Overall, aeration has improved at the right base but the left basilar opacity is unchanged and likely reflects lower lobe atelectasis in the setting of a layering effusion. Status post median sternotomy with stable postoperative cardiac and mediastinal contours.",There continues to be perihilar fullness and pulmonary vascular indistinctness consistent with mild pulmonary edema.,fullness and pulmonary vascular indistinctness,perihilar,Stable,['files/p19/p19112585/s58052191/9f997d60-cf0331fe-18c6ed7f-d56768f9-1fac8323.jpg'],"['files/p19/p19112585/s56896133/8a5ed9d8-5074c4ff-013c2e7c-54c8d59c-8dc24871.jpg\n', 'files/p19/p19112585/s56896133/d3dee386-e9b6900f-6ef74044-1b87f5dc-768f423a.jpg\n']"
s58052191_12,p19112585,s58052191,12,Impression,"There has been interval removal of the right internal jugular Swan-Ganz catheter with the introducer sheath remaining in place. Interval placement of a left internal jugular Swan-Ganz catheter which has its tip in the right pulmonary artery. A nasogastric tube is seen coursing below the diaphragm with the tip not identified. No pneumothorax is seen. There continues to be perihilar fullness and pulmonary vascular indistinctness consistent with mild pulmonary edema. Overall, aeration has improved at the right base but the left basilar opacity is unchanged and likely reflects lower lobe atelectasis in the setting of a layering effusion. Status post median sternotomy with stable postoperative cardiac and mediastinal contours.",There has been interval removal of the right internal jugular Swan-Ganz catheter with the introducer sheath remaining in place.,Swan-Ganz catheter,right internal jugular,Resolve,['files/p19/p19112585/s58052191/9f997d60-cf0331fe-18c6ed7f-d56768f9-1fac8323.jpg'],"['files/p19/p19112585/s56896133/8a5ed9d8-5074c4ff-013c2e7c-54c8d59c-8dc24871.jpg\n', 'files/p19/p19112585/s56896133/d3dee386-e9b6900f-6ef74044-1b87f5dc-768f423a.jpg\n']"
s58052703_5,p11135350,s58052703,5,Impression,"As compared to ___, signs indicative of pulmonary edema have increased. There is now moderate pulmonary edema. Moderate cardiomegaly. Low lung volumes. Minimal blunting of the costophrenic sinuses, potentially indicative of pleural effusions.","As compared to ___, signs indicative of pulmonary edema have increased.",pulmonary edema,,Worse,['files/p11/p11135350/s58052703/532c6ecd-2488a763-5bd16f91-8214f9de-8fb8c49d.jpg'],['files/p11/p11135350/s57998601/7a9248b7-731f2e31-4c7a766b-902c1682-03ec67c8.jpg\n']
s58063777_0,p13380841,s58063777,0,Findings,"As compared to the previous radiograph, the pre-existing opacity in the left lung has completely resolved. On today's image, there is no evidence of infectious changes or other acute lung abnormality. Borderline size of the cardiac silhouette without pulmonary edema. Minimal tortuosity of the thoracic aorta.","As compared to the previous radiograph, the pre-existing opacity in the left lung has completely resolved.",opacity,left lung,Resolve,"['files/p13/p13380841/s58063777/306b0293-e2548149-2de39ebc-cd25e20f-4b879865.jpg', 'files/p13/p13380841/s58063777/e830b6f7-d74485cf-a5ab6855-8063ff88-edd2313f.jpg']",
s58066330_2,p17079101,s58066330,2,Impression,1. Improved aeration of the right lung base compatible with decreased atelectasis and pleural fluid. 2. Improved but persistent mild pulmonary vascular congestion. 3. Stable appearance status post right partial lung resection.,Improved aeration of the right lung base compatible with decreased atelectasis and pleural fluid.,aeration,right lung base,Better,['files/p17/p17079101/s58066330/b6d980d3-b586c166-d29fa9de-6a7335ae-35148194.jpg'],['files/p17/p17079101/s55257270/83cada44-22eeaa71-e5622be6-dd3eb0ad-9b1ccc68.jpg\n']
s58066330_2,p17079101,s58066330,2,Impression,1. Improved aeration of the right lung base compatible with decreased atelectasis and pleural fluid. 2. Improved but persistent mild pulmonary vascular congestion. 3. Stable appearance status post right partial lung resection.,Stable appearance status post right partial lung resection.,lung resection status,right,Stable,['files/p17/p17079101/s58066330/b6d980d3-b586c166-d29fa9de-6a7335ae-35148194.jpg'],['files/p17/p17079101/s55257270/83cada44-22eeaa71-e5622be6-dd3eb0ad-9b1ccc68.jpg\n']
s58066330_2,p17079101,s58066330,2,Findings,"In comparison to the most recent prior study, there is improved aeration at the right lung base with improved definition of the right hemidiaphragm and right heart border suggesting decreased atelectasis and pleural fluid. The left lung remains clear without pleural effusion or focal consolidation. No pneumothorax is present. The right hemidiaphragm remains elevated compatible with prior right lung resection. There is decreased but persistent mild pulmonary vascular congestion. The cardiomediastinal silhouette remains prominently enlarged but stable. Surgical clips project to the right of the trachea, compatible with prior lung resection.","In comparison to the most recent prior study, there is improved aeration at the right lung base with improved definition of the right hemidiaphragm and right heart border suggesting decreased atelectasis and pleural fluid.",aeration,right lung base,Better,['files/p17/p17079101/s58066330/b6d980d3-b586c166-d29fa9de-6a7335ae-35148194.jpg'],['files/p17/p17079101/s55257270/83cada44-22eeaa71-e5622be6-dd3eb0ad-9b1ccc68.jpg\n']
s58066330_2,p17079101,s58066330,2,Findings,"In comparison to the most recent prior study, there is improved aeration at the right lung base with improved definition of the right hemidiaphragm and right heart border suggesting decreased atelectasis and pleural fluid. The left lung remains clear without pleural effusion or focal consolidation. No pneumothorax is present. The right hemidiaphragm remains elevated compatible with prior right lung resection. There is decreased but persistent mild pulmonary vascular congestion. The cardiomediastinal silhouette remains prominently enlarged but stable. Surgical clips project to the right of the trachea, compatible with prior lung resection.",The cardiomediastinal silhouette remains prominently enlarged but stable.,cardiomediastinal silhouette enlargement,,Stable,['files/p17/p17079101/s58066330/b6d980d3-b586c166-d29fa9de-6a7335ae-35148194.jpg'],['files/p17/p17079101/s55257270/83cada44-22eeaa71-e5622be6-dd3eb0ad-9b1ccc68.jpg\n']
s58066330_2,p17079101,s58066330,2,Findings,"In comparison to the most recent prior study, there is improved aeration at the right lung base with improved definition of the right hemidiaphragm and right heart border suggesting decreased atelectasis and pleural fluid. The left lung remains clear without pleural effusion or focal consolidation. No pneumothorax is present. The right hemidiaphragm remains elevated compatible with prior right lung resection. There is decreased but persistent mild pulmonary vascular congestion. The cardiomediastinal silhouette remains prominently enlarged but stable. Surgical clips project to the right of the trachea, compatible with prior lung resection.",There is decreased but persistent mild pulmonary vascular congestion.,pulmonary vascular congestion,,Better,['files/p17/p17079101/s58066330/b6d980d3-b586c166-d29fa9de-6a7335ae-35148194.jpg'],['files/p17/p17079101/s55257270/83cada44-22eeaa71-e5622be6-dd3eb0ad-9b1ccc68.jpg\n']
s58066330_2,p17079101,s58066330,2,Findings,"In comparison to the most recent prior study, there is improved aeration at the right lung base with improved definition of the right hemidiaphragm and right heart border suggesting decreased atelectasis and pleural fluid. The left lung remains clear without pleural effusion or focal consolidation. No pneumothorax is present. The right hemidiaphragm remains elevated compatible with prior right lung resection. There is decreased but persistent mild pulmonary vascular congestion. The cardiomediastinal silhouette remains prominently enlarged but stable. Surgical clips project to the right of the trachea, compatible with prior lung resection.",The right hemidiaphragm remains elevated compatible with prior right lung resection.,hemidiaphragm elevation,right,Stable,['files/p17/p17079101/s58066330/b6d980d3-b586c166-d29fa9de-6a7335ae-35148194.jpg'],['files/p17/p17079101/s55257270/83cada44-22eeaa71-e5622be6-dd3eb0ad-9b1ccc68.jpg\n']
s58066330_2,p17079101,s58066330,2,Impression,1. Improved aeration of the right lung base compatible with decreased atelectasis and pleural fluid. 2. Improved but persistent mild pulmonary vascular congestion. 3. Stable appearance status post right partial lung resection.,Improved but persistent mild pulmonary vascular congestion.,pulmonary vascular congestion,,Better,['files/p17/p17079101/s58066330/b6d980d3-b586c166-d29fa9de-6a7335ae-35148194.jpg'],['files/p17/p17079101/s55257270/83cada44-22eeaa71-e5622be6-dd3eb0ad-9b1ccc68.jpg\n']
s58078706_9,p18057037,s58078706,9,Findings,"In comparison with the study of ___, there is substantial improvement in the pulmonary edema. Indeed, the vascularity is now essentially within normal limits. Some atelectatic changes are seen at the right base, silhouetting the hemidiaphragm. In the appropriate clinical setting, supervening pneumonia would have to be considered. Low lung volumes accentuate the transverse diameter of the heart.","In comparison with the study of ___, there is substantial improvement in the pulmonary edema.",pulmonary edema,lungs,Better,['files/p18/p18057037/s58078706/031e1a10-9b03a629-29234928-e2dbc65d-7ac75537.jpg'],"['files/p18/p18057037/s57929210/59d4fab4-679af5b7-5d8299ee-5de4e775-51372e47.jpg\n', 'files/p18/p18057037/s57929210/a56559c6-1aa73e1f-2d284a2c-337f7055-1780d9e6.jpg\n', 'files/p18/p18057037/s57929210/ab01ebc0-71496a3e-2e7445dd-732ceb26-0b6aff7c.jpg\n']"
s58092224_0,p10287742,s58092224,0,Impression,"As compared to ___, there is unchanged evidence of mildly displaced right rib fractures. The right pneumothorax. Visualized on the CT examination from ___, is not visualized on the radiograph. No pleural effusions. No pulmonary edema. No pneumonia.","As compared to ___, there is unchanged evidence of mildly displaced right rib fractures.",rib fractures,right,Stable,['files/p10/p10287742/s58092224/f2c7b3a4-c8299236-db971a34-5b06646b-233f91ae.jpg'],
s58092224_0,p10287742,s58092224,0,Impression,"As compared to ___, there is unchanged evidence of mildly displaced right rib fractures. The right pneumothorax. Visualized on the CT examination from ___, is not visualized on the radiograph. No pleural effusions. No pulmonary edema. No pneumonia.","The right pneumothorax. Visualized on the CT examination from ___, is not visualized on the radiograph.",pneumothorax,right,Resolve,['files/p10/p10287742/s58092224/f2c7b3a4-c8299236-db971a34-5b06646b-233f91ae.jpg'],
s58095545_3,p17257394,s58095545,3,Findings,Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable. No overt pulmonary edema is seen. No displaced fracture is identified.,Cardiac and mediastinal silhouettes are stable and unremarkable.,Cardiac and mediastinal silhouettes,,Stable,"['files/p17/p17257394/s58095545/1f74f7c8-d728f398-72d444e8-2d41431b-e5678e43.jpg', 'files/p17/p17257394/s58095545/8b6ea4f6-89ae50df-87c1a2b5-dfcfcf4e-43d511e1.jpg']","['files/p17/p17257394/s57891982/cd819cfc-04a987a2-bc398e86-02babb97-64a9b785.jpg\n', 'files/p17/p17257394/s57891982/d1943b3d-7739ba1b-6774964a-990c66a8-9e0db49e.jpg\n']"
s58111167_0,p13653377,s58111167,0,Findings,The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The bony structures are unremarkable aside from minimal degenerative changes. There has been no significant change.,There has been no significant change.,,,Stable,"['files/p13/p13653377/s58111167/b55480c5-35f5035f-99072f8f-e543d1e6-5ac76f23.jpg', 'files/p13/p13653377/s58111167/bcf4add2-ac9c300f-e35c9d96-d8462fe4-9d328831.jpg']","['files/p13/p13653377/s55712456/730ac1ff-f9317f93-3bb0bb75-18942eab-a90c43a3.jpg\n', 'files/p13/p13653377/s55712456/9952d9b7-35a065ad-cf97e843-5decbb57-aff7212a.jpg\n']"
s58119115_1,p15175883,s58119115,1,Findings,"The lungs are hyperinflated with linear streaky opacities at the lung bases, likely representing atelectasis.Heart size is moderately enlarged but stable. Aortic and tricuspid valve prostheses are in unchanged location. Moderate calcification of the aortic knob is again noted. No focal consolidation concerning for pneumonia. No evidence of pulmonary edema, pleural effusion, or pneumothorax. Median sternal wires are intact.",Moderate calcification of the aortic knob is again noted.,Calcification of the aortic knob,,Worse,"['files/p15/p15175883/s58119115/1e308b9d-7b5ab795-6b0bcdb4-47f0778c-10bf984a.jpg', 'files/p15/p15175883/s58119115/bf1b59cc-4f1aa853-6d18a4ee-64fdcf8d-fea466de.jpg', 'files/p15/p15175883/s58119115/f56565b1-4dff7a18-f696ea91-96947d34-0faf11b6.jpg']","['files/p15/p15175883/s57698298/d17fd0d1-e11075c5-ac1d9055-dbea28a9-b09480ec.jpg\n', 'files/p15/p15175883/s57698298/e0f060fd-48f99877-e59be55f-f3ff2bba-0228b638.jpg\n']"
s58119115_1,p15175883,s58119115,1,Impression,Moderate cardiomegaly and bibasilar atelectasis are stable from ___. No evidence of pulmonary edema or pneumonia.,Moderate cardiomegaly and bibasilar atelectasis are stable from ___.,Moderate cardiomegaly,,Stable,"['files/p15/p15175883/s58119115/1e308b9d-7b5ab795-6b0bcdb4-47f0778c-10bf984a.jpg', 'files/p15/p15175883/s58119115/bf1b59cc-4f1aa853-6d18a4ee-64fdcf8d-fea466de.jpg', 'files/p15/p15175883/s58119115/f56565b1-4dff7a18-f696ea91-96947d34-0faf11b6.jpg']","['files/p15/p15175883/s57698298/d17fd0d1-e11075c5-ac1d9055-dbea28a9-b09480ec.jpg\n', 'files/p15/p15175883/s57698298/e0f060fd-48f99877-e59be55f-f3ff2bba-0228b638.jpg\n']"
s58119115_1,p15175883,s58119115,1,Findings,"The lungs are hyperinflated with linear streaky opacities at the lung bases, likely representing atelectasis.Heart size is moderately enlarged but stable. Aortic and tricuspid valve prostheses are in unchanged location. Moderate calcification of the aortic knob is again noted. No focal consolidation concerning for pneumonia. No evidence of pulmonary edema, pleural effusion, or pneumothorax. Median sternal wires are intact.",Aortic and tricuspid valve prostheses are in unchanged location.,Aortic and tricuspid valve prostheses,,Stable,"['files/p15/p15175883/s58119115/1e308b9d-7b5ab795-6b0bcdb4-47f0778c-10bf984a.jpg', 'files/p15/p15175883/s58119115/bf1b59cc-4f1aa853-6d18a4ee-64fdcf8d-fea466de.jpg', 'files/p15/p15175883/s58119115/f56565b1-4dff7a18-f696ea91-96947d34-0faf11b6.jpg']","['files/p15/p15175883/s57698298/d17fd0d1-e11075c5-ac1d9055-dbea28a9-b09480ec.jpg\n', 'files/p15/p15175883/s57698298/e0f060fd-48f99877-e59be55f-f3ff2bba-0228b638.jpg\n']"
s58119115_1,p15175883,s58119115,1,Impression,Moderate cardiomegaly and bibasilar atelectasis are stable from ___. No evidence of pulmonary edema or pneumonia.,Moderate cardiomegaly and bibasilar atelectasis are stable from ___.,Bibasilar atelectasis,,Stable,"['files/p15/p15175883/s58119115/1e308b9d-7b5ab795-6b0bcdb4-47f0778c-10bf984a.jpg', 'files/p15/p15175883/s58119115/bf1b59cc-4f1aa853-6d18a4ee-64fdcf8d-fea466de.jpg', 'files/p15/p15175883/s58119115/f56565b1-4dff7a18-f696ea91-96947d34-0faf11b6.jpg']","['files/p15/p15175883/s57698298/d17fd0d1-e11075c5-ac1d9055-dbea28a9-b09480ec.jpg\n', 'files/p15/p15175883/s57698298/e0f060fd-48f99877-e59be55f-f3ff2bba-0228b638.jpg\n']"
s58119115_1,p15175883,s58119115,1,Findings,"The lungs are hyperinflated with linear streaky opacities at the lung bases, likely representing atelectasis.Heart size is moderately enlarged but stable. Aortic and tricuspid valve prostheses are in unchanged location. Moderate calcification of the aortic knob is again noted. No focal consolidation concerning for pneumonia. No evidence of pulmonary edema, pleural effusion, or pneumothorax. Median sternal wires are intact.",Heart size is moderately enlarged but stable.,Heart size,,Stable,"['files/p15/p15175883/s58119115/1e308b9d-7b5ab795-6b0bcdb4-47f0778c-10bf984a.jpg', 'files/p15/p15175883/s58119115/bf1b59cc-4f1aa853-6d18a4ee-64fdcf8d-fea466de.jpg', 'files/p15/p15175883/s58119115/f56565b1-4dff7a18-f696ea91-96947d34-0faf11b6.jpg']","['files/p15/p15175883/s57698298/d17fd0d1-e11075c5-ac1d9055-dbea28a9-b09480ec.jpg\n', 'files/p15/p15175883/s57698298/e0f060fd-48f99877-e59be55f-f3ff2bba-0228b638.jpg\n']"
s58119690_14,p19358609,s58119690,14,Impression,Bibasal opacities and the entire chronic deformity of the chest appears to be similar to the previous study concerning for bibasal multifocal pneumonia,Bibasal opacities and the entire chronic deformity of the chest appears to be similar to the previous study concerning for bibasal multifocal pneumonia,opacities,bibasal,Stable,['files/p19/p19358609/s58119690/23b893a4-1cc40a42-3da788ed-83286c42-25495fd6.jpg'],['files/p19/p19358609/s57984800/feaef4bc-9543453e-5299332e-ba1069aa-f1907e03.jpg\n']
s58119690_14,p19358609,s58119690,14,Impression,Bibasal opacities and the entire chronic deformity of the chest appears to be similar to the previous study concerning for bibasal multifocal pneumonia,Bibasal opacities and the entire chronic deformity of the chest appears to be similar to the previous study concerning for bibasal multifocal pneumonia,chronic deformity,entire chest,Stable,['files/p19/p19358609/s58119690/23b893a4-1cc40a42-3da788ed-83286c42-25495fd6.jpg'],['files/p19/p19358609/s57984800/feaef4bc-9543453e-5299332e-ba1069aa-f1907e03.jpg\n']
s58123697_0,p15914007,s58123697,0,Findings,"In comparison with study of ___, there is little change and no evidence of acute cardiopulmonary disease or old granulomatous disease.","In comparison with study of ___, there is little change and no evidence of acute cardiopulmonary disease or old granulomatous disease.",granulomatous disease,,Stable,"['files/p15/p15914007/s58123697/c46a9297-9c4fae50-d9821fee-6a6d4d13-2111948e.jpg', 'files/p15/p15914007/s58123697/dd5c0bf7-9ba91c35-38f3e4bc-f5a63497-a975f89f.jpg']",
s58123697_0,p15914007,s58123697,0,Findings,"In comparison with study of ___, there is little change and no evidence of acute cardiopulmonary disease or old granulomatous disease.","In comparison with study of ___, there is little change and no evidence of acute cardiopulmonary disease or old granulomatous disease.",acute cardiopulmonary disease,,Stable,"['files/p15/p15914007/s58123697/c46a9297-9c4fae50-d9821fee-6a6d4d13-2111948e.jpg', 'files/p15/p15914007/s58123697/dd5c0bf7-9ba91c35-38f3e4bc-f5a63497-a975f89f.jpg']",
s58129550_1,p11614040,s58129550,1,Findings,"AP and lateral chest radiographs demonstrate stable positioning of the right Port-A-Cath. There is no pulmonary vascular congestion, pleural effusion, or pneumothorax. Left apical nodule is unchanged and has been further characterized on prior CT-Torso. The cardiomediastinal silhouette is normal.",Left apical nodule is unchanged and has been further characterized on prior CT-Torso.,nodule,left apical,Stable,"['files/p11/p11614040/s58129550/a421114e-d29d7d27-ca1c3caa-149eff70-e015e6c6.jpg', 'files/p11/p11614040/s58129550/bd9e45d8-e8d6d3fa-e8a8e094-a2a77b14-2b43fddb.jpg']","['files/p11/p11614040/s57726913/7cdbec45-4e0aea44-b466faa1-c762f062-1e61182e.jpg\n', 'files/p11/p11614040/s57726913/f7afb1fb-980babb9-17a967f1-4ab852ff-c8ecd2fa.jpg\n']"
s58129550_1,p11614040,s58129550,1,Findings,"AP and lateral chest radiographs demonstrate stable positioning of the right Port-A-Cath. There is no pulmonary vascular congestion, pleural effusion, or pneumothorax. Left apical nodule is unchanged and has been further characterized on prior CT-Torso. The cardiomediastinal silhouette is normal.",AP and lateral chest radiographs demonstrate stable positioning of the right Port-A-Cath.,Port-A-Cath,right,Stable,"['files/p11/p11614040/s58129550/a421114e-d29d7d27-ca1c3caa-149eff70-e015e6c6.jpg', 'files/p11/p11614040/s58129550/bd9e45d8-e8d6d3fa-e8a8e094-a2a77b14-2b43fddb.jpg']","['files/p11/p11614040/s57726913/7cdbec45-4e0aea44-b466faa1-c762f062-1e61182e.jpg\n', 'files/p11/p11614040/s57726913/f7afb1fb-980babb9-17a967f1-4ab852ff-c8ecd2fa.jpg\n']"
s58146073_1,p10738077,s58146073,1,Impression,Left PICC tip in unchanged position. No acute cardiopulmonary abnormality.,Left PICC tip in unchanged position.,PICC tip,mid SVC,Stable,"['files/p10/p10738077/s58146073/50d7481e-a17d3334-1639b695-43ac984e-46ccec4f.jpg', 'files/p10/p10738077/s58146073/c5cb848f-99205a6c-08c1ebd4-fd92d960-44ec5143.jpg']",['files/p10/p10738077/s52247104/df51559d-507712fb-fa6e2962-7da4f76b-a209ffe9.jpg\n']
s58146073_1,p10738077,s58146073,1,Findings,"Left-sided PICC tip terminates in the mid SVC, in unchanged position. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal subsegmental atelectasis in the left lung base is noted. The remainder of the lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.","Left-sided PICC tip terminates in the mid SVC, in unchanged position.",PICC tip,mid SVC,Stable,"['files/p10/p10738077/s58146073/50d7481e-a17d3334-1639b695-43ac984e-46ccec4f.jpg', 'files/p10/p10738077/s58146073/c5cb848f-99205a6c-08c1ebd4-fd92d960-44ec5143.jpg']",['files/p10/p10738077/s52247104/df51559d-507712fb-fa6e2962-7da4f76b-a209ffe9.jpg\n']
s58155175_2,p15480043,s58155175,2,Findings,"AP upright and lateral views of the chest provided. Low lung volumes cause bronchovascular crowding. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is similar to prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.",The cardiomediastinal silhouette is similar to prior.,cardiomediastinal silhouette,,Stable,"['files/p15/p15480043/s58155175/23268708-bb681a69-9d7f6685-bf0877d4-0ea495b0.jpg', 'files/p15/p15480043/s58155175/ed6fc46d-125a2981-0a4df024-4a7e34f9-d87b7c6a.jpg']",['files/p15/p15480043/s55884194/5e840cc8-fa36ed6d-7367856a-7e0328be-7e9a9ccf.jpg\n']
s58175663_1,p16034181,s58175663,1,Impression,Increasing cardiomegaly and vascular congestion. Unchanged small bilateral pleural effusions.,Increasing cardiomegaly and vascular congestion.,vascular congestion,,Worse,['files/p16/p16034181/s58175663/84f30297-39be3e30-021f9ceb-c14a866a-ff7053d3.jpg'],"['files/p16/p16034181/s56963809/7692121e-81594620-38286eb8-1059dec5-06a3d2b9.jpg\n', 'files/p16/p16034181/s56963809/d64662cd-8c2f0d44-6c22f2a5-0ea0b918-cbc0c3f3.jpg\n']"
s58175663_1,p16034181,s58175663,1,Findings,"Mild cardiomegaly has increased in size compared to ___ with increased pulmonary vascular engorgement. Small bilateral pleural effusions are unchanged, and the lungs are clear of focal consolidation.",Mild cardiomegaly has increased in size compared to ___ with increased pulmonary vascular engorgement.,pulmonary vascular engorgement,,Worse,['files/p16/p16034181/s58175663/84f30297-39be3e30-021f9ceb-c14a866a-ff7053d3.jpg'],"['files/p16/p16034181/s56963809/7692121e-81594620-38286eb8-1059dec5-06a3d2b9.jpg\n', 'files/p16/p16034181/s56963809/d64662cd-8c2f0d44-6c22f2a5-0ea0b918-cbc0c3f3.jpg\n']"
s58175663_1,p16034181,s58175663,1,Findings,"Mild cardiomegaly has increased in size compared to ___ with increased pulmonary vascular engorgement. Small bilateral pleural effusions are unchanged, and the lungs are clear of focal consolidation.","Small bilateral pleural effusions are unchanged, and the lungs are clear of focal consolidation.",pleural effusions,,Stable,['files/p16/p16034181/s58175663/84f30297-39be3e30-021f9ceb-c14a866a-ff7053d3.jpg'],"['files/p16/p16034181/s56963809/7692121e-81594620-38286eb8-1059dec5-06a3d2b9.jpg\n', 'files/p16/p16034181/s56963809/d64662cd-8c2f0d44-6c22f2a5-0ea0b918-cbc0c3f3.jpg\n']"
s58175663_1,p16034181,s58175663,1,Findings,"Mild cardiomegaly has increased in size compared to ___ with increased pulmonary vascular engorgement. Small bilateral pleural effusions are unchanged, and the lungs are clear of focal consolidation.",Mild cardiomegaly has increased in size compared to ___ with increased pulmonary vascular engorgement.,cardiomegaly,,Worse,['files/p16/p16034181/s58175663/84f30297-39be3e30-021f9ceb-c14a866a-ff7053d3.jpg'],"['files/p16/p16034181/s56963809/7692121e-81594620-38286eb8-1059dec5-06a3d2b9.jpg\n', 'files/p16/p16034181/s56963809/d64662cd-8c2f0d44-6c22f2a5-0ea0b918-cbc0c3f3.jpg\n']"
s58175663_1,p16034181,s58175663,1,Impression,Increasing cardiomegaly and vascular congestion. Unchanged small bilateral pleural effusions.,Increasing cardiomegaly and vascular congestion.,cardiomegaly,,Worse,['files/p16/p16034181/s58175663/84f30297-39be3e30-021f9ceb-c14a866a-ff7053d3.jpg'],"['files/p16/p16034181/s56963809/7692121e-81594620-38286eb8-1059dec5-06a3d2b9.jpg\n', 'files/p16/p16034181/s56963809/d64662cd-8c2f0d44-6c22f2a5-0ea0b918-cbc0c3f3.jpg\n']"
s58175663_1,p16034181,s58175663,1,Impression,Increasing cardiomegaly and vascular congestion. Unchanged small bilateral pleural effusions.,Unchanged small bilateral pleural effusions.,pleural effusions,,Stable,['files/p16/p16034181/s58175663/84f30297-39be3e30-021f9ceb-c14a866a-ff7053d3.jpg'],"['files/p16/p16034181/s56963809/7692121e-81594620-38286eb8-1059dec5-06a3d2b9.jpg\n', 'files/p16/p16034181/s56963809/d64662cd-8c2f0d44-6c22f2a5-0ea0b918-cbc0c3f3.jpg\n']"
s58193110_16,p13894716,s58193110,16,Impression,"In comparison with the study of ___, the monitoring and support devices are essentially unchanged. Continued enlargement of the cardiac silhouette. Increased haziness of the lungs suggests layering pleural effusions as well as some elevation of pulmonary venous pressure. Atelectatic changes seen at both bases.",Continued enlargement of the cardiac silhouette.,cardiac silhouette,,Worse,['files/p13/p13894716/s58193110/ab58d599-83105f84-08a8af4e-48cf3fcf-53f6e5d0.jpg'],"['files/p13/p13894716/s58193028/5dd96c78-d0278b8e-f1a5bad9-7397a054-c70455d9.jpg\n', 'files/p13/p13894716/s58193028/87fd7d6c-e594fbef-10b4ed5d-1956e77e-6fed9bf0.jpg\n']"
s58193110_16,p13894716,s58193110,16,Impression,"In comparison with the study of ___, the monitoring and support devices are essentially unchanged. Continued enlargement of the cardiac silhouette. Increased haziness of the lungs suggests layering pleural effusions as well as some elevation of pulmonary venous pressure. Atelectatic changes seen at both bases.",Increased haziness of the lungs suggests layering pleural effusions as well as some elevation of pulmonary venous pressure.,haziness,lungs,Worse,['files/p13/p13894716/s58193110/ab58d599-83105f84-08a8af4e-48cf3fcf-53f6e5d0.jpg'],"['files/p13/p13894716/s58193028/5dd96c78-d0278b8e-f1a5bad9-7397a054-c70455d9.jpg\n', 'files/p13/p13894716/s58193028/87fd7d6c-e594fbef-10b4ed5d-1956e77e-6fed9bf0.jpg\n']"
s58199247_1,p15902493,s58199247,1,Impression,"1. Endotracheal tube courses to the left of the spine and has its tip approximately 3.5 cm above the carina. Subclavian central line has its tip in the mid-to-distal SVC. A nasogastric tube is seen coursing below the diaphragm with the tip likely located within the stomach. Overall, cardiac and mediastinal contours are stable. There is a persistent right superior mediastinal mass, which is felt to most likely correspond to a thyroid goiter as evident on a CTA of the head and neck performed on ___. Lung volumes are slightly decreased with interval appearance of a patchy opacity at both bases, likely reflecting patchy atelectasis. There is no evidence of pulmonary edema or pneumothorax.","1. Endotracheal tube courses to the left of the spine and has its tip approximately 3.5 cm above the carina. Subclavian central line has its tip in the mid-to-distal SVC. A nasogastric tube is seen coursing below the diaphragm with the tip likely located within the stomach. Overall, cardiac and mediastinal contours are stable. There is a persistent right superior mediastinal mass, which is felt to most likely correspond to a thyroid goiter as evident on a CTA of the head and neck performed on ___",,Cardiac and mediastinal contours,Stable,['files/p15/p15902493/s58199247/d25c2722-019731e2-c9ae4392-b74b52cb-7459ec6d.jpg'],['files/p15/p15902493/s57545492/1d8209cf-367611d8-dedd4a43-a8026be1-e639022d.jpg\n']
s58199826_4,p17660889,s58199826,4,Impression,"AP chest compared to ___: Previous mild pulmonary edema has improved, but moderate pulmonary vascular engorgement persists. Moderate cardiomegaly is chronic. There is no appreciable pleural effusion. A dual-channel right supraclavicular central venous dialysis catheter ends in the low SVC, as before.","AP chest compared to ___: Previous mild pulmonary edema has improved, but moderate pulmonary vascular engorgement persists.",moderate pulmonary vascular engorgement,,Stable,['files/p17/p17660889/s58199826/13875055-a92c44c3-772d6e38-332cff16-3ed6380f.jpg'],['files/p17/p17660889/s57078296/ec28f7bb-28ea31db-2380e13d-96518c46-1c3b59d4.jpg\n']
s58199826_4,p17660889,s58199826,4,Impression,"AP chest compared to ___: Previous mild pulmonary edema has improved, but moderate pulmonary vascular engorgement persists. Moderate cardiomegaly is chronic. There is no appreciable pleural effusion. A dual-channel right supraclavicular central venous dialysis catheter ends in the low SVC, as before.","A dual-channel right supraclavicular central venous dialysis catheter ends in the low SVC, as before.",dual-channel right supraclavicular central venous dialysis catheter,low SVC,Stable,['files/p17/p17660889/s58199826/13875055-a92c44c3-772d6e38-332cff16-3ed6380f.jpg'],['files/p17/p17660889/s57078296/ec28f7bb-28ea31db-2380e13d-96518c46-1c3b59d4.jpg\n']
s58199826_4,p17660889,s58199826,4,Impression,"AP chest compared to ___: Previous mild pulmonary edema has improved, but moderate pulmonary vascular engorgement persists. Moderate cardiomegaly is chronic. There is no appreciable pleural effusion. A dual-channel right supraclavicular central venous dialysis catheter ends in the low SVC, as before.","AP chest compared to ___: Previous mild pulmonary edema has improved, but moderate pulmonary vascular engorgement persists.",mild pulmonary edema,,Better,['files/p17/p17660889/s58199826/13875055-a92c44c3-772d6e38-332cff16-3ed6380f.jpg'],['files/p17/p17660889/s57078296/ec28f7bb-28ea31db-2380e13d-96518c46-1c3b59d4.jpg\n']
s58199894_4,p14482820,s58199894,4,Impression,"In comparison with the study of ___, the monitoring and support devices are essentially unchanged. Continued low lung volume accentuates the transverse diameter of the heart. Mild indistinctness of pulmonary vessels is consistent with mild elevation in pulmonary venous pressure. Retrocardiac opacification is consistent with volume loss in the left lower lobe and probable small effusion.","In comparison with the study of ___, the monitoring and support devices are essentially unchanged.",,monitoring and support devices,Stable,['files/p14/p14482820/s58199894/36069cc6-7d9f5869-00a6ddd9-a1ff1b73-3df3c8f7.jpg'],['files/p14/p14482820/s56986284/6df752dd-d96e8fa1-d902d33c-4797e505-97594e40.jpg\n']
s58217958_20,p11717909,s58217958,20,Impression,Left PICC tip is in thecavoatrial junction. Moderate cardiomegaly is stable. LVAD is in unchanged standard position. Smaller catheter projecting over to the heart is also in unchanged position. Mild to moderate left pleural effusion has increased with increasing adjacent atelectasis. Mild vascular congestion is stable. There is no pneumothorax.,LVAD is in unchanged standard position.,LVAD,standard,Stable,['files/p11/p11717909/s58217958/f1120431-f40e3c5a-374851f6-49f45b94-5c996f47.jpg'],['files/p11/p11717909/s57994301/6a0b14e0-582c0bb3-fe7625b9-7cd88c64-48f2a1db.jpg\n']
s58217958_20,p11717909,s58217958,20,Impression,Left PICC tip is in thecavoatrial junction. Moderate cardiomegaly is stable. LVAD is in unchanged standard position. Smaller catheter projecting over to the heart is also in unchanged position. Mild to moderate left pleural effusion has increased with increasing adjacent atelectasis. Mild vascular congestion is stable. There is no pneumothorax.,Moderate cardiomegaly is stable.,Moderate cardiomegaly,,Stable,['files/p11/p11717909/s58217958/f1120431-f40e3c5a-374851f6-49f45b94-5c996f47.jpg'],['files/p11/p11717909/s57994301/6a0b14e0-582c0bb3-fe7625b9-7cd88c64-48f2a1db.jpg\n']
s58217958_20,p11717909,s58217958,20,Impression,Left PICC tip is in thecavoatrial junction. Moderate cardiomegaly is stable. LVAD is in unchanged standard position. Smaller catheter projecting over to the heart is also in unchanged position. Mild to moderate left pleural effusion has increased with increasing adjacent atelectasis. Mild vascular congestion is stable. There is no pneumothorax.,Mild to moderate left pleural effusion has increased with increasing adjacent atelectasis.,pleural effusion,left,Worse,['files/p11/p11717909/s58217958/f1120431-f40e3c5a-374851f6-49f45b94-5c996f47.jpg'],['files/p11/p11717909/s57994301/6a0b14e0-582c0bb3-fe7625b9-7cd88c64-48f2a1db.jpg\n']
s58217958_20,p11717909,s58217958,20,Impression,Left PICC tip is in thecavoatrial junction. Moderate cardiomegaly is stable. LVAD is in unchanged standard position. Smaller catheter projecting over to the heart is also in unchanged position. Mild to moderate left pleural effusion has increased with increasing adjacent atelectasis. Mild vascular congestion is stable. There is no pneumothorax.,Mild to moderate left pleural effusion has increased with increasing adjacent atelectasis.,atelectasis,adjacent,Worse,['files/p11/p11717909/s58217958/f1120431-f40e3c5a-374851f6-49f45b94-5c996f47.jpg'],['files/p11/p11717909/s57994301/6a0b14e0-582c0bb3-fe7625b9-7cd88c64-48f2a1db.jpg\n']
s58217958_20,p11717909,s58217958,20,Impression,Left PICC tip is in thecavoatrial junction. Moderate cardiomegaly is stable. LVAD is in unchanged standard position. Smaller catheter projecting over to the heart is also in unchanged position. Mild to moderate left pleural effusion has increased with increasing adjacent atelectasis. Mild vascular congestion is stable. There is no pneumothorax.,Smaller catheter projecting over to the heart is also in unchanged position.,Smaller catheter,,Stable,['files/p11/p11717909/s58217958/f1120431-f40e3c5a-374851f6-49f45b94-5c996f47.jpg'],['files/p11/p11717909/s57994301/6a0b14e0-582c0bb3-fe7625b9-7cd88c64-48f2a1db.jpg\n']
s58217958_20,p11717909,s58217958,20,Impression,Left PICC tip is in thecavoatrial junction. Moderate cardiomegaly is stable. LVAD is in unchanged standard position. Smaller catheter projecting over to the heart is also in unchanged position. Mild to moderate left pleural effusion has increased with increasing adjacent atelectasis. Mild vascular congestion is stable. There is no pneumothorax.,Mild vascular congestion is stable.,Mild vascular congestion,,Stable,['files/p11/p11717909/s58217958/f1120431-f40e3c5a-374851f6-49f45b94-5c996f47.jpg'],['files/p11/p11717909/s57994301/6a0b14e0-582c0bb3-fe7625b9-7cd88c64-48f2a1db.jpg\n']
s58227020_3,p11181748,s58227020,3,Findings,"Small right pleural effusion is stable. There is no evidence of pneumothorax, lobar consolidation, or pulmonary edema. No left-sided pleural effusion. The cardiomediastinal silhouette is unchanged from the prior examination.",The cardiomediastinal silhouette is unchanged from the prior examination.,Cardiomediastinal silhouette,,Stable,"['files/p11/p11181748/s58227020/20a8146b-74dd756c-382fd16f-2248a7d2-a74b9bbd.jpg', 'files/p11/p11181748/s58227020/3b81672c-7380f29c-16a0623b-5e6342fc-243805ea.jpg', 'files/p11/p11181748/s58227020/5e2d1990-db2e7dd8-9864ad4c-6346c61d-cd3f9875.jpg']","['files/p11/p11181748/s55851177/648179a6-4fa29136-911690e6-f934aaa8-bcd92eef.jpg\n', 'files/p11/p11181748/s55851177/6fab1ad7-445ea2a4-e4074846-ffc0bcd0-3a5972ca.jpg\n', 'files/p11/p11181748/s55851177/c3badf14-8f90970e-8455cef5-6fe2eea4-6357ee71.jpg\n']"
s58227020_3,p11181748,s58227020,3,Impression,Stable small right pleural effusion.,Stable small right pleural effusion.,pleural effusion,right,Stable,"['files/p11/p11181748/s58227020/20a8146b-74dd756c-382fd16f-2248a7d2-a74b9bbd.jpg', 'files/p11/p11181748/s58227020/3b81672c-7380f29c-16a0623b-5e6342fc-243805ea.jpg', 'files/p11/p11181748/s58227020/5e2d1990-db2e7dd8-9864ad4c-6346c61d-cd3f9875.jpg']","['files/p11/p11181748/s55851177/648179a6-4fa29136-911690e6-f934aaa8-bcd92eef.jpg\n', 'files/p11/p11181748/s55851177/6fab1ad7-445ea2a4-e4074846-ffc0bcd0-3a5972ca.jpg\n', 'files/p11/p11181748/s55851177/c3badf14-8f90970e-8455cef5-6fe2eea4-6357ee71.jpg\n']"
s58227020_3,p11181748,s58227020,3,Findings,"Small right pleural effusion is stable. There is no evidence of pneumothorax, lobar consolidation, or pulmonary edema. No left-sided pleural effusion. The cardiomediastinal silhouette is unchanged from the prior examination.",Small right pleural effusion is stable.,pleural effusion,right,Stable,"['files/p11/p11181748/s58227020/20a8146b-74dd756c-382fd16f-2248a7d2-a74b9bbd.jpg', 'files/p11/p11181748/s58227020/3b81672c-7380f29c-16a0623b-5e6342fc-243805ea.jpg', 'files/p11/p11181748/s58227020/5e2d1990-db2e7dd8-9864ad4c-6346c61d-cd3f9875.jpg']","['files/p11/p11181748/s55851177/648179a6-4fa29136-911690e6-f934aaa8-bcd92eef.jpg\n', 'files/p11/p11181748/s55851177/6fab1ad7-445ea2a4-e4074846-ffc0bcd0-3a5972ca.jpg\n', 'files/p11/p11181748/s55851177/c3badf14-8f90970e-8455cef5-6fe2eea4-6357ee71.jpg\n']"
s58229223_0,p12548159,s58229223,0,Findings,The diffuse heterogeneous opacification of the right lung with a denser perifissural component at the inferior upper lobe is unchanged from the prior study but considerably improved from ___. The left lung is clear. Moderate cardiomegaly and mediastinal vascular engorgement is stable. There is no pneumothorax. Possible small bilateral pleural effusions appear unchanged from two days ago. A right PICC terminates in the mid SVC and is also unchanged.,The diffuse heterogeneous opacification of the right lung with a denser perifissural component at the inferior upper lobe is unchanged from the prior study but considerably improved from ___,diffuse heterogeneous opacification,"right lung, inferior upper lobe",Stable,"['files/p12/p12548159/s58229223/35136a7b-a6253f96-8f21d7df-52a01ea2-ce5aa3fe.jpg', 'files/p12/p12548159/s58229223/c4df65ce-6d545b91-83579e78-d81570ee-b18f0e0d.jpg']",['files/p12/p12548159/s57004106/0108e1ef-f190341b-932868ab-83d242f0-e56c7beb.jpg\n']
s58229223_0,p12548159,s58229223,0,Impression,"1. Probable multilobar pneumonia of the right lung, stable from two days ago and much improved from ___. 2. A focal remaining component of pneumonia versus pleural effusion tracking into the fissures on the right. Oblique views may help differentiate the two possibilities. 3. Stable congestive heart failure.",Stable congestive heart failure,congestive heart failure,,Stable,"['files/p12/p12548159/s58229223/35136a7b-a6253f96-8f21d7df-52a01ea2-ce5aa3fe.jpg', 'files/p12/p12548159/s58229223/c4df65ce-6d545b91-83579e78-d81570ee-b18f0e0d.jpg']",['files/p12/p12548159/s57004106/0108e1ef-f190341b-932868ab-83d242f0-e56c7beb.jpg\n']
s58229223_0,p12548159,s58229223,0,Findings,The diffuse heterogeneous opacification of the right lung with a denser perifissural component at the inferior upper lobe is unchanged from the prior study but considerably improved from ___. The left lung is clear. Moderate cardiomegaly and mediastinal vascular engorgement is stable. There is no pneumothorax. Possible small bilateral pleural effusions appear unchanged from two days ago. A right PICC terminates in the mid SVC and is also unchanged.,Possible small bilateral pleural effusions appear unchanged from two days ago,small pleural effusions,bilateral,Stable,"['files/p12/p12548159/s58229223/35136a7b-a6253f96-8f21d7df-52a01ea2-ce5aa3fe.jpg', 'files/p12/p12548159/s58229223/c4df65ce-6d545b91-83579e78-d81570ee-b18f0e0d.jpg']",['files/p12/p12548159/s57004106/0108e1ef-f190341b-932868ab-83d242f0-e56c7beb.jpg\n']
s58229223_0,p12548159,s58229223,0,Findings,The diffuse heterogeneous opacification of the right lung with a denser perifissural component at the inferior upper lobe is unchanged from the prior study but considerably improved from ___. The left lung is clear. Moderate cardiomegaly and mediastinal vascular engorgement is stable. There is no pneumothorax. Possible small bilateral pleural effusions appear unchanged from two days ago. A right PICC terminates in the mid SVC and is also unchanged.,A right PICC terminates in the mid SVC and is also unchanged,PICC line,"right, mid SVC",Stable,"['files/p12/p12548159/s58229223/35136a7b-a6253f96-8f21d7df-52a01ea2-ce5aa3fe.jpg', 'files/p12/p12548159/s58229223/c4df65ce-6d545b91-83579e78-d81570ee-b18f0e0d.jpg']",['files/p12/p12548159/s57004106/0108e1ef-f190341b-932868ab-83d242f0-e56c7beb.jpg\n']
s58229223_0,p12548159,s58229223,0,Impression,"1. Probable multilobar pneumonia of the right lung, stable from two days ago and much improved from ___. 2. A focal remaining component of pneumonia versus pleural effusion tracking into the fissures on the right. Oblique views may help differentiate the two possibilities. 3. Stable congestive heart failure.","Probable multilobar pneumonia of the right lung, stable from two days ago and much improved from ___",multilobar pneumonia,right lung,Stable,"['files/p12/p12548159/s58229223/35136a7b-a6253f96-8f21d7df-52a01ea2-ce5aa3fe.jpg', 'files/p12/p12548159/s58229223/c4df65ce-6d545b91-83579e78-d81570ee-b18f0e0d.jpg']",['files/p12/p12548159/s57004106/0108e1ef-f190341b-932868ab-83d242f0-e56c7beb.jpg\n']
s58229223_0,p12548159,s58229223,0,Findings,The diffuse heterogeneous opacification of the right lung with a denser perifissural component at the inferior upper lobe is unchanged from the prior study but considerably improved from ___. The left lung is clear. Moderate cardiomegaly and mediastinal vascular engorgement is stable. There is no pneumothorax. Possible small bilateral pleural effusions appear unchanged from two days ago. A right PICC terminates in the mid SVC and is also unchanged.,Moderate cardiomegaly and mediastinal vascular engorgement is stable,moderate cardiomegaly and mediastinal vascular engorgement,,Stable,"['files/p12/p12548159/s58229223/35136a7b-a6253f96-8f21d7df-52a01ea2-ce5aa3fe.jpg', 'files/p12/p12548159/s58229223/c4df65ce-6d545b91-83579e78-d81570ee-b18f0e0d.jpg']",['files/p12/p12548159/s57004106/0108e1ef-f190341b-932868ab-83d242f0-e56c7beb.jpg\n']
s58239562_7,p16617702,s58239562,7,Findings,"In comparison with the study of ___, there has been substantial removal of pleural fluid from the left hemithorax with a small remainder. No evidence of pneumothorax. Overall appearance of the heart and lungs is otherwise essentially unchanged. The tip of the left subclavian catheter extends to the mid-to-lower portion of the SVC.",Overall appearance of the heart and lungs is otherwise essentially unchanged.,heart and lungs,,Stable,['files/p16/p16617702/s58239562/b15eb932-15df0889-519b3c56-5b813026-c65395a3.jpg'],['files/p16/p16617702/s56813540/1c9ec94e-27e09fa4-bfa23b4a-097d03bb-a6f67389.jpg\n']
s58239562_7,p16617702,s58239562,7,Findings,"In comparison with the study of ___, there has been substantial removal of pleural fluid from the left hemithorax with a small remainder. No evidence of pneumothorax. Overall appearance of the heart and lungs is otherwise essentially unchanged. The tip of the left subclavian catheter extends to the mid-to-lower portion of the SVC.","In comparison with the study of ___, there has been substantial removal of pleural fluid from the left hemithorax with a small remainder.",pleural fluid,left hemithorax,Resolve,['files/p16/p16617702/s58239562/b15eb932-15df0889-519b3c56-5b813026-c65395a3.jpg'],['files/p16/p16617702/s56813540/1c9ec94e-27e09fa4-bfa23b4a-097d03bb-a6f67389.jpg\n']
s58240183_33,p11888614,s58240183,33,Findings,"There is no focal consolidation, pleural effusion or pneumothorax. Pulmonary edema has resolved. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.",Pulmonary edema has resolved.,pulmonary edema,,Resolve,"['files/p11/p11888614/s58240183/380bd914-1c234083-a59c609d-7ebce49b-0a9b6101.jpg', 'files/p11/p11888614/s58240183/896369e9-0e4e879b-f8fccc40-e58605c2-c1bfaf48.jpg', 'files/p11/p11888614/s58240183/f60b65dc-ac803984-0787a100-9fd4173c-5b5c619f.jpg']","['files/p11/p11888614/s57933100/8f21f008-08a83591-c104c6ca-3bc4abf9-5a9a7ccb.jpg\n', 'files/p11/p11888614/s57933100/8f587ae6-79663504-c7d6018f-27854479-a30cb057.jpg\n', 'files/p11/p11888614/s57933100/b2866e53-ffc2e916-fe99a48b-4d3622b6-df9fb5e7.jpg\n']"
s58257481_3,p14482820,s58257481,3,Findings,Compared to the prior study there is no significant interval change.,Compared to the prior study there is no significant interval change.,,,Stable,['files/p14/p14482820/s58257481/35f30547-a26ab9ec-f5962b41-1e1d9b3a-2a9b5f50.jpg'],['files/p14/p14482820/s58199894/36069cc6-7d9f5869-00a6ddd9-a1ff1b73-3df3c8f7.jpg\n']
s58257481_3,p14482820,s58257481,3,Impression,No change.,No change.,,,Stable,['files/p14/p14482820/s58257481/35f30547-a26ab9ec-f5962b41-1e1d9b3a-2a9b5f50.jpg'],['files/p14/p14482820/s58199894/36069cc6-7d9f5869-00a6ddd9-a1ff1b73-3df3c8f7.jpg\n']
s58264635_3,p11888614,s58264635,3,Findings,"Frontal and lateral views of the chest were obtained. Prominence of interstitial markings is similar to prior radiograph particularly that on ___. The cardiac, mediastinal, hilar contours are stable. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen.",Prominence of interstitial markings is similar to prior radiograph particularly that on ___.,interstitial markings prominence,not specified,Stable,"['files/p11/p11888614/s58264635/10313a92-ab9a74d9-00b5cef1-09e6a75f-b95d878d.jpg', 'files/p11/p11888614/s58264635/971b4bd8-09f04bc5-e43b86b5-dde445a3-5cbfca46.jpg']","['files/p11/p11888614/s58240183/380bd914-1c234083-a59c609d-7ebce49b-0a9b6101.jpg\n', 'files/p11/p11888614/s58240183/896369e9-0e4e879b-f8fccc40-e58605c2-c1bfaf48.jpg\n', 'files/p11/p11888614/s58240183/f60b65dc-ac803984-0787a100-9fd4173c-5b5c619f.jpg\n']"
s58264635_3,p11888614,s58264635,3,Impression,No significant interval change.,No significant interval change.,not specified,not specified,Stable,"['files/p11/p11888614/s58264635/10313a92-ab9a74d9-00b5cef1-09e6a75f-b95d878d.jpg', 'files/p11/p11888614/s58264635/971b4bd8-09f04bc5-e43b86b5-dde445a3-5cbfca46.jpg']","['files/p11/p11888614/s58240183/380bd914-1c234083-a59c609d-7ebce49b-0a9b6101.jpg\n', 'files/p11/p11888614/s58240183/896369e9-0e4e879b-f8fccc40-e58605c2-c1bfaf48.jpg\n', 'files/p11/p11888614/s58240183/f60b65dc-ac803984-0787a100-9fd4173c-5b5c619f.jpg\n']"
s58264635_3,p11888614,s58264635,3,Findings,"Frontal and lateral views of the chest were obtained. Prominence of interstitial markings is similar to prior radiograph particularly that on ___. The cardiac, mediastinal, hilar contours are stable. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen.","The cardiac, mediastinal, hilar contours are stable.",contours,"cardiac, mediastinal, hilar",Stable,"['files/p11/p11888614/s58264635/10313a92-ab9a74d9-00b5cef1-09e6a75f-b95d878d.jpg', 'files/p11/p11888614/s58264635/971b4bd8-09f04bc5-e43b86b5-dde445a3-5cbfca46.jpg']","['files/p11/p11888614/s58240183/380bd914-1c234083-a59c609d-7ebce49b-0a9b6101.jpg\n', 'files/p11/p11888614/s58240183/896369e9-0e4e879b-f8fccc40-e58605c2-c1bfaf48.jpg\n', 'files/p11/p11888614/s58240183/f60b65dc-ac803984-0787a100-9fd4173c-5b5c619f.jpg\n']"
s58277756_1,p11619788,s58277756,1,Findings,Lung volumes are low resulting in bronchovascular crowding. Linear opacities in the lung bases likely reflect atelectasis. There is no overt pulmonary edema. No large pleural effusions are identified. There is no confluent consolidation or pneumothorax. Calcifications of the aortic knob are again noted. Cardiomediastinal and hilar contours are within normal limits.,Calcifications of the aortic knob are again noted.,calcifications,aortic knob,Stable,"['files/p11/p11619788/s58277756/d468d381-defa9a3f-980dcf37-2507e827-dde4f6c9.jpg', 'files/p11/p11619788/s58277756/ede7dee9-d9fff69d-6b18ffa5-ee83e334-d818bbaa.jpg']","['files/p11/p11619788/s56461985/09df9e78-971e1a02-c9968fef-e789e1ff-6ca76ab2.jpg\n', 'files/p11/p11619788/s56461985/34ef720b-67dd22ea-ff045347-55244604-8fc95e70.jpg\n', 'files/p11/p11619788/s56461985/d04f293e-687f0e9d-4e5eb75c-5a6dbe57-eeb72c9b.jpg\n']"
s58279613_44,p11717909,s58279613,44,Findings,"Patient is mildly rotated. Compared to ___, there is worsening of right perihilar parenchymal opacities. Left lung atelectasis is still present. Bilateral pleural effusions are likely unchanged. Sternotomy wires and surgical clips are well aligned and unchanged from prior. ETT terminates less than 1 cm from the carina, however this may be due to chin-tuck position of the patient. Otherwise, support lines appear unchanged from prior.",Bilateral pleural effusions are likely unchanged.,pleural effusions,bilateral,Stable,['files/p11/p11717909/s58279613/f4caf2a7-cfab7dcf-4ed18148-2edc0c1d-ec22176f.jpg'],['files/p11/p11717909/s58217958/f1120431-f40e3c5a-374851f6-49f45b94-5c996f47.jpg\n']
s58279613_44,p11717909,s58279613,44,Findings,"Patient is mildly rotated. Compared to ___, there is worsening of right perihilar parenchymal opacities. Left lung atelectasis is still present. Bilateral pleural effusions are likely unchanged. Sternotomy wires and surgical clips are well aligned and unchanged from prior. ETT terminates less than 1 cm from the carina, however this may be due to chin-tuck position of the patient. Otherwise, support lines appear unchanged from prior.",Sternotomy wires and surgical clips are well aligned and unchanged from prior.,sternotomy wires and surgical clips,,Stable,['files/p11/p11717909/s58279613/f4caf2a7-cfab7dcf-4ed18148-2edc0c1d-ec22176f.jpg'],['files/p11/p11717909/s58217958/f1120431-f40e3c5a-374851f6-49f45b94-5c996f47.jpg\n']
s58279613_44,p11717909,s58279613,44,Findings,"Patient is mildly rotated. Compared to ___, there is worsening of right perihilar parenchymal opacities. Left lung atelectasis is still present. Bilateral pleural effusions are likely unchanged. Sternotomy wires and surgical clips are well aligned and unchanged from prior. ETT terminates less than 1 cm from the carina, however this may be due to chin-tuck position of the patient. Otherwise, support lines appear unchanged from prior.","Compared to ___, there is worsening of right perihilar parenchymal opacities.",parenchymal opacities,right perihilar,Worse,['files/p11/p11717909/s58279613/f4caf2a7-cfab7dcf-4ed18148-2edc0c1d-ec22176f.jpg'],['files/p11/p11717909/s58217958/f1120431-f40e3c5a-374851f6-49f45b94-5c996f47.jpg\n']
s58279613_44,p11717909,s58279613,44,Impression,Worsening consolidation in right perihilar region.,Worsening consolidation in right perihilar region.,consolidation,right perihilar,Worse,['files/p11/p11717909/s58279613/f4caf2a7-cfab7dcf-4ed18148-2edc0c1d-ec22176f.jpg'],['files/p11/p11717909/s58217958/f1120431-f40e3c5a-374851f6-49f45b94-5c996f47.jpg\n']
s58279613_44,p11717909,s58279613,44,Findings,"Patient is mildly rotated. Compared to ___, there is worsening of right perihilar parenchymal opacities. Left lung atelectasis is still present. Bilateral pleural effusions are likely unchanged. Sternotomy wires and surgical clips are well aligned and unchanged from prior. ETT terminates less than 1 cm from the carina, however this may be due to chin-tuck position of the patient. Otherwise, support lines appear unchanged from prior.",Left lung atelectasis is still present.,atelectasis,left lung,Stable,['files/p11/p11717909/s58279613/f4caf2a7-cfab7dcf-4ed18148-2edc0c1d-ec22176f.jpg'],['files/p11/p11717909/s58217958/f1120431-f40e3c5a-374851f6-49f45b94-5c996f47.jpg\n']
s58279613_44,p11717909,s58279613,44,Findings,"Patient is mildly rotated. Compared to ___, there is worsening of right perihilar parenchymal opacities. Left lung atelectasis is still present. Bilateral pleural effusions are likely unchanged. Sternotomy wires and surgical clips are well aligned and unchanged from prior. ETT terminates less than 1 cm from the carina, however this may be due to chin-tuck position of the patient. Otherwise, support lines appear unchanged from prior.","Otherwise, support lines appear unchanged from prior.",support lines,,Stable,['files/p11/p11717909/s58279613/f4caf2a7-cfab7dcf-4ed18148-2edc0c1d-ec22176f.jpg'],['files/p11/p11717909/s58217958/f1120431-f40e3c5a-374851f6-49f45b94-5c996f47.jpg\n']
s58301819_1,p17971994,s58301819,1,Impression,Worsened appearance to the left lung.,Worsened appearance to the left lung.,lung,left,Worse,"['files/p17/p17971994/s58301819/7de77f32-efc99908-c58357b5-f6898f6c-0cf286d1.jpg', 'files/p17/p17971994/s58301819/9eaa5798-a1f9ce99-1756bdf0-83b81c43-45840f0f.jpg']","['files/p17/p17971994/s51958471/1164d62f-9e4a6099-a99a9a12-017229ad-7b6f71b5.jpg\n', 'files/p17/p17971994/s51958471/7aebfaa7-d5a1f4ed-24dfd06b-e5e86c5c-5850e00f.jpg\n']"
s58301819_1,p17971994,s58301819,1,Findings,The left-sided chest tube is been removed. There is a small left pleural effusion and volume loss in the left lower lobe better new compared to prior. There is no pneumothorax. There is a small right effusion as well,There is a small left pleural effusion and volume loss in the left lower lobe better new compared to prior.,volume loss,left lower lobe,Better,"['files/p17/p17971994/s58301819/7de77f32-efc99908-c58357b5-f6898f6c-0cf286d1.jpg', 'files/p17/p17971994/s58301819/9eaa5798-a1f9ce99-1756bdf0-83b81c43-45840f0f.jpg']","['files/p17/p17971994/s51958471/1164d62f-9e4a6099-a99a9a12-017229ad-7b6f71b5.jpg\n', 'files/p17/p17971994/s51958471/7aebfaa7-d5a1f4ed-24dfd06b-e5e86c5c-5850e00f.jpg\n']"
s58301819_1,p17971994,s58301819,1,Findings,The left-sided chest tube is been removed. There is a small left pleural effusion and volume loss in the left lower lobe better new compared to prior. There is no pneumothorax. There is a small right effusion as well,The left-sided chest tube is been removed.,chest tube,left-sided,Resolve,"['files/p17/p17971994/s58301819/7de77f32-efc99908-c58357b5-f6898f6c-0cf286d1.jpg', 'files/p17/p17971994/s58301819/9eaa5798-a1f9ce99-1756bdf0-83b81c43-45840f0f.jpg']","['files/p17/p17971994/s51958471/1164d62f-9e4a6099-a99a9a12-017229ad-7b6f71b5.jpg\n', 'files/p17/p17971994/s51958471/7aebfaa7-d5a1f4ed-24dfd06b-e5e86c5c-5850e00f.jpg\n']"
s58318194_0,p18713335,s58318194,0,Findings,"As compared to the previous radiograph, the size of the cardiac silhouette is moderately increased. Given lower lung volumes, there is more crowding of the vascular and bronchial structures, notably at the lung bases, but no pulmonary edema is present. No pneumonia. No pleural effusions. No lung nodules or masses.","As compared to the previous radiograph, the size of the cardiac silhouette is moderately increased.",size,cardiac silhouette,Worse,"['files/p18/p18713335/s58318194/29e8cd30-6d1c3bf6-20b37ebf-0129c596-941196da.jpg', 'files/p18/p18713335/s58318194/52dba646-d5793a41-017a31e5-359f85e9-fdc22168.jpg']","['files/p18/p18713335/s56629662/20f781f3-8af7bfae-44ed8008-540a4975-ce41f5b7.jpg\n', 'files/p18/p18713335/s56629662/25d32771-00781a5a-8920ea8f-ae2f4879-373b3c21.jpg\n', 'files/p18/p18713335/s56629662/2c7ae42e-e41f0d63-f348381f-7888cf5b-491ac2cc.jpg\n']"
s58322412_30,p15911529,s58322412,30,Impression,"Cardiomegaly is unchanged. Right pigtail catheter is in place but there is a gain interval accumulation, substantial of pleural effusion along the chest wall as well as in the major fissure. Minimal right apical pneumothorax is noted.",Cardiomegaly is unchanged.,Cardiomegaly,,Stable,['files/p15/p15911529/s58322412/10127a8b-7bfe476a-de96870b-d51d4890-34ca977b.jpg'],['files/p15/p15911529/s57922122/69bc2b07-10cc7789-3cc5f3af-4c3c6ba3-992abb1d.jpg\n']
s58322412_30,p15911529,s58322412,30,Impression,"Cardiomegaly is unchanged. Right pigtail catheter is in place but there is a gain interval accumulation, substantial of pleural effusion along the chest wall as well as in the major fissure. Minimal right apical pneumothorax is noted.","Right pigtail catheter is in place but there is a gain interval accumulation, substantial of pleural effusion along the chest wall as well as in the major fissure.",Pleural effusion,"right, chest wall, major fissure",Worse,['files/p15/p15911529/s58322412/10127a8b-7bfe476a-de96870b-d51d4890-34ca977b.jpg'],['files/p15/p15911529/s57922122/69bc2b07-10cc7789-3cc5f3af-4c3c6ba3-992abb1d.jpg\n']
s58362071_4,p16172396,s58362071,4,Findings,"Since prior, there is no significant interval change. Heart size and cardiomediastinal contours are normal. The lungs are clear without focal consolidation. There is no pneumothorax or pleural effusion. Chronic left rib fracture, again seen.","Chronic left rib fracture, again seen.",rib fracture,left,Stable,"['files/p16/p16172396/s58362071/47bc92de-7c76c78d-2af6018d-6625e000-3f694250.jpg', 'files/p16/p16172396/s58362071/f7dc11e5-43c374d7-48d89864-86815a5f-388045ef.jpg']","['files/p16/p16172396/s55812319/69993378-c937a43f-67393866-a501ac76-1a78ed84.jpg\n', 'files/p16/p16172396/s55812319/c5f10e5a-dbd419da-3540dd16-cd0fd3e3-90769d0d.jpg\n']"
s58392527_4,p13356814,s58392527,4,Impression,"Compared to prior chest radiographs ___ through ___. Left lower lobe is still collapsed, less severe atelectasis persists at the right base. Moderate bilateral pleural effusions may have decreased slightly. Upper lungs clear. Mild cardiomegaly stable.",Mild cardiomegaly stable.,Mild cardiomegaly,,Stable,['files/p13/p13356814/s58392527/643b5892-d5755e02-7054a915-f33776d7-b2859fa1.jpg'],['files/p13/p13356814/s53743846/54ab854c-ec14b27b-d554c385-73da5922-3ea3d6ed.jpg\n']
s58392527_4,p13356814,s58392527,4,Impression,"Compared to prior chest radiographs ___ through ___. Left lower lobe is still collapsed, less severe atelectasis persists at the right base. Moderate bilateral pleural effusions may have decreased slightly. Upper lungs clear. Mild cardiomegaly stable.","Left lower lobe is still collapsed, less severe atelectasis persists at the right base.",collapse,left lower lobe,Stable,['files/p13/p13356814/s58392527/643b5892-d5755e02-7054a915-f33776d7-b2859fa1.jpg'],['files/p13/p13356814/s53743846/54ab854c-ec14b27b-d554c385-73da5922-3ea3d6ed.jpg\n']
s58392527_4,p13356814,s58392527,4,Impression,"Compared to prior chest radiographs ___ through ___. Left lower lobe is still collapsed, less severe atelectasis persists at the right base. Moderate bilateral pleural effusions may have decreased slightly. Upper lungs clear. Mild cardiomegaly stable.","Left lower lobe is still collapsed, less severe atelectasis persists at the right base.",atelectasis,right base,Stable,['files/p13/p13356814/s58392527/643b5892-d5755e02-7054a915-f33776d7-b2859fa1.jpg'],['files/p13/p13356814/s53743846/54ab854c-ec14b27b-d554c385-73da5922-3ea3d6ed.jpg\n']
s58392527_4,p13356814,s58392527,4,Impression,"Compared to prior chest radiographs ___ through ___. Left lower lobe is still collapsed, less severe atelectasis persists at the right base. Moderate bilateral pleural effusions may have decreased slightly. Upper lungs clear. Mild cardiomegaly stable.",Moderate bilateral pleural effusions may have decreased slightly.,pleural effusions,bilateral,Better,['files/p13/p13356814/s58392527/643b5892-d5755e02-7054a915-f33776d7-b2859fa1.jpg'],['files/p13/p13356814/s53743846/54ab854c-ec14b27b-d554c385-73da5922-3ea3d6ed.jpg\n']
s58408306_2,p18971051,s58408306,2,Impression,"As compared to the previous radiograph, no relevant change is seen. Low lung volumes. Substantial calcifications of the elongated descending aorta. Moderate cardiomegaly. Contrast is seen in the esophagus.","As compared to the previous radiograph, no relevant change is seen.",,,Stable,['files/p18/p18971051/s58408306/1d61f7d6-031720b7-8d226ade-2f1b8262-31b028fa.jpg'],"['files/p18/p18971051/s57901910/0469019a-6cd3631d-c792015d-a2891105-1e527c1a.jpg\n', 'files/p18/p18971051/s57901910/f1b9387f-6abbc55f-e58e81c6-62aebe62-f030ef73.jpg\n']"
s58408693_13,p17559288,s58408693,13,Findings,"In the interval, the patient has received a Dobbhoff catheter. The catheter is coiled in the stomach, and the tip points upwards towards the proximal parts of the stomach. There is no evidence of complications, notably no pneumothorax. The pre-existing diffuse parenchymal opacities have minimally decreased in severity.",The pre-existing diffuse parenchymal opacities have minimally decreased in severity.,diffuse parenchymal opacities,,Better,['files/p17/p17559288/s58408693/8cca0878-51f27942-9aec337b-398ae7fd-2014bdcb.jpg'],['files/p17/p17559288/s57820639/464448a4-f1229c37-3a509617-2edb4a04-cef4335c.jpg\n']
s58417790_1,p18713335,s58417790,1,Findings,"As compared to the previous radiograph, the lung volumes have decreased. There is now moderate cardiomegaly with signs of predominantly centralized moderate pulmonary edema. Increased areas of atelectasis are seen at both lung bases. The asymmetry of the changes does not clearly support the suspicion for pneumonia. At the time of dictation and observation, 8:47 a.m., on the ___, the referring physician, ___. ___ was paged for notification.",Increased areas of atelectasis are seen at both lung bases.,atelectasis,both lung bases,Worse,['files/p18/p18713335/s58417790/b29d0852-2f33563f-2443c212-e00db2ff-74a4c5d7.jpg'],"['files/p18/p18713335/s58318194/29e8cd30-6d1c3bf6-20b37ebf-0129c596-941196da.jpg\n', 'files/p18/p18713335/s58318194/52dba646-d5793a41-017a31e5-359f85e9-fdc22168.jpg\n']"
s58417790_1,p18713335,s58417790,1,Findings,"As compared to the previous radiograph, the lung volumes have decreased. There is now moderate cardiomegaly with signs of predominantly centralized moderate pulmonary edema. Increased areas of atelectasis are seen at both lung bases. The asymmetry of the changes does not clearly support the suspicion for pneumonia. At the time of dictation and observation, 8:47 a.m., on the ___, the referring physician, ___. ___ was paged for notification.","As compared to the previous radiograph, the lung volumes have decreased.",volume,lung volumes,Worse,['files/p18/p18713335/s58417790/b29d0852-2f33563f-2443c212-e00db2ff-74a4c5d7.jpg'],"['files/p18/p18713335/s58318194/29e8cd30-6d1c3bf6-20b37ebf-0129c596-941196da.jpg\n', 'files/p18/p18713335/s58318194/52dba646-d5793a41-017a31e5-359f85e9-fdc22168.jpg\n']"
s58431125_16,p17559288,s58431125,16,Findings,"In comparison with the study of ___, there is still diffuse pulmonary opacifications, though they have decreased since the prior study. Monitoring and support devices remain in place.",Monitoring and support devices remain in place.,Monitoring and support devices,,Stable,['files/p17/p17559288/s58431125/7f934ace-2c4405ac-5ed77284-8dcc985f-175950c0.jpg'],['files/p17/p17559288/s58408693/8cca0878-51f27942-9aec337b-398ae7fd-2014bdcb.jpg\n']
s58431125_16,p17559288,s58431125,16,Findings,"In comparison with the study of ___, there is still diffuse pulmonary opacifications, though they have decreased since the prior study. Monitoring and support devices remain in place.","There is still diffuse pulmonary opacifications, though they have decreased since the prior study.",pulmonary opacifications,diffuse,Better,['files/p17/p17559288/s58431125/7f934ace-2c4405ac-5ed77284-8dcc985f-175950c0.jpg'],['files/p17/p17559288/s58408693/8cca0878-51f27942-9aec337b-398ae7fd-2014bdcb.jpg\n']
s58443677_5,p15902493,s58443677,5,Impression,"AP chest submitted for review on ___ at 4 p.m. compared to ___ through ___ at 4:25 a.m.: Previous mild pulmonary edema is improving, but moderate bilateral pleural effusions persist and may have increased, and there is more atelectasis at both lung bases. The ET tube is in standard placement, and the trachea which is markedly displaced and, by CT report, severely narrowed by large right-sided goiter. No pneumothorax. Left subclavian line ends in the mid SVC. The heart size top normal, unchanged.","The heart size top normal, unchanged.",heart size,,Stable,"['files/p15/p15902493/s58443677/3c875623-94264ee2-c1bfb66e-6a05bc14-ceb81702.jpg', 'files/p15/p15902493/s58443677/4aeba39a-be4ef35d-83b25701-9af40c72-5130f3eb.jpg']",['files/p15/p15902493/s58289892/dd7f98a8-f0bd8f93-d89e5076-48b04556-0792d3c6.jpg\n']
s58443677_5,p15902493,s58443677,5,Impression,"AP chest submitted for review on ___ at 4 p.m. compared to ___ through ___ at 4:25 a.m.: Previous mild pulmonary edema is improving, but moderate bilateral pleural effusions persist and may have increased, and there is more atelectasis at both lung bases. The ET tube is in standard placement, and the trachea which is markedly displaced and, by CT report, severely narrowed by large right-sided goiter. No pneumothorax. Left subclavian line ends in the mid SVC. The heart size top normal, unchanged.","Previous mild pulmonary edema is improving, but moderate bilateral pleural effusions persist and may have increased, and there is more atelectasis at both lung bases.",atelectasis,both lung bases,Worse,"['files/p15/p15902493/s58443677/3c875623-94264ee2-c1bfb66e-6a05bc14-ceb81702.jpg', 'files/p15/p15902493/s58443677/4aeba39a-be4ef35d-83b25701-9af40c72-5130f3eb.jpg']",['files/p15/p15902493/s58289892/dd7f98a8-f0bd8f93-d89e5076-48b04556-0792d3c6.jpg\n']
s58443677_5,p15902493,s58443677,5,Impression,"AP chest submitted for review on ___ at 4 p.m. compared to ___ through ___ at 4:25 a.m.: Previous mild pulmonary edema is improving, but moderate bilateral pleural effusions persist and may have increased, and there is more atelectasis at both lung bases. The ET tube is in standard placement, and the trachea which is markedly displaced and, by CT report, severely narrowed by large right-sided goiter. No pneumothorax. Left subclavian line ends in the mid SVC. The heart size top normal, unchanged.","Previous mild pulmonary edema is improving, but moderate bilateral pleural effusions persist and may have increased, and there is more atelectasis at both lung bases.",pleural effusions,bilateral,Stable,"['files/p15/p15902493/s58443677/3c875623-94264ee2-c1bfb66e-6a05bc14-ceb81702.jpg', 'files/p15/p15902493/s58443677/4aeba39a-be4ef35d-83b25701-9af40c72-5130f3eb.jpg']",['files/p15/p15902493/s58289892/dd7f98a8-f0bd8f93-d89e5076-48b04556-0792d3c6.jpg\n']
s58443677_5,p15902493,s58443677,5,Impression,"AP chest submitted for review on ___ at 4 p.m. compared to ___ through ___ at 4:25 a.m.: Previous mild pulmonary edema is improving, but moderate bilateral pleural effusions persist and may have increased, and there is more atelectasis at both lung bases. The ET tube is in standard placement, and the trachea which is markedly displaced and, by CT report, severely narrowed by large right-sided goiter. No pneumothorax. Left subclavian line ends in the mid SVC. The heart size top normal, unchanged.","Previous mild pulmonary edema is improving, but moderate bilateral pleural effusions persist and may have increased, and there is more atelectasis at both lung bases.",pulmonary edema,bilateral,Better,"['files/p15/p15902493/s58443677/3c875623-94264ee2-c1bfb66e-6a05bc14-ceb81702.jpg', 'files/p15/p15902493/s58443677/4aeba39a-be4ef35d-83b25701-9af40c72-5130f3eb.jpg']",['files/p15/p15902493/s58289892/dd7f98a8-f0bd8f93-d89e5076-48b04556-0792d3c6.jpg\n']
s58445510_2,p16522757,s58445510,2,Impression,"New large areas of consolidation in both lower lobes concerning for pneumonia, particularly on the right, could be atelectasis on the left. Small left pleural effusions are probably present as well. No pneumothorax. Left apical pleural drainage catheter in place. ET tube in standard position. Heart size normal. Findings on the subsequent chest radiograph were reported to Dr. ___.",No pneumothorax.,pneumothorax,,Resolve,['files/p16/p16522757/s58445510/8b10b3e9-60270740-11e12630-f77c8705-1d018ae7.jpg'],['files/p16/p16522757/s57337921/a9a45704-613f2878-ab492afe-55b839b6-19a841f7.jpg\n']
s58445510_2,p16522757,s58445510,2,Impression,"New large areas of consolidation in both lower lobes concerning for pneumonia, particularly on the right, could be atelectasis on the left. Small left pleural effusions are probably present as well. No pneumothorax. Left apical pleural drainage catheter in place. ET tube in standard position. Heart size normal. Findings on the subsequent chest radiograph were reported to Dr. ___.",ET tube in standard position.,ET tube,standard,Stable,['files/p16/p16522757/s58445510/8b10b3e9-60270740-11e12630-f77c8705-1d018ae7.jpg'],['files/p16/p16522757/s57337921/a9a45704-613f2878-ab492afe-55b839b6-19a841f7.jpg\n']
s58445510_2,p16522757,s58445510,2,Impression,"New large areas of consolidation in both lower lobes concerning for pneumonia, particularly on the right, could be atelectasis on the left. Small left pleural effusions are probably present as well. No pneumothorax. Left apical pleural drainage catheter in place. ET tube in standard position. Heart size normal. Findings on the subsequent chest radiograph were reported to Dr. ___.","New large areas of consolidation in both lower lobes concerning for pneumonia, particularly on the right, could be atelectasis on the left.",consolidation,both lower lobes,New,['files/p16/p16522757/s58445510/8b10b3e9-60270740-11e12630-f77c8705-1d018ae7.jpg'],['files/p16/p16522757/s57337921/a9a45704-613f2878-ab492afe-55b839b6-19a841f7.jpg\n']
s58445510_2,p16522757,s58445510,2,Impression,"New large areas of consolidation in both lower lobes concerning for pneumonia, particularly on the right, could be atelectasis on the left. Small left pleural effusions are probably present as well. No pneumothorax. Left apical pleural drainage catheter in place. ET tube in standard position. Heart size normal. Findings on the subsequent chest radiograph were reported to Dr. ___.",Left apical pleural drainage catheter in place.,pleural drainage catheter,left apical,New,['files/p16/p16522757/s58445510/8b10b3e9-60270740-11e12630-f77c8705-1d018ae7.jpg'],['files/p16/p16522757/s57337921/a9a45704-613f2878-ab492afe-55b839b6-19a841f7.jpg\n']
s58445510_2,p16522757,s58445510,2,Impression,"New large areas of consolidation in both lower lobes concerning for pneumonia, particularly on the right, could be atelectasis on the left. Small left pleural effusions are probably present as well. No pneumothorax. Left apical pleural drainage catheter in place. ET tube in standard position. Heart size normal. Findings on the subsequent chest radiograph were reported to Dr. ___.",Small left pleural effusions are probably present as well.,pleural effusions,left,New,['files/p16/p16522757/s58445510/8b10b3e9-60270740-11e12630-f77c8705-1d018ae7.jpg'],['files/p16/p16522757/s57337921/a9a45704-613f2878-ab492afe-55b839b6-19a841f7.jpg\n']
s58452624_0,p13071559,s58452624,0,Impression,Heart size and mediastinum are stable. Lungs are clear. There is no pleural effusion or pneumothorax. There is questionable nodular opacity projecting over the right cardiac border. Correlation with PA and lateral views recommended and anterior shallow obliques.,Heart size and mediastinum are stable.,Heart size and mediastinum,,Stable,['files/p13/p13071559/s58452624/a4d9f542-e5d79dcd-595c393c-1abb2504-53b539fd.jpg'],
s58460896_1,p18137951,s58460896,1,Findings,"AP single view of the chest has been obtained with patient in upright position. Available for comparison is the next preceding chest examination of ___. Relatively high positioned diaphragms obscure major portion of the heart shadow. The heart size may be at the upper limit of normal variation, but no typical configurational abnormalities identified. Unremarkable and unchanged appearance of thoracic aorta. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral pleural sinuses are free. No evidence of pneumothorax in the apical area. Skeletal structures of the thorax grossly unremarkable. On previous examination of ___, small left-sided pleural effusion was diagnosed. This cannot be confirmed as a lateral view was not obtained at this time.",Unremarkable and unchanged appearance of thoracic aorta.,Aorta,Thoracic,Stable,['files/p18/p18137951/s58460896/1a102f04-c4935ccf-9ee44ac4-ab62d6f6-49575979.jpg'],['files/p18/p18137951/s53975230/17f90d58-ab2032f6-2a154aae-fe200888-93cc7dcb.jpg\n']
s58460896_1,p18137951,s58460896,1,Findings,"AP single view of the chest has been obtained with patient in upright position. Available for comparison is the next preceding chest examination of ___. Relatively high positioned diaphragms obscure major portion of the heart shadow. The heart size may be at the upper limit of normal variation, but no typical configurational abnormalities identified. Unremarkable and unchanged appearance of thoracic aorta. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral pleural sinuses are free. No evidence of pneumothorax in the apical area. Skeletal structures of the thorax grossly unremarkable. On previous examination of ___, small left-sided pleural effusion was diagnosed. This cannot be confirmed as a lateral view was not obtained at this time.","On previous examination of ___, small left-sided pleural effusion was diagnosed. This cannot be confirmed as a lateral view was not obtained at this time.",Pleural effusion,Left-sided,Stable,['files/p18/p18137951/s58460896/1a102f04-c4935ccf-9ee44ac4-ab62d6f6-49575979.jpg'],['files/p18/p18137951/s53975230/17f90d58-ab2032f6-2a154aae-fe200888-93cc7dcb.jpg\n']
s58461129_0,p13565877,s58461129,0,Findings,"The heart size is normal. The aorta is mildly unfolded. The mediastinal and hilar contours are unchanged. Calcified bilateral pleural plaques are re- demonstrated. The lungs are hyperinflated but clear. No focal consolidation, pleural effusion or pneumothorax is seen. The pulmonary vasculature is normal. There are no acute osseous abnormalities.",Calcified bilateral pleural plaques are re-demonstrated.,calcified pleural plaques,bilateral,Stable,"['files/p13/p13565877/s58461129/730db867-d434712a-03e45219-29563ae9-6e57b2f9.jpg', 'files/p13/p13565877/s58461129/9c885cef-08e9c171-95f0aa12-d19c0858-982a37fa.jpg', 'files/p13/p13565877/s58461129/d7148302-06967b0d-b0842ffe-a02c5032-4b7d26d6.jpg']","['files/p13/p13565877/s56299234/0c59944b-dbd8302b-4562d004-5868ec7a-d84395ad.jpg\n', 'files/p13/p13565877/s56299234/9c4f1537-be70f317-6f6e0f3d-5a469592-c26e0b88.jpg\n']"
s58461129_0,p13565877,s58461129,0,Impression,Bilateral calcified pleural plaques compatible with prior asbestos exposure. No acute cardiopulmonary abnormality.,Bilateral calcified pleural plaques compatible with prior asbestos exposure.,calcified pleural plaques,bilateral,Stable,"['files/p13/p13565877/s58461129/730db867-d434712a-03e45219-29563ae9-6e57b2f9.jpg', 'files/p13/p13565877/s58461129/9c885cef-08e9c171-95f0aa12-d19c0858-982a37fa.jpg', 'files/p13/p13565877/s58461129/d7148302-06967b0d-b0842ffe-a02c5032-4b7d26d6.jpg']","['files/p13/p13565877/s56299234/0c59944b-dbd8302b-4562d004-5868ec7a-d84395ad.jpg\n', 'files/p13/p13565877/s56299234/9c4f1537-be70f317-6f6e0f3d-5a469592-c26e0b88.jpg\n']"
s58461129_0,p13565877,s58461129,0,Findings,"The heart size is normal. The aorta is mildly unfolded. The mediastinal and hilar contours are unchanged. Calcified bilateral pleural plaques are re- demonstrated. The lungs are hyperinflated but clear. No focal consolidation, pleural effusion or pneumothorax is seen. The pulmonary vasculature is normal. There are no acute osseous abnormalities.",The mediastinal and hilar contours are unchanged.,contours,mediastinal and hilar,Stable,"['files/p13/p13565877/s58461129/730db867-d434712a-03e45219-29563ae9-6e57b2f9.jpg', 'files/p13/p13565877/s58461129/9c885cef-08e9c171-95f0aa12-d19c0858-982a37fa.jpg', 'files/p13/p13565877/s58461129/d7148302-06967b0d-b0842ffe-a02c5032-4b7d26d6.jpg']","['files/p13/p13565877/s56299234/0c59944b-dbd8302b-4562d004-5868ec7a-d84395ad.jpg\n', 'files/p13/p13565877/s56299234/9c4f1537-be70f317-6f6e0f3d-5a469592-c26e0b88.jpg\n']"
s58465039_4,p11717909,s58465039,4,Impression,Severe cardiomegaly is stable. There is no pulmonary edema. No pleural effusion. No pneumothorax. Right transjugular Swan-Ganz catheter ends in the right pulmonary artery in standard placement.,Severe cardiomegaly is stable.,Cardiomegaly,,Stable,['files/p11/p11717909/s58465039/b4c53279-dc6e8b39-fbc566fd-d4cb1bf9-41b39939.jpg'],['files/p11/p11717909/s58279613/f4caf2a7-cfab7dcf-4ed18148-2edc0c1d-ec22176f.jpg\n']
s58466105_0,p11520249,s58466105,0,Findings,"AP upright and lateral views of the chest provided. A left chest wall pacer device is seen with catheter extending into the expected location of the right ventricle, unchanged. There is mild central pulmonary vascular engorgement which could indicate mild increased pulmonary pressures. The heart is stably enlarged. Atherosclerotic calcification of the aortic knob noted. Lung volumes are low, though there is no definite sign of pneumonia. Bony structures appear intact.",The heart is stably enlarged.,enlarged heart,,Stable,"['files/p11/p11520249/s58466105/b22978a8-b5b4125a-08c7a341-112606a4-cbd852a9.jpg', 'files/p11/p11520249/s58466105/d1969331-194ac1ab-ab92b6ec-10a231e8-8585ed4a.jpg', 'files/p11/p11520249/s58466105/f1d21b3d-2ee34c86-4d7e3bcf-7cbc833b-f0692c65.jpg']","['files/p11/p11520249/s57610653/79edbc6e-58f13a9d-db0158a9-e1565212-5bdc7e4a.jpg\n', 'files/p11/p11520249/s57610653/d92fe0aa-f7ceb728-7de56f3f-502cf2b6-1e4ccafc.jpg\n', 'files/p11/p11520249/s57610653/e7dd53db-aad223bb-65d21903-85c5d0b4-02e26850.jpg\n']"
s58466105_0,p11520249,s58466105,0,Findings,"AP upright and lateral views of the chest provided. A left chest wall pacer device is seen with catheter extending into the expected location of the right ventricle, unchanged. There is mild central pulmonary vascular engorgement which could indicate mild increased pulmonary pressures. The heart is stably enlarged. Atherosclerotic calcification of the aortic knob noted. Lung volumes are low, though there is no definite sign of pneumonia. Bony structures appear intact.","A left chest wall pacer device is seen with catheter extending into the expected location of the right ventricle, unchanged.",pacer device,left chest wall,Stable,"['files/p11/p11520249/s58466105/b22978a8-b5b4125a-08c7a341-112606a4-cbd852a9.jpg', 'files/p11/p11520249/s58466105/d1969331-194ac1ab-ab92b6ec-10a231e8-8585ed4a.jpg', 'files/p11/p11520249/s58466105/f1d21b3d-2ee34c86-4d7e3bcf-7cbc833b-f0692c65.jpg']","['files/p11/p11520249/s57610653/79edbc6e-58f13a9d-db0158a9-e1565212-5bdc7e4a.jpg\n', 'files/p11/p11520249/s57610653/d92fe0aa-f7ceb728-7de56f3f-502cf2b6-1e4ccafc.jpg\n', 'files/p11/p11520249/s57610653/e7dd53db-aad223bb-65d21903-85c5d0b4-02e26850.jpg\n']"
s58466105_0,p11520249,s58466105,0,Impression,Stable cardiomegaly with mild pulmonary interstitial edema.,Stable cardiomegaly with mild pulmonary interstitial edema.,cardiomegaly,,Stable,"['files/p11/p11520249/s58466105/b22978a8-b5b4125a-08c7a341-112606a4-cbd852a9.jpg', 'files/p11/p11520249/s58466105/d1969331-194ac1ab-ab92b6ec-10a231e8-8585ed4a.jpg', 'files/p11/p11520249/s58466105/f1d21b3d-2ee34c86-4d7e3bcf-7cbc833b-f0692c65.jpg']","['files/p11/p11520249/s57610653/79edbc6e-58f13a9d-db0158a9-e1565212-5bdc7e4a.jpg\n', 'files/p11/p11520249/s57610653/d92fe0aa-f7ceb728-7de56f3f-502cf2b6-1e4ccafc.jpg\n', 'files/p11/p11520249/s57610653/e7dd53db-aad223bb-65d21903-85c5d0b4-02e26850.jpg\n']"
s58469461_5,p10803114,s58469461,5,Impression,Interval decrease in the amount of fluid but increase in the amount of air within the right pleura compatible with a small hydropneumothorax.,Interval decrease in the amount of fluid but increase in the amount of air within the right pleura compatible with a small hydropneumothorax.,air,right pleura,Worse,"['files/p10/p10803114/s58469461/e0d4c756-3788fc64-eaff6f23-f19c9a77-37380c7c.jpg', 'files/p10/p10803114/s58469461/e29f99dd-1ecf184b-8a7a3240-781f606a-b37061da.jpg']","['files/p10/p10803114/s56915281/6e7b243d-a11a3f29-49057751-677985e1-c29b0e67.jpg\n', 'files/p10/p10803114/s56915281/c9cf7fd7-7209115e-f7497506-5548d12f-30259e65.jpg\n', 'files/p10/p10803114/s56915281/d4eb74b1-f44ac0fc-aaaa580a-ebd12892-d8aef5e2.jpg\n']"
s58469461_5,p10803114,s58469461,5,Findings,"PA and lateral views of the chest demonstrate a right-sided pleural catheter in unchanged position. The pleural effusion has decreased in size, now only a small amount remains, but there is now air within the pleura. The chest is otherwise unchanged, including right basal atelectasis, and clear left lung. Cardiac size remains stable.","The pleural effusion has decreased in size, now only a small amount remains, but there is now air within the pleura.",pleural effusion,right-sided,Better,"['files/p10/p10803114/s58469461/e0d4c756-3788fc64-eaff6f23-f19c9a77-37380c7c.jpg', 'files/p10/p10803114/s58469461/e29f99dd-1ecf184b-8a7a3240-781f606a-b37061da.jpg']","['files/p10/p10803114/s56915281/6e7b243d-a11a3f29-49057751-677985e1-c29b0e67.jpg\n', 'files/p10/p10803114/s56915281/c9cf7fd7-7209115e-f7497506-5548d12f-30259e65.jpg\n', 'files/p10/p10803114/s56915281/d4eb74b1-f44ac0fc-aaaa580a-ebd12892-d8aef5e2.jpg\n']"
s58469461_5,p10803114,s58469461,5,Impression,Interval decrease in the amount of fluid but increase in the amount of air within the right pleura compatible with a small hydropneumothorax.,Interval decrease in the amount of fluid but increase in the amount of air within the right pleura compatible with a small hydropneumothorax.,fluid,right pleura,Better,"['files/p10/p10803114/s58469461/e0d4c756-3788fc64-eaff6f23-f19c9a77-37380c7c.jpg', 'files/p10/p10803114/s58469461/e29f99dd-1ecf184b-8a7a3240-781f606a-b37061da.jpg']","['files/p10/p10803114/s56915281/6e7b243d-a11a3f29-49057751-677985e1-c29b0e67.jpg\n', 'files/p10/p10803114/s56915281/c9cf7fd7-7209115e-f7497506-5548d12f-30259e65.jpg\n', 'files/p10/p10803114/s56915281/d4eb74b1-f44ac0fc-aaaa580a-ebd12892-d8aef5e2.jpg\n']"
s58469461_5,p10803114,s58469461,5,Findings,"PA and lateral views of the chest demonstrate a right-sided pleural catheter in unchanged position. The pleural effusion has decreased in size, now only a small amount remains, but there is now air within the pleura. The chest is otherwise unchanged, including right basal atelectasis, and clear left lung. Cardiac size remains stable.","The chest is otherwise unchanged, including right basal atelectasis, and clear left lung.",atelectasis,right basal,Stable,"['files/p10/p10803114/s58469461/e0d4c756-3788fc64-eaff6f23-f19c9a77-37380c7c.jpg', 'files/p10/p10803114/s58469461/e29f99dd-1ecf184b-8a7a3240-781f606a-b37061da.jpg']","['files/p10/p10803114/s56915281/6e7b243d-a11a3f29-49057751-677985e1-c29b0e67.jpg\n', 'files/p10/p10803114/s56915281/c9cf7fd7-7209115e-f7497506-5548d12f-30259e65.jpg\n', 'files/p10/p10803114/s56915281/d4eb74b1-f44ac0fc-aaaa580a-ebd12892-d8aef5e2.jpg\n']"
s58469461_5,p10803114,s58469461,5,Findings,"PA and lateral views of the chest demonstrate a right-sided pleural catheter in unchanged position. The pleural effusion has decreased in size, now only a small amount remains, but there is now air within the pleura. The chest is otherwise unchanged, including right basal atelectasis, and clear left lung. Cardiac size remains stable.",PA and lateral views of the chest demonstrate a right-sided pleural catheter in unchanged position.,pleural catheter,right-sided,Stable,"['files/p10/p10803114/s58469461/e0d4c756-3788fc64-eaff6f23-f19c9a77-37380c7c.jpg', 'files/p10/p10803114/s58469461/e29f99dd-1ecf184b-8a7a3240-781f606a-b37061da.jpg']","['files/p10/p10803114/s56915281/6e7b243d-a11a3f29-49057751-677985e1-c29b0e67.jpg\n', 'files/p10/p10803114/s56915281/c9cf7fd7-7209115e-f7497506-5548d12f-30259e65.jpg\n', 'files/p10/p10803114/s56915281/d4eb74b1-f44ac0fc-aaaa580a-ebd12892-d8aef5e2.jpg\n']"
s58469461_5,p10803114,s58469461,5,Findings,"PA and lateral views of the chest demonstrate a right-sided pleural catheter in unchanged position. The pleural effusion has decreased in size, now only a small amount remains, but there is now air within the pleura. The chest is otherwise unchanged, including right basal atelectasis, and clear left lung. Cardiac size remains stable.","The pleural effusion has decreased in size, now only a small amount remains, but there is now air within the pleura.",air within the pleura,right-sided,New,"['files/p10/p10803114/s58469461/e0d4c756-3788fc64-eaff6f23-f19c9a77-37380c7c.jpg', 'files/p10/p10803114/s58469461/e29f99dd-1ecf184b-8a7a3240-781f606a-b37061da.jpg']","['files/p10/p10803114/s56915281/6e7b243d-a11a3f29-49057751-677985e1-c29b0e67.jpg\n', 'files/p10/p10803114/s56915281/c9cf7fd7-7209115e-f7497506-5548d12f-30259e65.jpg\n', 'files/p10/p10803114/s56915281/d4eb74b1-f44ac0fc-aaaa580a-ebd12892-d8aef5e2.jpg\n']"
s58469461_5,p10803114,s58469461,5,Findings,"PA and lateral views of the chest demonstrate a right-sided pleural catheter in unchanged position. The pleural effusion has decreased in size, now only a small amount remains, but there is now air within the pleura. The chest is otherwise unchanged, including right basal atelectasis, and clear left lung. Cardiac size remains stable.",Cardiac size remains stable.,Cardiac size,,Stable,"['files/p10/p10803114/s58469461/e0d4c756-3788fc64-eaff6f23-f19c9a77-37380c7c.jpg', 'files/p10/p10803114/s58469461/e29f99dd-1ecf184b-8a7a3240-781f606a-b37061da.jpg']","['files/p10/p10803114/s56915281/6e7b243d-a11a3f29-49057751-677985e1-c29b0e67.jpg\n', 'files/p10/p10803114/s56915281/c9cf7fd7-7209115e-f7497506-5548d12f-30259e65.jpg\n', 'files/p10/p10803114/s56915281/d4eb74b1-f44ac0fc-aaaa580a-ebd12892-d8aef5e2.jpg\n']"
s58469461_5,p10803114,s58469461,5,Findings,"PA and lateral views of the chest demonstrate a right-sided pleural catheter in unchanged position. The pleural effusion has decreased in size, now only a small amount remains, but there is now air within the pleura. The chest is otherwise unchanged, including right basal atelectasis, and clear left lung. Cardiac size remains stable.","The chest is otherwise unchanged, including right basal atelectasis, and clear left lung.",lung,left,Stable,"['files/p10/p10803114/s58469461/e0d4c756-3788fc64-eaff6f23-f19c9a77-37380c7c.jpg', 'files/p10/p10803114/s58469461/e29f99dd-1ecf184b-8a7a3240-781f606a-b37061da.jpg']","['files/p10/p10803114/s56915281/6e7b243d-a11a3f29-49057751-677985e1-c29b0e67.jpg\n', 'files/p10/p10803114/s56915281/c9cf7fd7-7209115e-f7497506-5548d12f-30259e65.jpg\n', 'files/p10/p10803114/s56915281/d4eb74b1-f44ac0fc-aaaa580a-ebd12892-d8aef5e2.jpg\n']"
s58472100_5,p10337896,s58472100,5,Impression,"In comparison with the study of ___, the monitoring and support devices remain in place. Diffuse bilateral pulmonary opacification is processed, consistent with pulmonary edema, bilateral pleural effusions, and compressive atelectasis at the bases, as well as diffuse calcifications.","In comparison with the study of ___, the monitoring and support devices remain in place.",monitoring and support devices,,Stable,['files/p10/p10337896/s58472100/837a3315-a9ccd709-59623363-1b86d9d7-0682317f.jpg'],['files/p10/p10337896/s57814257/f65f9193-62ebcf82-99968803-f13a04d1-f2c529b5.jpg\n']
s58473321_0,p10543994,s58473321,0,Impression,Subpleural reticular opacities better assessed on the recent CT of the chest likely representing early interstitial lung disease. Mild cardiomegaly,Subpleural reticular opacities better assessed on the recent CT of the chest likely representing early interstitial lung disease.,reticular opacities,subpleural,New,"['files/p10/p10543994/s58473321/1216f943-00196c3a-c41ea739-788f8d83-9571731c.jpg', 'files/p10/p10543994/s58473321/a35725a6-cea21ad3-08b4e359-ffa6686f-8bb4f626.jpg']",['files/p10/p10543994/s57237894/95a1bd4e-c011b21e-36ba6f97-6683c294-5b0dd26d.jpg\n']
s58473321_0,p10543994,s58473321,0,Findings,PA and lateral views of the chest provided. There are subpleural reticular opacities as seen on prior CT compatible with early interstitial lung disease. The heart size appears mildly enlarged. The mediastinal contour is normal. No pleural effusion or pneumothorax. Bony structures are intact.,There are subpleural reticular opacities as seen on prior CT compatible with early interstitial lung disease.,reticular opacities,subpleural,New,"['files/p10/p10543994/s58473321/1216f943-00196c3a-c41ea739-788f8d83-9571731c.jpg', 'files/p10/p10543994/s58473321/a35725a6-cea21ad3-08b4e359-ffa6686f-8bb4f626.jpg']",['files/p10/p10543994/s57237894/95a1bd4e-c011b21e-36ba6f97-6683c294-5b0dd26d.jpg\n']
s58473980_2,p18783450,s58473980,2,Findings,Comparison is made to the previous study from ___. There is improved aeration at the right base. There remains some atelectasis at the bases bilaterally. There is an unchanged right-sided Port-A-Cath with distal lead tip at the distal SVC. Heart size is normal. There are no pneumothoraces.,There is an unchanged right-sided Port-A-Cath with distal lead tip at the distal SVC.,Port-A-Cath,right-sided,Stable,['files/p18/p18783450/s58473980/1f400fee-753579b0-b459be3b-04c5dbab-120f6074.jpg'],"['files/p18/p18783450/s57910629/37a46521-d5ee05d1-8c835430-1d166619-087e5154.jpg\n', 'files/p18/p18783450/s57910629/422394dc-7c849c9c-4ece98cb-98ba7ba7-44430271.jpg\n', 'files/p18/p18783450/s57910629/712bc05c-fcb07be3-8b5fbf1a-43379379-df689356.jpg\n']"
s58473980_2,p18783450,s58473980,2,Findings,Comparison is made to the previous study from ___. There is improved aeration at the right base. There remains some atelectasis at the bases bilaterally. There is an unchanged right-sided Port-A-Cath with distal lead tip at the distal SVC. Heart size is normal. There are no pneumothoraces.,There remains some atelectasis at the bases bilaterally.,atelectasis,bases bilaterally,Stable,['files/p18/p18783450/s58473980/1f400fee-753579b0-b459be3b-04c5dbab-120f6074.jpg'],"['files/p18/p18783450/s57910629/37a46521-d5ee05d1-8c835430-1d166619-087e5154.jpg\n', 'files/p18/p18783450/s57910629/422394dc-7c849c9c-4ece98cb-98ba7ba7-44430271.jpg\n', 'files/p18/p18783450/s57910629/712bc05c-fcb07be3-8b5fbf1a-43379379-df689356.jpg\n']"
s58473980_2,p18783450,s58473980,2,Findings,Comparison is made to the previous study from ___. There is improved aeration at the right base. There remains some atelectasis at the bases bilaterally. There is an unchanged right-sided Port-A-Cath with distal lead tip at the distal SVC. Heart size is normal. There are no pneumothoraces.,There is improved aeration at the right base.,aeration,right base,Better,['files/p18/p18783450/s58473980/1f400fee-753579b0-b459be3b-04c5dbab-120f6074.jpg'],"['files/p18/p18783450/s57910629/37a46521-d5ee05d1-8c835430-1d166619-087e5154.jpg\n', 'files/p18/p18783450/s57910629/422394dc-7c849c9c-4ece98cb-98ba7ba7-44430271.jpg\n', 'files/p18/p18783450/s57910629/712bc05c-fcb07be3-8b5fbf1a-43379379-df689356.jpg\n']"
s58480507_26,p11717909,s58480507,26,Impression,"As compared to the previous radiograph, the Swan-___ catheter was removed and the left chest tube was pulled. Unchanged appearance of the cardiac silhouette. No not visible left-sided pneumothorax. The extent of the retrocardiac atelectasis and small left pleural effusion as well as of the right lung are unchanged. Unchanged position of the cardiac support device. The second more basal positioned tube is also or removed.",The second more basal positioned tube is also or removed.,tube,basal,Resolve,['files/p11/p11717909/s58480507/b57584cc-a29bd841-898af146-74374eab-42633a08.jpg'],['files/p11/p11717909/s58465039/b4c53279-dc6e8b39-fbc566fd-d4cb1bf9-41b39939.jpg\n']
s58480507_26,p11717909,s58480507,26,Impression,"As compared to the previous radiograph, the Swan-___ catheter was removed and the left chest tube was pulled. Unchanged appearance of the cardiac silhouette. No not visible left-sided pneumothorax. The extent of the retrocardiac atelectasis and small left pleural effusion as well as of the right lung are unchanged. Unchanged position of the cardiac support device. The second more basal positioned tube is also or removed.","As compared to the previous radiograph, the Swan-___ catheter was removed and the left chest tube was pulled.",Swan-___ catheter,,Resolve,['files/p11/p11717909/s58480507/b57584cc-a29bd841-898af146-74374eab-42633a08.jpg'],['files/p11/p11717909/s58465039/b4c53279-dc6e8b39-fbc566fd-d4cb1bf9-41b39939.jpg\n']
s58480507_26,p11717909,s58480507,26,Impression,"As compared to the previous radiograph, the Swan-___ catheter was removed and the left chest tube was pulled. Unchanged appearance of the cardiac silhouette. No not visible left-sided pneumothorax. The extent of the retrocardiac atelectasis and small left pleural effusion as well as of the right lung are unchanged. Unchanged position of the cardiac support device. The second more basal positioned tube is also or removed.","As compared to the previous radiograph, the Swan-___ catheter was removed and the left chest tube was pulled.",chest tube,left,Resolve,['files/p11/p11717909/s58480507/b57584cc-a29bd841-898af146-74374eab-42633a08.jpg'],['files/p11/p11717909/s58465039/b4c53279-dc6e8b39-fbc566fd-d4cb1bf9-41b39939.jpg\n']
s58486262_72,p11717909,s58486262,72,Impression,"Comparison to ___. The feeding tube is now in correct position. The right internal jugular vein catheter is stable. Unchanged mild elevation of the right hemidiaphragm, with platelike atelectasis at the right lung basis. Mild cardiomegaly without overt pulmonary edema. Likely presence of a minimal right pleural effusion.",Comparison to ___. The feeding tube is now in correct position.,feeding tube,,Resolve,['files/p11/p11717909/s58486262/1fb09915-c0059d07-e6cd2be9-857cd031-773f848a.jpg'],['files/p11/p11717909/s58480507/b57584cc-a29bd841-898af146-74374eab-42633a08.jpg\n']
s58500412_15,p17559288,s58500412,15,Impression,"AP chest compared to ___: Greater consolidation in the right mid lung of the diffuse infiltrative pulmonary abnormality could be due to progression of pneumonia, mild edema or local pulmonary hemorrhage. No pneumothorax or appreciable pleural effusion. Normal cardiomediastinal and hilar silhouettes. Feeding tube ends in the stomach. Right jugular line ends in the low SVC.","Greater consolidation in the right mid lung of the diffuse infiltrative pulmonary abnormality could be due to progression of pneumonia, mild edema or local pulmonary hemorrhage.",consolidation,right mid lung,Worse,['files/p17/p17559288/s58500412/7178c919-44dfb11d-9c099d27-1eb09d58-3cc6cb14.jpg'],['files/p17/p17559288/s58431125/7f934ace-2c4405ac-5ed77284-8dcc985f-175950c0.jpg\n']
s58510002_2,p19890030,s58510002,2,Findings,"A new right IJ central line terminates in the mid to low SVC. The ET tube and NG tube are unchanged from prior exam. The lungs are well expanded. Diffusely increased interstitial markings are again noted in the lungs bilaterally, along with engorged pulmonary vasculature, cardiomegaly, and bilateral pleural effusions, consistent with moderate pulmonary edema, similar to prior exams. Opacity at the left lung base is again noted, consistent with atelectasis. No focal consolidation is seen and there is no pneumothorax.","Diffusely increased interstitial markings are again noted in the lungs bilaterally, along with engorged pulmonary vasculature, cardiomegaly, and bilateral pleural effusions, consistent with moderate pulmonary edema, similar to prior exams.",pleural effusions,bilateral,Stable,['files/p19/p19890030/s58510002/3435ed46-ac4d2fc9-701d2553-97322bab-a7090480.jpg'],"['files/p19/p19890030/s57980997/d29ffb8c-6bafdbb6-7063db30-f4646365-4f9eae6e.jpg\n', 'files/p19/p19890030/s57980997/e174e22d-517ea52f-b085dd2a-be0e9ea0-7d59e8de.jpg\n']"
s58510002_2,p19890030,s58510002,2,Findings,"A new right IJ central line terminates in the mid to low SVC. The ET tube and NG tube are unchanged from prior exam. The lungs are well expanded. Diffusely increased interstitial markings are again noted in the lungs bilaterally, along with engorged pulmonary vasculature, cardiomegaly, and bilateral pleural effusions, consistent with moderate pulmonary edema, similar to prior exams. Opacity at the left lung base is again noted, consistent with atelectasis. No focal consolidation is seen and there is no pneumothorax.","Diffusely increased interstitial markings are again noted in the lungs bilaterally, along with engorged pulmonary vasculature, cardiomegaly, and bilateral pleural effusions, consistent with moderate pulmonary edema, similar to prior exams.",pulmonary vasculature engorgement,bilateral,Stable,['files/p19/p19890030/s58510002/3435ed46-ac4d2fc9-701d2553-97322bab-a7090480.jpg'],"['files/p19/p19890030/s57980997/d29ffb8c-6bafdbb6-7063db30-f4646365-4f9eae6e.jpg\n', 'files/p19/p19890030/s57980997/e174e22d-517ea52f-b085dd2a-be0e9ea0-7d59e8de.jpg\n']"
s58510002_2,p19890030,s58510002,2,Findings,"A new right IJ central line terminates in the mid to low SVC. The ET tube and NG tube are unchanged from prior exam. The lungs are well expanded. Diffusely increased interstitial markings are again noted in the lungs bilaterally, along with engorged pulmonary vasculature, cardiomegaly, and bilateral pleural effusions, consistent with moderate pulmonary edema, similar to prior exams. Opacity at the left lung base is again noted, consistent with atelectasis. No focal consolidation is seen and there is no pneumothorax.","Opacity at the left lung base is again noted, consistent with atelectasis.",opacity,left lung base,Stable,['files/p19/p19890030/s58510002/3435ed46-ac4d2fc9-701d2553-97322bab-a7090480.jpg'],"['files/p19/p19890030/s57980997/d29ffb8c-6bafdbb6-7063db30-f4646365-4f9eae6e.jpg\n', 'files/p19/p19890030/s57980997/e174e22d-517ea52f-b085dd2a-be0e9ea0-7d59e8de.jpg\n']"
s58510002_2,p19890030,s58510002,2,Findings,"A new right IJ central line terminates in the mid to low SVC. The ET tube and NG tube are unchanged from prior exam. The lungs are well expanded. Diffusely increased interstitial markings are again noted in the lungs bilaterally, along with engorged pulmonary vasculature, cardiomegaly, and bilateral pleural effusions, consistent with moderate pulmonary edema, similar to prior exams. Opacity at the left lung base is again noted, consistent with atelectasis. No focal consolidation is seen and there is no pneumothorax.","Diffusely increased interstitial markings are again noted in the lungs bilaterally, along with engorged pulmonary vasculature, cardiomegaly, and bilateral pleural effusions, consistent with moderate pulmonary edema, similar to prior exams.",interstitial markings,bilateral,Stable,['files/p19/p19890030/s58510002/3435ed46-ac4d2fc9-701d2553-97322bab-a7090480.jpg'],"['files/p19/p19890030/s57980997/d29ffb8c-6bafdbb6-7063db30-f4646365-4f9eae6e.jpg\n', 'files/p19/p19890030/s57980997/e174e22d-517ea52f-b085dd2a-be0e9ea0-7d59e8de.jpg\n']"
s58510002_2,p19890030,s58510002,2,Findings,"A new right IJ central line terminates in the mid to low SVC. The ET tube and NG tube are unchanged from prior exam. The lungs are well expanded. Diffusely increased interstitial markings are again noted in the lungs bilaterally, along with engorged pulmonary vasculature, cardiomegaly, and bilateral pleural effusions, consistent with moderate pulmonary edema, similar to prior exams. Opacity at the left lung base is again noted, consistent with atelectasis. No focal consolidation is seen and there is no pneumothorax.","Diffusely increased interstitial markings are again noted in the lungs bilaterally, along with engorged pulmonary vasculature, cardiomegaly, and bilateral pleural effusions, consistent with moderate pulmonary edema, similar to prior exams.",cardiomegaly,,Stable,['files/p19/p19890030/s58510002/3435ed46-ac4d2fc9-701d2553-97322bab-a7090480.jpg'],"['files/p19/p19890030/s57980997/d29ffb8c-6bafdbb6-7063db30-f4646365-4f9eae6e.jpg\n', 'files/p19/p19890030/s57980997/e174e22d-517ea52f-b085dd2a-be0e9ea0-7d59e8de.jpg\n']"
s58510002_2,p19890030,s58510002,2,Findings,"A new right IJ central line terminates in the mid to low SVC. The ET tube and NG tube are unchanged from prior exam. The lungs are well expanded. Diffusely increased interstitial markings are again noted in the lungs bilaterally, along with engorged pulmonary vasculature, cardiomegaly, and bilateral pleural effusions, consistent with moderate pulmonary edema, similar to prior exams. Opacity at the left lung base is again noted, consistent with atelectasis. No focal consolidation is seen and there is no pneumothorax.",The ET tube and NG tube are unchanged from prior exam.,NG tube,,Stable,['files/p19/p19890030/s58510002/3435ed46-ac4d2fc9-701d2553-97322bab-a7090480.jpg'],"['files/p19/p19890030/s57980997/d29ffb8c-6bafdbb6-7063db30-f4646365-4f9eae6e.jpg\n', 'files/p19/p19890030/s57980997/e174e22d-517ea52f-b085dd2a-be0e9ea0-7d59e8de.jpg\n']"
s58510002_2,p19890030,s58510002,2,Findings,"A new right IJ central line terminates in the mid to low SVC. The ET tube and NG tube are unchanged from prior exam. The lungs are well expanded. Diffusely increased interstitial markings are again noted in the lungs bilaterally, along with engorged pulmonary vasculature, cardiomegaly, and bilateral pleural effusions, consistent with moderate pulmonary edema, similar to prior exams. Opacity at the left lung base is again noted, consistent with atelectasis. No focal consolidation is seen and there is no pneumothorax.",The ET tube and NG tube are unchanged from prior exam.,ET tube,,Stable,['files/p19/p19890030/s58510002/3435ed46-ac4d2fc9-701d2553-97322bab-a7090480.jpg'],"['files/p19/p19890030/s57980997/d29ffb8c-6bafdbb6-7063db30-f4646365-4f9eae6e.jpg\n', 'files/p19/p19890030/s57980997/e174e22d-517ea52f-b085dd2a-be0e9ea0-7d59e8de.jpg\n']"
s58510004_9,p11778596,s58510004,9,Impression,"In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.","In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease.",acute cardiopulmonary disease,,Stable,"['files/p11/p11778596/s58510004/86ab7ba3-5406a64e-0ff499f4-1ceebf17-3e779e56.jpg', 'files/p11/p11778596/s58510004/9f68f784-5188d495-c5803627-37126944-42f904c6.jpg']","['files/p11/p11778596/s57138064/013e8b20-1dd181f6-4abba114-5ab4f096-e8a4d186.jpg\n', 'files/p11/p11778596/s57138064/15048198-d09e7dbe-22ba5069-9f484be3-8482c96f.jpg\n']"
s58511483_5,p13171410,s58511483,5,Findings,"In comparison with the study of ___, the right hemidiaphragm is more sharply seen. This could reflect some decreasing effusion or merely be a manifestation of change in patient position. Remainder of the examination is essentially unchanged, and the right IJ catheter tip remains in good position.","Remainder of the examination is essentially unchanged, and the right IJ catheter tip remains in good position.",position,right IJ catheter tip,Stable,['files/p13/p13171410/s58511483/b141bf84-f515c0d9-96113b11-9349f481-567cb70e.jpg'],"['files/p13/p13171410/s55806461/d4faa158-9dca8977-f02a356f-0897293a-813bc241.jpg\n', 'files/p13/p13171410/s55806461/d9db020c-127f5d05-0b15114d-f9441c91-1080c498.jpg\n']"
s58511483_5,p13171410,s58511483,5,Findings,"In comparison with the study of ___, the right hemidiaphragm is more sharply seen. This could reflect some decreasing effusion or merely be a manifestation of change in patient position. Remainder of the examination is essentially unchanged, and the right IJ catheter tip remains in good position.",This could reflect some decreasing effusion or merely be a manifestation of change in patient position.,effusion,effusion,Better,['files/p13/p13171410/s58511483/b141bf84-f515c0d9-96113b11-9349f481-567cb70e.jpg'],"['files/p13/p13171410/s55806461/d4faa158-9dca8977-f02a356f-0897293a-813bc241.jpg\n', 'files/p13/p13171410/s55806461/d9db020c-127f5d05-0b15114d-f9441c91-1080c498.jpg\n']"
s58511483_5,p13171410,s58511483,5,Findings,"In comparison with the study of ___, the right hemidiaphragm is more sharply seen. This could reflect some decreasing effusion or merely be a manifestation of change in patient position. Remainder of the examination is essentially unchanged, and the right IJ catheter tip remains in good position.","In comparison with the study of ___, the right hemidiaphragm is more sharply seen.",visibility,right hemidiaphragm,Better,['files/p13/p13171410/s58511483/b141bf84-f515c0d9-96113b11-9349f481-567cb70e.jpg'],"['files/p13/p13171410/s55806461/d4faa158-9dca8977-f02a356f-0897293a-813bc241.jpg\n', 'files/p13/p13171410/s55806461/d9db020c-127f5d05-0b15114d-f9441c91-1080c498.jpg\n']"
s58517313_22,p15902493,s58517313,22,Findings,"Unchanged from the prior exam with tracheostomy, ventriculoperitoneal shunt and prominence of the mediastinum due to goiter. No evidence of pneumonia, pleural effusion or pneumothorax. The cardiac silhouette and hila are normal.","Unchanged from the prior exam with tracheostomy, ventriculoperitoneal shunt and prominence of the mediastinum due to goiter. No evidence of pneumonia, pleural effusion or pneumothorax. The cardiac silhouette and hila are normal.",position,tracheostomy,Stable,['files/p15/p15902493/s58517313/5514784e-680e830d-5dd03b8a-fff3c159-26e51f27.jpg'],"['files/p15/p15902493/s58443677/3c875623-94264ee2-c1bfb66e-6a05bc14-ceb81702.jpg\n', 'files/p15/p15902493/s58443677/4aeba39a-be4ef35d-83b25701-9af40c72-5130f3eb.jpg\n']"
s58517313_22,p15902493,s58517313,22,Findings,"Unchanged from the prior exam with tracheostomy, ventriculoperitoneal shunt and prominence of the mediastinum due to goiter. No evidence of pneumonia, pleural effusion or pneumothorax. The cardiac silhouette and hila are normal.","Unchanged from the prior exam with tracheostomy, ventriculoperitoneal shunt and prominence of the mediastinum due to goiter. No evidence of pneumonia, pleural effusion or pneumothorax. The cardiac silhouette and hila are normal.",position,ventriculoperitoneal shunt,Stable,['files/p15/p15902493/s58517313/5514784e-680e830d-5dd03b8a-fff3c159-26e51f27.jpg'],"['files/p15/p15902493/s58443677/3c875623-94264ee2-c1bfb66e-6a05bc14-ceb81702.jpg\n', 'files/p15/p15902493/s58443677/4aeba39a-be4ef35d-83b25701-9af40c72-5130f3eb.jpg\n']"
s58517313_22,p15902493,s58517313,22,Findings,"Unchanged from the prior exam with tracheostomy, ventriculoperitoneal shunt and prominence of the mediastinum due to goiter. No evidence of pneumonia, pleural effusion or pneumothorax. The cardiac silhouette and hila are normal.","Unchanged from the prior exam with tracheostomy, ventriculoperitoneal shunt and prominence of the mediastinum due to goiter. No evidence of pneumonia, pleural effusion or pneumothorax. The cardiac silhouette and hila are normal.",prominence,mediastinum,Stable,['files/p15/p15902493/s58517313/5514784e-680e830d-5dd03b8a-fff3c159-26e51f27.jpg'],"['files/p15/p15902493/s58443677/3c875623-94264ee2-c1bfb66e-6a05bc14-ceb81702.jpg\n', 'files/p15/p15902493/s58443677/4aeba39a-be4ef35d-83b25701-9af40c72-5130f3eb.jpg\n']"
s58522311_5,p19890030,s58522311,5,Findings,"In comparison with the study of ___, the monitoring and support devices are essentially unchanged. Diffuse bilateral pulmonary opacification is consistent with pulmonary edema in a patient with cardiomegaly and bilateral pleural effusions with compressive atelectasis at the bases.","In comparison with the study of ___, the monitoring and support devices are essentially unchanged.",monitoring and support devices,,Stable,['files/p19/p19890030/s58522311/70902757-a017a659-da4b19d2-03d0af76-59db344f.jpg'],['files/p19/p19890030/s58510002/3435ed46-ac4d2fc9-701d2553-97322bab-a7090480.jpg\n']
s58531102_1,p18577540,s58531102,1,Findings,"The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.",There has been no significant change.,,,Stable,"['files/p18/p18577540/s58531102/04dd2d3b-b0cf87a9-bb364724-243aefcf-5facd320.jpg', 'files/p18/p18577540/s58531102/65863386-93ba861b-edce159d-5d6bc336-734e0cc1.jpg']","['files/p18/p18577540/s56782686/08fd4c57-e13761d9-96132981-e2878469-e4018317.jpg\n', 'files/p18/p18577540/s56782686/f0e340f0-d387cf51-931c26a5-2c512b2f-92ba4aba.jpg\n']"
s58531102_1,p18577540,s58531102,1,Findings,"The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. There has been no significant change.","The cardiac, mediastinal and hilar contours appear stable.",,"cardiac, mediastinal and hilar contours",Stable,"['files/p18/p18577540/s58531102/04dd2d3b-b0cf87a9-bb364724-243aefcf-5facd320.jpg', 'files/p18/p18577540/s58531102/65863386-93ba861b-edce159d-5d6bc336-734e0cc1.jpg']","['files/p18/p18577540/s56782686/08fd4c57-e13761d9-96132981-e2878469-e4018317.jpg\n', 'files/p18/p18577540/s56782686/f0e340f0-d387cf51-931c26a5-2c512b2f-92ba4aba.jpg\n']"
s58536194_2,p19932024,s58536194,2,Findings,"The lung volumes are low. There are bibasilar linear opacities, atelectasis and/ or consolidation. Diffuse vascular prominence and cardiomegaly noted. No pleural effusion or pneumothorax present. EKG leads overlie the anterior chest. Bony thorax is stable.",Bony thorax is stable.,bony thorax,,Stable,['files/p19/p19932024/s58536194/937ff0e8-71a2ffe2-83753442-7400aa5e-eceef12c.jpg'],['files/p19/p19932024/s57682201/d067947d-61c60fe1-b73bc826-356d3d2c-fd22bb48.jpg\n']
s58538849_1,p17002995,s58538849,1,Impression,"As compared to the previous radiograph, no relevant change is seen. The lung volumes are low. There is no evidence of pneumonia or pulmonary edema. No pneumothorax or larger pleural effusions. Normal size of the cardiac silhouette. The pre described left upper lobe 1 cm pulmonary nodule is no longer clearly identified but might be obscured by the ECG cable.",The pre described left upper lobe 1 cm pulmonary nodule is no longer clearly identified but might be obscured by the ECG cable.,pulmonary nodule,left upper lobe,Resolve,['files/p17/p17002995/s58538849/df414677-421c5571-a5711a01-a5a598b8-a8a439dd.jpg'],"['files/p17/p17002995/s57260304/a630e6f1-a760573b-d0a05341-d9831a18-a8de22c3.jpg\n', 'files/p17/p17002995/s57260304/f428c50b-ff3f758f-7ec7be0b-831ee404-7190d0ed.jpg\n']"
s58556039_0,p14544801,s58556039,0,Impression,"AP chest compared to ___ and ___. Lung volumes are lower today than on ___, but there is no evidence of pneumonia or pulmonary edema. Suprahilar right upper lobe mass appears larger, attributable to differences in radiographic technique although some interval growth is possible. There is no pneumothorax or pleural effusion. Heart size is top normal.","Lung volumes are lower today than on ___, but there is no evidence of pneumonia or pulmonary edema.",Lung volumes,,Worse,['files/p14/p14544801/s58556039/d60e5ebe-9d77544b-9235b2f7-13e5bf44-06974f41.jpg'],['files/p14/p14544801/s57643826/edf7abab-3673a821-5062a41e-9d930ff2-07772f4f.jpg\n']
s58556039_0,p14544801,s58556039,0,Impression,"AP chest compared to ___ and ___. Lung volumes are lower today than on ___, but there is no evidence of pneumonia or pulmonary edema. Suprahilar right upper lobe mass appears larger, attributable to differences in radiographic technique although some interval growth is possible. There is no pneumothorax or pleural effusion. Heart size is top normal.","Suprahilar right upper lobe mass appears larger, attributable to differences in radiographic technique although some interval growth is possible.",Mass,Suprahilar right upper lobe,Worse,['files/p14/p14544801/s58556039/d60e5ebe-9d77544b-9235b2f7-13e5bf44-06974f41.jpg'],['files/p14/p14544801/s57643826/edf7abab-3673a821-5062a41e-9d930ff2-07772f4f.jpg\n']
s58561179_8,p12669344,s58561179,8,Findings,"Compared with the prior chest radiograph, there is a new focal consolidation involving the right lower lobe, concerning for pneumonia. The heart is persistently enlarged, and there is persistent mild interstitial edema. Left basilar opacity is likely due to atelectasis.","Compared with the prior chest radiograph, there is a new focal consolidation involving the right lower lobe, concerning for pneumonia.",Consolidation,Right lower lobe,New,['files/p12/p12669344/s58561179/efa1c4d4-c6b83e76-71107d37-015f4c79-24aa9e68.jpg'],['files/p12/p12669344/s57264873/d54a965f-9fb1b27f-8a1b45a8-87d31707-45c1feb1.jpg\n']
s58561179_8,p12669344,s58561179,8,Impression,"1. New right lower lobe consolidation is concerning for pneumonia. 2. Persistent mild cardiomegaly and interstitial edema. Left basilar opacity is likely due to atelectasis, as seen on the prior study.","2. Persistent mild cardiomegaly and interstitial edema. Left basilar opacity is likely due to atelectasis, as seen on the prior study.",Edema,Interstitial,Stable,['files/p12/p12669344/s58561179/efa1c4d4-c6b83e76-71107d37-015f4c79-24aa9e68.jpg'],['files/p12/p12669344/s57264873/d54a965f-9fb1b27f-8a1b45a8-87d31707-45c1feb1.jpg\n']
s58561179_8,p12669344,s58561179,8,Findings,"Compared with the prior chest radiograph, there is a new focal consolidation involving the right lower lobe, concerning for pneumonia. The heart is persistently enlarged, and there is persistent mild interstitial edema. Left basilar opacity is likely due to atelectasis.","The heart is persistently enlarged, and there is persistent mild interstitial edema.",Cardiomegaly,,Stable,['files/p12/p12669344/s58561179/efa1c4d4-c6b83e76-71107d37-015f4c79-24aa9e68.jpg'],['files/p12/p12669344/s57264873/d54a965f-9fb1b27f-8a1b45a8-87d31707-45c1feb1.jpg\n']
s58561179_8,p12669344,s58561179,8,Impression,"1. New right lower lobe consolidation is concerning for pneumonia. 2. Persistent mild cardiomegaly and interstitial edema. Left basilar opacity is likely due to atelectasis, as seen on the prior study.",1. New right lower lobe consolidation is concerning for pneumonia.,Consolidation,Right lower lobe,New,['files/p12/p12669344/s58561179/efa1c4d4-c6b83e76-71107d37-015f4c79-24aa9e68.jpg'],['files/p12/p12669344/s57264873/d54a965f-9fb1b27f-8a1b45a8-87d31707-45c1feb1.jpg\n']
s58561179_8,p12669344,s58561179,8,Findings,"Compared with the prior chest radiograph, there is a new focal consolidation involving the right lower lobe, concerning for pneumonia. The heart is persistently enlarged, and there is persistent mild interstitial edema. Left basilar opacity is likely due to atelectasis.","The heart is persistently enlarged, and there is persistent mild interstitial edema.",Edema,Interstitial,Stable,['files/p12/p12669344/s58561179/efa1c4d4-c6b83e76-71107d37-015f4c79-24aa9e68.jpg'],['files/p12/p12669344/s57264873/d54a965f-9fb1b27f-8a1b45a8-87d31707-45c1feb1.jpg\n']
s58561179_8,p12669344,s58561179,8,Impression,"1. New right lower lobe consolidation is concerning for pneumonia. 2. Persistent mild cardiomegaly and interstitial edema. Left basilar opacity is likely due to atelectasis, as seen on the prior study.","2. Persistent mild cardiomegaly and interstitial edema. Left basilar opacity is likely due to atelectasis, as seen on the prior study.",Cardiomegaly,,Stable,['files/p12/p12669344/s58561179/efa1c4d4-c6b83e76-71107d37-015f4c79-24aa9e68.jpg'],['files/p12/p12669344/s57264873/d54a965f-9fb1b27f-8a1b45a8-87d31707-45c1feb1.jpg\n']
s58561597_5,p13381744,s58561597,5,Findings,"The left hilum remains prominent and is due to the patient's known tumor, and appears stable. Otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is at the upper limits of normal and stable. No acute fractures are noted.",Cardiomediastinal silhouette is at the upper limits of normal and stable.,silhouette,Cardiomediastinal,Stable,"['files/p13/p13381744/s58561597/4bb0a233-9c375594-652f647f-64f5080f-30112b80.jpg', 'files/p13/p13381744/s58561597/4e968da7-36d6c5bd-e174cb95-66fa150c-d20ff9b5.jpg']","['files/p13/p13381744/s55571313/c05aa1e8-ed9a9cfc-6c9337e0-0d53c30b-388ee6cf.jpg\n', 'files/p13/p13381744/s55571313/e84c83d4-f03872ee-5fe8ec3b-076ce17a-f7b4f861.jpg\n']"
s58561597_5,p13381744,s58561597,5,Findings,"The left hilum remains prominent and is due to the patient's known tumor, and appears stable. Otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is at the upper limits of normal and stable. No acute fractures are noted.","The left hilum remains prominent and is due to the patient's known tumor, and appears stable.",tumor,left hilum,Stable,"['files/p13/p13381744/s58561597/4bb0a233-9c375594-652f647f-64f5080f-30112b80.jpg', 'files/p13/p13381744/s58561597/4e968da7-36d6c5bd-e174cb95-66fa150c-d20ff9b5.jpg']","['files/p13/p13381744/s55571313/c05aa1e8-ed9a9cfc-6c9337e0-0d53c30b-388ee6cf.jpg\n', 'files/p13/p13381744/s55571313/e84c83d4-f03872ee-5fe8ec3b-076ce17a-f7b4f861.jpg\n']"
s58564406_4,p16034181,s58564406,4,Findings,"Comparison is made to prior study from ___. Heart size is upper limits of normal but is stable. There is no focal consolidation, pleural effusion or signs for acute pulmonary edema. There is likely a small pleural effusion on the left side, best seen on the lateral view.",Heart size is upper limits of normal but is stable.,heart size,,Stable,"['files/p16/p16034181/s58564406/95f4c351-08ade2e1-786e44a0-8d53ac86-c22dc8c7.jpg', 'files/p16/p16034181/s58564406/bfa3140e-43c1a4f9-ad9f9649-57f9f1bd-08070a23.jpg']",['files/p16/p16034181/s58175663/84f30297-39be3e30-021f9ceb-c14a866a-ff7053d3.jpg\n']
s58574233_3,p15195289,s58574233,3,Impression,"Heart size at the upper limits of normal or slightly enlarged, unchanged compared with ___. Mild upper zone redistribution, also similar to prior, without overt CHF. Otherwise, no acute intrathoracic process.","Mild upper zone redistribution, also similar to prior, without overt CHF.",redistribution,upper zone,Stable,"['files/p15/p15195289/s58574233/63cbc1ba-9c1c2426-1afe0a5d-efc95e28-826f383a.jpg', 'files/p15/p15195289/s58574233/ca6270f2-04c17d88-cd4d219a-ba2ce815-f95b4e51.jpg']","['files/p15/p15195289/s52950410/39a771b2-b6891189-b68590ad-5d5cb5e6-7dc07990.jpg\n', 'files/p15/p15195289/s52950410/89db0697-aa26530a-d451eb99-319b8e78-39a6aeb0.jpg\n']"
s58574233_3,p15195289,s58574233,3,Impression,"Heart size at the upper limits of normal or slightly enlarged, unchanged compared with ___. Mild upper zone redistribution, also similar to prior, without overt CHF. Otherwise, no acute intrathoracic process.","Heart size at the upper limits of normal or slightly enlarged, unchanged compared with ___.",Heart size,,Stable,"['files/p15/p15195289/s58574233/63cbc1ba-9c1c2426-1afe0a5d-efc95e28-826f383a.jpg', 'files/p15/p15195289/s58574233/ca6270f2-04c17d88-cd4d219a-ba2ce815-f95b4e51.jpg']","['files/p15/p15195289/s52950410/39a771b2-b6891189-b68590ad-5d5cb5e6-7dc07990.jpg\n', 'files/p15/p15195289/s52950410/89db0697-aa26530a-d451eb99-319b8e78-39a6aeb0.jpg\n']"
s58574233_3,p15195289,s58574233,3,Findings,"Heart size is at upper limits of normal or slightly enlarged, similar to ___. Aorta is minimally unfolded. Possible minimal upper zone redistribution, but no overt CHF. No focal infiltrate or effusion. No pneumothorax detected. Mild eventration of the right hemidiaphragm is unchanged. Borderline low inspiratory lung volumes. In the extreme upper aged these films, the lower portion of his cervical spine fixation hardware is noted.",Mild eventration of the right hemidiaphragm is unchanged.,eventration of the hemidiaphragm,right,Stable,"['files/p15/p15195289/s58574233/63cbc1ba-9c1c2426-1afe0a5d-efc95e28-826f383a.jpg', 'files/p15/p15195289/s58574233/ca6270f2-04c17d88-cd4d219a-ba2ce815-f95b4e51.jpg']","['files/p15/p15195289/s52950410/39a771b2-b6891189-b68590ad-5d5cb5e6-7dc07990.jpg\n', 'files/p15/p15195289/s52950410/89db0697-aa26530a-d451eb99-319b8e78-39a6aeb0.jpg\n']"
s58574233_3,p15195289,s58574233,3,Findings,"Heart size is at upper limits of normal or slightly enlarged, similar to ___. Aorta is minimally unfolded. Possible minimal upper zone redistribution, but no overt CHF. No focal infiltrate or effusion. No pneumothorax detected. Mild eventration of the right hemidiaphragm is unchanged. Borderline low inspiratory lung volumes. In the extreme upper aged these films, the lower portion of his cervical spine fixation hardware is noted.","Heart size is at upper limits of normal or slightly enlarged, similar to ___.",Heart size,,Stable,"['files/p15/p15195289/s58574233/63cbc1ba-9c1c2426-1afe0a5d-efc95e28-826f383a.jpg', 'files/p15/p15195289/s58574233/ca6270f2-04c17d88-cd4d219a-ba2ce815-f95b4e51.jpg']","['files/p15/p15195289/s52950410/39a771b2-b6891189-b68590ad-5d5cb5e6-7dc07990.jpg\n', 'files/p15/p15195289/s52950410/89db0697-aa26530a-d451eb99-319b8e78-39a6aeb0.jpg\n']"
s58585479_9,p10543994,s58585479,9,Impression,"In comparison with the study of ___, there again is prominence of the transverse diameter of the heart with a similar degree of elevated pulmonary venous pressure superimposed upon chronic interstitial lung disease. Or fibrosis the tip of the right Port-A-Cath again extends to the upper portion of the right atrium. Pacer device remains in place.","In comparison with the study of ___, there again is prominence of the transverse diameter of the heart with a similar degree of elevated pulmonary venous pressure superimposed upon chronic interstitial lung disease.",chronic interstitial lung disease,,Stable,['files/p10/p10543994/s58585479/3d361f0b-af2b247b-955d1166-f1ae4ef9-b96b55db.jpg'],"['files/p10/p10543994/s58473321/1216f943-00196c3a-c41ea739-788f8d83-9571731c.jpg\n', 'files/p10/p10543994/s58473321/a35725a6-cea21ad3-08b4e359-ffa6686f-8bb4f626.jpg\n']"
s58585479_9,p10543994,s58585479,9,Impression,"In comparison with the study of ___, there again is prominence of the transverse diameter of the heart with a similar degree of elevated pulmonary venous pressure superimposed upon chronic interstitial lung disease. Or fibrosis the tip of the right Port-A-Cath again extends to the upper portion of the right atrium. Pacer device remains in place.",Pacer device remains in place.,Pacer device,,Stable,['files/p10/p10543994/s58585479/3d361f0b-af2b247b-955d1166-f1ae4ef9-b96b55db.jpg'],"['files/p10/p10543994/s58473321/1216f943-00196c3a-c41ea739-788f8d83-9571731c.jpg\n', 'files/p10/p10543994/s58473321/a35725a6-cea21ad3-08b4e359-ffa6686f-8bb4f626.jpg\n']"
s58585479_9,p10543994,s58585479,9,Impression,"In comparison with the study of ___, there again is prominence of the transverse diameter of the heart with a similar degree of elevated pulmonary venous pressure superimposed upon chronic interstitial lung disease. Or fibrosis the tip of the right Port-A-Cath again extends to the upper portion of the right atrium. Pacer device remains in place.","In comparison with the study of ___, there again is prominence of the transverse diameter of the heart with a similar degree of elevated pulmonary venous pressure superimposed upon chronic interstitial lung disease.",pulmonary venous pressure,,Stable,['files/p10/p10543994/s58585479/3d361f0b-af2b247b-955d1166-f1ae4ef9-b96b55db.jpg'],"['files/p10/p10543994/s58473321/1216f943-00196c3a-c41ea739-788f8d83-9571731c.jpg\n', 'files/p10/p10543994/s58473321/a35725a6-cea21ad3-08b4e359-ffa6686f-8bb4f626.jpg\n']"
s58585479_9,p10543994,s58585479,9,Impression,"In comparison with the study of ___, there again is prominence of the transverse diameter of the heart with a similar degree of elevated pulmonary venous pressure superimposed upon chronic interstitial lung disease. Or fibrosis the tip of the right Port-A-Cath again extends to the upper portion of the right atrium. Pacer device remains in place.","In comparison with the study of ___, there again is prominence of the transverse diameter of the heart with a similar degree of elevated pulmonary venous pressure superimposed upon chronic interstitial lung disease.",heart,transverse diameter,Stable,['files/p10/p10543994/s58585479/3d361f0b-af2b247b-955d1166-f1ae4ef9-b96b55db.jpg'],"['files/p10/p10543994/s58473321/1216f943-00196c3a-c41ea739-788f8d83-9571731c.jpg\n', 'files/p10/p10543994/s58473321/a35725a6-cea21ad3-08b4e359-ffa6686f-8bb4f626.jpg\n']"
s58585479_9,p10543994,s58585479,9,Impression,"In comparison with the study of ___, there again is prominence of the transverse diameter of the heart with a similar degree of elevated pulmonary venous pressure superimposed upon chronic interstitial lung disease. Or fibrosis the tip of the right Port-A-Cath again extends to the upper portion of the right atrium. Pacer device remains in place.",Or fibrosis the tip of the right Port-A-Cath again extends to the upper portion of the right atrium.,Port-A-Cath,right,Stable,['files/p10/p10543994/s58585479/3d361f0b-af2b247b-955d1166-f1ae4ef9-b96b55db.jpg'],"['files/p10/p10543994/s58473321/1216f943-00196c3a-c41ea739-788f8d83-9571731c.jpg\n', 'files/p10/p10543994/s58473321/a35725a6-cea21ad3-08b4e359-ffa6686f-8bb4f626.jpg\n']"
s58586249_4,p18827738,s58586249,4,Findings,"The feeding tube has a tortuous course with the tip coiled in a hiatal hernia, pointed upward in the chest. The cardiac and mediastinal silhouettes are unchanged.",The cardiac and mediastinal silhouettes are unchanged.,cardiac and mediastinal silhouettes,,Stable,"['files/p18/p18827738/s58586249/db391cbe-733e6800-d302fc4f-9088941c-5412983d.jpg', 'files/p18/p18827738/s58586249/f158d781-2937f072-b4cabcce-b2330204-b4b8eda0.jpg']","['files/p18/p18827738/s57151471/4753a502-c0764b72-9dfef68a-2024bf26-7d348cb1.jpg\n', 'files/p18/p18827738/s57151471/af380c20-a7857620-9cbd8440-6b0b451b-3af932a9.jpg\n', 'files/p18/p18827738/s57151471/d3192abb-0a9a4cea-e86ebeea-5600dcd0-f6447318.jpg\n']"
s58596812_6,p17933711,s58596812,6,Impression,"In comparison with study of ___, there is again prominence of the cardiac silhouette with left ventricular configuration. No vascular congestion, pleural effusion, or acute focal pneumonia.","In comparison with study of ___, there is again prominence of the cardiac silhouette with left ventricular configuration.",Cardiac silhouette,,Stable,"['files/p17/p17933711/s58596812/64ba487d-285e23ce-4369891e-c5abb4a1-ad8ca078.jpg', 'files/p17/p17933711/s58596812/6c9b8bc4-94ef9ac4-cd7187f1-d90c32b0-75b2e5a5.jpg']","['files/p17/p17933711/s57861479/11f8196c-fabce921-4f144f23-5ae15c0c-791e7464.jpg\n', 'files/p17/p17933711/s57861479/4d219b1c-e4f9c270-1dd0646e-ac5ef594-d4849258.jpg\n']"
s58602712_10,p11614040,s58602712,10,Impression,"AP chest compared to ___: Previous pulmonary edema has nearly cleared. Small right pleural effusion and moderate left pleural effusion, both stable. Cardiac silhouette is obscured and its size cannot be assessed. Right subclavian infusion port ends in the right atrium.","Small right pleural effusion and moderate left pleural effusion, both stable.",pleural effusion,left,Stable,"['files/p11/p11614040/s58602712/056b228a-40cb1f70-1ae4fc61-78474095-bfb2d962.jpg', 'files/p11/p11614040/s58602712/172f444a-38c985ed-c8457287-b660b135-cde87b37.jpg', 'files/p11/p11614040/s58602712/f87c7260-e0ad2da5-307f668e-c57f5952-b5934819.jpg']","['files/p11/p11614040/s58129550/a421114e-d29d7d27-ca1c3caa-149eff70-e015e6c6.jpg\n', 'files/p11/p11614040/s58129550/bd9e45d8-e8d6d3fa-e8a8e094-a2a77b14-2b43fddb.jpg\n']"
s58602712_10,p11614040,s58602712,10,Impression,"AP chest compared to ___: Previous pulmonary edema has nearly cleared. Small right pleural effusion and moderate left pleural effusion, both stable. Cardiac silhouette is obscured and its size cannot be assessed. Right subclavian infusion port ends in the right atrium.",Previous pulmonary edema has nearly cleared.,pulmonary edema,,Resolve,"['files/p11/p11614040/s58602712/056b228a-40cb1f70-1ae4fc61-78474095-bfb2d962.jpg', 'files/p11/p11614040/s58602712/172f444a-38c985ed-c8457287-b660b135-cde87b37.jpg', 'files/p11/p11614040/s58602712/f87c7260-e0ad2da5-307f668e-c57f5952-b5934819.jpg']","['files/p11/p11614040/s58129550/a421114e-d29d7d27-ca1c3caa-149eff70-e015e6c6.jpg\n', 'files/p11/p11614040/s58129550/bd9e45d8-e8d6d3fa-e8a8e094-a2a77b14-2b43fddb.jpg\n']"
s58602712_10,p11614040,s58602712,10,Impression,"AP chest compared to ___: Previous pulmonary edema has nearly cleared. Small right pleural effusion and moderate left pleural effusion, both stable. Cardiac silhouette is obscured and its size cannot be assessed. Right subclavian infusion port ends in the right atrium.","Small right pleural effusion and moderate left pleural effusion, both stable.",pleural effusion,right,Stable,"['files/p11/p11614040/s58602712/056b228a-40cb1f70-1ae4fc61-78474095-bfb2d962.jpg', 'files/p11/p11614040/s58602712/172f444a-38c985ed-c8457287-b660b135-cde87b37.jpg', 'files/p11/p11614040/s58602712/f87c7260-e0ad2da5-307f668e-c57f5952-b5934819.jpg']","['files/p11/p11614040/s58129550/a421114e-d29d7d27-ca1c3caa-149eff70-e015e6c6.jpg\n', 'files/p11/p11614040/s58129550/bd9e45d8-e8d6d3fa-e8a8e094-a2a77b14-2b43fddb.jpg\n']"
s58608862_8,p18057037,s58608862,8,Impression,"Pulmonary edema, worse in the right lung with bibasilar atelectasis. Pneumonia in the right lower lobe may be possible in the correct clinical setting.","Pulmonary edema, worse in the right lung with bibasilar atelectasis.",Pulmonary edema,right lung,Worse,['files/p18/p18057037/s58608862/11362097-a0bac3fa-316e02be-b753a0b5-16e69386.jpg'],"['files/p18/p18057037/s58548470/9e0e4686-1372bf57-292f7d25-12a3bc81-945870b4.jpg\n', 'files/p18/p18057037/s58548470/a185bea9-f95f19a1-32f0ea92-8d192ae9-1f3a5a07.jpg\n']"
s58608862_8,p18057037,s58608862,8,Findings,"Single AP upright portable chest radiograph was provided. There is increase of interstitial markings bilaterally although worse in the right lung, which may be due to asymmetric pulmonary edema. There is bibasilar atelectasis. Obscuration of the right hemidiaphragm may be due to atelectasis; however, infection cannot be excluded. Cardiomediastinal silhouette is unchanged. The bones are intact.",Cardiomediastinal silhouette is unchanged.,appearance,cardiomediastinal silhouette,Stable,['files/p18/p18057037/s58608862/11362097-a0bac3fa-316e02be-b753a0b5-16e69386.jpg'],"['files/p18/p18057037/s58548470/9e0e4686-1372bf57-292f7d25-12a3bc81-945870b4.jpg\n', 'files/p18/p18057037/s58548470/a185bea9-f95f19a1-32f0ea92-8d192ae9-1f3a5a07.jpg\n']"
s58608862_8,p18057037,s58608862,8,Findings,"Single AP upright portable chest radiograph was provided. There is increase of interstitial markings bilaterally although worse in the right lung, which may be due to asymmetric pulmonary edema. There is bibasilar atelectasis. Obscuration of the right hemidiaphragm may be due to atelectasis; however, infection cannot be excluded. Cardiomediastinal silhouette is unchanged. The bones are intact.","There is increase of interstitial markings bilaterally although worse in the right lung, which may be due to asymmetric pulmonary edema.",interstitial markings,right lung,Worse,['files/p18/p18057037/s58608862/11362097-a0bac3fa-316e02be-b753a0b5-16e69386.jpg'],"['files/p18/p18057037/s58548470/9e0e4686-1372bf57-292f7d25-12a3bc81-945870b4.jpg\n', 'files/p18/p18057037/s58548470/a185bea9-f95f19a1-32f0ea92-8d192ae9-1f3a5a07.jpg\n']"
s58613391_56,p11717909,s58613391,56,Impression,Comparison to ___. No relevant change. The widespread bilateral parenchymal opacities are constant. Unchanged monitoring and support devices. Unchanged size of the cardiac silhouette. The patient shows no new parenchymal opacities.,Unchanged monitoring and support devices.,monitoring and support devices,,Stable,['files/p11/p11717909/s58613391/3a02fc54-25995479-f166cf7b-9bf0c201-fe0e3098.jpg'],['files/p11/p11717909/s58486262/1fb09915-c0059d07-e6cd2be9-857cd031-773f848a.jpg\n']
s58613391_56,p11717909,s58613391,56,Impression,Comparison to ___. No relevant change. The widespread bilateral parenchymal opacities are constant. Unchanged monitoring and support devices. Unchanged size of the cardiac silhouette. The patient shows no new parenchymal opacities.,The widespread bilateral parenchymal opacities are constant.,parenchymal opacities,bilateral,Stable,['files/p11/p11717909/s58613391/3a02fc54-25995479-f166cf7b-9bf0c201-fe0e3098.jpg'],['files/p11/p11717909/s58486262/1fb09915-c0059d07-e6cd2be9-857cd031-773f848a.jpg\n']
s58613391_56,p11717909,s58613391,56,Impression,Comparison to ___. No relevant change. The widespread bilateral parenchymal opacities are constant. Unchanged monitoring and support devices. Unchanged size of the cardiac silhouette. The patient shows no new parenchymal opacities.,Unchanged size of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p11/p11717909/s58613391/3a02fc54-25995479-f166cf7b-9bf0c201-fe0e3098.jpg'],['files/p11/p11717909/s58486262/1fb09915-c0059d07-e6cd2be9-857cd031-773f848a.jpg\n']
s58616139_0,p17408386,s58616139,0,Impression,AP chest compared to ___: Lung volumes are appreciably lower and large bands of atelectasis have appeared in both lower lungs. Upper lungs are clear. There is no pulmonary edema or pleural effusion. No pneumothorax or mediastinal abnormality.,AP chest compared to ___: Lung volumes are appreciably lower and large bands of atelectasis have appeared in both lower lungs.,lung volumes,,Worse,['files/p17/p17408386/s58616139/5414ab29-3dace40f-aa5394d0-7ae927a5-8feb219e.jpg'],
s58616139_0,p17408386,s58616139,0,Impression,AP chest compared to ___: Lung volumes are appreciably lower and large bands of atelectasis have appeared in both lower lungs. Upper lungs are clear. There is no pulmonary edema or pleural effusion. No pneumothorax or mediastinal abnormality.,AP chest compared to ___: Lung volumes are appreciably lower and large bands of atelectasis have appeared in both lower lungs.,atelectasis,both lower lungs,Worse,['files/p17/p17408386/s58616139/5414ab29-3dace40f-aa5394d0-7ae927a5-8feb219e.jpg'],
s58618080_3,p11724488,s58618080,3,Impression,"1. Suspect mild CHF, though improved compared with ___. 2. Bibasilar patchy opacities. The differential diagnosis includes infectious infiltrates and aspiration. These are similar to ___, allowing for considerable differences in technique.","1. Suspect mild CHF, though improved compared with ___.",CHF,heart,Better,['files/p11/p11724488/s58618080/3a83d7fe-a10cb175-c0015bff-dc7613f5-2ed928b2.jpg'],"['files/p11/p11724488/s57834148/16e5b1a2-792c2449-d0f46569-a6fc499f-62628542.jpg\n', 'files/p11/p11724488/s57834148/21b2ba36-099442f2-f218da36-f0bc8c1a-27305d7c.jpg\n', 'files/p11/p11724488/s57834148/9be6d2e9-c327b161-d0f2085f-bb403a9c-dfcb4b59.jpg\n']"
s58618080_3,p11724488,s58618080,3,Impression,"1. Suspect mild CHF, though improved compared with ___. 2. Bibasilar patchy opacities. The differential diagnosis includes infectious infiltrates and aspiration. These are similar to ___, allowing for considerable differences in technique.","2. Bibasilar patchy opacities. The differential diagnosis includes infectious infiltrates and aspiration. These are similar to ___, allowing for considerable differences in technique.",patchy opacities,bibasilar regions,Stable,['files/p11/p11724488/s58618080/3a83d7fe-a10cb175-c0015bff-dc7613f5-2ed928b2.jpg'],"['files/p11/p11724488/s57834148/16e5b1a2-792c2449-d0f46569-a6fc499f-62628542.jpg\n', 'files/p11/p11724488/s57834148/21b2ba36-099442f2-f218da36-f0bc8c1a-27305d7c.jpg\n', 'files/p11/p11724488/s57834148/9be6d2e9-c327b161-d0f2085f-bb403a9c-dfcb4b59.jpg\n']"
s58628303_9,p11717909,s58628303,9,Findings,Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. Left lower lobe collapse has recurred. The cardiomediastinal and hilar contours are unchanged. The endotracheal tube ends 1.8 cm from the carina. Chest tubes project over the left hemi thorax. Swan-Ganz catheter ends in the right pulmonary artery. Left ventricular assist device is in unchanged position. Nasogastric tube courses into the stomach. Left-sided PICC line ends at the cavoatrial junction.,Left lower lobe collapse has recurred.,collapse,left lower lobe,Worse,['files/p11/p11717909/s58628303/83464977-3248cdf7-dabf04d4-71b78a27-306db131.jpg'],['files/p11/p11717909/s58613391/3a02fc54-25995479-f166cf7b-9bf0c201-fe0e3098.jpg\n']
s58628303_9,p11717909,s58628303,9,Findings,Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. Left lower lobe collapse has recurred. The cardiomediastinal and hilar contours are unchanged. The endotracheal tube ends 1.8 cm from the carina. Chest tubes project over the left hemi thorax. Swan-Ganz catheter ends in the right pulmonary artery. Left ventricular assist device is in unchanged position. Nasogastric tube courses into the stomach. Left-sided PICC line ends at the cavoatrial junction.,The cardiomediastinal and hilar contours are unchanged.,cardiomediastinal and hilar contours,,Stable,['files/p11/p11717909/s58628303/83464977-3248cdf7-dabf04d4-71b78a27-306db131.jpg'],['files/p11/p11717909/s58613391/3a02fc54-25995479-f166cf7b-9bf0c201-fe0e3098.jpg\n']
s58628303_9,p11717909,s58628303,9,Findings,Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. Left lower lobe collapse has recurred. The cardiomediastinal and hilar contours are unchanged. The endotracheal tube ends 1.8 cm from the carina. Chest tubes project over the left hemi thorax. Swan-Ganz catheter ends in the right pulmonary artery. Left ventricular assist device is in unchanged position. Nasogastric tube courses into the stomach. Left-sided PICC line ends at the cavoatrial junction.,Left ventricular assist device is in unchanged position.,left ventricular assist device,,Stable,['files/p11/p11717909/s58628303/83464977-3248cdf7-dabf04d4-71b78a27-306db131.jpg'],['files/p11/p11717909/s58613391/3a02fc54-25995479-f166cf7b-9bf0c201-fe0e3098.jpg\n']
s58628303_9,p11717909,s58628303,9,Impression,1. Nasogastric tube courses into the stomach. 2. Endotracheal tube ends 1.8 cm from the carina. 3. Left lower lobe collapse has recurred.,3. Left lower lobe collapse has recurred.,collapse,left lower lobe,Worse,['files/p11/p11717909/s58628303/83464977-3248cdf7-dabf04d4-71b78a27-306db131.jpg'],['files/p11/p11717909/s58613391/3a02fc54-25995479-f166cf7b-9bf0c201-fe0e3098.jpg\n']
s58633058_3,p13571108,s58633058,3,Findings,"As compared to the previous radiograph, the lung volumes continue to be low. There is mild hyperexpansion of the stomach and a newly appeared retrocardiac atelectasis. No pleural effusions. No pulmonary edema. The cardiac silhouette continues to be at the upper range of normal.","As compared to the previous radiograph, the lung volumes continue to be low.",lung volumes,,Stable,"['files/p13/p13571108/s58633058/e6cd2500-1899413e-d3de528f-a4281a95-460339bf.jpg', 'files/p13/p13571108/s58633058/ffd81c9c-a7f1e1b9-eb6fb574-0066af97-9d20f9a9.jpg']",['files/p13/p13571108/s58074550/29db2a67-c5b93d1b-9c1638a1-673fda55-77f3d8ba.jpg\n']
s58633058_3,p13571108,s58633058,3,Findings,"As compared to the previous radiograph, the lung volumes continue to be low. There is mild hyperexpansion of the stomach and a newly appeared retrocardiac atelectasis. No pleural effusions. No pulmonary edema. The cardiac silhouette continues to be at the upper range of normal.",The cardiac silhouette continues to be at the upper range of normal.,cardiac silhouette,,Stable,"['files/p13/p13571108/s58633058/e6cd2500-1899413e-d3de528f-a4281a95-460339bf.jpg', 'files/p13/p13571108/s58633058/ffd81c9c-a7f1e1b9-eb6fb574-0066af97-9d20f9a9.jpg']",['files/p13/p13571108/s58074550/29db2a67-c5b93d1b-9c1638a1-673fda55-77f3d8ba.jpg\n']
s58636898_1,p13558665,s58636898,1,Findings,"In comparison with the study of ___, the monitoring and support devices remain in place. Cardiac silhouette is somewhat prominent with mild tortuosity of the aorta. Bibasilar atelectatic change without definite vascular congestion or acute focal pneumonia.","In comparison with the study of ___, the monitoring and support devices remain in place.",monitoring and support devices,,Stable,['files/p13/p13558665/s58636898/664198f0-e4b3fbb9-c7a6f117-980a1fc1-f6fa9a2f.jpg'],
s58651071_5,p11307058,s58651071,5,Findings,The cardiac and mediastinal silhouette appear similar compared to the study from 3 days ago. There small bilateral pleural effusions which have slightly increased in the interval. This is particularly apparent on the lateral films. Otherwise no significant change. There is no focal infiltrate.,Otherwise no significant change.,,,Stable,"['files/p11/p11307058/s58651071/2c1b8528-f39e96b9-54bb89a8-d99d2ec5-472472ce.jpg', 'files/p11/p11307058/s58651071/cbfd7625-9544bc09-c925c328-d7fe32ae-a29d64ef.jpg']","['files/p11/p11307058/s58044051/03270807-5e38a815-9e4f8720-08103828-f27bb4e4.jpg\n', 'files/p11/p11307058/s58044051/05abb6c4-7cc9ae3c-bc29c9da-5c2f5ab2-8845a3ae.jpg\n']"
s58651071_5,p11307058,s58651071,5,Impression,"small bilateral effusions, increased compared to prior.","small bilateral effusions, increased compared to prior.",effusions,bilateral,Worse,"['files/p11/p11307058/s58651071/2c1b8528-f39e96b9-54bb89a8-d99d2ec5-472472ce.jpg', 'files/p11/p11307058/s58651071/cbfd7625-9544bc09-c925c328-d7fe32ae-a29d64ef.jpg']","['files/p11/p11307058/s58044051/03270807-5e38a815-9e4f8720-08103828-f27bb4e4.jpg\n', 'files/p11/p11307058/s58044051/05abb6c4-7cc9ae3c-bc29c9da-5c2f5ab2-8845a3ae.jpg\n']"
s58651071_5,p11307058,s58651071,5,Findings,The cardiac and mediastinal silhouette appear similar compared to the study from 3 days ago. There small bilateral pleural effusions which have slightly increased in the interval. This is particularly apparent on the lateral films. Otherwise no significant change. There is no focal infiltrate.,The cardiac and mediastinal silhouette appear similar compared to the study from 3 days ago.,Cardiac and mediastinal silhouette,,Stable,"['files/p11/p11307058/s58651071/2c1b8528-f39e96b9-54bb89a8-d99d2ec5-472472ce.jpg', 'files/p11/p11307058/s58651071/cbfd7625-9544bc09-c925c328-d7fe32ae-a29d64ef.jpg']","['files/p11/p11307058/s58044051/03270807-5e38a815-9e4f8720-08103828-f27bb4e4.jpg\n', 'files/p11/p11307058/s58044051/05abb6c4-7cc9ae3c-bc29c9da-5c2f5ab2-8845a3ae.jpg\n']"
s58651071_5,p11307058,s58651071,5,Findings,The cardiac and mediastinal silhouette appear similar compared to the study from 3 days ago. There small bilateral pleural effusions which have slightly increased in the interval. This is particularly apparent on the lateral films. Otherwise no significant change. There is no focal infiltrate.,There small bilateral pleural effusions which have slightly increased in the interval.,pleural effusions,bilateral,Worse,"['files/p11/p11307058/s58651071/2c1b8528-f39e96b9-54bb89a8-d99d2ec5-472472ce.jpg', 'files/p11/p11307058/s58651071/cbfd7625-9544bc09-c925c328-d7fe32ae-a29d64ef.jpg']","['files/p11/p11307058/s58044051/03270807-5e38a815-9e4f8720-08103828-f27bb4e4.jpg\n', 'files/p11/p11307058/s58044051/05abb6c4-7cc9ae3c-bc29c9da-5c2f5ab2-8845a3ae.jpg\n']"
s58651437_0,p11925631,s58651437,0,Findings,"Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. There is mild left base atelectasis. There is slight increase in the interstitial markings bilaterally, which may relate to low lung volumes and minimal interstitial edema; however, an atypical infectious process cannot be excluded. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable.",Cardiac and mediastinal silhouettes are stable and unremarkable.,silhouettes,Cardiac and mediastinal,Stable,"['files/p11/p11925631/s58651437/3dd4e4e5-e6793772-9ea89ee4-5984f91b-04184847.jpg', 'files/p11/p11925631/s58651437/f075ce73-c9417eb6-96794bef-5c430ca4-d3026797.jpg']","['files/p11/p11925631/s56871970/3e807ef1-89671fba-a42567b3-a1ceb0db-0c056a50.jpg\n', 'files/p11/p11925631/s56871970/7036152d-aa6efb97-c67ab87a-cf180d3c-c9a2dfd1.jpg\n']"
s58662946_1,p15791567,s58662946,1,Findings,"In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. There is mild hyperexpansion of the lungs that could reflect some underlying chronic pulmonary disease.","In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease.",cardiopulmonary disease,,Stable,"['files/p15/p15791567/s58662946/c7eff650-472cc7f6-3dd8065f-fa42bfc7-21fcd438.jpg', 'files/p15/p15791567/s58662946/cce80cba-0d97181b-74bf5a47-6cb9ab65-c7c06b89.jpg']","['files/p15/p15791567/s58410337/03d334ab-a0fdbf1a-a53d02d5-426a2ec2-80fa45d0.jpg\n', 'files/p15/p15791567/s58410337/b7067dad-3c9c3cc2-595cc8fc-fc6e7efa-6f3eaece.jpg\n', 'files/p15/p15791567/s58410337/cb334e09-b35ab571-8ea7a01d-31039cbc-1cab2b95.jpg\n']"
s58663147_40,p11717909,s58663147,40,Impression,Persistent right airspace disease and interval appearance of increasing opacity at the left base. Findings are concerning for multifocal pneumonia or aspiration. The left upper and mid lung remain clear. No pulmonary edema. Stable postoperative cardiac and mediastinal contours status post median sternotomy. Left subclavian PICC line unchanged in position with tip in the distal SVC. No pneumothorax.,Stable postoperative cardiac and mediastinal contours status post median sternotomy.,postoperative,cardiac and mediastinal contours,Stable,['files/p11/p11717909/s58663147/18696db7-7d416236-9375f9b1-cb09447c-cbfb9773.jpg'],['files/p11/p11717909/s58628303/83464977-3248cdf7-dabf04d4-71b78a27-306db131.jpg\n']
s58663147_40,p11717909,s58663147,40,Impression,Persistent right airspace disease and interval appearance of increasing opacity at the left base. Findings are concerning for multifocal pneumonia or aspiration. The left upper and mid lung remain clear. No pulmonary edema. Stable postoperative cardiac and mediastinal contours status post median sternotomy. Left subclavian PICC line unchanged in position with tip in the distal SVC. No pneumothorax.,The left upper and mid lung remain clear.,clear,left upper and mid lung,Stable,['files/p11/p11717909/s58663147/18696db7-7d416236-9375f9b1-cb09447c-cbfb9773.jpg'],['files/p11/p11717909/s58628303/83464977-3248cdf7-dabf04d4-71b78a27-306db131.jpg\n']
s58663147_40,p11717909,s58663147,40,Impression,Persistent right airspace disease and interval appearance of increasing opacity at the left base. Findings are concerning for multifocal pneumonia or aspiration. The left upper and mid lung remain clear. No pulmonary edema. Stable postoperative cardiac and mediastinal contours status post median sternotomy. Left subclavian PICC line unchanged in position with tip in the distal SVC. No pneumothorax.,Persistent right airspace disease and interval appearance of increasing opacity at the left base.,opacity,left base,Worse,['files/p11/p11717909/s58663147/18696db7-7d416236-9375f9b1-cb09447c-cbfb9773.jpg'],['files/p11/p11717909/s58628303/83464977-3248cdf7-dabf04d4-71b78a27-306db131.jpg\n']
s58663147_40,p11717909,s58663147,40,Impression,Persistent right airspace disease and interval appearance of increasing opacity at the left base. Findings are concerning for multifocal pneumonia or aspiration. The left upper and mid lung remain clear. No pulmonary edema. Stable postoperative cardiac and mediastinal contours status post median sternotomy. Left subclavian PICC line unchanged in position with tip in the distal SVC. No pneumothorax.,Left subclavian PICC line unchanged in position with tip in the distal SVC.,PICC line,Left subclavian,Stable,['files/p11/p11717909/s58663147/18696db7-7d416236-9375f9b1-cb09447c-cbfb9773.jpg'],['files/p11/p11717909/s58628303/83464977-3248cdf7-dabf04d4-71b78a27-306db131.jpg\n']
s58663163_1,p10773739,s58663163,1,Impression,"Following insertion of left apical and basal pleural drains, there has been a substantial decrease in the volume of left pleural effusion, small to moderate, and largely basal. Left lower lobe is poorly aerated, so I cannot exclude pneumonia there. The upper lung is clear. There is mild re-expansion edema in the left midlung. Right lung is clear. CT scanning would be helpful in assessing both the left pleural space an the lower lung, depending course upon the profile of the thoracentesis aspirate. No pneumothorax.","Following insertion of left apical and basal pleural drains, there has been a substantial decrease in the volume of left pleural effusion, small to moderate, and largely basal.",pleural effusion,left,Better,['files/p10/p10773739/s58663163/4f3d57de-827269dc-785ac7cd-9b9c4f86-8366d5da.jpg'],['files/p10/p10773739/s57343946/203fcaff-aaa7aa30-f1eeb9d0-d903b93f-b2bc1a10.jpg\n']
s58666598_0,p15793456,s58666598,0,Impression,"In comparison with the study of ___, there is again substantial hyperexpansion of the lungs consistent with chronic pulmonary disease. There is increased prominence of the hila, which appears to represent vascular structures and raises the possibility of pulmonary artery hypertension. No evidence of acute pneumonia or vascular congestion.","In comparison with the study of ___, there is again substantial hyperexpansion of the lungs consistent with chronic pulmonary disease.",hyperexpansion of the lungs,,Stable,['files/p15/p15793456/s58666598/e42b4605-f902c4ae-7379b10b-bb8897a0-0a74f22a.jpg'],['files/p15/p15793456/s58627159/ae25ab53-728bd61d-0b368ab8-cb45d8ea-8d6cf993.jpg\n']
s58666598_0,p15793456,s58666598,0,Impression,"In comparison with the study of ___, there is again substantial hyperexpansion of the lungs consistent with chronic pulmonary disease. There is increased prominence of the hila, which appears to represent vascular structures and raises the possibility of pulmonary artery hypertension. No evidence of acute pneumonia or vascular congestion.","There is increased prominence of the hila, which appears to represent vascular structures and raises the possibility of pulmonary artery hypertension.",prominence,hila,Worse,['files/p15/p15793456/s58666598/e42b4605-f902c4ae-7379b10b-bb8897a0-0a74f22a.jpg'],['files/p15/p15793456/s58627159/ae25ab53-728bd61d-0b368ab8-cb45d8ea-8d6cf993.jpg\n']
s58671472_1,p13571108,s58671472,1,Impression,Improved opacities in the lingula.,Improved opacities in the lingula.,opacities,lingula,Better,"['files/p13/p13571108/s58671472/4a86c9ea-5566c4aa-8107da40-eb3eb0cc-d09f404b.jpg', 'files/p13/p13571108/s58671472/8b2110cb-ba5ab918-d5113735-96b1a497-ed3eff2d.jpg', 'files/p13/p13571108/s58671472/fa4948aa-878365c3-6dc676a8-9265b2d0-a3a529f4.jpg']","['files/p13/p13571108/s58633058/e6cd2500-1899413e-d3de528f-a4281a95-460339bf.jpg\n', 'files/p13/p13571108/s58633058/ffd81c9c-a7f1e1b9-eb6fb574-0066af97-9d20f9a9.jpg\n']"
s58676331_2,p13894716,s58676331,2,Findings,"The tip of the endotracheal tube projects over the mid thoracic trachea. A gastric tube is present, the tip projecting over the stomach. A right internal jugular central venous catheter extends into the midportion of the SVC. Unchanged opacity in the right peritracheal region and around the right hilum. The right costophrenic angle is not included on these radiographs. No pneumothorax identified. Small left pleural effusion. The appearance of the cardiac silhouette is unchanged.",The appearance of the cardiac silhouette is unchanged.,appearance,cardiac silhouette,Stable,"['files/p13/p13894716/s58676331/89860a70-14de9cf1-c87805dc-7e50a158-86913513.jpg', 'files/p13/p13894716/s58676331/e2cf84dd-8e0f61bb-4068b19d-3dd7f5f6-454cab9e.jpg']",['files/p13/p13894716/s58193110/ab58d599-83105f84-08a8af4e-48cf3fcf-53f6e5d0.jpg\n']
s58676331_2,p13894716,s58676331,2,Findings,"The tip of the endotracheal tube projects over the mid thoracic trachea. A gastric tube is present, the tip projecting over the stomach. A right internal jugular central venous catheter extends into the midportion of the SVC. Unchanged opacity in the right peritracheal region and around the right hilum. The right costophrenic angle is not included on these radiographs. No pneumothorax identified. Small left pleural effusion. The appearance of the cardiac silhouette is unchanged.",Unchanged opacity in the right peritracheal region and around the right hilum.,opacity,right peritracheal region and around the right hilum,Stable,"['files/p13/p13894716/s58676331/89860a70-14de9cf1-c87805dc-7e50a158-86913513.jpg', 'files/p13/p13894716/s58676331/e2cf84dd-8e0f61bb-4068b19d-3dd7f5f6-454cab9e.jpg']",['files/p13/p13894716/s58193110/ab58d599-83105f84-08a8af4e-48cf3fcf-53f6e5d0.jpg\n']
s58676813_26,p19358609,s58676813,26,Impression,"1. Evaluation of ET tube location is suboptimal due to patient positioning, but appears low. 2. Right PICC and NG tube are similar to prior. 3. Moderate right and small to moderate left effusions appear similar to prior, allowing for differences in patient positioning. 4. Other findings are similar to ___.",2. Right PICC and NG tube are similar to prior.,placement,NG tube,Stable,['files/p19/p19358609/s58676813/a910b094-06011b04-d15075aa-21b8d267-25f63219.jpg'],['files/p19/p19358609/s58119690/23b893a4-1cc40a42-3da788ed-83286c42-25495fd6.jpg\n']
s58676813_26,p19358609,s58676813,26,Impression,"1. Evaluation of ET tube location is suboptimal due to patient positioning, but appears low. 2. Right PICC and NG tube are similar to prior. 3. Moderate right and small to moderate left effusions appear similar to prior, allowing for differences in patient positioning. 4. Other findings are similar to ___.","3. Moderate right and small to moderate left effusions appear similar to prior, allowing for differences in patient positioning.",effusion,right,Stable,['files/p19/p19358609/s58676813/a910b094-06011b04-d15075aa-21b8d267-25f63219.jpg'],['files/p19/p19358609/s58119690/23b893a4-1cc40a42-3da788ed-83286c42-25495fd6.jpg\n']
s58676813_26,p19358609,s58676813,26,Impression,"1. Evaluation of ET tube location is suboptimal due to patient positioning, but appears low. 2. Right PICC and NG tube are similar to prior. 3. Moderate right and small to moderate left effusions appear similar to prior, allowing for differences in patient positioning. 4. Other findings are similar to ___.",2. Right PICC and NG tube are similar to prior.,PICC,right,Stable,['files/p19/p19358609/s58676813/a910b094-06011b04-d15075aa-21b8d267-25f63219.jpg'],['files/p19/p19358609/s58119690/23b893a4-1cc40a42-3da788ed-83286c42-25495fd6.jpg\n']
s58676813_26,p19358609,s58676813,26,Impression,"1. Evaluation of ET tube location is suboptimal due to patient positioning, but appears low. 2. Right PICC and NG tube are similar to prior. 3. Moderate right and small to moderate left effusions appear similar to prior, allowing for differences in patient positioning. 4. Other findings are similar to ___.","3. Moderate right and small to moderate left effusions appear similar to prior, allowing for differences in patient positioning.",effusion,left,Stable,['files/p19/p19358609/s58676813/a910b094-06011b04-d15075aa-21b8d267-25f63219.jpg'],['files/p19/p19358609/s58119690/23b893a4-1cc40a42-3da788ed-83286c42-25495fd6.jpg\n']
s58676813_26,p19358609,s58676813,26,Findings,"The patient's neck is flexed to the right. The ET tube tip appears to be 0.6 cm above the carina. Right PICC tip is in the lower SVC. Side port of the NG tube is likely below the GE junction, with the tip out of view. There is moderate pulmonary edema. Moderate right and small to moderate left effusions appear similar to prior, allowing for differences in patient positioning. Retrocardiac opacity and silhouetting of the left hemidiaphragm are similar to prior. Left upper lung distortion is similar to prior. There is no pneumothorax. The cardiomediastinal silhouette is normal. Aortic calcification projecting over the heart is similar to prior. No free air below the right hemidiaphragm is seen.",Aortic calcification projecting over the heart is similar to prior.,calcification,aortic,Stable,['files/p19/p19358609/s58676813/a910b094-06011b04-d15075aa-21b8d267-25f63219.jpg'],['files/p19/p19358609/s58119690/23b893a4-1cc40a42-3da788ed-83286c42-25495fd6.jpg\n']
s58676813_26,p19358609,s58676813,26,Findings,"The patient's neck is flexed to the right. The ET tube tip appears to be 0.6 cm above the carina. Right PICC tip is in the lower SVC. Side port of the NG tube is likely below the GE junction, with the tip out of view. There is moderate pulmonary edema. Moderate right and small to moderate left effusions appear similar to prior, allowing for differences in patient positioning. Retrocardiac opacity and silhouetting of the left hemidiaphragm are similar to prior. Left upper lung distortion is similar to prior. There is no pneumothorax. The cardiomediastinal silhouette is normal. Aortic calcification projecting over the heart is similar to prior. No free air below the right hemidiaphragm is seen.",Left upper lung distortion is similar to prior.,distortion,left upper lung,Stable,['files/p19/p19358609/s58676813/a910b094-06011b04-d15075aa-21b8d267-25f63219.jpg'],['files/p19/p19358609/s58119690/23b893a4-1cc40a42-3da788ed-83286c42-25495fd6.jpg\n']
s58676813_26,p19358609,s58676813,26,Findings,"The patient's neck is flexed to the right. The ET tube tip appears to be 0.6 cm above the carina. Right PICC tip is in the lower SVC. Side port of the NG tube is likely below the GE junction, with the tip out of view. There is moderate pulmonary edema. Moderate right and small to moderate left effusions appear similar to prior, allowing for differences in patient positioning. Retrocardiac opacity and silhouetting of the left hemidiaphragm are similar to prior. Left upper lung distortion is similar to prior. There is no pneumothorax. The cardiomediastinal silhouette is normal. Aortic calcification projecting over the heart is similar to prior. No free air below the right hemidiaphragm is seen.",Retrocardiac opacity and silhouetting of the left hemidiaphragm are similar to prior.,silhouetting,left hemidiaphragm,Stable,['files/p19/p19358609/s58676813/a910b094-06011b04-d15075aa-21b8d267-25f63219.jpg'],['files/p19/p19358609/s58119690/23b893a4-1cc40a42-3da788ed-83286c42-25495fd6.jpg\n']
s58676813_26,p19358609,s58676813,26,Findings,"The patient's neck is flexed to the right. The ET tube tip appears to be 0.6 cm above the carina. Right PICC tip is in the lower SVC. Side port of the NG tube is likely below the GE junction, with the tip out of view. There is moderate pulmonary edema. Moderate right and small to moderate left effusions appear similar to prior, allowing for differences in patient positioning. Retrocardiac opacity and silhouetting of the left hemidiaphragm are similar to prior. Left upper lung distortion is similar to prior. There is no pneumothorax. The cardiomediastinal silhouette is normal. Aortic calcification projecting over the heart is similar to prior. No free air below the right hemidiaphragm is seen.","Moderate right and small to moderate left effusions appear similar to prior, allowing for differences in patient positioning.",effusion,right,Stable,['files/p19/p19358609/s58676813/a910b094-06011b04-d15075aa-21b8d267-25f63219.jpg'],['files/p19/p19358609/s58119690/23b893a4-1cc40a42-3da788ed-83286c42-25495fd6.jpg\n']
s58676813_26,p19358609,s58676813,26,Findings,"The patient's neck is flexed to the right. The ET tube tip appears to be 0.6 cm above the carina. Right PICC tip is in the lower SVC. Side port of the NG tube is likely below the GE junction, with the tip out of view. There is moderate pulmonary edema. Moderate right and small to moderate left effusions appear similar to prior, allowing for differences in patient positioning. Retrocardiac opacity and silhouetting of the left hemidiaphragm are similar to prior. Left upper lung distortion is similar to prior. There is no pneumothorax. The cardiomediastinal silhouette is normal. Aortic calcification projecting over the heart is similar to prior. No free air below the right hemidiaphragm is seen.","Moderate right and small to moderate left effusions appear similar to prior, allowing for differences in patient positioning.",effusion,left,Stable,['files/p19/p19358609/s58676813/a910b094-06011b04-d15075aa-21b8d267-25f63219.jpg'],['files/p19/p19358609/s58119690/23b893a4-1cc40a42-3da788ed-83286c42-25495fd6.jpg\n']
s58676813_26,p19358609,s58676813,26,Findings,"The patient's neck is flexed to the right. The ET tube tip appears to be 0.6 cm above the carina. Right PICC tip is in the lower SVC. Side port of the NG tube is likely below the GE junction, with the tip out of view. There is moderate pulmonary edema. Moderate right and small to moderate left effusions appear similar to prior, allowing for differences in patient positioning. Retrocardiac opacity and silhouetting of the left hemidiaphragm are similar to prior. Left upper lung distortion is similar to prior. There is no pneumothorax. The cardiomediastinal silhouette is normal. Aortic calcification projecting over the heart is similar to prior. No free air below the right hemidiaphragm is seen.",Retrocardiac opacity and silhouetting of the left hemidiaphragm are similar to prior.,opacity,retrocardiac,Stable,['files/p19/p19358609/s58676813/a910b094-06011b04-d15075aa-21b8d267-25f63219.jpg'],['files/p19/p19358609/s58119690/23b893a4-1cc40a42-3da788ed-83286c42-25495fd6.jpg\n']
s58693812_5,p14482820,s58693812,5,Impression,"In comparison with study of ___, there are improved lung volumes. Monitoring and support devices are unchanged. Cardiac silhouette is enlarged, but there is no evidence of vascular congestion. Retrocardiac opacification has improved, consistent with atelectatic changes and possible small effusion.","Retrocardiac opacification has improved, consistent with atelectatic changes and possible small effusion.",opacification,Retrocardiac,Better,['files/p14/p14482820/s58693812/2e02cb7f-ec012b6d-6af65d55-6a0a4c93-160776e8.jpg'],['files/p14/p14482820/s58257481/35f30547-a26ab9ec-f5962b41-1e1d9b3a-2a9b5f50.jpg\n']
s58693812_5,p14482820,s58693812,5,Impression,"In comparison with study of ___, there are improved lung volumes. Monitoring and support devices are unchanged. Cardiac silhouette is enlarged, but there is no evidence of vascular congestion. Retrocardiac opacification has improved, consistent with atelectatic changes and possible small effusion.","In comparison with study of ___, there are improved lung volumes.",lung volumes,,Better,['files/p14/p14482820/s58693812/2e02cb7f-ec012b6d-6af65d55-6a0a4c93-160776e8.jpg'],['files/p14/p14482820/s58257481/35f30547-a26ab9ec-f5962b41-1e1d9b3a-2a9b5f50.jpg\n']
s58693812_5,p14482820,s58693812,5,Impression,"In comparison with study of ___, there are improved lung volumes. Monitoring and support devices are unchanged. Cardiac silhouette is enlarged, but there is no evidence of vascular congestion. Retrocardiac opacification has improved, consistent with atelectatic changes and possible small effusion.",Monitoring and support devices are unchanged.,monitoring and support devices,,Stable,['files/p14/p14482820/s58693812/2e02cb7f-ec012b6d-6af65d55-6a0a4c93-160776e8.jpg'],['files/p14/p14482820/s58257481/35f30547-a26ab9ec-f5962b41-1e1d9b3a-2a9b5f50.jpg\n']
s58695208_14,p12906762,s58695208,14,Findings,"Left pleural pigtail catheter has been removed. There is no consolidation, pleural effusion, or pneumothorax. Right apical parenchymal and pleural scarring is unchanged. ET tube is approximately 6-7 cm above the carina. Cardiomediastinal silhouette is normal size and unchanged. Dobbhoff tube terminates in the stomach. Left subclavian venous line terminates at superior SVC.",Left pleural pigtail catheter has been removed.,pigtail catheter,left pleural,Resolve,['files/p12/p12906762/s58695208/5ce424e3-7e50c3a2-f36da4c7-bc25a2d1-a37fca4f.jpg'],"['files/p12/p12906762/s57713214/72fca17c-20ffd75f-4c02967e-021ba0fb-feb01bb7.jpg\n', 'files/p12/p12906762/s57713214/a8cf2392-a1e39009-f5b6a7ba-7803adc3-0ec7f268.jpg\n']"
s58695208_14,p12906762,s58695208,14,Findings,"Left pleural pigtail catheter has been removed. There is no consolidation, pleural effusion, or pneumothorax. Right apical parenchymal and pleural scarring is unchanged. ET tube is approximately 6-7 cm above the carina. Cardiomediastinal silhouette is normal size and unchanged. Dobbhoff tube terminates in the stomach. Left subclavian venous line terminates at superior SVC.",Right apical parenchymal and pleural scarring is unchanged.,parenchymal and pleural scarring,right apical,Stable,['files/p12/p12906762/s58695208/5ce424e3-7e50c3a2-f36da4c7-bc25a2d1-a37fca4f.jpg'],"['files/p12/p12906762/s57713214/72fca17c-20ffd75f-4c02967e-021ba0fb-feb01bb7.jpg\n', 'files/p12/p12906762/s57713214/a8cf2392-a1e39009-f5b6a7ba-7803adc3-0ec7f268.jpg\n']"
s58695208_14,p12906762,s58695208,14,Findings,"Left pleural pigtail catheter has been removed. There is no consolidation, pleural effusion, or pneumothorax. Right apical parenchymal and pleural scarring is unchanged. ET tube is approximately 6-7 cm above the carina. Cardiomediastinal silhouette is normal size and unchanged. Dobbhoff tube terminates in the stomach. Left subclavian venous line terminates at superior SVC.",Cardiomediastinal silhouette is normal size and unchanged.,silhouette,Cardiomediastinal,Stable,['files/p12/p12906762/s58695208/5ce424e3-7e50c3a2-f36da4c7-bc25a2d1-a37fca4f.jpg'],"['files/p12/p12906762/s57713214/72fca17c-20ffd75f-4c02967e-021ba0fb-feb01bb7.jpg\n', 'files/p12/p12906762/s57713214/a8cf2392-a1e39009-f5b6a7ba-7803adc3-0ec7f268.jpg\n']"
s58700633_1,p12521573,s58700633,1,Findings,"Assessment is slightly limited due to rotation. Heart size remains mildly enlarged. Elevation of the left hemidiaphragm is unchanged. Atelectasis within the left lung base is noted, but no focal consolidation, pleural effusion or pneumothorax is present. Mediastinal and hilar contours are unchanged, and no pulmonary vascular congestion is identified. Scarring within the apices is unchanged. Mild to moderate multilevel degenerative changes are present in the thoracic spine.",Scarring within the apices is unchanged.,scarring,apices,Stable,"['files/p12/p12521573/s58700633/2522581e-ac120282-c9568047-88e5dfff-2e19d8e4.jpg', 'files/p12/p12521573/s58700633/9ef62dcd-4b3e52d1-80cd9cd2-655e3c3b-b0669fc5.jpg', 'files/p12/p12521573/s58700633/eac81c8c-1dc5b6da-13af8380-a66641a0-1a204f81.jpg']",
s58700633_1,p12521573,s58700633,1,Findings,"Assessment is slightly limited due to rotation. Heart size remains mildly enlarged. Elevation of the left hemidiaphragm is unchanged. Atelectasis within the left lung base is noted, but no focal consolidation, pleural effusion or pneumothorax is present. Mediastinal and hilar contours are unchanged, and no pulmonary vascular congestion is identified. Scarring within the apices is unchanged. Mild to moderate multilevel degenerative changes are present in the thoracic spine.",Heart size remains mildly enlarged.,mildly enlarged heart size,,Stable,"['files/p12/p12521573/s58700633/2522581e-ac120282-c9568047-88e5dfff-2e19d8e4.jpg', 'files/p12/p12521573/s58700633/9ef62dcd-4b3e52d1-80cd9cd2-655e3c3b-b0669fc5.jpg', 'files/p12/p12521573/s58700633/eac81c8c-1dc5b6da-13af8380-a66641a0-1a204f81.jpg']",
s58700633_1,p12521573,s58700633,1,Findings,"Assessment is slightly limited due to rotation. Heart size remains mildly enlarged. Elevation of the left hemidiaphragm is unchanged. Atelectasis within the left lung base is noted, but no focal consolidation, pleural effusion or pneumothorax is present. Mediastinal and hilar contours are unchanged, and no pulmonary vascular congestion is identified. Scarring within the apices is unchanged. Mild to moderate multilevel degenerative changes are present in the thoracic spine.",Elevation of the left hemidiaphragm is unchanged.,hemidiaphragm elevation,left,Stable,"['files/p12/p12521573/s58700633/2522581e-ac120282-c9568047-88e5dfff-2e19d8e4.jpg', 'files/p12/p12521573/s58700633/9ef62dcd-4b3e52d1-80cd9cd2-655e3c3b-b0669fc5.jpg', 'files/p12/p12521573/s58700633/eac81c8c-1dc5b6da-13af8380-a66641a0-1a204f81.jpg']",
s58700633_1,p12521573,s58700633,1,Findings,"Assessment is slightly limited due to rotation. Heart size remains mildly enlarged. Elevation of the left hemidiaphragm is unchanged. Atelectasis within the left lung base is noted, but no focal consolidation, pleural effusion or pneumothorax is present. Mediastinal and hilar contours are unchanged, and no pulmonary vascular congestion is identified. Scarring within the apices is unchanged. Mild to moderate multilevel degenerative changes are present in the thoracic spine.","Mediastinal and hilar contours are unchanged, and no pulmonary vascular congestion is identified.",mediastinal and hilar contours,,Stable,"['files/p12/p12521573/s58700633/2522581e-ac120282-c9568047-88e5dfff-2e19d8e4.jpg', 'files/p12/p12521573/s58700633/9ef62dcd-4b3e52d1-80cd9cd2-655e3c3b-b0669fc5.jpg', 'files/p12/p12521573/s58700633/eac81c8c-1dc5b6da-13af8380-a66641a0-1a204f81.jpg']",
s58712687_1,p11686207,s58712687,1,Findings,Biapical scarring is again seen. The lungs are otherwise clear. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.,Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p11/p11686207/s58712687/6e21c3c3-eeed0568-c5827143-dc010d61-a5f5f0bd.jpg', 'files/p11/p11686207/s58712687/c8d7cf11-95b640cd-48eceb73-02f4b390-b9d3f500.jpg', 'files/p11/p11686207/s58712687/ef655573-89dd6218-2a5e356d-fa86183f-4ec13d35.jpg']","['files/p11/p11686207/s54673619/a8533919-65ca2062-6abef4f8-63fa076f-475432a3.jpg\n', 'files/p11/p11686207/s54673619/f33f365d-10d1ff5e-228007f3-863aa1cb-63c0c506.jpg\n']"
s58712687_1,p11686207,s58712687,1,Findings,Biapical scarring is again seen. The lungs are otherwise clear. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.,Biapical scarring is again seen.,scarring,biapical,Stable,"['files/p11/p11686207/s58712687/6e21c3c3-eeed0568-c5827143-dc010d61-a5f5f0bd.jpg', 'files/p11/p11686207/s58712687/c8d7cf11-95b640cd-48eceb73-02f4b390-b9d3f500.jpg', 'files/p11/p11686207/s58712687/ef655573-89dd6218-2a5e356d-fa86183f-4ec13d35.jpg']","['files/p11/p11686207/s54673619/a8533919-65ca2062-6abef4f8-63fa076f-475432a3.jpg\n', 'files/p11/p11686207/s54673619/f33f365d-10d1ff5e-228007f3-863aa1cb-63c0c506.jpg\n']"
s58766220_8,p14482820,s58766220,8,Impression,Compared to prior chest radiographs ___ through ___. Lungs are low in volume but grossly clear. Heart size top-normal. No pneumothorax. Pleural effusions small on the left if any. ET tube has been withdrawn to standard position. Right jugular line ends in the low SVC. Esophageal drainage tube ends in the upper nondistended stomach.,ET tube has been withdrawn to standard position.,ET tube position,,Resolve,['files/p14/p14482820/s58766220/0d46b39d-93186b93-afd0e40f-7e41e72b-54caf402.jpg'],['files/p14/p14482820/s58693812/2e02cb7f-ec012b6d-6af65d55-6a0a4c93-160776e8.jpg\n']
s58767809_16,p11135350,s58767809,16,Findings,"Since the chest radiograph obtained 1 day prior, there is substantial improvement in aeration throughout the left lung. Subtotal collapse has resolved with minimal residual atelectasis of the apex and lung base. Right lung is fully expanded and clear. No obvious consolidations. Moderate cardiomegaly is unchanged. Pleural effusions small, if any.",Moderate cardiomegaly is unchanged.,cardiomegaly,,Stable,['files/p11/p11135350/s58767809/02ae05fc-ce6ab459-7561db4d-881fb85b-5a207608.jpg'],['files/p11/p11135350/s58052703/532c6ecd-2488a763-5bd16f91-8214f9de-8fb8c49d.jpg\n']
s58767809_16,p11135350,s58767809,16,Findings,"Since the chest radiograph obtained 1 day prior, there is substantial improvement in aeration throughout the left lung. Subtotal collapse has resolved with minimal residual atelectasis of the apex and lung base. Right lung is fully expanded and clear. No obvious consolidations. Moderate cardiomegaly is unchanged. Pleural effusions small, if any.",Subtotal collapse has resolved with minimal residual atelectasis of the apex and lung base.,subtotal collapse,left lung,Resolve,['files/p11/p11135350/s58767809/02ae05fc-ce6ab459-7561db4d-881fb85b-5a207608.jpg'],['files/p11/p11135350/s58052703/532c6ecd-2488a763-5bd16f91-8214f9de-8fb8c49d.jpg\n']
s58767809_16,p11135350,s58767809,16,Findings,"Since the chest radiograph obtained 1 day prior, there is substantial improvement in aeration throughout the left lung. Subtotal collapse has resolved with minimal residual atelectasis of the apex and lung base. Right lung is fully expanded and clear. No obvious consolidations. Moderate cardiomegaly is unchanged. Pleural effusions small, if any.","Since the chest radiograph obtained 1 day prior, there is substantial improvement in aeration throughout the left lung.",aeration,left lung,Better,['files/p11/p11135350/s58767809/02ae05fc-ce6ab459-7561db4d-881fb85b-5a207608.jpg'],['files/p11/p11135350/s58052703/532c6ecd-2488a763-5bd16f91-8214f9de-8fb8c49d.jpg\n']
s58768886_1,p13548796,s58768886,1,Findings,"Right-sided PICC terminates in the upper SVC. Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. No pulmonary vascular congestion is seen. The lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.",Mediastinal and hilar contours are unchanged.,Contours,Mediastinal and hilar,Stable,"['files/p13/p13548796/s58768886/0d393050-8caaa760-f81a0bdb-da31d259-43e27146.jpg', 'files/p13/p13548796/s58768886/af3bf50e-1730eb8e-1f26e5d5-38881647-62a7fd02.jpg']","['files/p13/p13548796/s52791306/22bf2f39-0f319173-abc3db10-6e10c430-51f614e5.jpg\n', 'files/p13/p13548796/s52791306/5f2c97b1-447bf315-76c09138-d319e6a7-78012f26.jpg\n', 'files/p13/p13548796/s52791306/96734a31-b38490e1-f61e9e78-5db8c8f5-ded5e1df.jpg\n']"
s58783883_0,p19769430,s58783883,0,Findings,"Compared with prior radiographs on ___, the right hemidiaphragm is not sharply seen. There is a small right pleural effusion and atelectasis at the right lung base. There is no new focal consolidation to suggest pneumonia. There is no edema or pneumothorax. Cardiomediastinal silhouette is unchanged.",There is no new focal consolidation to suggest pneumonia.,focal consolidation,,New,['files/p19/p19769430/s58783883/2a46f86f-aa12bf29-81681d7d-afb9c9d8-23629fe0.jpg'],
s58783883_0,p19769430,s58783883,0,Findings,"Compared with prior radiographs on ___, the right hemidiaphragm is not sharply seen. There is a small right pleural effusion and atelectasis at the right lung base. There is no new focal consolidation to suggest pneumonia. There is no edema or pneumothorax. Cardiomediastinal silhouette is unchanged.",Cardiomediastinal silhouette is unchanged.,Cardiomediastinal silhouette,,Stable,['files/p19/p19769430/s58783883/2a46f86f-aa12bf29-81681d7d-afb9c9d8-23629fe0.jpg'],
s58789604_14,p17660889,s58789604,14,Findings,"In comparison with the study of ___, the monitoring and support devices remain in place. Continued enlargement of the cardiac silhouettes with some improvement in pulmonary edema. The area of increased opacification at the right base is not definitely appreciated. Poor definition of the left hemidiaphragm is consistent with some volume loss in the left lower lobe or possible supervening pneumonia.",Continued enlargement of the cardiac silhouettes with some improvement in pulmonary edema.,pulmonary edema,,Better,['files/p17/p17660889/s58789604/904cd93c-1da40b8a-14194a57-7ba145c9-66af87e3.jpg'],['files/p17/p17660889/s58199826/13875055-a92c44c3-772d6e38-332cff16-3ed6380f.jpg\n']
s58789604_14,p17660889,s58789604,14,Findings,"In comparison with the study of ___, the monitoring and support devices remain in place. Continued enlargement of the cardiac silhouettes with some improvement in pulmonary edema. The area of increased opacification at the right base is not definitely appreciated. Poor definition of the left hemidiaphragm is consistent with some volume loss in the left lower lobe or possible supervening pneumonia.","In comparison with the study of ___, the monitoring and support devices remain in place.",monitoring and support devices,,Stable,['files/p17/p17660889/s58789604/904cd93c-1da40b8a-14194a57-7ba145c9-66af87e3.jpg'],['files/p17/p17660889/s58199826/13875055-a92c44c3-772d6e38-332cff16-3ed6380f.jpg\n']
s58792298_4,p11520249,s58792298,4,Impression,No definite acute cardiopulmonary process. Right upper lung rounded opacity again concerning for malignancy.,Right upper lung rounded opacity again concerning for malignancy.,rounded opacity,right upper lung,Worse,"['files/p11/p11520249/s58792298/21ff2ec7-c4a60756-1d1937eb-e12dee07-852c4995.jpg', 'files/p11/p11520249/s58792298/a54f4d38-f53d69a4-fe5bb1af-ec0c839c-ca1ea4cf.jpg']","['files/p11/p11520249/s58466105/b22978a8-b5b4125a-08c7a341-112606a4-cbd852a9.jpg\n', 'files/p11/p11520249/s58466105/d1969331-194ac1ab-ab92b6ec-10a231e8-8585ed4a.jpg\n', 'files/p11/p11520249/s58466105/f1d21b3d-2ee34c86-4d7e3bcf-7cbc833b-f0692c65.jpg\n']"
s58792298_4,p11520249,s58792298,4,Findings,"AP and lateral views of the chest. There is a right upper lung, somewhat rounded opacity as seen on previous exam. Again, this remains concerning for neoplasm. The lungs are otherwise grossly clear noting some right basilar atelectasis. Left chest wall single lead pacing device seen with lead tip in the right ventricular apex. Cardiac silhouette is enlarged but stable in configuration. Atherosclerotic calcification is seen within the aorta.",Cardiac silhouette is enlarged but stable in configuration.,enlarged cardiac silhouette,,Stable,"['files/p11/p11520249/s58792298/21ff2ec7-c4a60756-1d1937eb-e12dee07-852c4995.jpg', 'files/p11/p11520249/s58792298/a54f4d38-f53d69a4-fe5bb1af-ec0c839c-ca1ea4cf.jpg']","['files/p11/p11520249/s58466105/b22978a8-b5b4125a-08c7a341-112606a4-cbd852a9.jpg\n', 'files/p11/p11520249/s58466105/d1969331-194ac1ab-ab92b6ec-10a231e8-8585ed4a.jpg\n', 'files/p11/p11520249/s58466105/f1d21b3d-2ee34c86-4d7e3bcf-7cbc833b-f0692c65.jpg\n']"
s58792298_4,p11520249,s58792298,4,Findings,"AP and lateral views of the chest. There is a right upper lung, somewhat rounded opacity as seen on previous exam. Again, this remains concerning for neoplasm. The lungs are otherwise grossly clear noting some right basilar atelectasis. Left chest wall single lead pacing device seen with lead tip in the right ventricular apex. Cardiac silhouette is enlarged but stable in configuration. Atherosclerotic calcification is seen within the aorta.","There is a right upper lung, somewhat rounded opacity as seen on previous exam. Again, this remains concerning for neoplasm.",rounded opacity,right upper lung,Worse,"['files/p11/p11520249/s58792298/21ff2ec7-c4a60756-1d1937eb-e12dee07-852c4995.jpg', 'files/p11/p11520249/s58792298/a54f4d38-f53d69a4-fe5bb1af-ec0c839c-ca1ea4cf.jpg']","['files/p11/p11520249/s58466105/b22978a8-b5b4125a-08c7a341-112606a4-cbd852a9.jpg\n', 'files/p11/p11520249/s58466105/d1969331-194ac1ab-ab92b6ec-10a231e8-8585ed4a.jpg\n', 'files/p11/p11520249/s58466105/f1d21b3d-2ee34c86-4d7e3bcf-7cbc833b-f0692c65.jpg\n']"
s58794154_6,p18580594,s58794154,6,Findings,"Cardiac silhouette is upper limits of normal in size. Mediastinal and hilar contours are stable. Widespread pulmonary metastases are again demonstrated, with a dominant 3.3-cm diameter peripheral mass in the lingula. On the lateral view, increasing confluent opacity is seen overlying the lower thoracic spine as compared to the lateral chest radiograph of ___, with associated partial obscuration of the right hemidiaphragm. Small right pleural effusion is present, similar to ___ radiograph.","Small right pleural effusion is present, similar to ___ radiograph.",pleural effusion,right,Stable,"['files/p18/p18580594/s58794154/185a56ae-2eb6dd1e-40986580-fbea8091-8cea86e3.jpg', 'files/p18/p18580594/s58794154/a509b7a8-30e8416d-85902bec-ed3ddf40-22586bf5.jpg', 'files/p18/p18580594/s58794154/c2bd3ed1-3fb9aa51-ff427719-79f840dd-3d5cefd4.jpg']",['files/p18/p18580594/s56772300/184bb758-6458694f-18e228fd-256ef804-8bfa0dba.jpg\n']
s58794154_6,p18580594,s58794154,6,Findings,"Cardiac silhouette is upper limits of normal in size. Mediastinal and hilar contours are stable. Widespread pulmonary metastases are again demonstrated, with a dominant 3.3-cm diameter peripheral mass in the lingula. On the lateral view, increasing confluent opacity is seen overlying the lower thoracic spine as compared to the lateral chest radiograph of ___, with associated partial obscuration of the right hemidiaphragm. Small right pleural effusion is present, similar to ___ radiograph.","On the lateral view, increasing confluent opacity is seen overlying the lower thoracic spine as compared to the lateral chest radiograph of ___, with associated partial obscuration of the right hemidiaphragm.",confluent opacity,overlying the lower thoracic spine,Worse,"['files/p18/p18580594/s58794154/185a56ae-2eb6dd1e-40986580-fbea8091-8cea86e3.jpg', 'files/p18/p18580594/s58794154/a509b7a8-30e8416d-85902bec-ed3ddf40-22586bf5.jpg', 'files/p18/p18580594/s58794154/c2bd3ed1-3fb9aa51-ff427719-79f840dd-3d5cefd4.jpg']",['files/p18/p18580594/s56772300/184bb758-6458694f-18e228fd-256ef804-8bfa0dba.jpg\n']
s58794154_6,p18580594,s58794154,6,Findings,"Cardiac silhouette is upper limits of normal in size. Mediastinal and hilar contours are stable. Widespread pulmonary metastases are again demonstrated, with a dominant 3.3-cm diameter peripheral mass in the lingula. On the lateral view, increasing confluent opacity is seen overlying the lower thoracic spine as compared to the lateral chest radiograph of ___, with associated partial obscuration of the right hemidiaphragm. Small right pleural effusion is present, similar to ___ radiograph.",Mediastinal and hilar contours are stable.,Mediastinal and hilar contours,,Stable,"['files/p18/p18580594/s58794154/185a56ae-2eb6dd1e-40986580-fbea8091-8cea86e3.jpg', 'files/p18/p18580594/s58794154/a509b7a8-30e8416d-85902bec-ed3ddf40-22586bf5.jpg', 'files/p18/p18580594/s58794154/c2bd3ed1-3fb9aa51-ff427719-79f840dd-3d5cefd4.jpg']",['files/p18/p18580594/s56772300/184bb758-6458694f-18e228fd-256ef804-8bfa0dba.jpg\n']
s58796142_2,p12749849,s58796142,2,Impression,Right PICC line tip terminates at the level of superior SVC. Heart size and mediastinum are stable. Vascular congestion is demonstrated. There is no pleural effusion. There is no pneumothorax.,Heart size and mediastinum are stable.,Heart size and mediastinum,,Stable,"['files/p12/p12749849/s58796142/059f665a-5889b37e-e7cbf507-8afc0524-28836769.jpg', 'files/p12/p12749849/s58796142/4161e589-009257f1-494801fa-6a9ea19b-e80714a6.jpg', 'files/p12/p12749849/s58796142/8fca1783-918811d2-37cceaa1-b6eca31f-e6db9888.jpg']","['files/p12/p12749849/s53502580/09846753-05af835a-0442e67c-97f04c1d-33ff0aa1.jpg\n', 'files/p12/p12749849/s53502580/e2d8fc47-6b718166-13b4771b-3194dbf7-48168537.jpg\n', 'files/p12/p12749849/s53502580/ee129267-c7c7dc70-6f971b46-d1de1d9f-de6834f6.jpg\n']"
s58798839_1,p14544801,s58798839,1,Impression,1. The patient is known with right upper lobe lung cancer that has cavitated with bilateral basal opacities that could be compatible with aspiration or pneumonia. 2. Left fifth anterior rib fracture is new.,Left fifth anterior rib fracture is new.,Fracture,Left fifth anterior rib,New,"['files/p14/p14544801/s58798839/5596f59d-ff9d9ff9-99941d22-9322ec85-3ab29388.jpg', 'files/p14/p14544801/s58798839/d44811b4-e337ad4c-3db89276-a24ae31a-5364e1fb.jpg']",['files/p14/p14544801/s58556039/d60e5ebe-9d77544b-9235b2f7-13e5bf44-06974f41.jpg\n']
s58798839_1,p14544801,s58798839,1,Findings,Non-displaced anterior fifth left rib fracture is new. Necrotic cavitating right upper lobe mass with air-fluid level was better assessed in previous chest CT. Bibasilar opacities are mostly compatible with aspiration or pneumonia. Pleural effusion is small if any. There is no pneumothorax.,Necrotic cavitating right upper lobe mass with air-fluid level was better assessed in previous chest CT.,Necrotic cavitating mass with air-fluid level,Right upper lobe,Stable,"['files/p14/p14544801/s58798839/5596f59d-ff9d9ff9-99941d22-9322ec85-3ab29388.jpg', 'files/p14/p14544801/s58798839/d44811b4-e337ad4c-3db89276-a24ae31a-5364e1fb.jpg']",['files/p14/p14544801/s58556039/d60e5ebe-9d77544b-9235b2f7-13e5bf44-06974f41.jpg\n']
s58798839_1,p14544801,s58798839,1,Findings,Non-displaced anterior fifth left rib fracture is new. Necrotic cavitating right upper lobe mass with air-fluid level was better assessed in previous chest CT. Bibasilar opacities are mostly compatible with aspiration or pneumonia. Pleural effusion is small if any. There is no pneumothorax.,Non-displaced anterior fifth left rib fracture is new.,Fracture,Anterior fifth left rib,New,"['files/p14/p14544801/s58798839/5596f59d-ff9d9ff9-99941d22-9322ec85-3ab29388.jpg', 'files/p14/p14544801/s58798839/d44811b4-e337ad4c-3db89276-a24ae31a-5364e1fb.jpg']",['files/p14/p14544801/s58556039/d60e5ebe-9d77544b-9235b2f7-13e5bf44-06974f41.jpg\n']
s58803234_2,p15655633,s58803234,2,Findings,"As compared to the previous radiograph, the preexisting right upper lobe pneumonia has now completely resolved. There is no evidence of remnant opacities and no evidence of complication such as abscesses or pleural effusions. No other relevant findings.","As compared to the previous radiograph, the preexisting right upper lobe pneumonia has now completely resolved.",pneumonia,right upper lobe,Resolve,"['files/p15/p15655633/s58803234/09a6d0fc-9eb1d482-0bbe98b0-d77733a3-e2633b7d.jpg', 'files/p15/p15655633/s58803234/ee71a48c-d7613a73-e790a03a-f30f2402-759d7654.jpg']","['files/p15/p15655633/s57920753/8fb3872f-171fa379-f8c161ed-9c191c05-b0d93589.jpg\n', 'files/p15/p15655633/s57920753/c0c9f788-0cfe1c90-7453c818-eb4f5ba3-9bffdae8.jpg\n']"
s58804781_30,p19358609,s58804781,30,Impression,There has been some interval partial clearing of the right-sided infiltrate. However given the extensive distortion of the thoracic anatomy it is difficult to assess for resolution of the acute on chronic changes. The ET tube is unchanged,The ET tube is unchanged,ET tube,,Stable,['files/p19/p19358609/s58804781/916c8cda-4a5b71e7-48853bfe-64498756-5f944dfe.jpg'],['files/p19/p19358609/s58676813/a910b094-06011b04-d15075aa-21b8d267-25f63219.jpg\n']
s58804781_30,p19358609,s58804781,30,Impression,There has been some interval partial clearing of the right-sided infiltrate. However given the extensive distortion of the thoracic anatomy it is difficult to assess for resolution of the acute on chronic changes. The ET tube is unchanged,There has been some interval partial clearing of the right-sided infiltrate.,infiltrate,right-sided,Better,['files/p19/p19358609/s58804781/916c8cda-4a5b71e7-48853bfe-64498756-5f944dfe.jpg'],['files/p19/p19358609/s58676813/a910b094-06011b04-d15075aa-21b8d267-25f63219.jpg\n']
s58807131_5,p15911529,s58807131,5,Findings,"In comparison with the study of ___, the patient has taken a better inspiration. Pacer leads are essentially unchanged and there is no evidence of pneumothorax.",Pacer leads are essentially unchanged and there is no evidence of pneumothorax.,Pacer leads,,Stable,"['files/p15/p15911529/s58807131/196485f6-66508452-3f992f30-5e0c4182-53d9d2d0.jpg', 'files/p15/p15911529/s58807131/442695c7-33bbfd97-387bc062-28a11538-d366fc24.jpg']",['files/p15/p15911529/s58350152/0042757a-03a7b183-0e56404f-f82c7d1d-cf93667a.jpg\n']
s58808936_3,p16319384,s58808936,3,Findings,"Frontal and lateral chest radiographs demonstrate cardiomediastinal contours are unchanged. Appearance of a left lower lung opacification on the frontal view appears to correspond with a prominent pericardial fat pad, better assessed on the lateral view and stable across multiple prior chest radiographs. Overall, lungs appear clear. No pleural effusion or pneumothorax is identified. Aortic knob calcifications again identified.",Aortic knob calcifications again identified.,calcifications,aortic knob,Stable,"['files/p16/p16319384/s58808936/0a74b069-d42f7547-3e94c466-f893a9b5-926affec.jpg', 'files/p16/p16319384/s58808936/5efde2e0-1abd8e7b-6640d706-7a336bf2-cc8b21b0.jpg', 'files/p16/p16319384/s58808936/8f1b6c21-dc13ba3f-d1f686ad-50b5cebd-3c6fb05a.jpg']",['files/p16/p16319384/s58022694/17cf7f7c-b27bc3f4-e902bbcb-b4c608b1-5984f415.jpg\n']
s58808936_3,p16319384,s58808936,3,Findings,"Frontal and lateral chest radiographs demonstrate cardiomediastinal contours are unchanged. Appearance of a left lower lung opacification on the frontal view appears to correspond with a prominent pericardial fat pad, better assessed on the lateral view and stable across multiple prior chest radiographs. Overall, lungs appear clear. No pleural effusion or pneumothorax is identified. Aortic knob calcifications again identified.","Appearance of a left lower lung opacification on the frontal view appears to correspond with a prominent pericardial fat pad, better assessed on the lateral view and stable across multiple prior chest radiographs.",opacification,left lower lung,Stable,"['files/p16/p16319384/s58808936/0a74b069-d42f7547-3e94c466-f893a9b5-926affec.jpg', 'files/p16/p16319384/s58808936/5efde2e0-1abd8e7b-6640d706-7a336bf2-cc8b21b0.jpg', 'files/p16/p16319384/s58808936/8f1b6c21-dc13ba3f-d1f686ad-50b5cebd-3c6fb05a.jpg']",['files/p16/p16319384/s58022694/17cf7f7c-b27bc3f4-e902bbcb-b4c608b1-5984f415.jpg\n']
s58808936_3,p16319384,s58808936,3,Findings,"Frontal and lateral chest radiographs demonstrate cardiomediastinal contours are unchanged. Appearance of a left lower lung opacification on the frontal view appears to correspond with a prominent pericardial fat pad, better assessed on the lateral view and stable across multiple prior chest radiographs. Overall, lungs appear clear. No pleural effusion or pneumothorax is identified. Aortic knob calcifications again identified.",Frontal and lateral chest radiographs demonstrate cardiomediastinal contours are unchanged.,cardiomediastinal contours,,Stable,"['files/p16/p16319384/s58808936/0a74b069-d42f7547-3e94c466-f893a9b5-926affec.jpg', 'files/p16/p16319384/s58808936/5efde2e0-1abd8e7b-6640d706-7a336bf2-cc8b21b0.jpg', 'files/p16/p16319384/s58808936/8f1b6c21-dc13ba3f-d1f686ad-50b5cebd-3c6fb05a.jpg']",['files/p16/p16319384/s58022694/17cf7f7c-b27bc3f4-e902bbcb-b4c608b1-5984f415.jpg\n']
s58814809_1,p10522265,s58814809,1,Impression,ET tube tip is 3.5 cm above the carinal. NG tube tip is in the stomach. Heart size and mediastinum are stable. Lungs are essentially clear. There is no pleural effusion or pneumothorax.,Heart size and mediastinum are stable.,Heart size and mediastinum,,Stable,"['files/p10/p10522265/s58814809/4f448157-5d85f1e3-0eb6b849-f1fbf95f-0e6d1f6b.jpg', 'files/p10/p10522265/s58814809/87c1098e-9c3bb6e3-a61f96b2-ee3edd92-93ac1cdf.jpg']",['files/p10/p10522265/s58007779/5112f0c8-88daad36-4b8ec976-5df44b65-9b6b621b.jpg\n']
s58825648_2,p18536624,s58825648,2,Findings,"Since the chest radiograph obtained 1 day prior, there has been interval removal of the right-sided pleural drainage catheter. Small left apical pneumothorax is unchanged. Approximately 1.5 cm right apical pneumothorax is new. Cardiomegaly is unchanged since 1 day prior, but new since 4 days prior. Increased left lower lobe atelectasis and probably a new, small left pleural effusion. A small rounded opacity in the lateral right lung is likely a focus of atelectasis or hematoma in the prior location of the pleural drainage catheter. Lungs are otherwise fully expanded and clear.",Approximately 1.5 cm right apical pneumothorax is new.,pneumothorax,Right apical,New,['files/p18/p18536624/s58825648/48069ad7-2198507a-3a1a76f6-2f451959-3323f7de.jpg'],['files/p18/p18536624/s55739485/74cb0482-4e08c24c-84bc00b1-327a2c16-342697fb.jpg\n']
s58825648_2,p18536624,s58825648,2,Findings,"Since the chest radiograph obtained 1 day prior, there has been interval removal of the right-sided pleural drainage catheter. Small left apical pneumothorax is unchanged. Approximately 1.5 cm right apical pneumothorax is new. Cardiomegaly is unchanged since 1 day prior, but new since 4 days prior. Increased left lower lobe atelectasis and probably a new, small left pleural effusion. A small rounded opacity in the lateral right lung is likely a focus of atelectasis or hematoma in the prior location of the pleural drainage catheter. Lungs are otherwise fully expanded and clear.","Cardiomegaly is unchanged since 1 day prior, but new since 4 days prior.",Cardiomegaly,Cardiac silhouette,Stable,['files/p18/p18536624/s58825648/48069ad7-2198507a-3a1a76f6-2f451959-3323f7de.jpg'],['files/p18/p18536624/s55739485/74cb0482-4e08c24c-84bc00b1-327a2c16-342697fb.jpg\n']
s58825648_2,p18536624,s58825648,2,Findings,"Since the chest radiograph obtained 1 day prior, there has been interval removal of the right-sided pleural drainage catheter. Small left apical pneumothorax is unchanged. Approximately 1.5 cm right apical pneumothorax is new. Cardiomegaly is unchanged since 1 day prior, but new since 4 days prior. Increased left lower lobe atelectasis and probably a new, small left pleural effusion. A small rounded opacity in the lateral right lung is likely a focus of atelectasis or hematoma in the prior location of the pleural drainage catheter. Lungs are otherwise fully expanded and clear.","Since the chest radiograph obtained 1 day prior, there has been interval removal of the right-sided pleural drainage catheter.",pleural drainage catheter,Right-sided,Resolve,['files/p18/p18536624/s58825648/48069ad7-2198507a-3a1a76f6-2f451959-3323f7de.jpg'],['files/p18/p18536624/s55739485/74cb0482-4e08c24c-84bc00b1-327a2c16-342697fb.jpg\n']
s58825648_2,p18536624,s58825648,2,Findings,"Since the chest radiograph obtained 1 day prior, there has been interval removal of the right-sided pleural drainage catheter. Small left apical pneumothorax is unchanged. Approximately 1.5 cm right apical pneumothorax is new. Cardiomegaly is unchanged since 1 day prior, but new since 4 days prior. Increased left lower lobe atelectasis and probably a new, small left pleural effusion. A small rounded opacity in the lateral right lung is likely a focus of atelectasis or hematoma in the prior location of the pleural drainage catheter. Lungs are otherwise fully expanded and clear.",Small left apical pneumothorax is unchanged.,pneumothorax,Left apical,Stable,['files/p18/p18536624/s58825648/48069ad7-2198507a-3a1a76f6-2f451959-3323f7de.jpg'],['files/p18/p18536624/s55739485/74cb0482-4e08c24c-84bc00b1-327a2c16-342697fb.jpg\n']
s58825648_2,p18536624,s58825648,2,Findings,"Since the chest radiograph obtained 1 day prior, there has been interval removal of the right-sided pleural drainage catheter. Small left apical pneumothorax is unchanged. Approximately 1.5 cm right apical pneumothorax is new. Cardiomegaly is unchanged since 1 day prior, but new since 4 days prior. Increased left lower lobe atelectasis and probably a new, small left pleural effusion. A small rounded opacity in the lateral right lung is likely a focus of atelectasis or hematoma in the prior location of the pleural drainage catheter. Lungs are otherwise fully expanded and clear.","Increased left lower lobe atelectasis and probably a new, small left pleural effusion.",pleural effusion,Left,New,['files/p18/p18536624/s58825648/48069ad7-2198507a-3a1a76f6-2f451959-3323f7de.jpg'],['files/p18/p18536624/s55739485/74cb0482-4e08c24c-84bc00b1-327a2c16-342697fb.jpg\n']
s58825648_2,p18536624,s58825648,2,Impression,"New right apical pneumothorax as described above. Unchanged, small, left apical pneumothorax. Cardiomegaly unchanged since 1 day prior, but new since 4 days prior. Correlation with echocardiogram recommended.",New right apical pneumothorax as described above.,pneumothorax,Right apical,New,['files/p18/p18536624/s58825648/48069ad7-2198507a-3a1a76f6-2f451959-3323f7de.jpg'],['files/p18/p18536624/s55739485/74cb0482-4e08c24c-84bc00b1-327a2c16-342697fb.jpg\n']
s58825648_2,p18536624,s58825648,2,Impression,"New right apical pneumothorax as described above. Unchanged, small, left apical pneumothorax. Cardiomegaly unchanged since 1 day prior, but new since 4 days prior. Correlation with echocardiogram recommended.","Unchanged, small, left apical pneumothorax.",pneumothorax,Left apical,Stable,['files/p18/p18536624/s58825648/48069ad7-2198507a-3a1a76f6-2f451959-3323f7de.jpg'],['files/p18/p18536624/s55739485/74cb0482-4e08c24c-84bc00b1-327a2c16-342697fb.jpg\n']
s58825648_2,p18536624,s58825648,2,Impression,"New right apical pneumothorax as described above. Unchanged, small, left apical pneumothorax. Cardiomegaly unchanged since 1 day prior, but new since 4 days prior. Correlation with echocardiogram recommended.","Cardiomegaly unchanged since 1 day prior, but new since 4 days prior.",Cardiomegaly,Cardiac silhouette,Stable,['files/p18/p18536624/s58825648/48069ad7-2198507a-3a1a76f6-2f451959-3323f7de.jpg'],['files/p18/p18536624/s55739485/74cb0482-4e08c24c-84bc00b1-327a2c16-342697fb.jpg\n']
s58825648_2,p18536624,s58825648,2,Findings,"Since the chest radiograph obtained 1 day prior, there has been interval removal of the right-sided pleural drainage catheter. Small left apical pneumothorax is unchanged. Approximately 1.5 cm right apical pneumothorax is new. Cardiomegaly is unchanged since 1 day prior, but new since 4 days prior. Increased left lower lobe atelectasis and probably a new, small left pleural effusion. A small rounded opacity in the lateral right lung is likely a focus of atelectasis or hematoma in the prior location of the pleural drainage catheter. Lungs are otherwise fully expanded and clear.","Increased left lower lobe atelectasis and probably a new, small left pleural effusion.",atelectasis,Left lower lobe,Worse,['files/p18/p18536624/s58825648/48069ad7-2198507a-3a1a76f6-2f451959-3323f7de.jpg'],['files/p18/p18536624/s55739485/74cb0482-4e08c24c-84bc00b1-327a2c16-342697fb.jpg\n']
s58836158_21,p13421580,s58836158,21,Impression,"AP chest compared to ___: Consolidation in the left lower lobe improved between ___ and ___, and has not changed since. Small right pleural effusion has decreased in that period of time. New opacification at the right lung base could be either atelectasis or developing pneumonia. The heart is normal size. Mild interstitial pulmonary edema persists. ET tube, right internal jugular line are in standard placements and a feeding tube passes into the stomach and out of view. No pneumothorax.",Mild interstitial pulmonary edema persists,interstitial pulmonary edema,,Stable,['files/p13/p13421580/s58836158/edddb068-c24f12b6-084654d9-533d402a-a74f074a.jpg'],['files/p13/p13421580/s58355979/dacef393-c3ecc055-b15828f6-6e51ba4e-724b20a7.jpg\n']
s58836158_21,p13421580,s58836158,21,Impression,"AP chest compared to ___: Consolidation in the left lower lobe improved between ___ and ___, and has not changed since. Small right pleural effusion has decreased in that period of time. New opacification at the right lung base could be either atelectasis or developing pneumonia. The heart is normal size. Mild interstitial pulmonary edema persists. ET tube, right internal jugular line are in standard placements and a feeding tube passes into the stomach and out of view. No pneumothorax.",Small right pleural effusion has decreased in that period of time,pleural effusion,right,Better,['files/p13/p13421580/s58836158/edddb068-c24f12b6-084654d9-533d402a-a74f074a.jpg'],['files/p13/p13421580/s58355979/dacef393-c3ecc055-b15828f6-6e51ba4e-724b20a7.jpg\n']
s58836158_21,p13421580,s58836158,21,Impression,"AP chest compared to ___: Consolidation in the left lower lobe improved between ___ and ___, and has not changed since. Small right pleural effusion has decreased in that period of time. New opacification at the right lung base could be either atelectasis or developing pneumonia. The heart is normal size. Mild interstitial pulmonary edema persists. ET tube, right internal jugular line are in standard placements and a feeding tube passes into the stomach and out of view. No pneumothorax.","Consolidation in the left lower lobe improved between ___ and ___, and has not changed since",consolidation,left lower lobe,Stable,['files/p13/p13421580/s58836158/edddb068-c24f12b6-084654d9-533d402a-a74f074a.jpg'],['files/p13/p13421580/s58355979/dacef393-c3ecc055-b15828f6-6e51ba4e-724b20a7.jpg\n']
s58838012_0,p14971109,s58838012,0,Findings,"The lungs are well expanded and show an opacity inferior to the right main stem bronchus. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusion or pneumothorax is present. The previously reported right lower lobe abnormality is not visualized on the current examination and it was noted to have been resolved by report of a CT chest performed with contrast on ___ at ___.",The previously reported right lower lobe abnormality is not visualized on the current examination and it was noted to have been resolved by report of a CT chest performed with contrast on ___ at ___.,abnormality,right lower lobe,Resolve,"['files/p14/p14971109/s58838012/d00fb5d5-88c9a0f0-4d9224af-01793823-97ad452a.jpg', 'files/p14/p14971109/s58838012/d7117501-555c94b2-e493d25e-ac1f3433-09e7204e.jpg']",
s58838012_0,p14971109,s58838012,0,Impression,"No acute intrathoracic process. An opacity inferior to the right mainstem bronchus could represent resolving changes secondary to superior segmental abnormality, however direct comparison with the chest CT from Atrius is recommended. These findings were communicated to ___ ___ MD via telephone at 11 am on ___.","An opacity inferior to the right mainstem bronchus could represent resolving changes secondary to superior segmental abnormality, however direct comparison with the chest CT from Atrius is recommended.",opacity,inferior to the right mainstem bronchus,Stable,"['files/p14/p14971109/s58838012/d00fb5d5-88c9a0f0-4d9224af-01793823-97ad452a.jpg', 'files/p14/p14971109/s58838012/d7117501-555c94b2-e493d25e-ac1f3433-09e7204e.jpg']",
s58848750_2,p16617702,s58848750,2,Findings,"Since the prior film, there is a new small left-sided pleural effusion with a left lower lobe consolidation. The right lung remains clear. The cardiomediastinal silhouette is difficult to evaluate secondary to pleural effusion and consolidation. The bones are intact.",The right lung remains clear.,clear,right lung,Stable,"['files/p16/p16617702/s58848750/102f4ba7-1322e8d6-a5776e75-ccf4447a-7d64aa0c.jpg', 'files/p16/p16617702/s58848750/ceca213c-88ded0e6-ac5306af-5de899b7-3c6dbaca.jpg']",['files/p16/p16617702/s58239562/b15eb932-15df0889-519b3c56-5b813026-c65395a3.jpg\n']
s58848750_2,p16617702,s58848750,2,Findings,"Since the prior film, there is a new small left-sided pleural effusion with a left lower lobe consolidation. The right lung remains clear. The cardiomediastinal silhouette is difficult to evaluate secondary to pleural effusion and consolidation. The bones are intact.","Since the prior film, there is a new small left-sided pleural effusion with a left lower lobe consolidation.",consolidation,left lower lobe,New,"['files/p16/p16617702/s58848750/102f4ba7-1322e8d6-a5776e75-ccf4447a-7d64aa0c.jpg', 'files/p16/p16617702/s58848750/ceca213c-88ded0e6-ac5306af-5de899b7-3c6dbaca.jpg']",['files/p16/p16617702/s58239562/b15eb932-15df0889-519b3c56-5b813026-c65395a3.jpg\n']
s58848750_2,p16617702,s58848750,2,Findings,"Since the prior film, there is a new small left-sided pleural effusion with a left lower lobe consolidation. The right lung remains clear. The cardiomediastinal silhouette is difficult to evaluate secondary to pleural effusion and consolidation. The bones are intact.","Since the prior film, there is a new small left-sided pleural effusion with a left lower lobe consolidation.",pleural effusion,left-sided,New,"['files/p16/p16617702/s58848750/102f4ba7-1322e8d6-a5776e75-ccf4447a-7d64aa0c.jpg', 'files/p16/p16617702/s58848750/ceca213c-88ded0e6-ac5306af-5de899b7-3c6dbaca.jpg']",['files/p16/p16617702/s58239562/b15eb932-15df0889-519b3c56-5b813026-c65395a3.jpg\n']
s58872394_4,p18536624,s58872394,4,Findings,Patient is status post median sternotomy and cardiac valve replacement. Lungs remain hyperinflated suggesting chronic obstructive pulmonary disease. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No displaced fracture is identified.,The cardiac and mediastinal silhouettes are stable.,Appearance,Cardiac and mediastinal silhouettes,Stable,"['files/p18/p18536624/s58872394/1d01bd22-422dfa0a-8b8364e0-68924d73-beb6f4dc.jpg', 'files/p18/p18536624/s58872394/d54665db-507b626e-61a70dc4-41fd219f-cb59c1f4.jpg']",['files/p18/p18536624/s58825648/48069ad7-2198507a-3a1a76f6-2f451959-3323f7de.jpg\n']
s58872394_4,p18536624,s58872394,4,Findings,Patient is status post median sternotomy and cardiac valve replacement. Lungs remain hyperinflated suggesting chronic obstructive pulmonary disease. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No displaced fracture is identified.,Lungs remain hyperinflated suggesting chronic obstructive pulmonary disease.,Hyperinflation,Lungs,Stable,"['files/p18/p18536624/s58872394/1d01bd22-422dfa0a-8b8364e0-68924d73-beb6f4dc.jpg', 'files/p18/p18536624/s58872394/d54665db-507b626e-61a70dc4-41fd219f-cb59c1f4.jpg']",['files/p18/p18536624/s58825648/48069ad7-2198507a-3a1a76f6-2f451959-3323f7de.jpg\n']
s58890484_5,p12669344,s58890484,5,Impression,"As compared to ___ chest radiograph, cardiomegaly and pulmonary vascular congestion are accompanied by worsening interstitial edema and persistent small bilateral pleural effusions.","As compared to ___ chest radiograph, cardiomegaly and pulmonary vascular congestion are accompanied by worsening interstitial edema and persistent small bilateral pleural effusions.",Edema,Interstitial,Worse,['files/p12/p12669344/s58890484/8c740b46-36733ece-3c0cf641-1644df78-0219c847.jpg'],['files/p12/p12669344/s58561179/efa1c4d4-c6b83e76-71107d37-015f4c79-24aa9e68.jpg\n']
s58890484_5,p12669344,s58890484,5,Impression,"As compared to ___ chest radiograph, cardiomegaly and pulmonary vascular congestion are accompanied by worsening interstitial edema and persistent small bilateral pleural effusions.","As compared to ___ chest radiograph, cardiomegaly and pulmonary vascular congestion are accompanied by worsening interstitial edema and persistent small bilateral pleural effusions.",Pleural Effusions,Bilateral,Stable,['files/p12/p12669344/s58890484/8c740b46-36733ece-3c0cf641-1644df78-0219c847.jpg'],['files/p12/p12669344/s58561179/efa1c4d4-c6b83e76-71107d37-015f4c79-24aa9e68.jpg\n']
s58891473_2,p14429763,s58891473,2,Findings,Cardiac silhouette is mildly enlarged but stable in size. Pulmonary vascularity is normal. Improving opacity in left retrocardiac region is likely due to atelectasis. Small pleural effusions are present bilaterally. Indwelling devices are unchanged in position.,Improving opacity in left retrocardiac region is likely due to atelectasis.,Opacity,Left retrocardiac region,Better,"['files/p14/p14429763/s58891473/3d33b887-23962456-fcb947ed-6d59a3b7-42ea34a3.jpg', 'files/p14/p14429763/s58891473/8b292385-a084a6ef-4fbb970f-f117f041-c4e194d0.jpg', 'files/p14/p14429763/s58891473/b3d11bdb-6b83fbba-54acc2bf-f79a7804-2fc0aa8a.jpg']",['files/p14/p14429763/s56968110/2c27614d-df5d18b9-d93249b6-10178a5f-05a69b81.jpg\n']
s58891473_2,p14429763,s58891473,2,Findings,Cardiac silhouette is mildly enlarged but stable in size. Pulmonary vascularity is normal. Improving opacity in left retrocardiac region is likely due to atelectasis. Small pleural effusions are present bilaterally. Indwelling devices are unchanged in position.,Indwelling devices are unchanged in position.,Indwelling devices,Unknown,Stable,"['files/p14/p14429763/s58891473/3d33b887-23962456-fcb947ed-6d59a3b7-42ea34a3.jpg', 'files/p14/p14429763/s58891473/8b292385-a084a6ef-4fbb970f-f117f041-c4e194d0.jpg', 'files/p14/p14429763/s58891473/b3d11bdb-6b83fbba-54acc2bf-f79a7804-2fc0aa8a.jpg']",['files/p14/p14429763/s56968110/2c27614d-df5d18b9-d93249b6-10178a5f-05a69b81.jpg\n']
s58891473_2,p14429763,s58891473,2,Impression,Improving left basilar atelectasis. Small bilateral pleural effusions.,Improving left basilar atelectasis.,Atelectasis,Left basilar,Better,"['files/p14/p14429763/s58891473/3d33b887-23962456-fcb947ed-6d59a3b7-42ea34a3.jpg', 'files/p14/p14429763/s58891473/8b292385-a084a6ef-4fbb970f-f117f041-c4e194d0.jpg', 'files/p14/p14429763/s58891473/b3d11bdb-6b83fbba-54acc2bf-f79a7804-2fc0aa8a.jpg']",['files/p14/p14429763/s56968110/2c27614d-df5d18b9-d93249b6-10178a5f-05a69b81.jpg\n']
s58891473_2,p14429763,s58891473,2,Findings,Cardiac silhouette is mildly enlarged but stable in size. Pulmonary vascularity is normal. Improving opacity in left retrocardiac region is likely due to atelectasis. Small pleural effusions are present bilaterally. Indwelling devices are unchanged in position.,Cardiac silhouette is mildly enlarged but stable in size.,Cardiac silhouette enlargement,Unknown,Stable,"['files/p14/p14429763/s58891473/3d33b887-23962456-fcb947ed-6d59a3b7-42ea34a3.jpg', 'files/p14/p14429763/s58891473/8b292385-a084a6ef-4fbb970f-f117f041-c4e194d0.jpg', 'files/p14/p14429763/s58891473/b3d11bdb-6b83fbba-54acc2bf-f79a7804-2fc0aa8a.jpg']",['files/p14/p14429763/s56968110/2c27614d-df5d18b9-d93249b6-10178a5f-05a69b81.jpg\n']
s58909423_21,p13894716,s58909423,21,Findings,"All enteric tube tip in the mid stomach. Endotracheal tube tip in good position. Right IJ central line, introducer sheath in place, similar. Increased heart size, pulmonary vascularity. Interstitial prominence, likely edema. Bilateral pleural effusions, stable. Bilateral lower lung opacities, likely atelectasis.","Increased heart size, pulmonary vascularity.",heart size,,Worse,"['files/p13/p13894716/s58909423/55dd98d9-43e485f7-ff9024c4-93e7442a-1aaafbc3.jpg', 'files/p13/p13894716/s58909423/cc37ee77-09d0c8aa-9c6a813c-7d3bf233-057edd33.jpg']","['files/p13/p13894716/s58676331/89860a70-14de9cf1-c87805dc-7e50a158-86913513.jpg\n', 'files/p13/p13894716/s58676331/e2cf84dd-8e0f61bb-4068b19d-3dd7f5f6-454cab9e.jpg\n']"
s58909423_21,p13894716,s58909423,21,Findings,"All enteric tube tip in the mid stomach. Endotracheal tube tip in good position. Right IJ central line, introducer sheath in place, similar. Increased heart size, pulmonary vascularity. Interstitial prominence, likely edema. Bilateral pleural effusions, stable. Bilateral lower lung opacities, likely atelectasis.","Bilateral pleural effusions, stable.",pleural effusions,Bilateral,Stable,"['files/p13/p13894716/s58909423/55dd98d9-43e485f7-ff9024c4-93e7442a-1aaafbc3.jpg', 'files/p13/p13894716/s58909423/cc37ee77-09d0c8aa-9c6a813c-7d3bf233-057edd33.jpg']","['files/p13/p13894716/s58676331/89860a70-14de9cf1-c87805dc-7e50a158-86913513.jpg\n', 'files/p13/p13894716/s58676331/e2cf84dd-8e0f61bb-4068b19d-3dd7f5f6-454cab9e.jpg\n']"
s58909423_21,p13894716,s58909423,21,Findings,"All enteric tube tip in the mid stomach. Endotracheal tube tip in good position. Right IJ central line, introducer sheath in place, similar. Increased heart size, pulmonary vascularity. Interstitial prominence, likely edema. Bilateral pleural effusions, stable. Bilateral lower lung opacities, likely atelectasis.","Right IJ central line, introducer sheath in place, similar.",central line,Right IJ,Stable,"['files/p13/p13894716/s58909423/55dd98d9-43e485f7-ff9024c4-93e7442a-1aaafbc3.jpg', 'files/p13/p13894716/s58909423/cc37ee77-09d0c8aa-9c6a813c-7d3bf233-057edd33.jpg']","['files/p13/p13894716/s58676331/89860a70-14de9cf1-c87805dc-7e50a158-86913513.jpg\n', 'files/p13/p13894716/s58676331/e2cf84dd-8e0f61bb-4068b19d-3dd7f5f6-454cab9e.jpg\n']"
s58910893_1,p10592002,s58910893,1,Impression,"No previous images. No evidence of acute cardiopulmonary disease. There is some the apical sub pleural thickening with mild fibrous scarring bilaterally, consistent with old healed tuberculous disease.","There is some the apical sub pleural thickening with mild fibrous scarring bilaterally, consistent with old healed tuberculous disease.",thickening with mild fibrous scarring,apical sub pleural,Stable,"['files/p10/p10592002/s58910893/2a4ad985-4a6d5b92-11a8cc7b-046220f5-188ce7c8.jpg', 'files/p10/p10592002/s58910893/c1557f59-55c7ff14-cdb02fc2-db962b0d-3aa6a6b3.jpg']","['files/p10/p10592002/s51728482/20907810-b1ab5c94-cb4fbcf4-09c10590-05321eb1.jpg\n', 'files/p10/p10592002/s51728482/ad582141-5b748b2f-c456f25a-705b7a04-b32e22e4.jpg\n']"
s58917692_6,p13453133,s58917692,6,Impression,"There are bilateral pleural effusions, right greater than left. Right effusion is worse compared to ___.","There are bilateral pleural effusions, right greater than left. Right effusion is worse compared to ___.",Pleural effusion,Right,Worse,"['files/p13/p13453133/s58917692/3ff7aa6a-fcc94e00-adc8df6a-de85a781-27c9f662.jpg', 'files/p13/p13453133/s58917692/c448141e-083d9d4b-bf1a42bb-1d9de6ab-35d172f8.jpg']","['files/p13/p13453133/s54560211/06360ca2-31e36539-fbdf3e11-15fbfaf9-925f3477.jpg\n', 'files/p13/p13453133/s54560211/d79ce993-34d446c9-a42868d4-53ecd790-f07cb168.jpg\n']"
s58917692_6,p13453133,s58917692,6,Findings,"There are bilateral pleural effusions, right greater than left. The right effusion is larger than the prior radiograph on ___. There is also opacification of the left lung base, which likely represents compression atelectasis, but pneumonia cannot be excluded in the appropriate clinical setting. No pneumothorax. There is minimal calcification of the aortic arch. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.",The right effusion is larger than the prior radiograph on ___.,Pleural effusion,Right,Worse,"['files/p13/p13453133/s58917692/3ff7aa6a-fcc94e00-adc8df6a-de85a781-27c9f662.jpg', 'files/p13/p13453133/s58917692/c448141e-083d9d4b-bf1a42bb-1d9de6ab-35d172f8.jpg']","['files/p13/p13453133/s54560211/06360ca2-31e36539-fbdf3e11-15fbfaf9-925f3477.jpg\n', 'files/p13/p13453133/s54560211/d79ce993-34d446c9-a42868d4-53ecd790-f07cb168.jpg\n']"
s58927022_0,p18351086,s58927022,0,Impression,"In comparison with the study of ___, there is little overall change. Some widening of the mediastinum, which in the appropriate clinical setting could reflect some bleeding with in the mediastinum. Cardiac silhouette is mildly enlarged and indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure. Multiple rib fractures are again seen, though there is no evidence of pneumothorax.","Multiple rib fractures are again seen, though there is no evidence of pneumothorax.",Rib fractures,Multiple,Stable,['files/p18/p18351086/s58927022/45e83449-8e77917b-9b15cf9a-2ae245a7-7114989c.jpg'],
s58940888_5,p18573829,s58940888,5,Findings,"Slightly rotated positioning. The left IJ central line tip overlies the upper right atrium. No pneumothorax is detected. Sternotomy wires are present and there is probable cardiomegaly. There is upper zone re-distribution and diffuse vascular blurring, consistent with CHF. Hazy opacity at the lung bases suggests layering effusions, likely with underlying collapse and/or consolidation. The CHF and pleural parenchymal findings are new compared with the ___ CXR. Note is made of slight change in caliber in the trachea at the level of the lower neck, which is similar to the ___ film.",The CHF and pleural parenchymal findings are new compared with the ___ CXR.,CHF and pleural parenchymal findings,Lungs,New,['files/p18/p18573829/s58940888/7bb64264-3a27db3b-774da98c-671a380d-9805e329.jpg'],"['files/p18/p18573829/s57755274/078eec80-ef37c7df-f352dd0a-ad6da42a-370e6a41.jpg\n', 'files/p18/p18573829/s57755274/13979aad-0fbe709d-a58598fb-e0033945-fa62f790.jpg\n']"
s58940888_5,p18573829,s58940888,5,Findings,"Slightly rotated positioning. The left IJ central line tip overlies the upper right atrium. No pneumothorax is detected. Sternotomy wires are present and there is probable cardiomegaly. There is upper zone re-distribution and diffuse vascular blurring, consistent with CHF. Hazy opacity at the lung bases suggests layering effusions, likely with underlying collapse and/or consolidation. The CHF and pleural parenchymal findings are new compared with the ___ CXR. Note is made of slight change in caliber in the trachea at the level of the lower neck, which is similar to the ___ film.","Note is made of slight change in caliber in the trachea at the level of the lower neck, which is similar to the ___ film.",Caliber change,Trachea,Stable,['files/p18/p18573829/s58940888/7bb64264-3a27db3b-774da98c-671a380d-9805e329.jpg'],"['files/p18/p18573829/s57755274/078eec80-ef37c7df-f352dd0a-ad6da42a-370e6a41.jpg\n', 'files/p18/p18573829/s57755274/13979aad-0fbe709d-a58598fb-e0033945-fa62f790.jpg\n']"
s58952124_16,p17055995,s58952124,16,Findings,"As compared to the most recent prior examination, there has been no significant interval change. Redemonstrated is a small degree of linear atelectasis at the left lung base. Lung volumes remain low. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The patient is status post cervical spine fixation with hardware noted in unchanged position.",The patient is status post cervical spine fixation with hardware noted in unchanged position.,fixation hardware,cervical spine,Stable,['files/p17/p17055995/s58952124/5b884d40-dbd3f418-77c8b6b7-eecb5a18-035015c0.jpg'],['files/p17/p17055995/s57953511/3e243490-c68adc7d-d56b5b8c-9435acf8-7d6b5338.jpg\n']
s58952124_16,p17055995,s58952124,16,Findings,"As compared to the most recent prior examination, there has been no significant interval change. Redemonstrated is a small degree of linear atelectasis at the left lung base. Lung volumes remain low. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The patient is status post cervical spine fixation with hardware noted in unchanged position.",Lung volumes remain low.,volumes,Lung,Stable,['files/p17/p17055995/s58952124/5b884d40-dbd3f418-77c8b6b7-eecb5a18-035015c0.jpg'],['files/p17/p17055995/s57953511/3e243490-c68adc7d-d56b5b8c-9435acf8-7d6b5338.jpg\n']
s58952124_16,p17055995,s58952124,16,Findings,"As compared to the most recent prior examination, there has been no significant interval change. Redemonstrated is a small degree of linear atelectasis at the left lung base. Lung volumes remain low. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The patient is status post cervical spine fixation with hardware noted in unchanged position.",Redemonstrated is a small degree of linear atelectasis at the left lung base.,linear atelectasis,left lung base,Stable,['files/p17/p17055995/s58952124/5b884d40-dbd3f418-77c8b6b7-eecb5a18-035015c0.jpg'],['files/p17/p17055995/s57953511/3e243490-c68adc7d-d56b5b8c-9435acf8-7d6b5338.jpg\n']
s58956444_34,p13894716,s58956444,34,Impression,Comparison to ___. Stable moderate right pleural effusion. No new focal parenchymal opacities. Bilateral areas of atelectasis are stable. Moderate cardiomegaly. Stable monitoring and support devices.,Stable monitoring and support devices.,monitoring and support devices,,Stable,['files/p13/p13894716/s58956444/f7e47f32-f963529d-65fa70ee-6d4d2e38-71b68d76.jpg'],"['files/p13/p13894716/s58909423/55dd98d9-43e485f7-ff9024c4-93e7442a-1aaafbc3.jpg\n', 'files/p13/p13894716/s58909423/cc37ee77-09d0c8aa-9c6a813c-7d3bf233-057edd33.jpg\n']"
s58956444_34,p13894716,s58956444,34,Impression,Comparison to ___. Stable moderate right pleural effusion. No new focal parenchymal opacities. Bilateral areas of atelectasis are stable. Moderate cardiomegaly. Stable monitoring and support devices.,Bilateral areas of atelectasis are stable.,atelectasis,bilateral,Stable,['files/p13/p13894716/s58956444/f7e47f32-f963529d-65fa70ee-6d4d2e38-71b68d76.jpg'],"['files/p13/p13894716/s58909423/55dd98d9-43e485f7-ff9024c4-93e7442a-1aaafbc3.jpg\n', 'files/p13/p13894716/s58909423/cc37ee77-09d0c8aa-9c6a813c-7d3bf233-057edd33.jpg\n']"
s58956444_34,p13894716,s58956444,34,Impression,Comparison to ___. Stable moderate right pleural effusion. No new focal parenchymal opacities. Bilateral areas of atelectasis are stable. Moderate cardiomegaly. Stable monitoring and support devices.,Stable moderate right pleural effusion.,pleural effusion,right,Stable,['files/p13/p13894716/s58956444/f7e47f32-f963529d-65fa70ee-6d4d2e38-71b68d76.jpg'],"['files/p13/p13894716/s58909423/55dd98d9-43e485f7-ff9024c4-93e7442a-1aaafbc3.jpg\n', 'files/p13/p13894716/s58909423/cc37ee77-09d0c8aa-9c6a813c-7d3bf233-057edd33.jpg\n']"
s58964089_5,p11717909,s58964089,5,Findings,"In comparison with study of ___, there has been placement of an IABP, which is somewhat high with the tip located only about 1.4 cm below the transverse arch of the aorta. Swan-Ganz catheter extends beyond the mediastinum into branches of the right pulmonary artery. Enlargement of the cardiac silhouette persists, though the pulmonary vascularity is essentially within normal limits. Some retrocardiac atelectasis is noted.","In comparison with study of ___, there has been placement of an IABP, which is somewhat high with the tip located only about 1.4 cm below the transverse arch of the aorta.",IABP,1.4 cm below the transverse arch of the aorta,New,['files/p11/p11717909/s58964089/4237ac38-158147e0-87b15115-b3ffc6e6-113d33a5.jpg'],['files/p11/p11717909/s58663147/18696db7-7d416236-9375f9b1-cb09447c-cbfb9773.jpg\n']
s58964089_5,p11717909,s58964089,5,Findings,"In comparison with study of ___, there has been placement of an IABP, which is somewhat high with the tip located only about 1.4 cm below the transverse arch of the aorta. Swan-Ganz catheter extends beyond the mediastinum into branches of the right pulmonary artery. Enlargement of the cardiac silhouette persists, though the pulmonary vascularity is essentially within normal limits. Some retrocardiac atelectasis is noted.","Enlargement of the cardiac silhouette persists, though the pulmonary vascularity is essentially within normal limits.",Enlargement of the cardiac silhouette,,Stable,['files/p11/p11717909/s58964089/4237ac38-158147e0-87b15115-b3ffc6e6-113d33a5.jpg'],['files/p11/p11717909/s58663147/18696db7-7d416236-9375f9b1-cb09447c-cbfb9773.jpg\n']
s58965143_16,p17660889,s58965143,16,Findings,"As compared to the previous radiograph, the bilateral parenchymal opacities have minimally increased. No other changes. Moderate cardiomegaly without pleural effusions. Unchanged monitoring and support devices. The double-lumen right-sided central venous access line might have its tip positioned in the azygos vein.",Unchanged monitoring and support devices.,monitoring and support devices,,Stable,['files/p17/p17660889/s58965143/425c4fa7-0d48e151-0758d818-9e8b1ea9-e9074977.jpg'],['files/p17/p17660889/s58789604/904cd93c-1da40b8a-14194a57-7ba145c9-66af87e3.jpg\n']
s58965143_16,p17660889,s58965143,16,Findings,"As compared to the previous radiograph, the bilateral parenchymal opacities have minimally increased. No other changes. Moderate cardiomegaly without pleural effusions. Unchanged monitoring and support devices. The double-lumen right-sided central venous access line might have its tip positioned in the azygos vein.","As compared to the previous radiograph, the bilateral parenchymal opacities have minimally increased.",parenchymal opacities,bilateral,Worse,['files/p17/p17660889/s58965143/425c4fa7-0d48e151-0758d818-9e8b1ea9-e9074977.jpg'],['files/p17/p17660889/s58789604/904cd93c-1da40b8a-14194a57-7ba145c9-66af87e3.jpg\n']
s58967663_7,p10543994,s58967663,7,Impression,The abdomen CT showed mild pulmonary fibrosis and severe aortic valvular calcification undoubtedly stenotic. Interstitial abnormality has predominated in the right lung. This is probably asymmetric edema. It has improved today since ___. Cardiomegaly is severe. Pleural effusions are small if any. No pneumothorax. Right jugular infusion catheter ends low in the right atrium. Transvenous right ventricular pacer lead in standard placement. No pneumothorax.,It has improved today since ___.,It,,Better,['files/p10/p10543994/s58967663/e666163a-857953ec-9b3034d3-6020c1aa-12c0c11a.jpg'],['files/p10/p10543994/s58585479/3d361f0b-af2b247b-955d1166-f1ae4ef9-b96b55db.jpg\n']
s58971922_2,p17055995,s58971922,2,Findings,"The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. A 6-mm nodular opacity at the right lung base is unchanged since the ___ examination, most compatible with a calcified granuloma. Anterior cervical hardware is unchanged in position and orientation, with no evidence of hardware loosening. Of note, there appears to be mild distension of the large bowel. This was not present on the ___ examination. No free air is present.","Of note, there appears to be mild distension of the large bowel. This was not present on the ___ examination.",distension,large bowel,New,"['files/p17/p17055995/s58971922/78c48cee-1c2a502c-9a948c79-770c6b18-1c0335bf.jpg', 'files/p17/p17055995/s58971922/abc5956e-8aef8550-9f0b9742-9da0df9a-e1a0c7cf.jpg', 'files/p17/p17055995/s58971922/edd75897-885603a4-3405825d-0ecd9d36-cda173c1.jpg']",['files/p17/p17055995/s58952124/5b884d40-dbd3f418-77c8b6b7-eecb5a18-035015c0.jpg\n']
s58971922_2,p17055995,s58971922,2,Findings,"The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. A 6-mm nodular opacity at the right lung base is unchanged since the ___ examination, most compatible with a calcified granuloma. Anterior cervical hardware is unchanged in position and orientation, with no evidence of hardware loosening. Of note, there appears to be mild distension of the large bowel. This was not present on the ___ examination. No free air is present.","A 6-mm nodular opacity at the right lung base is unchanged since the ___ examination, most compatible with a calcified granuloma.",nodular opacity,right lung base,Stable,"['files/p17/p17055995/s58971922/78c48cee-1c2a502c-9a948c79-770c6b18-1c0335bf.jpg', 'files/p17/p17055995/s58971922/abc5956e-8aef8550-9f0b9742-9da0df9a-e1a0c7cf.jpg', 'files/p17/p17055995/s58971922/edd75897-885603a4-3405825d-0ecd9d36-cda173c1.jpg']",['files/p17/p17055995/s58952124/5b884d40-dbd3f418-77c8b6b7-eecb5a18-035015c0.jpg\n']
s58971922_2,p17055995,s58971922,2,Findings,"The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. A 6-mm nodular opacity at the right lung base is unchanged since the ___ examination, most compatible with a calcified granuloma. Anterior cervical hardware is unchanged in position and orientation, with no evidence of hardware loosening. Of note, there appears to be mild distension of the large bowel. This was not present on the ___ examination. No free air is present.","Anterior cervical hardware is unchanged in position and orientation, with no evidence of hardware loosening.",hardware,anterior cervical,Stable,"['files/p17/p17055995/s58971922/78c48cee-1c2a502c-9a948c79-770c6b18-1c0335bf.jpg', 'files/p17/p17055995/s58971922/abc5956e-8aef8550-9f0b9742-9da0df9a-e1a0c7cf.jpg', 'files/p17/p17055995/s58971922/edd75897-885603a4-3405825d-0ecd9d36-cda173c1.jpg']",['files/p17/p17055995/s58952124/5b884d40-dbd3f418-77c8b6b7-eecb5a18-035015c0.jpg\n']
s58987039_0,p17551032,s58987039,0,Findings,"Frontal and lateral views of the chest are obtained. Mild bibasilar atelectasis is seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. The aorta remains calcified and tortuous. There is diffuse osteopenia. Degenerative changes are seen at bilateral shoulder and acromioclavicular joints. There are also degenerative changes along the spine along with severe compression again seen in the lower thoracic vertebral body.",There are also degenerative changes along the spine along with severe compression again seen in the lower thoracic vertebral body.,Severe compression,Lower thoracic vertebral body,Worse,"['files/p17/p17551032/s58987039/73e0e7b4-4ffbe566-feb48f1c-6201bc17-363b1bbf.jpg', 'files/p17/p17551032/s58987039/93f0b74b-e85bf537-5e436a11-2b94dec1-614a4270.jpg', 'files/p17/p17551032/s58987039/ad8acd34-24e635d2-8ec3950b-3d40bc2e-ac99a058.jpg']",
s58987039_0,p17551032,s58987039,0,Findings,"Frontal and lateral views of the chest are obtained. Mild bibasilar atelectasis is seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. The aorta remains calcified and tortuous. There is diffuse osteopenia. Degenerative changes are seen at bilateral shoulder and acromioclavicular joints. There are also degenerative changes along the spine along with severe compression again seen in the lower thoracic vertebral body.",The aorta remains calcified and tortuous.,Calcified and tortuous aorta,,Stable,"['files/p17/p17551032/s58987039/73e0e7b4-4ffbe566-feb48f1c-6201bc17-363b1bbf.jpg', 'files/p17/p17551032/s58987039/93f0b74b-e85bf537-5e436a11-2b94dec1-614a4270.jpg', 'files/p17/p17551032/s58987039/ad8acd34-24e635d2-8ec3950b-3d40bc2e-ac99a058.jpg']",
s58996566_14,p19112585,s58996566,14,Impression,Mild to moderate pulmonary edema has improved. Cardiomegaly is stable. Swan-Ganz catheter tip is in the proximal right pulmonary artery. Sternal wires are aligned. Enteric tube tip is out of view below the diaphragm. There is no evident pneumothorax. If any there is a small right effusion.,Cardiomegaly is stable.,cardiomegaly,,Stable,['files/p19/p19112585/s58996566/f1f2b384-1ed8cf77-dbdb7e4c-c5c50a77-ffb579d3.jpg'],['files/p19/p19112585/s58052191/9f997d60-cf0331fe-18c6ed7f-d56768f9-1fac8323.jpg\n']
s58996566_14,p19112585,s58996566,14,Impression,Mild to moderate pulmonary edema has improved. Cardiomegaly is stable. Swan-Ganz catheter tip is in the proximal right pulmonary artery. Sternal wires are aligned. Enteric tube tip is out of view below the diaphragm. There is no evident pneumothorax. If any there is a small right effusion.,Mild to moderate pulmonary edema has improved.,mild to moderate pulmonary edema,,Better,['files/p19/p19112585/s58996566/f1f2b384-1ed8cf77-dbdb7e4c-c5c50a77-ffb579d3.jpg'],['files/p19/p19112585/s58052191/9f997d60-cf0331fe-18c6ed7f-d56768f9-1fac8323.jpg\n']
s58998264_18,p13894716,s58998264,18,Impression,"Large right pleural effusion has increased. Presumed left pleural effusion appears unchanged. Cardiomediastinal contours stable. Lines and tubes are in unchanged standard position, the tip of the NG tube is below the diaphragm out of view. Mild vascular congestion is stable.",Presumed left pleural effusion appears unchanged.,pleural effusion,left,Stable,"['files/p13/p13894716/s58998264/55f226b7-2e75d7f3-d849a5c8-a026a657-7d2d4191.jpg', 'files/p13/p13894716/s58998264/b31f247c-3f8d4aad-babc0ea3-36f3333c-37b65cca.jpg']",['files/p13/p13894716/s58956444/f7e47f32-f963529d-65fa70ee-6d4d2e38-71b68d76.jpg\n']
s58998264_18,p13894716,s58998264,18,Impression,"Large right pleural effusion has increased. Presumed left pleural effusion appears unchanged. Cardiomediastinal contours stable. Lines and tubes are in unchanged standard position, the tip of the NG tube is below the diaphragm out of view. Mild vascular congestion is stable.",Cardiomediastinal contours stable.,Cardiomediastinal contours,,Stable,"['files/p13/p13894716/s58998264/55f226b7-2e75d7f3-d849a5c8-a026a657-7d2d4191.jpg', 'files/p13/p13894716/s58998264/b31f247c-3f8d4aad-babc0ea3-36f3333c-37b65cca.jpg']",['files/p13/p13894716/s58956444/f7e47f32-f963529d-65fa70ee-6d4d2e38-71b68d76.jpg\n']
s58998264_18,p13894716,s58998264,18,Impression,"Large right pleural effusion has increased. Presumed left pleural effusion appears unchanged. Cardiomediastinal contours stable. Lines and tubes are in unchanged standard position, the tip of the NG tube is below the diaphragm out of view. Mild vascular congestion is stable.",Mild vascular congestion is stable.,vascular congestion,,Stable,"['files/p13/p13894716/s58998264/55f226b7-2e75d7f3-d849a5c8-a026a657-7d2d4191.jpg', 'files/p13/p13894716/s58998264/b31f247c-3f8d4aad-babc0ea3-36f3333c-37b65cca.jpg']",['files/p13/p13894716/s58956444/f7e47f32-f963529d-65fa70ee-6d4d2e38-71b68d76.jpg\n']
s58998264_18,p13894716,s58998264,18,Impression,"Large right pleural effusion has increased. Presumed left pleural effusion appears unchanged. Cardiomediastinal contours stable. Lines and tubes are in unchanged standard position, the tip of the NG tube is below the diaphragm out of view. Mild vascular congestion is stable.",Large right pleural effusion has increased.,pleural effusion,right,Worse,"['files/p13/p13894716/s58998264/55f226b7-2e75d7f3-d849a5c8-a026a657-7d2d4191.jpg', 'files/p13/p13894716/s58998264/b31f247c-3f8d4aad-babc0ea3-36f3333c-37b65cca.jpg']",['files/p13/p13894716/s58956444/f7e47f32-f963529d-65fa70ee-6d4d2e38-71b68d76.jpg\n']
s59001230_1,p10617538,s59001230,1,Findings,"Right sided Port-A-Cath tip terminates in the mid SVC. Heart size is normal. Mediastinal and hilar contours are unchanged. Calcified bilateral hilar lymph nodes are re- demonstrated. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. Heterogeneous appearance of the T12 vertebral body is better seen on the prior CT.",Calcified bilateral hilar lymph nodes are re-demonstrated.,calcified lymph nodes,bilateral hilar,Stable,"['files/p10/p10617538/s59001230/cb19438f-641f1bf4-e5b7d045-351ae8c3-892e9013.jpg', 'files/p10/p10617538/s59001230/d5c7d596-f85d51d0-f50de103-25a4904c-c62cd894.jpg', 'files/p10/p10617538/s59001230/e2f522d8-0e6fb835-12e75637-f8abfd5c-bf8fea8a.jpg']","['files/p10/p10617538/s52366630/3edade1d-e06bbc14-6a3b9886-930b0ff1-95810ebc.jpg\n', 'files/p10/p10617538/s52366630/5e4ec3e6-eff5ccaf-92e6f524-90e868e2-3d2c2772.jpg\n', 'files/p10/p10617538/s52366630/db1e6857-1793dbe3-eb212ced-f48ed573-0ac73b2c.jpg\n']"
s59001230_1,p10617538,s59001230,1,Findings,"Right sided Port-A-Cath tip terminates in the mid SVC. Heart size is normal. Mediastinal and hilar contours are unchanged. Calcified bilateral hilar lymph nodes are re- demonstrated. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. Heterogeneous appearance of the T12 vertebral body is better seen on the prior CT.",Heterogeneous appearance of the T12 vertebral body is better seen on the prior CT.,Heterogeneous appearance,T12 vertebral body,Better,"['files/p10/p10617538/s59001230/cb19438f-641f1bf4-e5b7d045-351ae8c3-892e9013.jpg', 'files/p10/p10617538/s59001230/d5c7d596-f85d51d0-f50de103-25a4904c-c62cd894.jpg', 'files/p10/p10617538/s59001230/e2f522d8-0e6fb835-12e75637-f8abfd5c-bf8fea8a.jpg']","['files/p10/p10617538/s52366630/3edade1d-e06bbc14-6a3b9886-930b0ff1-95810ebc.jpg\n', 'files/p10/p10617538/s52366630/5e4ec3e6-eff5ccaf-92e6f524-90e868e2-3d2c2772.jpg\n', 'files/p10/p10617538/s52366630/db1e6857-1793dbe3-eb212ced-f48ed573-0ac73b2c.jpg\n']"
s59001230_1,p10617538,s59001230,1,Findings,"Right sided Port-A-Cath tip terminates in the mid SVC. Heart size is normal. Mediastinal and hilar contours are unchanged. Calcified bilateral hilar lymph nodes are re- demonstrated. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. Heterogeneous appearance of the T12 vertebral body is better seen on the prior CT.",Mediastinal and hilar contours are unchanged.,,Mediastinal and hilar contours,Stable,"['files/p10/p10617538/s59001230/cb19438f-641f1bf4-e5b7d045-351ae8c3-892e9013.jpg', 'files/p10/p10617538/s59001230/d5c7d596-f85d51d0-f50de103-25a4904c-c62cd894.jpg', 'files/p10/p10617538/s59001230/e2f522d8-0e6fb835-12e75637-f8abfd5c-bf8fea8a.jpg']","['files/p10/p10617538/s52366630/3edade1d-e06bbc14-6a3b9886-930b0ff1-95810ebc.jpg\n', 'files/p10/p10617538/s52366630/5e4ec3e6-eff5ccaf-92e6f524-90e868e2-3d2c2772.jpg\n', 'files/p10/p10617538/s52366630/db1e6857-1793dbe3-eb212ced-f48ed573-0ac73b2c.jpg\n']"
s59002259_0,p19358609,s59002259,0,Impression,"Bibasilar opacities are new since ___ exam, possibly atelectasis, aspiration, or infection in appropriate clinical setting.","Bibasilar opacities are new since ___ exam, possibly atelectasis, aspiration, or infection in appropriate clinical setting.",opacities,bibasilar,New,"['files/p19/p19358609/s59002259/619e7a1b-911eac64-eb4b724e-a0b08550-9ed1342b.jpg', 'files/p19/p19358609/s59002259/76d88971-1492bc74-4a00303b-111fa19f-a617a23b.jpg', 'files/p19/p19358609/s59002259/c278f0af-bf6b18eb-2e0a01ad-3d3a4fbd-68d440cc.jpg']",['files/p19/p19358609/s58804781/916c8cda-4a5b71e7-48853bfe-64498756-5f944dfe.jpg\n']
s59002259_0,p19358609,s59002259,0,Findings,Frontal and lateral views of the chest demonstrate a stable postoperative appearance of the left hemithorax status post thoracoplasty. Right apical scarring persists. Right lung base opacity partially obscuring right hemidiaphragm is new since prior exam. Ill-defined left lung base opacity is also noted. No pleural effusion is seen. There is no pulmonary edema. Emphysema predominantly involving upper lung zones is unchanged. Hilar and mediastinal silhouettes are stable. Heart size is normal. Partially imaged upper abdomen is unremarkable.,Right lung base opacity partially obscuring right hemidiaphragm is new since prior exam.,opacity,right lung base,New,"['files/p19/p19358609/s59002259/619e7a1b-911eac64-eb4b724e-a0b08550-9ed1342b.jpg', 'files/p19/p19358609/s59002259/76d88971-1492bc74-4a00303b-111fa19f-a617a23b.jpg', 'files/p19/p19358609/s59002259/c278f0af-bf6b18eb-2e0a01ad-3d3a4fbd-68d440cc.jpg']",['files/p19/p19358609/s58804781/916c8cda-4a5b71e7-48853bfe-64498756-5f944dfe.jpg\n']
s59002259_0,p19358609,s59002259,0,Findings,Frontal and lateral views of the chest demonstrate a stable postoperative appearance of the left hemithorax status post thoracoplasty. Right apical scarring persists. Right lung base opacity partially obscuring right hemidiaphragm is new since prior exam. Ill-defined left lung base opacity is also noted. No pleural effusion is seen. There is no pulmonary edema. Emphysema predominantly involving upper lung zones is unchanged. Hilar and mediastinal silhouettes are stable. Heart size is normal. Partially imaged upper abdomen is unremarkable.,Hilar and mediastinal silhouettes are stable.,silhouettes,hilar and mediastinal,Stable,"['files/p19/p19358609/s59002259/619e7a1b-911eac64-eb4b724e-a0b08550-9ed1342b.jpg', 'files/p19/p19358609/s59002259/76d88971-1492bc74-4a00303b-111fa19f-a617a23b.jpg', 'files/p19/p19358609/s59002259/c278f0af-bf6b18eb-2e0a01ad-3d3a4fbd-68d440cc.jpg']",['files/p19/p19358609/s58804781/916c8cda-4a5b71e7-48853bfe-64498756-5f944dfe.jpg\n']
s59002259_0,p19358609,s59002259,0,Findings,Frontal and lateral views of the chest demonstrate a stable postoperative appearance of the left hemithorax status post thoracoplasty. Right apical scarring persists. Right lung base opacity partially obscuring right hemidiaphragm is new since prior exam. Ill-defined left lung base opacity is also noted. No pleural effusion is seen. There is no pulmonary edema. Emphysema predominantly involving upper lung zones is unchanged. Hilar and mediastinal silhouettes are stable. Heart size is normal. Partially imaged upper abdomen is unremarkable.,Emphysema predominantly involving upper lung zones is unchanged.,emphysema,upper lung zones,Stable,"['files/p19/p19358609/s59002259/619e7a1b-911eac64-eb4b724e-a0b08550-9ed1342b.jpg', 'files/p19/p19358609/s59002259/76d88971-1492bc74-4a00303b-111fa19f-a617a23b.jpg', 'files/p19/p19358609/s59002259/c278f0af-bf6b18eb-2e0a01ad-3d3a4fbd-68d440cc.jpg']",['files/p19/p19358609/s58804781/916c8cda-4a5b71e7-48853bfe-64498756-5f944dfe.jpg\n']
s59002259_0,p19358609,s59002259,0,Findings,Frontal and lateral views of the chest demonstrate a stable postoperative appearance of the left hemithorax status post thoracoplasty. Right apical scarring persists. Right lung base opacity partially obscuring right hemidiaphragm is new since prior exam. Ill-defined left lung base opacity is also noted. No pleural effusion is seen. There is no pulmonary edema. Emphysema predominantly involving upper lung zones is unchanged. Hilar and mediastinal silhouettes are stable. Heart size is normal. Partially imaged upper abdomen is unremarkable.,Right apical scarring persists.,scarring,right apical,Stable,"['files/p19/p19358609/s59002259/619e7a1b-911eac64-eb4b724e-a0b08550-9ed1342b.jpg', 'files/p19/p19358609/s59002259/76d88971-1492bc74-4a00303b-111fa19f-a617a23b.jpg', 'files/p19/p19358609/s59002259/c278f0af-bf6b18eb-2e0a01ad-3d3a4fbd-68d440cc.jpg']",['files/p19/p19358609/s58804781/916c8cda-4a5b71e7-48853bfe-64498756-5f944dfe.jpg\n']
s59002259_0,p19358609,s59002259,0,Findings,Frontal and lateral views of the chest demonstrate a stable postoperative appearance of the left hemithorax status post thoracoplasty. Right apical scarring persists. Right lung base opacity partially obscuring right hemidiaphragm is new since prior exam. Ill-defined left lung base opacity is also noted. No pleural effusion is seen. There is no pulmonary edema. Emphysema predominantly involving upper lung zones is unchanged. Hilar and mediastinal silhouettes are stable. Heart size is normal. Partially imaged upper abdomen is unremarkable.,Frontal and lateral views of the chest demonstrate a stable postoperative appearance of the left hemithorax status post thoracoplasty.,postoperative appearance,left hemithorax,Stable,"['files/p19/p19358609/s59002259/619e7a1b-911eac64-eb4b724e-a0b08550-9ed1342b.jpg', 'files/p19/p19358609/s59002259/76d88971-1492bc74-4a00303b-111fa19f-a617a23b.jpg', 'files/p19/p19358609/s59002259/c278f0af-bf6b18eb-2e0a01ad-3d3a4fbd-68d440cc.jpg']",['files/p19/p19358609/s58804781/916c8cda-4a5b71e7-48853bfe-64498756-5f944dfe.jpg\n']
s59005527_2,p13671677,s59005527,2,Findings,Dual lead left-sided pacemaker is seen with lead extending the expected positions of the right atrium and right ventricle. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.,The cardiac and mediastinal silhouettes are stable.,silhouettes,Cardiac and mediastinal,Stable,"['files/p13/p13671677/s59005527/217bddf4-50e50848-b90e6afd-2a88f6ed-1a208f57.jpg', 'files/p13/p13671677/s59005527/6bc6645a-9556a008-608aa00b-a4d01254-eb8499be.jpg', 'files/p13/p13671677/s59005527/cdbffb1b-b48fd807-aadb1f9f-0acda7ba-dd92b80a.jpg']","['files/p13/p13671677/s54728992/7707c2f5-2b806bbd-3f906fe9-e476a733-223553d7.jpg\n', 'files/p13/p13671677/s54728992/9e30504e-b946160e-6e57d083-2bd79527-b28f1dc4.jpg\n']"
s59027014_5,p13421580,s59027014,5,Impression,"1) Findings consistent with pulmonary edema, slightly worse compared with ___. The possibility of an underlying infectious infiltrate cannot be excluded. 2) ? mild diffuse narrowing of the left main stem bronchus. Attention to this area on followup films is requested.","1) Findings consistent with pulmonary edema, slightly worse compared with ___",pulmonary edema,,Worse,"['files/p13/p13421580/s59027014/93f6b333-7c04f0e9-de3de1e5-ccd8adbd-0b89681a.jpg', 'files/p13/p13421580/s59027014/da4a05e0-883101fe-b029b869-6baa6722-62c01efd.jpg']",['files/p13/p13421580/s58836158/edddb068-c24f12b6-084654d9-533d402a-a74f074a.jpg\n']
s59048448_0,p17346035,s59048448,0,Findings,"The lungs are clear. There is no pleural effusion or pneumothorax. Lobulation of the mediastinal contour of the main pulmonary artery and the left hilus could be due to mild adenopathy. Any prior radiographs should be obtained to see if this is a new finding. If stability cannot be determined, I recommend repeat CXR in 4 weeks.",Any prior radiographs should be obtained to see if this is a new finding.,mild adenopathy,mediastinal contour of the main pulmonary artery and the left hilus,New,"['files/p17/p17346035/s59048448/1abe49d1-355250d3-cea6e169-6e098201-104352ba.jpg', 'files/p17/p17346035/s59048448/c53d4662-f55d3ef5-6178259b-9e374870-79aa413b.jpg', 'files/p17/p17346035/s59048448/c72f3502-8d982413-ca2511b6-441e719e-a0c293c9.jpg']",
s59068375_60,p11717909,s59068375,60,Impression,"The right central line, endotracheal tube and nasogastric tubes are unchanged. There is persistent patchy density in both lung bases. There is no pneumothorax or CHF. There is no significant interval change.","The right central line, endotracheal tube and nasogastric tubes are unchanged.",tube,endotracheal,Stable,['files/p11/p11717909/s59068375/083f7549-82faf4e6-b108e14f-e1d63399-5e5dc66d.jpg'],['files/p11/p11717909/s58964089/4237ac38-158147e0-87b15115-b3ffc6e6-113d33a5.jpg\n']
s59068375_60,p11717909,s59068375,60,Impression,"The right central line, endotracheal tube and nasogastric tubes are unchanged. There is persistent patchy density in both lung bases. There is no pneumothorax or CHF. There is no significant interval change.","The right central line, endotracheal tube and nasogastric tubes are unchanged.",tubes,nasogastric,Stable,['files/p11/p11717909/s59068375/083f7549-82faf4e6-b108e14f-e1d63399-5e5dc66d.jpg'],['files/p11/p11717909/s58964089/4237ac38-158147e0-87b15115-b3ffc6e6-113d33a5.jpg\n']
s59068375_60,p11717909,s59068375,60,Impression,"The right central line, endotracheal tube and nasogastric tubes are unchanged. There is persistent patchy density in both lung bases. There is no pneumothorax or CHF. There is no significant interval change.",There is persistent patchy density in both lung bases.,patchy density,both lung bases,Stable,['files/p11/p11717909/s59068375/083f7549-82faf4e6-b108e14f-e1d63399-5e5dc66d.jpg'],['files/p11/p11717909/s58964089/4237ac38-158147e0-87b15115-b3ffc6e6-113d33a5.jpg\n']
s59068375_60,p11717909,s59068375,60,Impression,"The right central line, endotracheal tube and nasogastric tubes are unchanged. There is persistent patchy density in both lung bases. There is no pneumothorax or CHF. There is no significant interval change.","The right central line, endotracheal tube and nasogastric tubes are unchanged.",line,right central,Stable,['files/p11/p11717909/s59068375/083f7549-82faf4e6-b108e14f-e1d63399-5e5dc66d.jpg'],['files/p11/p11717909/s58964089/4237ac38-158147e0-87b15115-b3ffc6e6-113d33a5.jpg\n']
s59105787_79,p11717909,s59105787,79,Impression,No evidence of pulmonary edema. Persistent opacities involving the right midlung and base of the right lung are stable from multiple prior exams and likely reflect atelectasis or scarring.,Persistent opacities involving the right midlung and base of the right lung are stable from multiple prior exams and likely reflect atelectasis or scarring.,opacities,right midlung and base of the right lung,Stable,['files/p11/p11717909/s59105787/cd151804-3ba37dc7-1008641f-491929af-f37e6dc5.jpg'],['files/p11/p11717909/s59068375/083f7549-82faf4e6-b108e14f-e1d63399-5e5dc66d.jpg\n']
s59105787_79,p11717909,s59105787,79,Findings,The cardiomediastinal and hilar contours are within normal limits. The heart appears smaller in size compared to the prior examination on ___. Right midlung and right lower lobe opacities are similar in appearance to multiple prior examinations. The left lung is clear. There is no pneumothorax or pleural effusion. Sternal wires are aligned. There is no evidence of pulmonary edema.,Right midlung and right lower lobe opacities are similar in appearance to multiple prior examinations.,opacities,right midlung and right lower lobe,Stable,['files/p11/p11717909/s59105787/cd151804-3ba37dc7-1008641f-491929af-f37e6dc5.jpg'],['files/p11/p11717909/s59068375/083f7549-82faf4e6-b108e14f-e1d63399-5e5dc66d.jpg\n']
s59105787_79,p11717909,s59105787,79,Findings,The cardiomediastinal and hilar contours are within normal limits. The heart appears smaller in size compared to the prior examination on ___. Right midlung and right lower lobe opacities are similar in appearance to multiple prior examinations. The left lung is clear. There is no pneumothorax or pleural effusion. Sternal wires are aligned. There is no evidence of pulmonary edema.,The heart appears smaller in size compared to the prior examination on ___.,heart size,,Stable,['files/p11/p11717909/s59105787/cd151804-3ba37dc7-1008641f-491929af-f37e6dc5.jpg'],['files/p11/p11717909/s59068375/083f7549-82faf4e6-b108e14f-e1d63399-5e5dc66d.jpg\n']
s59109176_0,p17123238,s59109176,0,Impression,No acute intrathoracic process. Right pulmonary metastases have increased in size.,Right pulmonary metastases have increased in size.,pulmonary metastases,Right,Worse,"['files/p17/p17123238/s59109176/498d4233-b79acb1f-5f5d9e8b-d128016a-377264e0.jpg', 'files/p17/p17123238/s59109176/bb9f6308-e8b75c46-eb75bea5-d3da1b42-7b1ddf12.jpg', 'files/p17/p17123238/s59109176/ccf326cb-6aabcbe1-c826a6fd-3815f491-5f605dc9.jpg']",
s59120011_6,p11614040,s59120011,6,Findings,"As compared to prior chest radiograph from ___, there has been interval increase of moderate left pleural effusion and increased atelectasis at the left lower lung. There is a small right pleural effusion. Minimal amount of apical left pneumothorax persists. A right Port-A-Cath catheter tip terminates at the cavoatrial junction.","As compared to prior chest radiograph from ___, there has been interval increase of moderate left pleural effusion and increased atelectasis at the left lower lung.",pleural effusion,left lower lung,Worse,['files/p11/p11614040/s59120011/d4591a06-8492548a-1b274424-ad732667-f57235a4.jpg'],"['files/p11/p11614040/s58602712/056b228a-40cb1f70-1ae4fc61-78474095-bfb2d962.jpg\n', 'files/p11/p11614040/s58602712/172f444a-38c985ed-c8457287-b660b135-cde87b37.jpg\n', 'files/p11/p11614040/s58602712/f87c7260-e0ad2da5-307f668e-c57f5952-b5934819.jpg\n']"
s59120011_6,p11614040,s59120011,6,Impression,"1. Minimal left apical pneumothorax. 2. Interval increase of moderate left pleural effusion. These findings were discussed with ___ ___ by Dr. ___ via telephone on ___ at 2:52 p.m., at time of discovery.",Interval increase of moderate left pleural effusion.,pleural effusion,left,Worse,['files/p11/p11614040/s59120011/d4591a06-8492548a-1b274424-ad732667-f57235a4.jpg'],"['files/p11/p11614040/s58602712/056b228a-40cb1f70-1ae4fc61-78474095-bfb2d962.jpg\n', 'files/p11/p11614040/s58602712/172f444a-38c985ed-c8457287-b660b135-cde87b37.jpg\n', 'files/p11/p11614040/s58602712/f87c7260-e0ad2da5-307f668e-c57f5952-b5934819.jpg\n']"
s59120011_6,p11614040,s59120011,6,Findings,"As compared to prior chest radiograph from ___, there has been interval increase of moderate left pleural effusion and increased atelectasis at the left lower lung. There is a small right pleural effusion. Minimal amount of apical left pneumothorax persists. A right Port-A-Cath catheter tip terminates at the cavoatrial junction.",Minimal amount of apical left pneumothorax persists.,pneumothorax,apical left,Stable,['files/p11/p11614040/s59120011/d4591a06-8492548a-1b274424-ad732667-f57235a4.jpg'],"['files/p11/p11614040/s58602712/056b228a-40cb1f70-1ae4fc61-78474095-bfb2d962.jpg\n', 'files/p11/p11614040/s58602712/172f444a-38c985ed-c8457287-b660b135-cde87b37.jpg\n', 'files/p11/p11614040/s58602712/f87c7260-e0ad2da5-307f668e-c57f5952-b5934819.jpg\n']"
s59120011_6,p11614040,s59120011,6,Findings,"As compared to prior chest radiograph from ___, there has been interval increase of moderate left pleural effusion and increased atelectasis at the left lower lung. There is a small right pleural effusion. Minimal amount of apical left pneumothorax persists. A right Port-A-Cath catheter tip terminates at the cavoatrial junction.","As compared to prior chest radiograph from ___, there has been interval increase of moderate left pleural effusion and increased atelectasis at the left lower lung.",atelectasis,left lower lung,Worse,['files/p11/p11614040/s59120011/d4591a06-8492548a-1b274424-ad732667-f57235a4.jpg'],"['files/p11/p11614040/s58602712/056b228a-40cb1f70-1ae4fc61-78474095-bfb2d962.jpg\n', 'files/p11/p11614040/s58602712/172f444a-38c985ed-c8457287-b660b135-cde87b37.jpg\n', 'files/p11/p11614040/s58602712/f87c7260-e0ad2da5-307f668e-c57f5952-b5934819.jpg\n']"
s59122716_0,p11135350,s59122716,0,Findings,"AP and lateral views of the chest. The right lung is clear. There is obscuration of the left hemidiaphragm, which is clearly seen on prior and could be due to underlying left basilar atelectasis or pneumonia. Increased opacity over the spine on the lateral view is likely in part due to degenerative, the tortuous descending thoracic aorta and hilar vasculature, although superimposed component of overlying consolidation is also possible in this region. Atherosclerotic calcifications are noted at the aortic arch. There is a sliver of lucency projecting over the upper abdomen to the left of midline. This is of could be due to pneumomediastinum or potentially free intraperitoneal air. Consider repeat examination with a chest x-ray with PA technique if possible. Otherwise, CT scan may be necessary. Findings were discussed with Dr. ___ at 5:35 p.m. on ___ by Dr. ___ ___ the phone 2 minutes after time of discovery.","There is obscuration of the left hemidiaphragm, which is clearly seen on prior and could be due to underlying left basilar atelectasis or pneumonia.",obscuration,left hemidiaphragm,Worse,"['files/p11/p11135350/s59122716/556d5af6-986670c8-db365f47-e8286407-b025908b.jpg', 'files/p11/p11135350/s59122716/88877d10-188b5a1e-d99e6d09-75236a50-63e30ee8.jpg']",['files/p11/p11135350/s58767809/02ae05fc-ce6ab459-7561db4d-881fb85b-5a207608.jpg\n']
s59137251_5,p16033763,s59137251,5,Findings,"PA and lateral chest views were obtained with patient in upright position. There is moderate cardiac enlargement. The configuration suggests prominence of the left ventricular contour to the left and posteriorly as well as a moderate enlargement of the left atrium with some right-sided intracardiac double contour straightening of the left heart border. A permanent pacer is in left anterior axillary position, seen to be connected to a single intracavitary electrode terminating in a position compatible with the right ventricle. The pulmonary vasculature shows a mild upper zone redistribution pattern; however, no interstitial or alveolar edema is identified. On the other hand, the marked irregular distribution of the pulmonary vessels in the periphery, coinciding with local areas of increased translucency and low position, flattened diaphragms is suggestive of COPD. Acute parenchymal infiltrates, however, cannot be identified. There is no pneumothorax in the apical areas. In comparison with the next preceding chest examination of ___, the at that time postoperative existing left-sided chest wall emphysema has absorbed. Also, the left basal postoperative linear small atectatic densities have normalized. Also, noteworthy in comparison with the previous study is that the, at that time existing more marked cardiac enlargement and the bilateral small amount of pleural effusions have disappeared.","Also, the left basal postoperative linear small atectatic densities have normalized.",atectatic densities,left basal,Resolve,"['files/p16/p16033763/s59137251/bd694b87-8f969c41-a3b1bd9a-b27547e1-acefab41.jpg', 'files/p16/p16033763/s59137251/dedbcf5c-540d2883-d85fbcfd-dfec626d-9621d11b.jpg']","['files/p16/p16033763/s58499222/41adeb33-4676a27f-e0c2991f-34148ef9-f7e53c97.jpg\n', 'files/p16/p16033763/s58499222/81549ff4-37400bfe-77ebb7f7-9bf5005b-2a9a6381.jpg\n']"
s59137251_5,p16033763,s59137251,5,Findings,"PA and lateral chest views were obtained with patient in upright position. There is moderate cardiac enlargement. The configuration suggests prominence of the left ventricular contour to the left and posteriorly as well as a moderate enlargement of the left atrium with some right-sided intracardiac double contour straightening of the left heart border. A permanent pacer is in left anterior axillary position, seen to be connected to a single intracavitary electrode terminating in a position compatible with the right ventricle. The pulmonary vasculature shows a mild upper zone redistribution pattern; however, no interstitial or alveolar edema is identified. On the other hand, the marked irregular distribution of the pulmonary vessels in the periphery, coinciding with local areas of increased translucency and low position, flattened diaphragms is suggestive of COPD. Acute parenchymal infiltrates, however, cannot be identified. There is no pneumothorax in the apical areas. In comparison with the next preceding chest examination of ___, the at that time postoperative existing left-sided chest wall emphysema has absorbed. Also, the left basal postoperative linear small atectatic densities have normalized. Also, noteworthy in comparison with the previous study is that the, at that time existing more marked cardiac enlargement and the bilateral small amount of pleural effusions have disappeared.","Also, noteworthy in comparison with the previous study is that the, at that time existing more marked cardiac enlargement and the bilateral small amount of pleural effusions have disappeared.",pleural effusions,bilateral,Resolve,"['files/p16/p16033763/s59137251/bd694b87-8f969c41-a3b1bd9a-b27547e1-acefab41.jpg', 'files/p16/p16033763/s59137251/dedbcf5c-540d2883-d85fbcfd-dfec626d-9621d11b.jpg']","['files/p16/p16033763/s58499222/41adeb33-4676a27f-e0c2991f-34148ef9-f7e53c97.jpg\n', 'files/p16/p16033763/s58499222/81549ff4-37400bfe-77ebb7f7-9bf5005b-2a9a6381.jpg\n']"
s59137251_5,p16033763,s59137251,5,Findings,"PA and lateral chest views were obtained with patient in upright position. There is moderate cardiac enlargement. The configuration suggests prominence of the left ventricular contour to the left and posteriorly as well as a moderate enlargement of the left atrium with some right-sided intracardiac double contour straightening of the left heart border. A permanent pacer is in left anterior axillary position, seen to be connected to a single intracavitary electrode terminating in a position compatible with the right ventricle. The pulmonary vasculature shows a mild upper zone redistribution pattern; however, no interstitial or alveolar edema is identified. On the other hand, the marked irregular distribution of the pulmonary vessels in the periphery, coinciding with local areas of increased translucency and low position, flattened diaphragms is suggestive of COPD. Acute parenchymal infiltrates, however, cannot be identified. There is no pneumothorax in the apical areas. In comparison with the next preceding chest examination of ___, the at that time postoperative existing left-sided chest wall emphysema has absorbed. Also, the left basal postoperative linear small atectatic densities have normalized. Also, noteworthy in comparison with the previous study is that the, at that time existing more marked cardiac enlargement and the bilateral small amount of pleural effusions have disappeared.","In comparison with the next preceding chest examination of ___, the at that time postoperative existing left-sided chest wall emphysema has absorbed.",emphysema,left-sided chest wall,Resolve,"['files/p16/p16033763/s59137251/bd694b87-8f969c41-a3b1bd9a-b27547e1-acefab41.jpg', 'files/p16/p16033763/s59137251/dedbcf5c-540d2883-d85fbcfd-dfec626d-9621d11b.jpg']","['files/p16/p16033763/s58499222/41adeb33-4676a27f-e0c2991f-34148ef9-f7e53c97.jpg\n', 'files/p16/p16033763/s58499222/81549ff4-37400bfe-77ebb7f7-9bf5005b-2a9a6381.jpg\n']"
s59139933_17,p18057037,s59139933,17,Findings,"The frontal view is suboptimal. Low lung volumes result in bronchovascular crowding. Pulmonary edema has resolved compared to the prior study, with decreased but small residual pleural effusions. There is mild bibasilar atelectasis. No pneumothorax. The cardiac and mediastinal silhouettes are stable.",The cardiac and mediastinal silhouettes are stable.,silhouettes,cardiac and mediastinal,Stable,"['files/p18/p18057037/s59139933/012d47fa-4229d089-abd07205-47dad810-6a43e76b.jpg', 'files/p18/p18057037/s59139933/2f393208-b24e24e6-cd07566f-5c9ddf8a-e8e6862d.jpg']",['files/p18/p18057037/s58608862/11362097-a0bac3fa-316e02be-b753a0b5-16e69386.jpg\n']
s59139933_17,p18057037,s59139933,17,Findings,"The frontal view is suboptimal. Low lung volumes result in bronchovascular crowding. Pulmonary edema has resolved compared to the prior study, with decreased but small residual pleural effusions. There is mild bibasilar atelectasis. No pneumothorax. The cardiac and mediastinal silhouettes are stable.","Pulmonary edema has resolved compared to the prior study, with decreased but small residual pleural effusions.",pulmonary edema,,Resolve,"['files/p18/p18057037/s59139933/012d47fa-4229d089-abd07205-47dad810-6a43e76b.jpg', 'files/p18/p18057037/s59139933/2f393208-b24e24e6-cd07566f-5c9ddf8a-e8e6862d.jpg']",['files/p18/p18057037/s58608862/11362097-a0bac3fa-316e02be-b753a0b5-16e69386.jpg\n']
s59178330_4,p11226572,s59178330,4,Findings,"There is o pacitiy at the left lung base, but is unchanged since ___ when patient was asymptomatic. This suggests chronic scarring. Otherwise, there are no focal consolidations, pleural effusions or pneumothorax. No evidence of hilar lymphadenopathy. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.","There is opacity at the left lung base, but is unchanged since ___ when patient was asymptomatic.",Opacity,Left lung base,Stable,"['files/p11/p11226572/s59178330/a2c7838e-c081e69b-ecdee541-780db068-00b5fd81.jpg', 'files/p11/p11226572/s59178330/c468a266-8cdc345b-7830d55d-85f6be9c-42a47dc9.jpg']",['files/p11/p11226572/s56558940/80ebdd2c-d387828d-89e90960-df690604-91bd8696.jpg\n']
s59179922_37,p13894716,s59179922,37,Impression,"Heart size and mediastinum are unchanged as compared to previous study from ___. Bilateral pleural effusions, right more than left as well as supporting devices are unchanged. No pneumothorax. No evidence of pulmonary edema",Heart size and mediastinum are unchanged as compared to previous study from ___.,heart size and mediastinum,,Stable,['files/p13/p13894716/s59179922/62bb6fb0-c42c5225-7a24e047-cfe72663-6f50a6f8.jpg'],"['files/p13/p13894716/s58998264/55f226b7-2e75d7f3-d849a5c8-a026a657-7d2d4191.jpg\n', 'files/p13/p13894716/s58998264/b31f247c-3f8d4aad-babc0ea3-36f3333c-37b65cca.jpg\n']"
s59179922_37,p13894716,s59179922,37,Impression,"Heart size and mediastinum are unchanged as compared to previous study from ___. Bilateral pleural effusions, right more than left as well as supporting devices are unchanged. No pneumothorax. No evidence of pulmonary edema","Bilateral pleural effusions, right more than left as well as supporting devices are unchanged.",pleural effusions,"bilateral, right more than left",Stable,['files/p13/p13894716/s59179922/62bb6fb0-c42c5225-7a24e047-cfe72663-6f50a6f8.jpg'],"['files/p13/p13894716/s58998264/55f226b7-2e75d7f3-d849a5c8-a026a657-7d2d4191.jpg\n', 'files/p13/p13894716/s58998264/b31f247c-3f8d4aad-babc0ea3-36f3333c-37b65cca.jpg\n']"
s59192793_5,p11888614,s59192793,5,Findings,"Single AP portable view of the chest was obtained. Low lung volumes persist. There is mild central pulmonary vascular engorgement. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.",Cardiac and mediastinal silhouettes are stable.,Cardiac and mediastinal silhouettes,,Stable,['files/p11/p11888614/s59192793/8c6326e3-b3e4f913-8ee4674e-d82424f7-ee0e7d74.jpg'],['files/p11/p11888614/s59174426/b200342e-9a78a04c-db63c0f7-725a09b8-0a4f31d5.jpg\n']
s59192793_5,p11888614,s59192793,5,Findings,"Single AP portable view of the chest was obtained. Low lung volumes persist. There is mild central pulmonary vascular engorgement. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.",Low lung volumes persist.,Low lung volumes,,Stable,['files/p11/p11888614/s59192793/8c6326e3-b3e4f913-8ee4674e-d82424f7-ee0e7d74.jpg'],['files/p11/p11888614/s59174426/b200342e-9a78a04c-db63c0f7-725a09b8-0a4f31d5.jpg\n']
s59210902_0,p17266832,s59210902,0,Findings,"As compared to the previous radiograph, the right-sided pneumonia has substantially decreased in extent and severity. However, notably on the frontal radiograph, remnant opacities are seen at the right lung base. No new parenchymal opacities. Moderate cardiomegaly and minimal left pleural effusion. Unchanged right-sided and left-sided axillary clips.",Unchanged right-sided and left-sided axillary clips.,axillary clips,right-sided and left-sided,Stable,"['files/p17/p17266832/s59210902/89ec1f5e-373a97d1-690f4859-7a555241-09da8599.jpg', 'files/p17/p17266832/s59210902/e2107256-6f627c45-e4ac5ecd-8fdfe29f-faab1e0e.jpg', 'files/p17/p17266832/s59210902/eecb0b8e-597db7ef-14dd9bab-52fd0da8-1f163745.jpg']","['files/p17/p17266832/s56719925/839fa7e3-81fb331f-94dd1720-90b92324-a847c59a.jpg\n', 'files/p17/p17266832/s56719925/c9e8a32b-fcefd4e7-f21032e8-020e03e5-ec6d4534.jpg\n']"
s59210902_0,p17266832,s59210902,0,Findings,"As compared to the previous radiograph, the right-sided pneumonia has substantially decreased in extent and severity. However, notably on the frontal radiograph, remnant opacities are seen at the right lung base. No new parenchymal opacities. Moderate cardiomegaly and minimal left pleural effusion. Unchanged right-sided and left-sided axillary clips.","As compared to the previous radiograph, the right-sided pneumonia has substantially decreased in extent and severity.",pneumonia,right-sided,Better,"['files/p17/p17266832/s59210902/89ec1f5e-373a97d1-690f4859-7a555241-09da8599.jpg', 'files/p17/p17266832/s59210902/e2107256-6f627c45-e4ac5ecd-8fdfe29f-faab1e0e.jpg', 'files/p17/p17266832/s59210902/eecb0b8e-597db7ef-14dd9bab-52fd0da8-1f163745.jpg']","['files/p17/p17266832/s56719925/839fa7e3-81fb331f-94dd1720-90b92324-a847c59a.jpg\n', 'files/p17/p17266832/s56719925/c9e8a32b-fcefd4e7-f21032e8-020e03e5-ec6d4534.jpg\n']"
s59211846_4,p19580789,s59211846,4,Impression,"Mild cardiomegaly, new since the prior study, and enlargement of the azygos compatible with volume overload without frank pulmonary edema.","Mild cardiomegaly, new since the prior study, and enlargement of the azygos compatible with volume overload without frank pulmonary edema.",Mild cardiomegaly,,New,"['files/p19/p19580789/s59211846/3b0258a9-d464c242-49cebbd6-2b55cfa3-be74740b.jpg', 'files/p19/p19580789/s59211846/ad6d1465-2d48c76e-d3452db0-f0146bfd-54f5fdad.jpg']","['files/p19/p19580789/s58022905/02b4c25f-5d1b8bd0-38c29e2a-cd861d6f-92f7175b.jpg\n', 'files/p19/p19580789/s58022905/2b2045ee-2505fd4b-e315a4e9-db4d3805-1b2ec185.jpg\n']"
s59211846_4,p19580789,s59211846,4,Findings,No focal opacities concerning for infection although enlargement of the cardiac silhouette as well as the azygos vein is noted. No large effusions. Stable tortuous aorta. No pneumothorax.,Stable tortuous aorta.,Tortuous aorta,,Stable,"['files/p19/p19580789/s59211846/3b0258a9-d464c242-49cebbd6-2b55cfa3-be74740b.jpg', 'files/p19/p19580789/s59211846/ad6d1465-2d48c76e-d3452db0-f0146bfd-54f5fdad.jpg']","['files/p19/p19580789/s58022905/02b4c25f-5d1b8bd0-38c29e2a-cd861d6f-92f7175b.jpg\n', 'files/p19/p19580789/s58022905/2b2045ee-2505fd4b-e315a4e9-db4d3805-1b2ec185.jpg\n']"
s59217802_1,p17559288,s59217802,1,Findings,"Since prior radiograph acquired ___ hours apart, bilateral, diffuse and confluent opacities show asymmetric changes with mild improvement in the right and worsening in left lung, overall unchanged in severity. Heart size and mediastinal contours are normal.","Since prior radiograph acquired ___ hours apart, bilateral, diffuse and confluent opacities show asymmetric changes with mild improvement in the right and worsening in left lung, overall unchanged in severity.",opacities,left lung,Worse,['files/p17/p17559288/s59217802/bf8bed6d-ee8d4d92-df4bc99c-0733597b-e4a90442.jpg'],['files/p17/p17559288/s58500412/7178c919-44dfb11d-9c099d27-1eb09d58-3cc6cb14.jpg\n']
s59217802_1,p17559288,s59217802,1,Findings,"Since prior radiograph acquired ___ hours apart, bilateral, diffuse and confluent opacities show asymmetric changes with mild improvement in the right and worsening in left lung, overall unchanged in severity. Heart size and mediastinal contours are normal.","Since prior radiograph acquired ___ hours apart, bilateral, diffuse and confluent opacities show asymmetric changes with mild improvement in the right and worsening in left lung, overall unchanged in severity.",opacities,right lung,Better,['files/p17/p17559288/s59217802/bf8bed6d-ee8d4d92-df4bc99c-0733597b-e4a90442.jpg'],['files/p17/p17559288/s58500412/7178c919-44dfb11d-9c099d27-1eb09d58-3cc6cb14.jpg\n']
s59218047_6,p17660889,s59218047,6,Findings,"In comparison with the study of ___, the tip of the endotracheal tube is approximately 6.5 cm above the carina. There is continued enlargement of the cardiac silhouette with continued pulmonary edema. No acute focal pneumonia or pleural effusion. Dual-channel right supraclavicular central venous dialysis catheter again extends to the mid-to-lower portion of the SVC.",Dual-channel right supraclavicular central venous dialysis catheter again extends to the mid-to-lower portion of the SVC.,central venous dialysis catheter,mid-to-lower portion of the SVC,Stable,['files/p17/p17660889/s59218047/2a88d2ea-b4df4439-14b9c286-c0e29650-2acedd69.jpg'],['files/p17/p17660889/s58965143/425c4fa7-0d48e151-0758d818-9e8b1ea9-e9074977.jpg\n']
s59218047_6,p17660889,s59218047,6,Findings,"In comparison with the study of ___, the tip of the endotracheal tube is approximately 6.5 cm above the carina. There is continued enlargement of the cardiac silhouette with continued pulmonary edema. No acute focal pneumonia or pleural effusion. Dual-channel right supraclavicular central venous dialysis catheter again extends to the mid-to-lower portion of the SVC.",There is continued enlargement of the cardiac silhouette with continued pulmonary edema.,pulmonary edema,,Stable,['files/p17/p17660889/s59218047/2a88d2ea-b4df4439-14b9c286-c0e29650-2acedd69.jpg'],['files/p17/p17660889/s58965143/425c4fa7-0d48e151-0758d818-9e8b1ea9-e9074977.jpg\n']
s59218047_6,p17660889,s59218047,6,Findings,"In comparison with the study of ___, the tip of the endotracheal tube is approximately 6.5 cm above the carina. There is continued enlargement of the cardiac silhouette with continued pulmonary edema. No acute focal pneumonia or pleural effusion. Dual-channel right supraclavicular central venous dialysis catheter again extends to the mid-to-lower portion of the SVC.",There is continued enlargement of the cardiac silhouette with continued pulmonary edema.,cardiac silhouette enlargement,,Stable,['files/p17/p17660889/s59218047/2a88d2ea-b4df4439-14b9c286-c0e29650-2acedd69.jpg'],['files/p17/p17660889/s58965143/425c4fa7-0d48e151-0758d818-9e8b1ea9-e9074977.jpg\n']
s59225584_1,p18482407,s59225584,1,Findings,The heart size is normal. The mediastinal and hilar contours are unchanged with minimal tortuosity of the thoracic aorta. Pulmonary vascularity is normal. A calcified granuloma in the right upper lung field measuring 4 mm is unchanged. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. There is no free air under the diaphragms.,A calcified granuloma in the right upper lung field measuring 4 mm is unchanged.,calcified granuloma,right upper lung field,Stable,"['files/p18/p18482407/s59225584/abc4a049-302a6e06-7b883fd5-3ba7cf2b-2417c4bc.jpg', 'files/p18/p18482407/s59225584/ec4a1322-8a9bf09f-33fbd390-0a0943c8-11b3c889.jpg']","['files/p18/p18482407/s55144227/1e0fedfe-9bcbb335-3fe84f33-734baf67-40b747ef.jpg\n', 'files/p18/p18482407/s55144227/b4adc8a7-02440962-bb00288a-9076327f-ba931356.jpg\n']"
s59225584_1,p18482407,s59225584,1,Findings,The heart size is normal. The mediastinal and hilar contours are unchanged with minimal tortuosity of the thoracic aorta. Pulmonary vascularity is normal. A calcified granuloma in the right upper lung field measuring 4 mm is unchanged. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. There is no free air under the diaphragms.,The mediastinal and hilar contours are unchanged with minimal tortuosity of the thoracic aorta.,contours,mediastinal and hilar contours,Stable,"['files/p18/p18482407/s59225584/abc4a049-302a6e06-7b883fd5-3ba7cf2b-2417c4bc.jpg', 'files/p18/p18482407/s59225584/ec4a1322-8a9bf09f-33fbd390-0a0943c8-11b3c889.jpg']","['files/p18/p18482407/s55144227/1e0fedfe-9bcbb335-3fe84f33-734baf67-40b747ef.jpg\n', 'files/p18/p18482407/s55144227/b4adc8a7-02440962-bb00288a-9076327f-ba931356.jpg\n']"
s59231099_91,p11717909,s59231099,91,Findings,Allowing for projection the heart is probably within normal limits in size. Left lung is clear. Increased small right effusion is seen. Increased opacity in the right base may indicate the underlying atelectasis. Infection cannot be excluded. Right IJ line in mid SVC,Increased opacity in the right base may indicate the underlying atelectasis.,opacity,right base,Worse,['files/p11/p11717909/s59231099/7798f90f-d4185983-5f262189-fe7879ae-df20ce5d.jpg'],['files/p11/p11717909/s59105787/cd151804-3ba37dc7-1008641f-491929af-f37e6dc5.jpg\n']
s59231099_91,p11717909,s59231099,91,Findings,Allowing for projection the heart is probably within normal limits in size. Left lung is clear. Increased small right effusion is seen. Increased opacity in the right base may indicate the underlying atelectasis. Infection cannot be excluded. Right IJ line in mid SVC,Increased small right effusion is seen.,effusion,right,Worse,['files/p11/p11717909/s59231099/7798f90f-d4185983-5f262189-fe7879ae-df20ce5d.jpg'],['files/p11/p11717909/s59105787/cd151804-3ba37dc7-1008641f-491929af-f37e6dc5.jpg\n']
s59234160_7,p11932181,s59234160,7,Findings,"Frontal and lateral views of the chest were obtained. Increased left basilar opacity has significantly increased likely large left pleural effusion with overlying atelectasis. Small left pneumothorax persists. Prominence of the left hilum may relate to left-sided pleural fluid; however, underlying lymphadenopathy or consolidation is not excluded. Left aspect of the cardiac silhouette is not well assessed due to the left basilar consolidation; however, the remainder of the cardiac and mediastinal silhouettes are grossly stable.",Small left pneumothorax persists.,pneumothorax,left,Stable,"['files/p11/p11932181/s59234160/83422dab-e3015272-fbf3df24-eb9e1d65-1da5c1dc.jpg', 'files/p11/p11932181/s59234160/9b4edb71-42dc3068-0b5afbd8-6d1b2b45-34e992a3.jpg']","['files/p11/p11932181/s56531569/2cdcb041-f3ae8620-9a87decc-2f6c2c14-5178b314.jpg\n', 'files/p11/p11932181/s56531569/397e0897-311459aa-55923dc8-b8d44d58-0a3db1a0.jpg\n']"
s59234160_7,p11932181,s59234160,7,Findings,"Frontal and lateral views of the chest were obtained. Increased left basilar opacity has significantly increased likely large left pleural effusion with overlying atelectasis. Small left pneumothorax persists. Prominence of the left hilum may relate to left-sided pleural fluid; however, underlying lymphadenopathy or consolidation is not excluded. Left aspect of the cardiac silhouette is not well assessed due to the left basilar consolidation; however, the remainder of the cardiac and mediastinal silhouettes are grossly stable.",Increased left basilar opacity has significantly increased likely large left pleural effusion with overlying atelectasis.,opacity,left basilar,Worse,"['files/p11/p11932181/s59234160/83422dab-e3015272-fbf3df24-eb9e1d65-1da5c1dc.jpg', 'files/p11/p11932181/s59234160/9b4edb71-42dc3068-0b5afbd8-6d1b2b45-34e992a3.jpg']","['files/p11/p11932181/s56531569/2cdcb041-f3ae8620-9a87decc-2f6c2c14-5178b314.jpg\n', 'files/p11/p11932181/s56531569/397e0897-311459aa-55923dc8-b8d44d58-0a3db1a0.jpg\n']"
s59234160_7,p11932181,s59234160,7,Findings,"Frontal and lateral views of the chest were obtained. Increased left basilar opacity has significantly increased likely large left pleural effusion with overlying atelectasis. Small left pneumothorax persists. Prominence of the left hilum may relate to left-sided pleural fluid; however, underlying lymphadenopathy or consolidation is not excluded. Left aspect of the cardiac silhouette is not well assessed due to the left basilar consolidation; however, the remainder of the cardiac and mediastinal silhouettes are grossly stable.",Increased left basilar opacity has significantly increased likely large left pleural effusion with overlying atelectasis.,pleural effusion,left,Worse,"['files/p11/p11932181/s59234160/83422dab-e3015272-fbf3df24-eb9e1d65-1da5c1dc.jpg', 'files/p11/p11932181/s59234160/9b4edb71-42dc3068-0b5afbd8-6d1b2b45-34e992a3.jpg']","['files/p11/p11932181/s56531569/2cdcb041-f3ae8620-9a87decc-2f6c2c14-5178b314.jpg\n', 'files/p11/p11932181/s56531569/397e0897-311459aa-55923dc8-b8d44d58-0a3db1a0.jpg\n']"
s59234160_7,p11932181,s59234160,7,Findings,"Frontal and lateral views of the chest were obtained. Increased left basilar opacity has significantly increased likely large left pleural effusion with overlying atelectasis. Small left pneumothorax persists. Prominence of the left hilum may relate to left-sided pleural fluid; however, underlying lymphadenopathy or consolidation is not excluded. Left aspect of the cardiac silhouette is not well assessed due to the left basilar consolidation; however, the remainder of the cardiac and mediastinal silhouettes are grossly stable.",Increased left basilar opacity has significantly increased likely large left pleural effusion with overlying atelectasis.,atelectasis,left,Worse,"['files/p11/p11932181/s59234160/83422dab-e3015272-fbf3df24-eb9e1d65-1da5c1dc.jpg', 'files/p11/p11932181/s59234160/9b4edb71-42dc3068-0b5afbd8-6d1b2b45-34e992a3.jpg']","['files/p11/p11932181/s56531569/2cdcb041-f3ae8620-9a87decc-2f6c2c14-5178b314.jpg\n', 'files/p11/p11932181/s56531569/397e0897-311459aa-55923dc8-b8d44d58-0a3db1a0.jpg\n']"
s59234160_7,p11932181,s59234160,7,Findings,"Frontal and lateral views of the chest were obtained. Increased left basilar opacity has significantly increased likely large left pleural effusion with overlying atelectasis. Small left pneumothorax persists. Prominence of the left hilum may relate to left-sided pleural fluid; however, underlying lymphadenopathy or consolidation is not excluded. Left aspect of the cardiac silhouette is not well assessed due to the left basilar consolidation; however, the remainder of the cardiac and mediastinal silhouettes are grossly stable.","Left aspect of the cardiac silhouette is not well assessed due to the left basilar consolidation; however, the remainder of the cardiac and mediastinal silhouettes are grossly stable.",silhouettes,remainder of the cardiac and mediastinal,Stable,"['files/p11/p11932181/s59234160/83422dab-e3015272-fbf3df24-eb9e1d65-1da5c1dc.jpg', 'files/p11/p11932181/s59234160/9b4edb71-42dc3068-0b5afbd8-6d1b2b45-34e992a3.jpg']","['files/p11/p11932181/s56531569/2cdcb041-f3ae8620-9a87decc-2f6c2c14-5178b314.jpg\n', 'files/p11/p11932181/s56531569/397e0897-311459aa-55923dc8-b8d44d58-0a3db1a0.jpg\n']"
s59234160_7,p11932181,s59234160,7,Impression,"Left hydropneumothorax. Significant interval increase in left basilar opacity, likely left pleural effusion with overlying atelectasis, underlying consolidation not excluded. Left perihilar opacity may relate to the above findings. However, underlying lymphadenopathy or additional consolidation is not excluded. Air-fluid level seen in the left upper hemithorax, which appears longer in the frontal view than on the lateral view can be seen in bronchopleural fistula.","Significant interval increase in left basilar opacity, likely left pleural effusion with overlying atelectasis, underlying consolidation not excluded.",opacity,left basilar,Worse,"['files/p11/p11932181/s59234160/83422dab-e3015272-fbf3df24-eb9e1d65-1da5c1dc.jpg', 'files/p11/p11932181/s59234160/9b4edb71-42dc3068-0b5afbd8-6d1b2b45-34e992a3.jpg']","['files/p11/p11932181/s56531569/2cdcb041-f3ae8620-9a87decc-2f6c2c14-5178b314.jpg\n', 'files/p11/p11932181/s56531569/397e0897-311459aa-55923dc8-b8d44d58-0a3db1a0.jpg\n']"
s59234160_7,p11932181,s59234160,7,Impression,"Left hydropneumothorax. Significant interval increase in left basilar opacity, likely left pleural effusion with overlying atelectasis, underlying consolidation not excluded. Left perihilar opacity may relate to the above findings. However, underlying lymphadenopathy or additional consolidation is not excluded. Air-fluid level seen in the left upper hemithorax, which appears longer in the frontal view than on the lateral view can be seen in bronchopleural fistula.","Significant interval increase in left basilar opacity, likely left pleural effusion with overlying atelectasis, underlying consolidation not excluded.",pleural effusion,left,Worse,"['files/p11/p11932181/s59234160/83422dab-e3015272-fbf3df24-eb9e1d65-1da5c1dc.jpg', 'files/p11/p11932181/s59234160/9b4edb71-42dc3068-0b5afbd8-6d1b2b45-34e992a3.jpg']","['files/p11/p11932181/s56531569/2cdcb041-f3ae8620-9a87decc-2f6c2c14-5178b314.jpg\n', 'files/p11/p11932181/s56531569/397e0897-311459aa-55923dc8-b8d44d58-0a3db1a0.jpg\n']"
s59234160_7,p11932181,s59234160,7,Impression,"Left hydropneumothorax. Significant interval increase in left basilar opacity, likely left pleural effusion with overlying atelectasis, underlying consolidation not excluded. Left perihilar opacity may relate to the above findings. However, underlying lymphadenopathy or additional consolidation is not excluded. Air-fluid level seen in the left upper hemithorax, which appears longer in the frontal view than on the lateral view can be seen in bronchopleural fistula.","Significant interval increase in left basilar opacity, likely left pleural effusion with overlying atelectasis, underlying consolidation not excluded.",atelectasis,left,Worse,"['files/p11/p11932181/s59234160/83422dab-e3015272-fbf3df24-eb9e1d65-1da5c1dc.jpg', 'files/p11/p11932181/s59234160/9b4edb71-42dc3068-0b5afbd8-6d1b2b45-34e992a3.jpg']","['files/p11/p11932181/s56531569/2cdcb041-f3ae8620-9a87decc-2f6c2c14-5178b314.jpg\n', 'files/p11/p11932181/s56531569/397e0897-311459aa-55923dc8-b8d44d58-0a3db1a0.jpg\n']"
s59246265_1,p17266832,s59246265,1,Impression,"1. Stable appearance of right perihilar opacity. 2. Stable small/minimal left pleural effusion, now with minimal tracking intrafissural fluid. 3. Stable right lower lung zone nodule.",1. Stable appearance of right perihilar opacity.,opacity,right perihilar,Stable,"['files/p17/p17266832/s59246265/3033aec6-9d417788-4876465f-fbb0485d-71655bc6.jpg', 'files/p17/p17266832/s59246265/b60cceec-09153ad4-aa1ef87b-c8f07c6d-54da8009.jpg']","['files/p17/p17266832/s59210902/89ec1f5e-373a97d1-690f4859-7a555241-09da8599.jpg\n', 'files/p17/p17266832/s59210902/e2107256-6f627c45-e4ac5ecd-8fdfe29f-faab1e0e.jpg\n', 'files/p17/p17266832/s59210902/eecb0b8e-597db7ef-14dd9bab-52fd0da8-1f163745.jpg\n']"
s59246265_1,p17266832,s59246265,1,Findings,"There is stable location and appearance of multiple discrete collections of surgical clips as seen previously. The cardio mediastinal silhouette is unchanged from prior radiograph. There is again redemonstrated moderate cardiomegaly as well as an elongated thoracic aorta as seen on lateral view, without interval changes. The bilateral hila are unchanged in appearance. There has been no interval change in the appearance of the right perihilar opacity as compared to prior radiograph. There is stable size and appearance of previously described right lower lung zone 1.2 cm nodule. There is again noted a small/minimal left pleural effusion, however more prominent on the current study is minimal tracking intrafissural fluid. There are no pneumothoraces.",There is stable size and appearance of previously described right lower lung zone 1.2 cm nodule.,1.2 cm nodule,right lower lung zone,Stable,"['files/p17/p17266832/s59246265/3033aec6-9d417788-4876465f-fbb0485d-71655bc6.jpg', 'files/p17/p17266832/s59246265/b60cceec-09153ad4-aa1ef87b-c8f07c6d-54da8009.jpg']","['files/p17/p17266832/s59210902/89ec1f5e-373a97d1-690f4859-7a555241-09da8599.jpg\n', 'files/p17/p17266832/s59210902/e2107256-6f627c45-e4ac5ecd-8fdfe29f-faab1e0e.jpg\n', 'files/p17/p17266832/s59210902/eecb0b8e-597db7ef-14dd9bab-52fd0da8-1f163745.jpg\n']"
s59246265_1,p17266832,s59246265,1,Findings,"There is stable location and appearance of multiple discrete collections of surgical clips as seen previously. The cardio mediastinal silhouette is unchanged from prior radiograph. There is again redemonstrated moderate cardiomegaly as well as an elongated thoracic aorta as seen on lateral view, without interval changes. The bilateral hila are unchanged in appearance. There has been no interval change in the appearance of the right perihilar opacity as compared to prior radiograph. There is stable size and appearance of previously described right lower lung zone 1.2 cm nodule. There is again noted a small/minimal left pleural effusion, however more prominent on the current study is minimal tracking intrafissural fluid. There are no pneumothoraces.",There has been no interval change in the appearance of the right perihilar opacity as compared to prior radiograph.,opacity,right perihilar,Stable,"['files/p17/p17266832/s59246265/3033aec6-9d417788-4876465f-fbb0485d-71655bc6.jpg', 'files/p17/p17266832/s59246265/b60cceec-09153ad4-aa1ef87b-c8f07c6d-54da8009.jpg']","['files/p17/p17266832/s59210902/89ec1f5e-373a97d1-690f4859-7a555241-09da8599.jpg\n', 'files/p17/p17266832/s59210902/e2107256-6f627c45-e4ac5ecd-8fdfe29f-faab1e0e.jpg\n', 'files/p17/p17266832/s59210902/eecb0b8e-597db7ef-14dd9bab-52fd0da8-1f163745.jpg\n']"
s59246265_1,p17266832,s59246265,1,Findings,"There is stable location and appearance of multiple discrete collections of surgical clips as seen previously. The cardio mediastinal silhouette is unchanged from prior radiograph. There is again redemonstrated moderate cardiomegaly as well as an elongated thoracic aorta as seen on lateral view, without interval changes. The bilateral hila are unchanged in appearance. There has been no interval change in the appearance of the right perihilar opacity as compared to prior radiograph. There is stable size and appearance of previously described right lower lung zone 1.2 cm nodule. There is again noted a small/minimal left pleural effusion, however more prominent on the current study is minimal tracking intrafissural fluid. There are no pneumothoraces.",The bilateral hila are unchanged in appearance.,hila,bilateral,Stable,"['files/p17/p17266832/s59246265/3033aec6-9d417788-4876465f-fbb0485d-71655bc6.jpg', 'files/p17/p17266832/s59246265/b60cceec-09153ad4-aa1ef87b-c8f07c6d-54da8009.jpg']","['files/p17/p17266832/s59210902/89ec1f5e-373a97d1-690f4859-7a555241-09da8599.jpg\n', 'files/p17/p17266832/s59210902/e2107256-6f627c45-e4ac5ecd-8fdfe29f-faab1e0e.jpg\n', 'files/p17/p17266832/s59210902/eecb0b8e-597db7ef-14dd9bab-52fd0da8-1f163745.jpg\n']"
s59246265_1,p17266832,s59246265,1,Impression,"1. Stable appearance of right perihilar opacity. 2. Stable small/minimal left pleural effusion, now with minimal tracking intrafissural fluid. 3. Stable right lower lung zone nodule.",3. Stable right lower lung zone nodule.,nodule,right lower lung zone,Stable,"['files/p17/p17266832/s59246265/3033aec6-9d417788-4876465f-fbb0485d-71655bc6.jpg', 'files/p17/p17266832/s59246265/b60cceec-09153ad4-aa1ef87b-c8f07c6d-54da8009.jpg']","['files/p17/p17266832/s59210902/89ec1f5e-373a97d1-690f4859-7a555241-09da8599.jpg\n', 'files/p17/p17266832/s59210902/e2107256-6f627c45-e4ac5ecd-8fdfe29f-faab1e0e.jpg\n', 'files/p17/p17266832/s59210902/eecb0b8e-597db7ef-14dd9bab-52fd0da8-1f163745.jpg\n']"
s59246265_1,p17266832,s59246265,1,Findings,"There is stable location and appearance of multiple discrete collections of surgical clips as seen previously. The cardio mediastinal silhouette is unchanged from prior radiograph. There is again redemonstrated moderate cardiomegaly as well as an elongated thoracic aorta as seen on lateral view, without interval changes. The bilateral hila are unchanged in appearance. There has been no interval change in the appearance of the right perihilar opacity as compared to prior radiograph. There is stable size and appearance of previously described right lower lung zone 1.2 cm nodule. There is again noted a small/minimal left pleural effusion, however more prominent on the current study is minimal tracking intrafissural fluid. There are no pneumothoraces.","There is again redemonstrated moderate cardiomegaly as well as an elongated thoracic aorta as seen on lateral view, without interval changes.",aorta,thoracic,Stable,"['files/p17/p17266832/s59246265/3033aec6-9d417788-4876465f-fbb0485d-71655bc6.jpg', 'files/p17/p17266832/s59246265/b60cceec-09153ad4-aa1ef87b-c8f07c6d-54da8009.jpg']","['files/p17/p17266832/s59210902/89ec1f5e-373a97d1-690f4859-7a555241-09da8599.jpg\n', 'files/p17/p17266832/s59210902/e2107256-6f627c45-e4ac5ecd-8fdfe29f-faab1e0e.jpg\n', 'files/p17/p17266832/s59210902/eecb0b8e-597db7ef-14dd9bab-52fd0da8-1f163745.jpg\n']"
s59246265_1,p17266832,s59246265,1,Impression,"1. Stable appearance of right perihilar opacity. 2. Stable small/minimal left pleural effusion, now with minimal tracking intrafissural fluid. 3. Stable right lower lung zone nodule.","2. Stable small/minimal left pleural effusion, now with minimal tracking intrafissural fluid.",pleural effusion,left,Stable,"['files/p17/p17266832/s59246265/3033aec6-9d417788-4876465f-fbb0485d-71655bc6.jpg', 'files/p17/p17266832/s59246265/b60cceec-09153ad4-aa1ef87b-c8f07c6d-54da8009.jpg']","['files/p17/p17266832/s59210902/89ec1f5e-373a97d1-690f4859-7a555241-09da8599.jpg\n', 'files/p17/p17266832/s59210902/e2107256-6f627c45-e4ac5ecd-8fdfe29f-faab1e0e.jpg\n', 'files/p17/p17266832/s59210902/eecb0b8e-597db7ef-14dd9bab-52fd0da8-1f163745.jpg\n']"
s59246265_1,p17266832,s59246265,1,Findings,"There is stable location and appearance of multiple discrete collections of surgical clips as seen previously. The cardio mediastinal silhouette is unchanged from prior radiograph. There is again redemonstrated moderate cardiomegaly as well as an elongated thoracic aorta as seen on lateral view, without interval changes. The bilateral hila are unchanged in appearance. There has been no interval change in the appearance of the right perihilar opacity as compared to prior radiograph. There is stable size and appearance of previously described right lower lung zone 1.2 cm nodule. There is again noted a small/minimal left pleural effusion, however more prominent on the current study is minimal tracking intrafissural fluid. There are no pneumothoraces.","There is again noted a small/minimal left pleural effusion, however more prominent on the current study is minimal tracking intrafissural fluid.",pleural effusion,left,Stable,"['files/p17/p17266832/s59246265/3033aec6-9d417788-4876465f-fbb0485d-71655bc6.jpg', 'files/p17/p17266832/s59246265/b60cceec-09153ad4-aa1ef87b-c8f07c6d-54da8009.jpg']","['files/p17/p17266832/s59210902/89ec1f5e-373a97d1-690f4859-7a555241-09da8599.jpg\n', 'files/p17/p17266832/s59210902/e2107256-6f627c45-e4ac5ecd-8fdfe29f-faab1e0e.jpg\n', 'files/p17/p17266832/s59210902/eecb0b8e-597db7ef-14dd9bab-52fd0da8-1f163745.jpg\n']"
s59246265_1,p17266832,s59246265,1,Findings,"There is stable location and appearance of multiple discrete collections of surgical clips as seen previously. The cardio mediastinal silhouette is unchanged from prior radiograph. There is again redemonstrated moderate cardiomegaly as well as an elongated thoracic aorta as seen on lateral view, without interval changes. The bilateral hila are unchanged in appearance. There has been no interval change in the appearance of the right perihilar opacity as compared to prior radiograph. There is stable size and appearance of previously described right lower lung zone 1.2 cm nodule. There is again noted a small/minimal left pleural effusion, however more prominent on the current study is minimal tracking intrafissural fluid. There are no pneumothoraces.",The cardio mediastinal silhouette is unchanged from prior radiograph.,silhouette,cardio mediastinal,Stable,"['files/p17/p17266832/s59246265/3033aec6-9d417788-4876465f-fbb0485d-71655bc6.jpg', 'files/p17/p17266832/s59246265/b60cceec-09153ad4-aa1ef87b-c8f07c6d-54da8009.jpg']","['files/p17/p17266832/s59210902/89ec1f5e-373a97d1-690f4859-7a555241-09da8599.jpg\n', 'files/p17/p17266832/s59210902/e2107256-6f627c45-e4ac5ecd-8fdfe29f-faab1e0e.jpg\n', 'files/p17/p17266832/s59210902/eecb0b8e-597db7ef-14dd9bab-52fd0da8-1f163745.jpg\n']"
s59246265_1,p17266832,s59246265,1,Findings,"There is stable location and appearance of multiple discrete collections of surgical clips as seen previously. The cardio mediastinal silhouette is unchanged from prior radiograph. There is again redemonstrated moderate cardiomegaly as well as an elongated thoracic aorta as seen on lateral view, without interval changes. The bilateral hila are unchanged in appearance. There has been no interval change in the appearance of the right perihilar opacity as compared to prior radiograph. There is stable size and appearance of previously described right lower lung zone 1.2 cm nodule. There is again noted a small/minimal left pleural effusion, however more prominent on the current study is minimal tracking intrafissural fluid. There are no pneumothoraces.",There is stable location and appearance of multiple discrete collections of surgical clips as seen previously.,surgical clips,multiple locations,Stable,"['files/p17/p17266832/s59246265/3033aec6-9d417788-4876465f-fbb0485d-71655bc6.jpg', 'files/p17/p17266832/s59246265/b60cceec-09153ad4-aa1ef87b-c8f07c6d-54da8009.jpg']","['files/p17/p17266832/s59210902/89ec1f5e-373a97d1-690f4859-7a555241-09da8599.jpg\n', 'files/p17/p17266832/s59210902/e2107256-6f627c45-e4ac5ecd-8fdfe29f-faab1e0e.jpg\n', 'files/p17/p17266832/s59210902/eecb0b8e-597db7ef-14dd9bab-52fd0da8-1f163745.jpg\n']"
s59246265_1,p17266832,s59246265,1,Findings,"There is stable location and appearance of multiple discrete collections of surgical clips as seen previously. The cardio mediastinal silhouette is unchanged from prior radiograph. There is again redemonstrated moderate cardiomegaly as well as an elongated thoracic aorta as seen on lateral view, without interval changes. The bilateral hila are unchanged in appearance. There has been no interval change in the appearance of the right perihilar opacity as compared to prior radiograph. There is stable size and appearance of previously described right lower lung zone 1.2 cm nodule. There is again noted a small/minimal left pleural effusion, however more prominent on the current study is minimal tracking intrafissural fluid. There are no pneumothoraces.","There is again redemonstrated moderate cardiomegaly as well as an elongated thoracic aorta as seen on lateral view, without interval changes.",cardiomegaly,thoracic,Stable,"['files/p17/p17266832/s59246265/3033aec6-9d417788-4876465f-fbb0485d-71655bc6.jpg', 'files/p17/p17266832/s59246265/b60cceec-09153ad4-aa1ef87b-c8f07c6d-54da8009.jpg']","['files/p17/p17266832/s59210902/89ec1f5e-373a97d1-690f4859-7a555241-09da8599.jpg\n', 'files/p17/p17266832/s59210902/e2107256-6f627c45-e4ac5ecd-8fdfe29f-faab1e0e.jpg\n', 'files/p17/p17266832/s59210902/eecb0b8e-597db7ef-14dd9bab-52fd0da8-1f163745.jpg\n']"
s59247330_0,p12056668,s59247330,0,Impression,"1. Endotracheal tube has its tip 5 cm above the carina. Right subclavian PICC line continues to have its tip in the mid SVC. There has been interval appearance of extensive subcutaneous emphysema. There continues to be elevation of the left hemidiaphragm with lucency beneath it likely corresponding to distended bowel. No definite pneumothorax is seen on this supine film, although the sensitivity to detect a pneumothorax is diminished given supine technique. There are likely small layering effusions and bibasilar patchy opacity which may reflect partial lower lobe atelectasis. Followup imaging in the upright or semi-erect position may be helpful to exclude an underlying pneumothorax. No pulmonary edema.",There continues to be elevation of the left hemidiaphragm with lucency beneath it likely corresponding to distended bowel.,elevation,left hemidiaphragm,Stable,['files/p12/p12056668/s59247330/0bf4ce04-1a1975cb-30d2e4c3-72803b59-f383d941.jpg'],"['files/p12/p12056668/s58168751/c5b8a2f9-090381c7-4b218f8a-c0717744-0ce9f78a.jpg\n', 'files/p12/p12056668/s58168751/c85fee28-66bb150d-3b065b0a-102fe76b-cbe662b0.jpg\n']"
s59247330_0,p12056668,s59247330,0,Impression,"1. Endotracheal tube has its tip 5 cm above the carina. Right subclavian PICC line continues to have its tip in the mid SVC. There has been interval appearance of extensive subcutaneous emphysema. There continues to be elevation of the left hemidiaphragm with lucency beneath it likely corresponding to distended bowel. No definite pneumothorax is seen on this supine film, although the sensitivity to detect a pneumothorax is diminished given supine technique. There are likely small layering effusions and bibasilar patchy opacity which may reflect partial lower lobe atelectasis. Followup imaging in the upright or semi-erect position may be helpful to exclude an underlying pneumothorax. No pulmonary edema.",There has been interval appearance of extensive subcutaneous emphysema.,emphysema,subcutaneous,New,['files/p12/p12056668/s59247330/0bf4ce04-1a1975cb-30d2e4c3-72803b59-f383d941.jpg'],"['files/p12/p12056668/s58168751/c5b8a2f9-090381c7-4b218f8a-c0717744-0ce9f78a.jpg\n', 'files/p12/p12056668/s58168751/c85fee28-66bb150d-3b065b0a-102fe76b-cbe662b0.jpg\n']"
s59257496_9,p14482820,s59257496,9,Impression,"Compared to prior chest radiographs ___ through ___. Esophageal feeding tube ends in the lower esophagus and would need to be advanced at least 15 cm to end in the stomach. Wire stylet is no longer in place. Lungs are low in volume and aside from linear atelectasis at the left base, clear. Heart is top-normal size. Pleural effusions small if any. No pneumothorax.",Wire stylet is no longer in place.,Wire stylet,,Resolve,"['files/p14/p14482820/s59257496/0d67ef39-edbb640d-072f3da3-4325786c-b61cc9ba.jpg', 'files/p14/p14482820/s59257496/b6bf7b6f-86a45cf5-a4fe0214-329758df-c141acdf.jpg']",['files/p14/p14482820/s58766220/0d46b39d-93186b93-afd0e40f-7e41e72b-54caf402.jpg\n']
s59278582_7,p10773739,s59278582,7,Findings,Cardiomediastinal contours are normal. The right lung is clear. There is no pneumothorax or right pleural effusion. There is mild elevation of the left hemidiaphragm unchanged from prior. Opacities in the left lower hemithorax have markedly improved with residual probably scarring. Blunting of the left costophrenic angles could represent a small effusion or pleural thickening. The osseous structures are unremarkable,Opacities in the left lower hemithorax have markedly improved with residual probably scarring.,opacities,left lower hemithorax,Better,"['files/p10/p10773739/s59278582/0634e821-c53b5925-d799ae9a-7d89063e-d8f88591.jpg', 'files/p10/p10773739/s59278582/0c04004a-a36c9c30-f869bd3d-e4497073-49914c51.jpg', 'files/p10/p10773739/s59278582/4286651b-827ede38-fb96335e-fc2778b6-7c25eb40.jpg']",['files/p10/p10773739/s58663163/4f3d57de-827269dc-785ac7cd-9b9c4f86-8366d5da.jpg\n']
s59278582_7,p10773739,s59278582,7,Findings,Cardiomediastinal contours are normal. The right lung is clear. There is no pneumothorax or right pleural effusion. There is mild elevation of the left hemidiaphragm unchanged from prior. Opacities in the left lower hemithorax have markedly improved with residual probably scarring. Blunting of the left costophrenic angles could represent a small effusion or pleural thickening. The osseous structures are unremarkable,There is mild elevation of the left hemidiaphragm unchanged from prior.,elevation,left hemidiaphragm,Stable,"['files/p10/p10773739/s59278582/0634e821-c53b5925-d799ae9a-7d89063e-d8f88591.jpg', 'files/p10/p10773739/s59278582/0c04004a-a36c9c30-f869bd3d-e4497073-49914c51.jpg', 'files/p10/p10773739/s59278582/4286651b-827ede38-fb96335e-fc2778b6-7c25eb40.jpg']",['files/p10/p10773739/s58663163/4f3d57de-827269dc-785ac7cd-9b9c4f86-8366d5da.jpg\n']
s59283708_6,p14482820,s59283708,6,Impression,"In comparison with the study of ___ the monitoring and support devices are unchanged. Continued enlargement of the cardiac silhouette without definite vascular congestion. Basilar atelectatic changes are seen bilaterally, especially on the left.",In comparison with the study of ___ the monitoring and support devices are unchanged.,monitoring and support devices,,Stable,['files/p14/p14482820/s59283708/efa280b4-ab9921dd-e10b0695-dea0c2f9-925ee947.jpg'],"['files/p14/p14482820/s59257496/0d67ef39-edbb640d-072f3da3-4325786c-b61cc9ba.jpg\n', 'files/p14/p14482820/s59257496/b6bf7b6f-86a45cf5-a4fe0214-329758df-c141acdf.jpg\n']"
s59300264_3,p19932024,s59300264,3,Impression,No change in mild to moderate pulmonary edema and cardiomegaly. No lobar consolidation.,No change in mild to moderate pulmonary edema and cardiomegaly.,cardiomegaly,,Stable,['files/p19/p19932024/s59300264/943f96be-7c33efa1-3665b82f-60d8f305-a6ed2d9d.jpg'],['files/p19/p19932024/s58958645/f77e46ef-2fa9d49a-1defe019-ac2c199d-7695e244.jpg\n']
s59300264_3,p19932024,s59300264,3,Impression,No change in mild to moderate pulmonary edema and cardiomegaly. No lobar consolidation.,No change in mild to moderate pulmonary edema and cardiomegaly.,pulmonary edema,,Stable,['files/p19/p19932024/s59300264/943f96be-7c33efa1-3665b82f-60d8f305-a6ed2d9d.jpg'],['files/p19/p19932024/s58958645/f77e46ef-2fa9d49a-1defe019-ac2c199d-7695e244.jpg\n']
s59300264_3,p19932024,s59300264,3,Findings,Moderately well inflated lungs with no change in prominence of pulmonary vasculature. Stable cardiomegaly. Enlarged left atrial shadow is again identified. No pleural effusions or pneumothorax. No change in bony thorax.,Stable cardiomegaly.,cardiomegaly,,Stable,['files/p19/p19932024/s59300264/943f96be-7c33efa1-3665b82f-60d8f305-a6ed2d9d.jpg'],['files/p19/p19932024/s58958645/f77e46ef-2fa9d49a-1defe019-ac2c199d-7695e244.jpg\n']
s59300264_3,p19932024,s59300264,3,Findings,Moderately well inflated lungs with no change in prominence of pulmonary vasculature. Stable cardiomegaly. Enlarged left atrial shadow is again identified. No pleural effusions or pneumothorax. No change in bony thorax.,Moderately well inflated lungs with no change in prominence of pulmonary vasculature.,prominence,pulmonary vasculature,Stable,['files/p19/p19932024/s59300264/943f96be-7c33efa1-3665b82f-60d8f305-a6ed2d9d.jpg'],['files/p19/p19932024/s58958645/f77e46ef-2fa9d49a-1defe019-ac2c199d-7695e244.jpg\n']
s59300264_3,p19932024,s59300264,3,Findings,Moderately well inflated lungs with no change in prominence of pulmonary vasculature. Stable cardiomegaly. Enlarged left atrial shadow is again identified. No pleural effusions or pneumothorax. No change in bony thorax.,Enlarged left atrial shadow is again identified.,shadow,left atrial,Worse,['files/p19/p19932024/s59300264/943f96be-7c33efa1-3665b82f-60d8f305-a6ed2d9d.jpg'],['files/p19/p19932024/s58958645/f77e46ef-2fa9d49a-1defe019-ac2c199d-7695e244.jpg\n']
s59300264_3,p19932024,s59300264,3,Findings,Moderately well inflated lungs with no change in prominence of pulmonary vasculature. Stable cardiomegaly. Enlarged left atrial shadow is again identified. No pleural effusions or pneumothorax. No change in bony thorax.,No change in bony thorax.,bony thorax,,Stable,['files/p19/p19932024/s59300264/943f96be-7c33efa1-3665b82f-60d8f305-a6ed2d9d.jpg'],['files/p19/p19932024/s58958645/f77e46ef-2fa9d49a-1defe019-ac2c199d-7695e244.jpg\n']
s59311887_0,p17123098,s59311887,0,Impression,"In comparison with the study of ___, there has been a cervical fusion procedure. Endotracheal tube tip is at the clavicular level, approximately 6 cm above the carina. The patient has taken a better inspiration though there again is enlargement of the cardiac silhouette. Mild indistinctness of pulmonary vessels could reflect minimal elevation of pulmonary venous pressure. The left hemidiaphragm is obscured, consistent with volume loss left lower lobe and pleural fluid.",The patient has taken a better inspiration though there again is enlargement of the cardiac silhouette.,Enlargement,Cardiac silhouette,Worse,['files/p17/p17123098/s59311887/ce5a7d22-9e290fa1-b2beb2a9-b96c795f-0e1a66a0.jpg'],['files/p17/p17123098/s55665898/2225b7e3-b00d512a-593b4836-fb3e6b4a-fa2b1ae5.jpg\n']
s59315283_0,p13558665,s59315283,0,Findings,"Portable supine view of the chest demonstrates low lung volumes, which accentuates bronchovascular markings. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. Endotracheal tube terminates 4 cm above the carina. The patient's known sternal and rib fractures are better seen on the CT exam of same date.",The patient's known sternal and rib fractures are better seen on the CT exam of same date.,fractures,sternal and rib,Better,['files/p13/p13558665/s59315283/7b232609-e63c02a4-28b79e05-fb02ed28-1facf2f2.jpg'],['files/p13/p13558665/s58636898/664198f0-e4b3fbb9-c7a6f117-980a1fc1-f6fa9a2f.jpg\n']
s59338798_13,p12906762,s59338798,13,Impression,"With the left pigtail catheter on water seal, there is no definite pneumothorax. Decreasing subcutaneous gas along the left lateral chest wall. Suggestion of an area of increased opacification at the right base, which could represent aspiration. Extensive opacifications at the right apex are essentially unchanged.",Extensive opacifications at the right apex are essentially unchanged.,opacifications,right apex,Stable,['files/p12/p12906762/s59338798/b6712b07-679e0714-dd203abe-15144208-07b33056.jpg'],['files/p12/p12906762/s59091002/a50abdea-4d26d980-2f94499a-cfa66e08-00087752.jpg\n']
s59338798_13,p12906762,s59338798,13,Impression,"With the left pigtail catheter on water seal, there is no definite pneumothorax. Decreasing subcutaneous gas along the left lateral chest wall. Suggestion of an area of increased opacification at the right base, which could represent aspiration. Extensive opacifications at the right apex are essentially unchanged.",Decreasing subcutaneous gas along the left lateral chest wall.,subcutaneous gas,left lateral chest wall,Better,['files/p12/p12906762/s59338798/b6712b07-679e0714-dd203abe-15144208-07b33056.jpg'],['files/p12/p12906762/s59091002/a50abdea-4d26d980-2f94499a-cfa66e08-00087752.jpg\n']
s59343870_24,p19358609,s59343870,24,Impression,"In comparison with the study ___ ___, there is little change in the appearance of the heart and lungs and the monitoring and support devices","In comparison with the study ___, there is little change in the appearance of the heart and lungs and the monitoring and support devices",heart and lungs and monitoring and support devices,,Stable,['files/p19/p19358609/s59343870/ae4f09dd-f871aed3-8165305a-661a70af-14375e0d.jpg'],['files/p19/p19358609/s59338434/3ae34505-09ffb124-9c5fe036-82b07f1e-8705cb06.jpg\n']
s59369376_7,p16319384,s59369376,7,Findings,"PA and lateral views of the chest. Left-sided pacemaker wires are stable. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.",Left-sided pacemaker wires are stable.,Pacemaker wires,Left-sided,Stable,"['files/p16/p16319384/s59369376/4a0e4892-05ce6193-0cd30bb3-2ab7b697-539ea57d.jpg', 'files/p16/p16319384/s59369376/f90a985b-e0ebbe62-bfe40107-e99c6162-7df4b246.jpg']","['files/p16/p16319384/s58808936/0a74b069-d42f7547-3e94c466-f893a9b5-926affec.jpg\n', 'files/p16/p16319384/s58808936/5efde2e0-1abd8e7b-6640d706-7a336bf2-cc8b21b0.jpg\n', 'files/p16/p16319384/s58808936/8f1b6c21-dc13ba3f-d1f686ad-50b5cebd-3c6fb05a.jpg\n']"
s59373190_17,p15911529,s59373190,17,Impression,"Right basal pigtail pleural drainage catheter unchanged in position. Small right pleural effusion is smaller, revealing atelectasis or persisting consolidation in the right lower lobe. Upper lungs are clear. Mild cardiomegaly stable. Transvenous right atrial and biventricular pacer leads continuous from the left pectoral generator. Left lung clear. Mild pulmonary vascular engorgement persists. No pneumothorax.","Small right pleural effusion is smaller, revealing atelectasis or persisting consolidation in the right lower lobe.",pleural effusion,right,Better,['files/p15/p15911529/s59373190/ff1a21e7-453d4f60-95aaa2f2-76bcd93e-8debb861.jpg'],"['files/p15/p15911529/s58807131/196485f6-66508452-3f992f30-5e0c4182-53d9d2d0.jpg\n', 'files/p15/p15911529/s58807131/442695c7-33bbfd97-387bc062-28a11538-d366fc24.jpg\n']"
s59373190_17,p15911529,s59373190,17,Impression,"Right basal pigtail pleural drainage catheter unchanged in position. Small right pleural effusion is smaller, revealing atelectasis or persisting consolidation in the right lower lobe. Upper lungs are clear. Mild cardiomegaly stable. Transvenous right atrial and biventricular pacer leads continuous from the left pectoral generator. Left lung clear. Mild pulmonary vascular engorgement persists. No pneumothorax.",Mild cardiomegaly stable.,cardiomegaly,,Stable,['files/p15/p15911529/s59373190/ff1a21e7-453d4f60-95aaa2f2-76bcd93e-8debb861.jpg'],"['files/p15/p15911529/s58807131/196485f6-66508452-3f992f30-5e0c4182-53d9d2d0.jpg\n', 'files/p15/p15911529/s58807131/442695c7-33bbfd97-387bc062-28a11538-d366fc24.jpg\n']"
s59373190_17,p15911529,s59373190,17,Impression,"Right basal pigtail pleural drainage catheter unchanged in position. Small right pleural effusion is smaller, revealing atelectasis or persisting consolidation in the right lower lobe. Upper lungs are clear. Mild cardiomegaly stable. Transvenous right atrial and biventricular pacer leads continuous from the left pectoral generator. Left lung clear. Mild pulmonary vascular engorgement persists. No pneumothorax.",Right basal pigtail pleural drainage catheter unchanged in position.,pigtail pleural drainage catheter,right basal,Stable,['files/p15/p15911529/s59373190/ff1a21e7-453d4f60-95aaa2f2-76bcd93e-8debb861.jpg'],"['files/p15/p15911529/s58807131/196485f6-66508452-3f992f30-5e0c4182-53d9d2d0.jpg\n', 'files/p15/p15911529/s58807131/442695c7-33bbfd97-387bc062-28a11538-d366fc24.jpg\n']"
s59373190_17,p15911529,s59373190,17,Impression,"Right basal pigtail pleural drainage catheter unchanged in position. Small right pleural effusion is smaller, revealing atelectasis or persisting consolidation in the right lower lobe. Upper lungs are clear. Mild cardiomegaly stable. Transvenous right atrial and biventricular pacer leads continuous from the left pectoral generator. Left lung clear. Mild pulmonary vascular engorgement persists. No pneumothorax.",Mild pulmonary vascular engorgement persists.,pulmonary vascular engorgement,,Stable,['files/p15/p15911529/s59373190/ff1a21e7-453d4f60-95aaa2f2-76bcd93e-8debb861.jpg'],"['files/p15/p15911529/s58807131/196485f6-66508452-3f992f30-5e0c4182-53d9d2d0.jpg\n', 'files/p15/p15911529/s58807131/442695c7-33bbfd97-387bc062-28a11538-d366fc24.jpg\n']"
s59377628_15,p13421580,s59377628,15,Impression,"1. Endotracheal tube, right internal jugular central line, and feeding tube and left PICC line do not appear to be significantly changed, although the tip of the nasogastric tube is not identified on the current study. There continue to be bilateral layering effusions with bibasilar airspace disease, and these findings likely reflect bilateral pleural effusions with compressive atelectasis and superimposed moderate pulmonary edema. A superimposed infectious process cannot be excluded. Overall, however, there has been no significant interval change. Cardiac and mediastinal contours are stable. No pneumothorax.",Cardiac and mediastinal contours are stable.,contours,Cardiac and mediastinal,Stable,['files/p13/p13421580/s59377628/b9d3c16c-c812c4bf-c62245c0-d8eabccb-5df44b6e.jpg'],"['files/p13/p13421580/s59027014/93f6b333-7c04f0e9-de3de1e5-ccd8adbd-0b89681a.jpg\n', 'files/p13/p13421580/s59027014/da4a05e0-883101fe-b029b869-6baa6722-62c01efd.jpg\n']"
s59377628_15,p13421580,s59377628,15,Impression,"1. Endotracheal tube, right internal jugular central line, and feeding tube and left PICC line do not appear to be significantly changed, although the tip of the nasogastric tube is not identified on the current study. There continue to be bilateral layering effusions with bibasilar airspace disease, and these findings likely reflect bilateral pleural effusions with compressive atelectasis and superimposed moderate pulmonary edema. A superimposed infectious process cannot be excluded. Overall, however, there has been no significant interval change. Cardiac and mediastinal contours are stable. No pneumothorax.","Overall, however, there has been no significant interval change.",,general,Stable,['files/p13/p13421580/s59377628/b9d3c16c-c812c4bf-c62245c0-d8eabccb-5df44b6e.jpg'],"['files/p13/p13421580/s59027014/93f6b333-7c04f0e9-de3de1e5-ccd8adbd-0b89681a.jpg\n', 'files/p13/p13421580/s59027014/da4a05e0-883101fe-b029b869-6baa6722-62c01efd.jpg\n']"
s59377628_15,p13421580,s59377628,15,Impression,"1. Endotracheal tube, right internal jugular central line, and feeding tube and left PICC line do not appear to be significantly changed, although the tip of the nasogastric tube is not identified on the current study. There continue to be bilateral layering effusions with bibasilar airspace disease, and these findings likely reflect bilateral pleural effusions with compressive atelectasis and superimposed moderate pulmonary edema. A superimposed infectious process cannot be excluded. Overall, however, there has been no significant interval change. Cardiac and mediastinal contours are stable. No pneumothorax.","1. Endotracheal tube, right internal jugular central line, and feeding tube and left PICC line do not appear to be significantly changed, although the tip of the nasogastric tube is not identified on the current study.","Endotracheal tube, right internal jugular central line, feeding tube, left PICC line",various,Stable,['files/p13/p13421580/s59377628/b9d3c16c-c812c4bf-c62245c0-d8eabccb-5df44b6e.jpg'],"['files/p13/p13421580/s59027014/93f6b333-7c04f0e9-de3de1e5-ccd8adbd-0b89681a.jpg\n', 'files/p13/p13421580/s59027014/da4a05e0-883101fe-b029b869-6baa6722-62c01efd.jpg\n']"
s59383182_4,p10543994,s59383182,4,Impression,"Since the prior study there is minimal interval change in cardiomegaly, mediastinal contours, lines as well as parenchymal opacities. The right lung appears to be more involved than left. The consolidation is slightly more asymmetric than on the prior study and does either worsening of interstitial process or superimposed infection in the right lung are possibility. Correlation with chest CT would be justified at this point",The consolidation is slightly more asymmetric than on the prior study and does either worsening of interstitial process or superimposed infection in the right lung are possibility.,consolidation,right lung,Worse,['files/p10/p10543994/s59383182/b2093612-0ee94341-26838e2f-d6912ecd-14c5aa64.jpg'],['files/p10/p10543994/s58967663/e666163a-857953ec-9b3034d3-6020c1aa-12c0c11a.jpg\n']
s59383182_4,p10543994,s59383182,4,Impression,"Since the prior study there is minimal interval change in cardiomegaly, mediastinal contours, lines as well as parenchymal opacities. The right lung appears to be more involved than left. The consolidation is slightly more asymmetric than on the prior study and does either worsening of interstitial process or superimposed infection in the right lung are possibility. Correlation with chest CT would be justified at this point","Since the prior study there is minimal interval change in cardiomegaly, mediastinal contours, lines as well as parenchymal opacities.",parenchymal opacities,,Stable,['files/p10/p10543994/s59383182/b2093612-0ee94341-26838e2f-d6912ecd-14c5aa64.jpg'],['files/p10/p10543994/s58967663/e666163a-857953ec-9b3034d3-6020c1aa-12c0c11a.jpg\n']
s59383182_4,p10543994,s59383182,4,Impression,"Since the prior study there is minimal interval change in cardiomegaly, mediastinal contours, lines as well as parenchymal opacities. The right lung appears to be more involved than left. The consolidation is slightly more asymmetric than on the prior study and does either worsening of interstitial process or superimposed infection in the right lung are possibility. Correlation with chest CT would be justified at this point","Since the prior study there is minimal interval change in cardiomegaly, mediastinal contours, lines as well as parenchymal opacities.",mediastinal contours,,Stable,['files/p10/p10543994/s59383182/b2093612-0ee94341-26838e2f-d6912ecd-14c5aa64.jpg'],['files/p10/p10543994/s58967663/e666163a-857953ec-9b3034d3-6020c1aa-12c0c11a.jpg\n']
s59383182_4,p10543994,s59383182,4,Impression,"Since the prior study there is minimal interval change in cardiomegaly, mediastinal contours, lines as well as parenchymal opacities. The right lung appears to be more involved than left. The consolidation is slightly more asymmetric than on the prior study and does either worsening of interstitial process or superimposed infection in the right lung are possibility. Correlation with chest CT would be justified at this point","Since the prior study there is minimal interval change in cardiomegaly, mediastinal contours, lines as well as parenchymal opacities.",cardiomegaly,,Stable,['files/p10/p10543994/s59383182/b2093612-0ee94341-26838e2f-d6912ecd-14c5aa64.jpg'],['files/p10/p10543994/s58967663/e666163a-857953ec-9b3034d3-6020c1aa-12c0c11a.jpg\n']
s59397370_20,p17559288,s59397370,20,Findings,"In comparison with the study of earlier in this date, there has been placement of a right chest tube with some decrease in the still moderate apical pneumothorax. Remainder of the study is unchanged.","In comparison with the study of earlier in this date, there has been placement of a right chest tube with some decrease in the still moderate apical pneumothorax.",chest tube,right,New,['files/p17/p17559288/s59397370/293051c7-fe34be87-e9c6cd58-0e979833-3f579639.jpg'],['files/p17/p17559288/s59217802/bf8bed6d-ee8d4d92-df4bc99c-0733597b-e4a90442.jpg\n']
s59397370_20,p17559288,s59397370,20,Findings,"In comparison with the study of earlier in this date, there has been placement of a right chest tube with some decrease in the still moderate apical pneumothorax. Remainder of the study is unchanged.","In comparison with the study of earlier in this date, there has been placement of a right chest tube with some decrease in the still moderate apical pneumothorax.",pneumothorax,apical,Worse,['files/p17/p17559288/s59397370/293051c7-fe34be87-e9c6cd58-0e979833-3f579639.jpg'],['files/p17/p17559288/s59217802/bf8bed6d-ee8d4d92-df4bc99c-0733597b-e4a90442.jpg\n']
s59397743_0,p12521573,s59397743,0,Impression,Stable appearance of the chest with elevated left hemidiaphragm. No overt failure.,Stable appearance of the chest with elevated left hemidiaphragm.,hemidiaphragm elevation,left,Stable,"['files/p12/p12521573/s59397743/2c69ade8-24448991-edc21d3e-7298899d-6ece7e0a.jpg', 'files/p12/p12521573/s59397743/d24b5355-c7b4a8cb-680e6185-0280353a-18bff492.jpg']","['files/p12/p12521573/s58700633/2522581e-ac120282-c9568047-88e5dfff-2e19d8e4.jpg\n', 'files/p12/p12521573/s58700633/9ef62dcd-4b3e52d1-80cd9cd2-655e3c3b-b0669fc5.jpg\n', 'files/p12/p12521573/s58700633/eac81c8c-1dc5b6da-13af8380-a66641a0-1a204f81.jpg\n']"
s59397743_0,p12521573,s59397743,0,Findings,"AP upright and lateral views of the chest were provided. There is stable elevation of the left hemidiaphragm, unchanged from ___. No focal consolidation, large effusion or pneumothorax is seen. There is grossly stable appearance of the cardiomediastinal silhouette. Imaged osseous structures are intact. Degenerative changes in the mid thoracic spine are noted.",There is grossly stable appearance of the cardiomediastinal silhouette.,cardiomediastinal silhouette,,Stable,"['files/p12/p12521573/s59397743/2c69ade8-24448991-edc21d3e-7298899d-6ece7e0a.jpg', 'files/p12/p12521573/s59397743/d24b5355-c7b4a8cb-680e6185-0280353a-18bff492.jpg']","['files/p12/p12521573/s58700633/2522581e-ac120282-c9568047-88e5dfff-2e19d8e4.jpg\n', 'files/p12/p12521573/s58700633/9ef62dcd-4b3e52d1-80cd9cd2-655e3c3b-b0669fc5.jpg\n', 'files/p12/p12521573/s58700633/eac81c8c-1dc5b6da-13af8380-a66641a0-1a204f81.jpg\n']"
s59397743_0,p12521573,s59397743,0,Findings,"AP upright and lateral views of the chest were provided. There is stable elevation of the left hemidiaphragm, unchanged from ___. No focal consolidation, large effusion or pneumothorax is seen. There is grossly stable appearance of the cardiomediastinal silhouette. Imaged osseous structures are intact. Degenerative changes in the mid thoracic spine are noted.","There is stable elevation of the left hemidiaphragm, unchanged from ___.",hemidiaphragm elevation,left,Stable,"['files/p12/p12521573/s59397743/2c69ade8-24448991-edc21d3e-7298899d-6ece7e0a.jpg', 'files/p12/p12521573/s59397743/d24b5355-c7b4a8cb-680e6185-0280353a-18bff492.jpg']","['files/p12/p12521573/s58700633/2522581e-ac120282-c9568047-88e5dfff-2e19d8e4.jpg\n', 'files/p12/p12521573/s58700633/9ef62dcd-4b3e52d1-80cd9cd2-655e3c3b-b0669fc5.jpg\n', 'files/p12/p12521573/s58700633/eac81c8c-1dc5b6da-13af8380-a66641a0-1a204f81.jpg\n']"
s59403702_12,p11925631,s59403702,12,Impression,"In comparison with the study of ___ the right heart border is not as sharply seen. However, there is no evidence of a opacification overlying the cardiac silhouette on the lateral view, and therefore no evidence of acute focal pneumonia. No cardiomegaly or vascular congestion or pleural effusion.",In comparison with the study of ___ the right heart border is not as sharply seen.,visibility,right heart border,Worse,"['files/p11/p11925631/s59403702/44f46b9b-c9fa5d0e-60b6b805-910142d9-93721971.jpg', 'files/p11/p11925631/s59403702/7c2f91e9-a7031c70-2a73d302-0080f356-544ae51c.jpg']","['files/p11/p11925631/s58651437/3dd4e4e5-e6793772-9ea89ee4-5984f91b-04184847.jpg\n', 'files/p11/p11925631/s58651437/f075ce73-c9417eb6-96794bef-5c430ca4-d3026797.jpg\n']"
s59405581_15,p17055995,s59405581,15,Impression,"As compared to ___ chest radiograph, cardiomediastinal contours are within normal limits and without change. Lungs are clear except for linear left basilar atelectasis. No concerning pleural abnormality.","As compared to ___ chest radiograph, cardiomediastinal contours are within normal limits and without change.",contours,cardiomediastinal,Stable,['files/p17/p17055995/s59405581/66b3064a-b52efc14-63d86d5a-2ca784fb-c9d916a7.jpg'],"['files/p17/p17055995/s58971922/78c48cee-1c2a502c-9a948c79-770c6b18-1c0335bf.jpg\n', 'files/p17/p17055995/s58971922/abc5956e-8aef8550-9f0b9742-9da0df9a-e1a0c7cf.jpg\n', 'files/p17/p17055995/s58971922/edd75897-885603a4-3405825d-0ecd9d36-cda173c1.jpg\n']"
s59409243_0,p11529986,s59409243,0,Findings,"Lung volumes are low, however the lungs are grossly clear. There is a large hiatal hernia. The heart and mediastinum are within normal limits. There is generalized osteopenia and multilevel spinal degenerative changes. Subtle sclerotic lesions in multiple thoracic vertebral bodies likely correspond to known sclerotic metastases. No radiographic evidence of obvious progression or complications. Thoracolumbar spine kyphosis is worsened since ___.",Thoracolumbar spine kyphosis is worsened since ___.,kyphosis,Thoracolumbar spine,Worse,"['files/p11/p11529986/s59409243/2c13c94d-a6893cf5-5cd6d737-fe3cfe58-c9ba37c1.jpg', 'files/p11/p11529986/s59409243/ded2ded1-1fe6cca7-0b90912a-e5ecd92b-3eaab81c.jpg', 'files/p11/p11529986/s59409243/f08ccf15-c89bcee2-de085991-51e9aa5f-64704b8b.jpg']","['files/p11/p11529986/s55864646/4e988876-de35584e-49fde4ca-bfa3f240-b99a8e3a.jpg\n', 'files/p11/p11529986/s55864646/dfa6aa31-59502aee-a73c4b24-1b369d25-d3f48851.jpg\n']"
s59435140_3,p17680905,s59435140,3,Impression,No relevant change as compared to the previous radiograph. Improved ventilation of the lung bases. No evidence for the presence of a pneumothorax. A minimal right pleural effusion might be present. No pulmonary edema. Unchanged alignment of the sternal wires. Unchanged postoperative appearance of the cardiac silhouette.,Improved ventilation of the lung bases.,Ventilation,Lung bases,Better,['files/p17/p17680905/s59435140/52d0b1e8-13061056-a5c5ab19-2b06aa45-a87d4502.jpg'],['files/p17/p17680905/s59156144/231fd0bd-bf21c178-9c9bbc5a-d859a30c-7086f6a6.jpg\n']
s59435140_3,p17680905,s59435140,3,Impression,No relevant change as compared to the previous radiograph. Improved ventilation of the lung bases. No evidence for the presence of a pneumothorax. A minimal right pleural effusion might be present. No pulmonary edema. Unchanged alignment of the sternal wires. Unchanged postoperative appearance of the cardiac silhouette.,No relevant change as compared to the previous radiograph.,Appearance,Chest,Stable,['files/p17/p17680905/s59435140/52d0b1e8-13061056-a5c5ab19-2b06aa45-a87d4502.jpg'],['files/p17/p17680905/s59156144/231fd0bd-bf21c178-9c9bbc5a-d859a30c-7086f6a6.jpg\n']
s59435140_3,p17680905,s59435140,3,Impression,No relevant change as compared to the previous radiograph. Improved ventilation of the lung bases. No evidence for the presence of a pneumothorax. A minimal right pleural effusion might be present. No pulmonary edema. Unchanged alignment of the sternal wires. Unchanged postoperative appearance of the cardiac silhouette.,Unchanged postoperative appearance of the cardiac silhouette.,Silhouette,Cardiac,Stable,['files/p17/p17680905/s59435140/52d0b1e8-13061056-a5c5ab19-2b06aa45-a87d4502.jpg'],['files/p17/p17680905/s59156144/231fd0bd-bf21c178-9c9bbc5a-d859a30c-7086f6a6.jpg\n']
s59435140_3,p17680905,s59435140,3,Impression,No relevant change as compared to the previous radiograph. Improved ventilation of the lung bases. No evidence for the presence of a pneumothorax. A minimal right pleural effusion might be present. No pulmonary edema. Unchanged alignment of the sternal wires. Unchanged postoperative appearance of the cardiac silhouette.,Unchanged alignment of the sternal wires.,Alignment of wires,Sternal,Stable,['files/p17/p17680905/s59435140/52d0b1e8-13061056-a5c5ab19-2b06aa45-a87d4502.jpg'],['files/p17/p17680905/s59156144/231fd0bd-bf21c178-9c9bbc5a-d859a30c-7086f6a6.jpg\n']
s59437027_3,p12669344,s59437027,3,Impression,"As compared to the previous radiograph, there is an increase in interstitial markings surrounding the medial aspect 's of the right lower lung and the lower aspect of the right hilus. In the appropriate clinical setting, these changes could reflect pneumonia. Increasing retrocardiac atelectasis. Moderate cardiomegaly persists. The monitoring and support devices are in correct unchanged position. No pulmonary edema.",Increasing retrocardiac atelectasis.,Atelectasis,retrocardiac,Worse,['files/p12/p12669344/s59437027/edd99c90-fa96205f-04b2900c-127c69bd-d632e5c5.jpg'],['files/p12/p12669344/s58890484/8c740b46-36733ece-3c0cf641-1644df78-0219c847.jpg\n']
s59437027_3,p12669344,s59437027,3,Impression,"As compared to the previous radiograph, there is an increase in interstitial markings surrounding the medial aspect 's of the right lower lung and the lower aspect of the right hilus. In the appropriate clinical setting, these changes could reflect pneumonia. Increasing retrocardiac atelectasis. Moderate cardiomegaly persists. The monitoring and support devices are in correct unchanged position. No pulmonary edema.",Moderate cardiomegaly persists.,Cardiomegaly,,Stable,['files/p12/p12669344/s59437027/edd99c90-fa96205f-04b2900c-127c69bd-d632e5c5.jpg'],['files/p12/p12669344/s58890484/8c740b46-36733ece-3c0cf641-1644df78-0219c847.jpg\n']
s59437027_3,p12669344,s59437027,3,Impression,"As compared to the previous radiograph, there is an increase in interstitial markings surrounding the medial aspect 's of the right lower lung and the lower aspect of the right hilus. In the appropriate clinical setting, these changes could reflect pneumonia. Increasing retrocardiac atelectasis. Moderate cardiomegaly persists. The monitoring and support devices are in correct unchanged position. No pulmonary edema.",The monitoring and support devices are in correct unchanged position.,Monitoring and support devices position,,Stable,['files/p12/p12669344/s59437027/edd99c90-fa96205f-04b2900c-127c69bd-d632e5c5.jpg'],['files/p12/p12669344/s58890484/8c740b46-36733ece-3c0cf641-1644df78-0219c847.jpg\n']
s59437027_3,p12669344,s59437027,3,Impression,"As compared to the previous radiograph, there is an increase in interstitial markings surrounding the medial aspect 's of the right lower lung and the lower aspect of the right hilus. In the appropriate clinical setting, these changes could reflect pneumonia. Increasing retrocardiac atelectasis. Moderate cardiomegaly persists. The monitoring and support devices are in correct unchanged position. No pulmonary edema.","As compared to the previous radiograph, there is an increase in interstitial markings surrounding the medial aspect 's of the right lower lung and the lower aspect of the right hilus.",Interstitial markings,right lower lung and lower aspect of the right hilus,Worse,['files/p12/p12669344/s59437027/edd99c90-fa96205f-04b2900c-127c69bd-d632e5c5.jpg'],['files/p12/p12669344/s58890484/8c740b46-36733ece-3c0cf641-1644df78-0219c847.jpg\n']
s59455276_0,p11068484,s59455276,0,Impression,Heart size is prominent but stable. There are calcifications of the thoracic aorta. There are very low lung volumes. There is atelectasis at the lung bases. There is a left retrocardiac opacity. There is prominence of the pulmonary interstitial markings suggestive of mild pulmonary edema. No pneumothoraces are seen.,Heart size is prominent but stable.,Heart size,,Stable,"['files/p11/p11068484/s59455276/804c7e55-eb848216-fc96a88b-0e374004-dacbc260.jpg', 'files/p11/p11068484/s59455276/a85d21f5-217f24d8-6de4274b-ec73620f-ac05403c.jpg']",['files/p11/p11068484/s57395441/06e2fd1d-35c95f84-e6021f4a-4611a14e-a4b9a693.jpg\n']
s59462065_2,p14290919,s59462065,2,Findings,There is moderate retrocardiac and left basilar atelectasis. A small left pleural effusion is possible. The right lung is clear. Heart size is stable. No pulmonary edema or pneumothorax. No focal consolidations are noted. Median sternotomy wires are identified.,Heart size is stable.,Heart size,,Stable,['files/p14/p14290919/s59462065/a56cf43f-68487112-6618a5b8-67fe4506-0adbd299.jpg'],"['files/p14/p14290919/s54487013/0fc2d99b-eff0623b-d049fa31-204e4774-d1cf3168.jpg\n', 'files/p14/p14290919/s54487013/cf93eaa8-246c2d54-99361712-29f491cb-b5dc78fb.jpg\n']"
s59472868_1,p10750092,s59472868,1,Findings,"In the interim, the patient has been intubated, the endotracheal tube tip lies no less than 1.3 cm from the level of the carina. The lungs remain hyperexpanded, with no pneumothorax or pleural effusion. The cardiac silhouette remains normal in size, the mediastinal contours are notable for aortic ectasia. There is a healed fracture of the posterolateral right fifth rib. An NG tube remains in place with its tip and sidehole within the stomach. Note is made of mitral annular calcifications.",An NG tube remains in place with its tip and sidehole within the stomach.,NG tube,stomach,Stable,['files/p10/p10750092/s59472868/632aa920-047fa58d-57bb9ec3-53497e57-ab6df53a.jpg'],['files/p10/p10750092/s57870796/ce531719-78a6c8a0-6db6ac35-9786e10c-8ff62104.jpg\n']
s59472868_1,p10750092,s59472868,1,Impression,"1. Interval intubation, endotracheal tube tip is at least 1.3 cm from the level of the carina. 2. Hyperexpansion, with no acute chest abnormality.","1. Interval intubation, endotracheal tube tip is at least 1.3 cm from the level of the carina.",endotracheal tube,1.3 cm from the level of the carina,New,['files/p10/p10750092/s59472868/632aa920-047fa58d-57bb9ec3-53497e57-ab6df53a.jpg'],['files/p10/p10750092/s57870796/ce531719-78a6c8a0-6db6ac35-9786e10c-8ff62104.jpg\n']
s59472868_1,p10750092,s59472868,1,Findings,"In the interim, the patient has been intubated, the endotracheal tube tip lies no less than 1.3 cm from the level of the carina. The lungs remain hyperexpanded, with no pneumothorax or pleural effusion. The cardiac silhouette remains normal in size, the mediastinal contours are notable for aortic ectasia. There is a healed fracture of the posterolateral right fifth rib. An NG tube remains in place with its tip and sidehole within the stomach. Note is made of mitral annular calcifications.","The cardiac silhouette remains normal in size, the mediastinal contours are notable for aortic ectasia.",normal size,cardiac silhouette,Stable,['files/p10/p10750092/s59472868/632aa920-047fa58d-57bb9ec3-53497e57-ab6df53a.jpg'],['files/p10/p10750092/s57870796/ce531719-78a6c8a0-6db6ac35-9786e10c-8ff62104.jpg\n']
s59472868_1,p10750092,s59472868,1,Findings,"In the interim, the patient has been intubated, the endotracheal tube tip lies no less than 1.3 cm from the level of the carina. The lungs remain hyperexpanded, with no pneumothorax or pleural effusion. The cardiac silhouette remains normal in size, the mediastinal contours are notable for aortic ectasia. There is a healed fracture of the posterolateral right fifth rib. An NG tube remains in place with its tip and sidehole within the stomach. Note is made of mitral annular calcifications.","In the interim, the patient has been intubated, the endotracheal tube tip lies no less than 1.3 cm from the level of the carina.",endotracheal tube,1.3 cm from the level of the carina,New,['files/p10/p10750092/s59472868/632aa920-047fa58d-57bb9ec3-53497e57-ab6df53a.jpg'],['files/p10/p10750092/s57870796/ce531719-78a6c8a0-6db6ac35-9786e10c-8ff62104.jpg\n']
s59472868_1,p10750092,s59472868,1,Findings,"In the interim, the patient has been intubated, the endotracheal tube tip lies no less than 1.3 cm from the level of the carina. The lungs remain hyperexpanded, with no pneumothorax or pleural effusion. The cardiac silhouette remains normal in size, the mediastinal contours are notable for aortic ectasia. There is a healed fracture of the posterolateral right fifth rib. An NG tube remains in place with its tip and sidehole within the stomach. Note is made of mitral annular calcifications.","The lungs remain hyperexpanded, with no pneumothorax or pleural effusion.",hyperexpanded,lungs,Stable,['files/p10/p10750092/s59472868/632aa920-047fa58d-57bb9ec3-53497e57-ab6df53a.jpg'],['files/p10/p10750092/s57870796/ce531719-78a6c8a0-6db6ac35-9786e10c-8ff62104.jpg\n']
s59474704_33,p15911529,s59474704,33,Findings,"Interval removal of the right pigtail catheter. Otherwise, no overall change since the previous exam. The loculated right pleural effusion, which demonstrates some tracking in the minor fissure is grossly stable. Mild right lateral pleural thickening. Small left pleural effusion. No pneumothorax or pulmonary edema. Stable cardiomegaly and cardiomediastinal contours. No changes in the position of the 3 lead cardiac device.",Interval removal of the right pigtail catheter.,Pigtail catheter,right,Resolve,['files/p15/p15911529/s59474704/0184704e-f5d6feff-cbe7f37e-d6c77a0f-db1e7472.jpg'],['files/p15/p15911529/s59373190/ff1a21e7-453d4f60-95aaa2f2-76bcd93e-8debb861.jpg\n']
s59474704_33,p15911529,s59474704,33,Findings,"Interval removal of the right pigtail catheter. Otherwise, no overall change since the previous exam. The loculated right pleural effusion, which demonstrates some tracking in the minor fissure is grossly stable. Mild right lateral pleural thickening. Small left pleural effusion. No pneumothorax or pulmonary edema. Stable cardiomegaly and cardiomediastinal contours. No changes in the position of the 3 lead cardiac device.",No changes in the position of the 3 lead cardiac device.,3 lead cardiac device,,Stable,['files/p15/p15911529/s59474704/0184704e-f5d6feff-cbe7f37e-d6c77a0f-db1e7472.jpg'],['files/p15/p15911529/s59373190/ff1a21e7-453d4f60-95aaa2f2-76bcd93e-8debb861.jpg\n']
s59474704_33,p15911529,s59474704,33,Findings,"Interval removal of the right pigtail catheter. Otherwise, no overall change since the previous exam. The loculated right pleural effusion, which demonstrates some tracking in the minor fissure is grossly stable. Mild right lateral pleural thickening. Small left pleural effusion. No pneumothorax or pulmonary edema. Stable cardiomegaly and cardiomediastinal contours. No changes in the position of the 3 lead cardiac device.",Stable cardiomegaly and cardiomediastinal contours.,Cardiomegaly,,Stable,['files/p15/p15911529/s59474704/0184704e-f5d6feff-cbe7f37e-d6c77a0f-db1e7472.jpg'],['files/p15/p15911529/s59373190/ff1a21e7-453d4f60-95aaa2f2-76bcd93e-8debb861.jpg\n']
s59474704_33,p15911529,s59474704,33,Impression,No overall change in the size of the right pleural effusion after removal of the right pigtail catheter. No pneumothorax.,No overall change in the size of the right pleural effusion after removal of the right pigtail catheter.,Pleural effusion,right,Stable,['files/p15/p15911529/s59474704/0184704e-f5d6feff-cbe7f37e-d6c77a0f-db1e7472.jpg'],['files/p15/p15911529/s59373190/ff1a21e7-453d4f60-95aaa2f2-76bcd93e-8debb861.jpg\n']
s59474704_33,p15911529,s59474704,33,Findings,"Interval removal of the right pigtail catheter. Otherwise, no overall change since the previous exam. The loculated right pleural effusion, which demonstrates some tracking in the minor fissure is grossly stable. Mild right lateral pleural thickening. Small left pleural effusion. No pneumothorax or pulmonary edema. Stable cardiomegaly and cardiomediastinal contours. No changes in the position of the 3 lead cardiac device.","The loculated right pleural effusion, which demonstrates some tracking in the minor fissure is grossly stable.",Loculated pleural effusion,"right, minor fissure",Stable,['files/p15/p15911529/s59474704/0184704e-f5d6feff-cbe7f37e-d6c77a0f-db1e7472.jpg'],['files/p15/p15911529/s59373190/ff1a21e7-453d4f60-95aaa2f2-76bcd93e-8debb861.jpg\n']
s59475713_2,p15176968,s59475713,2,Impression,Improvement in CHF.,Improvement in CHF.,CHF,,Better,['files/p15/p15176968/s59475713/b4e881ec-b2dbe4eb-824d9649-07862804-17af7264.jpg'],
s59475713_2,p15176968,s59475713,2,Findings,There has been interval decrease in the bilateral pleural effusions with small residual pleural effusions left greater than right there is some volume loss at the left base heart is mildly increased in size.,There has been interval decrease in the bilateral pleural effusions with small residual pleural effusions left greater than right there is some volume loss at the left base heart is mildly increased in size.,pleural effusions,bilateral,Better,['files/p15/p15176968/s59475713/b4e881ec-b2dbe4eb-824d9649-07862804-17af7264.jpg'],
s59475713_2,p15176968,s59475713,2,Findings,There has been interval decrease in the bilateral pleural effusions with small residual pleural effusions left greater than right there is some volume loss at the left base heart is mildly increased in size.,There has been interval decrease in the bilateral pleural effusions with small residual pleural effusions left greater than right there is some volume loss at the left base heart is mildly increased in size.,heart size,,Stable,['files/p15/p15176968/s59475713/b4e881ec-b2dbe4eb-824d9649-07862804-17af7264.jpg'],
s59507971_68,p11717909,s59507971,68,Findings,These are two views during Dobhoff placement. On the second film the feeding tube tip is in the stomach. NG tube is been removed. The right IJ line is unchanged. The appearance the lungs are unchanged.,NG tube is been removed.,NG tube,,Resolve,"['files/p11/p11717909/s59507971/86cbbd27-298942a6-03e4baae-97bf2fa6-7959f957.jpg', 'files/p11/p11717909/s59507971/a92dc43d-69675ba1-b327698d-39a479af-fd78fba4.jpg']",['files/p11/p11717909/s59231099/7798f90f-d4185983-5f262189-fe7879ae-df20ce5d.jpg\n']
s59515380_1,p11442039,s59515380,1,Impression,"Compared to chest radiographs ___. Relative elevation of the right hemidiaphragm is more pronounced today, but unexplained. Lungs are grossly clear. Normal cardiomediastinal and hilar silhouettes and pleural surfaces.","Compared to chest radiographs ___. Relative elevation of the right hemidiaphragm is more pronounced today, but unexplained.",elevation,right hemidiaphragm,Worse,['files/p11/p11442039/s59515380/d3a7a4ec-d8c2bf03-e0bd22f1-4c39d667-2b5dd849.jpg'],"['files/p11/p11442039/s54889965/bde3538e-7dd799a6-2e524bd0-78754798-97ab1afa.jpg\n', 'files/p11/p11442039/s54889965/f086c561-9ee26e41-62786cc5-de4c7709-13df81fa.jpg\n']"
s59538225_2,p10198310,s59538225,2,Impression,"In comparison with the study of ___, there appears to be a new pacer generator in place with what appear to be epicardial leads in the region of the left ventricle. No evidence of post procedure pneumothorax. There are lower lung volumes that may be accentuating the pulmonary vascularity.","In comparison with the study of ___, there appears to be a new pacer generator in place with what appear to be epicardial leads in the region of the left ventricle.",Pacer generator and epicardial leads,Left ventricle,New,['files/p10/p10198310/s59538225/3971a847-5fdaeaec-226d2538-7ef67cf3-d5955a86.jpg'],"['files/p10/p10198310/s57420501/691d5bdf-502c05bd-000c22a0-9be0768d-e13bb54d.jpg\n', 'files/p10/p10198310/s57420501/a94f823a-d1f6f5aa-de10d9b8-37f6c6c1-e9631495.jpg\n']"
s59539063_0,p14255450,s59539063,0,Findings,"As compared to the previous radiograph, there is no relevant change. Limited image quality. Normal size of the cardiac silhouette, in particular normal contour of the right heart. Modaerate tortuosity of the thoracic aorta. Normal hilar and mediastinal structures. No evidence of pleural effusions or local oligemia. No peripheral wedge-shaped parenchymal opacities. No pneumothorax. No pulmonary edema. No lung nodules or masses.","As compared to the previous radiograph, there is no relevant change.",,,Stable,['files/p14/p14255450/s59539063/71c5fd1a-6b349ef4-fa30d201-f780545a-a9a5340d.jpg'],"['files/p14/p14255450/s58031591/53dfc274-a8ac41b8-e160c4bf-556a2631-f52cd331.jpg\n', 'files/p14/p14255450/s58031591/5f20a219-ce5d1785-0d1ef8d8-0076ce72-f8038b5a.jpg\n', 'files/p14/p14255450/s58031591/c6b5d82e-e8fc8b40-f3b15ba8-bdaebf05-85bbb5cf.jpg\n', 'files/p14/p14255450/s58031591/df3e97d7-fd77aab4-5efdb12d-111b9a8c-e9569b7c.jpg\n']"
s59546763_3,p17079101,s59546763,3,Impression,"Right PICC retracted with tip terminating in the upper-to-mid SVC. Findings were reported by Dr. ___ to IV nurse, ___, via telephone at 10:40 a.m. on ___.",Right PICC retracted with tip terminating in the upper-to-mid SVC.,PICC,right,Resolve,['files/p17/p17079101/s59546763/c192e7be-3c9c15d0-ae8a7d3d-a117f975-65afe9ad.jpg'],['files/p17/p17079101/s58066330/b6d980d3-b586c166-d29fa9de-6a7335ae-35148194.jpg\n']
s59546763_3,p17079101,s59546763,3,Findings,"The right PICC has been retracted with the tip now terminating in the upper-to-mid SVC. The appearance of the chest is otherwise unchanged from chest radiograph performed earlier the same day with evidence of right-sided volume loss, mild pulmonary vascular congestion and mild bibasilar atelectasis.","The appearance of the chest is otherwise unchanged from chest radiograph performed earlier the same day with evidence of right-sided volume loss, mild pulmonary vascular congestion and mild bibasilar atelectasis.",atelectasis,bibasilar,Stable,['files/p17/p17079101/s59546763/c192e7be-3c9c15d0-ae8a7d3d-a117f975-65afe9ad.jpg'],['files/p17/p17079101/s58066330/b6d980d3-b586c166-d29fa9de-6a7335ae-35148194.jpg\n']
s59546763_3,p17079101,s59546763,3,Findings,"The right PICC has been retracted with the tip now terminating in the upper-to-mid SVC. The appearance of the chest is otherwise unchanged from chest radiograph performed earlier the same day with evidence of right-sided volume loss, mild pulmonary vascular congestion and mild bibasilar atelectasis.",The right PICC has been retracted with the tip now terminating in the upper-to-mid SVC.,PICC,right,Resolve,['files/p17/p17079101/s59546763/c192e7be-3c9c15d0-ae8a7d3d-a117f975-65afe9ad.jpg'],['files/p17/p17079101/s58066330/b6d980d3-b586c166-d29fa9de-6a7335ae-35148194.jpg\n']
s59546763_3,p17079101,s59546763,3,Findings,"The right PICC has been retracted with the tip now terminating in the upper-to-mid SVC. The appearance of the chest is otherwise unchanged from chest radiograph performed earlier the same day with evidence of right-sided volume loss, mild pulmonary vascular congestion and mild bibasilar atelectasis.","The appearance of the chest is otherwise unchanged from chest radiograph performed earlier the same day with evidence of right-sided volume loss, mild pulmonary vascular congestion and mild bibasilar atelectasis.",pulmonary vascular congestion,,Stable,['files/p17/p17079101/s59546763/c192e7be-3c9c15d0-ae8a7d3d-a117f975-65afe9ad.jpg'],['files/p17/p17079101/s58066330/b6d980d3-b586c166-d29fa9de-6a7335ae-35148194.jpg\n']
s59546763_3,p17079101,s59546763,3,Findings,"The right PICC has been retracted with the tip now terminating in the upper-to-mid SVC. The appearance of the chest is otherwise unchanged from chest radiograph performed earlier the same day with evidence of right-sided volume loss, mild pulmonary vascular congestion and mild bibasilar atelectasis.","The appearance of the chest is otherwise unchanged from chest radiograph performed earlier the same day with evidence of right-sided volume loss, mild pulmonary vascular congestion and mild bibasilar atelectasis.",volume loss,right,Stable,['files/p17/p17079101/s59546763/c192e7be-3c9c15d0-ae8a7d3d-a117f975-65afe9ad.jpg'],['files/p17/p17079101/s58066330/b6d980d3-b586c166-d29fa9de-6a7335ae-35148194.jpg\n']
s59548617_0,p15198284,s59548617,0,Impression,"Left lower lobe opacity, concerning for developing infection.","Left lower lobe opacity, concerning for developing infection.",opacity,left lower lobe,New,"['files/p15/p15198284/s59548617/05117c5b-38b2c0de-a50c051e-f0303117-192f843c.jpg', 'files/p15/p15198284/s59548617/0825ee1f-87c4a68b-20dbe092-f3f397a5-67e49d7e.jpg']",
s59548617_0,p15198284,s59548617,0,Findings,"Lung volumes are normal. Note is made of a faint opacity at the left lung base and projecting over the spine on the lateral view, concerning for developing infection. Remainder of the lungs are otherwise clear of focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities identified.","Note is made of a faint opacity at the left lung base and projecting over the spine on the lateral view, concerning for developing infection.",opacity,left lung base,New,"['files/p15/p15198284/s59548617/05117c5b-38b2c0de-a50c051e-f0303117-192f843c.jpg', 'files/p15/p15198284/s59548617/0825ee1f-87c4a68b-20dbe092-f3f397a5-67e49d7e.jpg']",
s59548661_1,p12548159,s59548661,1,Impression,"Mild-to-moderate pulmonary edema, progressed since ___.","Mild-to-moderate pulmonary edema, progressed since ___",pulmonary edema,,Worse,"['files/p12/p12548159/s59548661/53e18b50-2214dd2c-d70345b2-935f26ab-f5128750.jpg', 'files/p12/p12548159/s59548661/b8a96dfd-924e5707-1009e1ac-9f767236-ff131cd4.jpg']","['files/p12/p12548159/s58229223/35136a7b-a6253f96-8f21d7df-52a01ea2-ce5aa3fe.jpg\n', 'files/p12/p12548159/s58229223/c4df65ce-6d545b91-83579e78-d81570ee-b18f0e0d.jpg\n']"
s59549909_63,p11717909,s59549909,63,Findings,"Bilateral lower lobe pneumonia, right greater than left, is stable since ___ but improved since ___. The cardiac silhouette remains top-normal. No pneumothorax or pulmonary edema. The endotracheal to tip is seen 5.4 cm above the carina. Right internal jugular central line placement is unchanged and transesophageal drainage tube is seen over the stomach and continues had a few.","Bilateral lower lobe pneumonia, right greater than left, is stable since ___ but improved since ___.",pneumonia,bilateral lower lobe,Stable,['files/p11/p11717909/s59549909/c25143a2-4277be3e-75e5e1e0-67b10cbb-2386d4ca.jpg'],"['files/p11/p11717909/s59535781/1645a8b3-a40b82da-8ea72c55-64a8dfe5-ce6efba4.jpg\n', 'files/p11/p11717909/s59535781/5246aaeb-fd4fe4e3-3107d96d-28205321-1fcd4ed8.jpg\n']"
s59549909_63,p11717909,s59549909,63,Findings,"Bilateral lower lobe pneumonia, right greater than left, is stable since ___ but improved since ___. The cardiac silhouette remains top-normal. No pneumothorax or pulmonary edema. The endotracheal to tip is seen 5.4 cm above the carina. Right internal jugular central line placement is unchanged and transesophageal drainage tube is seen over the stomach and continues had a few.",Right internal jugular central line placement is unchanged and transesophageal drainage tube is seen over the stomach and continues had a few.,drainage tube,transesophageal,Stable,['files/p11/p11717909/s59549909/c25143a2-4277be3e-75e5e1e0-67b10cbb-2386d4ca.jpg'],"['files/p11/p11717909/s59535781/1645a8b3-a40b82da-8ea72c55-64a8dfe5-ce6efba4.jpg\n', 'files/p11/p11717909/s59535781/5246aaeb-fd4fe4e3-3107d96d-28205321-1fcd4ed8.jpg\n']"
s59549909_63,p11717909,s59549909,63,Findings,"Bilateral lower lobe pneumonia, right greater than left, is stable since ___ but improved since ___. The cardiac silhouette remains top-normal. No pneumothorax or pulmonary edema. The endotracheal to tip is seen 5.4 cm above the carina. Right internal jugular central line placement is unchanged and transesophageal drainage tube is seen over the stomach and continues had a few.","Bilateral lower lobe pneumonia, right greater than left, is stable since ___ but improved since ___.",pneumonia,bilateral lower lobe,Better,['files/p11/p11717909/s59549909/c25143a2-4277be3e-75e5e1e0-67b10cbb-2386d4ca.jpg'],"['files/p11/p11717909/s59535781/1645a8b3-a40b82da-8ea72c55-64a8dfe5-ce6efba4.jpg\n', 'files/p11/p11717909/s59535781/5246aaeb-fd4fe4e3-3107d96d-28205321-1fcd4ed8.jpg\n']"
s59549909_63,p11717909,s59549909,63,Findings,"Bilateral lower lobe pneumonia, right greater than left, is stable since ___ but improved since ___. The cardiac silhouette remains top-normal. No pneumothorax or pulmonary edema. The endotracheal to tip is seen 5.4 cm above the carina. Right internal jugular central line placement is unchanged and transesophageal drainage tube is seen over the stomach and continues had a few.",The cardiac silhouette remains top-normal.,silhouette,cardiac,Stable,['files/p11/p11717909/s59549909/c25143a2-4277be3e-75e5e1e0-67b10cbb-2386d4ca.jpg'],"['files/p11/p11717909/s59535781/1645a8b3-a40b82da-8ea72c55-64a8dfe5-ce6efba4.jpg\n', 'files/p11/p11717909/s59535781/5246aaeb-fd4fe4e3-3107d96d-28205321-1fcd4ed8.jpg\n']"
s59549909_63,p11717909,s59549909,63,Impression,"1. Unchanged bilateral lower lobe pneumonia, right greater than left, since ___. 2. All support devices are appropriately positioned.","1. Unchanged bilateral lower lobe pneumonia, right greater than left, since ___.",pneumonia,bilateral lower lobe,Stable,['files/p11/p11717909/s59549909/c25143a2-4277be3e-75e5e1e0-67b10cbb-2386d4ca.jpg'],"['files/p11/p11717909/s59535781/1645a8b3-a40b82da-8ea72c55-64a8dfe5-ce6efba4.jpg\n', 'files/p11/p11717909/s59535781/5246aaeb-fd4fe4e3-3107d96d-28205321-1fcd4ed8.jpg\n']"
s59549909_63,p11717909,s59549909,63,Findings,"Bilateral lower lobe pneumonia, right greater than left, is stable since ___ but improved since ___. The cardiac silhouette remains top-normal. No pneumothorax or pulmonary edema. The endotracheal to tip is seen 5.4 cm above the carina. Right internal jugular central line placement is unchanged and transesophageal drainage tube is seen over the stomach and continues had a few.",Right internal jugular central line placement is unchanged and transesophageal drainage tube is seen over the stomach and continues had a few.,central line placement,right internal jugular,Stable,['files/p11/p11717909/s59549909/c25143a2-4277be3e-75e5e1e0-67b10cbb-2386d4ca.jpg'],"['files/p11/p11717909/s59535781/1645a8b3-a40b82da-8ea72c55-64a8dfe5-ce6efba4.jpg\n', 'files/p11/p11717909/s59535781/5246aaeb-fd4fe4e3-3107d96d-28205321-1fcd4ed8.jpg\n']"
s59554791_0,p15568945,s59554791,0,Findings,There is discontinuation in the shunt at the cervicalthoracic junction measuring approximately 8 mm. The shunt traverses along the right lateral aspect of the upper chest and is no longer visualized. The lungs are unremarkable. The cardiomediastinal contours are within normal limits.,There is discontinuation in the shunt at the cervicalthoracic junction measuring approximately 8 mm.,discontinuation in the shunt,cervicalthoracic junction,New,['files/p15/p15568945/s59554791/5e754211-f7ae671d-f26bc9e0-5fabd237-73978d1c.jpg'],
s59554791_0,p15568945,s59554791,0,Findings,There is discontinuation in the shunt at the cervicalthoracic junction measuring approximately 8 mm. The shunt traverses along the right lateral aspect of the upper chest and is no longer visualized. The lungs are unremarkable. The cardiomediastinal contours are within normal limits.,The shunt traverses along the right lateral aspect of the upper chest and is no longer visualized.,shunt,right lateral aspect of the upper chest,Resolve,['files/p15/p15568945/s59554791/5e754211-f7ae671d-f26bc9e0-5fabd237-73978d1c.jpg'],
s59554791_0,p15568945,s59554791,0,Impression,There is discontinuation in the shunt at the cervical thoracic junction measuring approximately 8 mm. The shunt traverses along the right lateral aspect of the upper chest and is no longer visualized.,There is discontinuation in the shunt at the cervical thoracic junction measuring approximately 8 mm.,discontinuation in the shunt,cervical thoracic junction,New,['files/p15/p15568945/s59554791/5e754211-f7ae671d-f26bc9e0-5fabd237-73978d1c.jpg'],
s59554791_0,p15568945,s59554791,0,Impression,There is discontinuation in the shunt at the cervical thoracic junction measuring approximately 8 mm. The shunt traverses along the right lateral aspect of the upper chest and is no longer visualized.,The shunt traverses along the right lateral aspect of the upper chest and is no longer visualized.,shunt,right lateral aspect of the upper chest,Resolve,['files/p15/p15568945/s59554791/5e754211-f7ae671d-f26bc9e0-5fabd237-73978d1c.jpg'],
s59567651_6,p18573829,s59567651,6,Findings,"The left-sided PICC line is confirmed to end at the level of the mid SVC in the lateral view. Otherwise there is no significant change compared with radiograph performed 3 hr earlier, with bilateral pleural effusions, right worse than left with probable associated atelectasis. No focal parenchymal opacities are seen in the aerated portions of the lungs. There is no pneumothorax. A left-sided IJ line ends in the upper atrium. Sternotomy wires are intact.","Otherwise there is no significant change compared with radiograph performed 3 hr earlier, with bilateral pleural effusions, right worse than left with probable associated atelectasis.",Bilateral pleural effusions,Pleura,Stable,"['files/p18/p18573829/s59567651/20c64870-d997ca68-0c568c8b-eaa9f10c-809cbc76.jpg', 'files/p18/p18573829/s59567651/99dbd90a-b66a0c18-466175fd-f5fe089e-8c92b47e.jpg', 'files/p18/p18573829/s59567651/c1f674d5-7e36152f-fbd6eadc-a4030a72-2000a929.jpg']",['files/p18/p18573829/s58940888/7bb64264-3a27db3b-774da98c-671a380d-9805e329.jpg\n']
s59567651_6,p18573829,s59567651,6,Findings,"The left-sided PICC line is confirmed to end at the level of the mid SVC in the lateral view. Otherwise there is no significant change compared with radiograph performed 3 hr earlier, with bilateral pleural effusions, right worse than left with probable associated atelectasis. No focal parenchymal opacities are seen in the aerated portions of the lungs. There is no pneumothorax. A left-sided IJ line ends in the upper atrium. Sternotomy wires are intact.","Otherwise there is no significant change compared with radiograph performed 3 hr earlier, with bilateral pleural effusions, right worse than left with probable associated atelectasis.",Atelectasis,Pleura,Stable,"['files/p18/p18573829/s59567651/20c64870-d997ca68-0c568c8b-eaa9f10c-809cbc76.jpg', 'files/p18/p18573829/s59567651/99dbd90a-b66a0c18-466175fd-f5fe089e-8c92b47e.jpg', 'files/p18/p18573829/s59567651/c1f674d5-7e36152f-fbd6eadc-a4030a72-2000a929.jpg']",['files/p18/p18573829/s58940888/7bb64264-3a27db3b-774da98c-671a380d-9805e329.jpg\n']
s59567651_6,p18573829,s59567651,6,Impression,Left-sided PICC line is confirmed to end at the level of the mid SVC in the lateral view. Otherwise unchanged appearance of the thorax compared with radiograph performed 3 hr earlier.,Otherwise unchanged appearance of the thorax compared with radiograph performed 3 hr earlier.,Appearance,Thorax,Stable,"['files/p18/p18573829/s59567651/20c64870-d997ca68-0c568c8b-eaa9f10c-809cbc76.jpg', 'files/p18/p18573829/s59567651/99dbd90a-b66a0c18-466175fd-f5fe089e-8c92b47e.jpg', 'files/p18/p18573829/s59567651/c1f674d5-7e36152f-fbd6eadc-a4030a72-2000a929.jpg']",['files/p18/p18573829/s58940888/7bb64264-3a27db3b-774da98c-671a380d-9805e329.jpg\n']
s59568253_6,p13421580,s59568253,6,Findings,"Indwelling support and monitoring devices are in standard position, and cardiomediastinal contours are similar to the prior study. Pulmonary vascular congestion is again demonstrated, with overall improvement in extent of perihilar edema, but a new peripheral focus of airspace opacity in the right upper lobe is demonstrated, and could reflect either shift of asymmetrical pulmonary edema, or a new process such as localized aspiration or developing infection or infarction. Moderate-to-large right and moderate left pleural effusion appear slightly larger than on the prior study, but positional differences could potentially contribute to this apparent change.","Indwelling support and monitoring devices are in standard position, and cardiomediastinal contours are similar to the prior study.",cardiomediastinal contours,,Stable,['files/p13/p13421580/s59568253/40f27d37-e6a130c7-a8f437de-a7caafc0-1f106075.jpg'],['files/p13/p13421580/s59377628/b9d3c16c-c812c4bf-c62245c0-d8eabccb-5df44b6e.jpg\n']
s59568253_6,p13421580,s59568253,6,Findings,"Indwelling support and monitoring devices are in standard position, and cardiomediastinal contours are similar to the prior study. Pulmonary vascular congestion is again demonstrated, with overall improvement in extent of perihilar edema, but a new peripheral focus of airspace opacity in the right upper lobe is demonstrated, and could reflect either shift of asymmetrical pulmonary edema, or a new process such as localized aspiration or developing infection or infarction. Moderate-to-large right and moderate left pleural effusion appear slightly larger than on the prior study, but positional differences could potentially contribute to this apparent change.","Pulmonary vascular congestion is again demonstrated, with overall improvement in extent of perihilar edema, but a new peripheral focus of airspace opacity in the right upper lobe is demonstrated, and could reflect either shift of asymmetrical pulmonary edema, or a new process such as localized aspiration or developing infection or infarction.",airspace opacity,right upper lobe,New,['files/p13/p13421580/s59568253/40f27d37-e6a130c7-a8f437de-a7caafc0-1f106075.jpg'],['files/p13/p13421580/s59377628/b9d3c16c-c812c4bf-c62245c0-d8eabccb-5df44b6e.jpg\n']
s59568253_6,p13421580,s59568253,6,Findings,"Indwelling support and monitoring devices are in standard position, and cardiomediastinal contours are similar to the prior study. Pulmonary vascular congestion is again demonstrated, with overall improvement in extent of perihilar edema, but a new peripheral focus of airspace opacity in the right upper lobe is demonstrated, and could reflect either shift of asymmetrical pulmonary edema, or a new process such as localized aspiration or developing infection or infarction. Moderate-to-large right and moderate left pleural effusion appear slightly larger than on the prior study, but positional differences could potentially contribute to this apparent change.","Moderate-to-large right and moderate left pleural effusion appear slightly larger than on the prior study, but positional differences could potentially contribute to this apparent change.",pleural effusion,right and left,Worse,['files/p13/p13421580/s59568253/40f27d37-e6a130c7-a8f437de-a7caafc0-1f106075.jpg'],['files/p13/p13421580/s59377628/b9d3c16c-c812c4bf-c62245c0-d8eabccb-5df44b6e.jpg\n']
s59572474_1,p18827738,s59572474,1,Impression,"AP chest compared to ___, 1:07 p.m.: New upper enteric drainage tube loops below the diaphragm and returns to end either in the distal esophagus or more likely hiatus hernia. ET tube is in standard placement. Lungs are clear and the heart is normal size.","AP chest compared to ___, 1:07 p.m.: New upper enteric drainage tube loops below the diaphragm and returns to end either in the distal esophagus or more likely hiatus hernia.",upper enteric drainage tube,below the diaphragm,New,"['files/p18/p18827738/s59572474/29847a97-543ba118-400dc446-20bb735a-56fc0b38.jpg', 'files/p18/p18827738/s59572474/52ac6adf-201696d0-8d539eec-992db677-0c6526da.jpg', 'files/p18/p18827738/s59572474/89e8e953-bbf522f8-e3243d29-14a8b5ad-02ad87be.jpg', 'files/p18/p18827738/s59572474/a2f79d75-984aa22b-2dc274bc-9c638708-85192992.jpg']","['files/p18/p18827738/s58586249/db391cbe-733e6800-d302fc4f-9088941c-5412983d.jpg\n', 'files/p18/p18827738/s58586249/f158d781-2937f072-b4cabcce-b2330204-b4b8eda0.jpg\n']"
s59573688_35,p13894716,s59573688,35,Findings,"Interval placement of an endotracheal tube which projects 1.9 cm from the carina. Two right internal jugular central venous lines are present, unchanged. The costophrenic angles are not included on this radiograph. Unchanged appearance of the visualized lung parenchyma including bilateral layering pleural effusions. The size of the cardiac silhouette is unchanged.","Two right internal jugular central venous lines are present, unchanged.",central venous lines,right internal jugular,Stable,['files/p13/p13894716/s59573688/2e0908b4-279ed4d6-7a472d0b-724df717-f35e3948.jpg'],['files/p13/p13894716/s59179922/62bb6fb0-c42c5225-7a24e047-cfe72663-6f50a6f8.jpg\n']
s59573688_35,p13894716,s59573688,35,Findings,"Interval placement of an endotracheal tube which projects 1.9 cm from the carina. Two right internal jugular central venous lines are present, unchanged. The costophrenic angles are not included on this radiograph. Unchanged appearance of the visualized lung parenchyma including bilateral layering pleural effusions. The size of the cardiac silhouette is unchanged.",Unchanged appearance of the visualized lung parenchyma including bilateral layering pleural effusions.,layering pleural effusions,bilateral,Stable,['files/p13/p13894716/s59573688/2e0908b4-279ed4d6-7a472d0b-724df717-f35e3948.jpg'],['files/p13/p13894716/s59179922/62bb6fb0-c42c5225-7a24e047-cfe72663-6f50a6f8.jpg\n']
s59573688_35,p13894716,s59573688,35,Findings,"Interval placement of an endotracheal tube which projects 1.9 cm from the carina. Two right internal jugular central venous lines are present, unchanged. The costophrenic angles are not included on this radiograph. Unchanged appearance of the visualized lung parenchyma including bilateral layering pleural effusions. The size of the cardiac silhouette is unchanged.",The size of the cardiac silhouette is unchanged.,cardiac silhouette size,,Stable,['files/p13/p13894716/s59573688/2e0908b4-279ed4d6-7a472d0b-724df717-f35e3948.jpg'],['files/p13/p13894716/s59179922/62bb6fb0-c42c5225-7a24e047-cfe72663-6f50a6f8.jpg\n']
s59577259_4,p15693523,s59577259,4,Impression,"Since the recent CT of ___, a left airway stent has been placed. There is now complete collapse of the left lung with associated worsened leftward shift of the cardiomediastinal contours and hyper expansion of the right lung. Known pulmonary nodules in the right lung have been more fully characterized by a recent CT as well as multifocal pleural abnormalities.",There is now complete collapse of the left lung with associated worsened leftward shift of the cardiomediastinal contours and hyper expansion of the right lung.,hyper expansion,right lung,Worse,['files/p15/p15693523/s59577259/7b66482b-c6de4d3a-04ee2e45-67142f2c-51801f38.jpg'],['files/p15/p15693523/s58243808/5ec03a5b-72a566fb-de027ea9-bb847032-a0282268.jpg\n']
s59577259_4,p15693523,s59577259,4,Impression,"Since the recent CT of ___, a left airway stent has been placed. There is now complete collapse of the left lung with associated worsened leftward shift of the cardiomediastinal contours and hyper expansion of the right lung. Known pulmonary nodules in the right lung have been more fully characterized by a recent CT as well as multifocal pleural abnormalities.",There is now complete collapse of the left lung with associated worsened leftward shift of the cardiomediastinal contours and hyper expansion of the right lung.,shift,cardiomediastinal contours,Worse,['files/p15/p15693523/s59577259/7b66482b-c6de4d3a-04ee2e45-67142f2c-51801f38.jpg'],['files/p15/p15693523/s58243808/5ec03a5b-72a566fb-de027ea9-bb847032-a0282268.jpg\n']
s59577259_4,p15693523,s59577259,4,Impression,"Since the recent CT of ___, a left airway stent has been placed. There is now complete collapse of the left lung with associated worsened leftward shift of the cardiomediastinal contours and hyper expansion of the right lung. Known pulmonary nodules in the right lung have been more fully characterized by a recent CT as well as multifocal pleural abnormalities.",There is now complete collapse of the left lung with associated worsened leftward shift of the cardiomediastinal contours and hyper expansion of the right lung.,collapse,left lung,Worse,['files/p15/p15693523/s59577259/7b66482b-c6de4d3a-04ee2e45-67142f2c-51801f38.jpg'],['files/p15/p15693523/s58243808/5ec03a5b-72a566fb-de027ea9-bb847032-a0282268.jpg\n']
s59578157_1,p17680905,s59578157,1,Findings,The intra-aortic balloon pump tip is 11 mm below the aortic knob the remainder the appearance of the chest is unchanged,The intra-aortic balloon pump tip is 11 mm below the aortic knob the remainder the appearance of the chest is unchanged,Appearance,Chest,Stable,['files/p17/p17680905/s59578157/5706865f-64746402-2e5c6bfb-943aa9c1-3e276a08.jpg'],['files/p17/p17680905/s59435140/52d0b1e8-13061056-a5c5ab19-2b06aa45-a87d4502.jpg\n']
s59585133_17,p17660889,s59585133,17,Impression,"AP chest compared to ___, 6:19 p.m.: Moderately severe pulmonary edema has changed in distribution but not in overall severity. Previous right lower lobe collapse has substantially improved. Small right pleural effusion is presumed. Severe cardiomegaly has decreased. ET tube, left internal jugular line, and nasogastric feeding tube are in standard placements. The dual-channel right-sided central venous line still cannulates the azygous vein. No pneumothorax.",Severe cardiomegaly has decreased.,cardiomegaly,,Better,['files/p17/p17660889/s59585133/015ea7fc-c85de02a-66fb71f2-6ba30068-7bc3cd06.jpg'],['files/p17/p17660889/s59218047/2a88d2ea-b4df4439-14b9c286-c0e29650-2acedd69.jpg\n']
s59585133_17,p17660889,s59585133,17,Impression,"AP chest compared to ___, 6:19 p.m.: Moderately severe pulmonary edema has changed in distribution but not in overall severity. Previous right lower lobe collapse has substantially improved. Small right pleural effusion is presumed. Severe cardiomegaly has decreased. ET tube, left internal jugular line, and nasogastric feeding tube are in standard placements. The dual-channel right-sided central venous line still cannulates the azygous vein. No pneumothorax.",Previous right lower lobe collapse has substantially improved.,collapse,right lower lobe,Better,['files/p17/p17660889/s59585133/015ea7fc-c85de02a-66fb71f2-6ba30068-7bc3cd06.jpg'],['files/p17/p17660889/s59218047/2a88d2ea-b4df4439-14b9c286-c0e29650-2acedd69.jpg\n']
s59585133_17,p17660889,s59585133,17,Impression,"AP chest compared to ___, 6:19 p.m.: Moderately severe pulmonary edema has changed in distribution but not in overall severity. Previous right lower lobe collapse has substantially improved. Small right pleural effusion is presumed. Severe cardiomegaly has decreased. ET tube, left internal jugular line, and nasogastric feeding tube are in standard placements. The dual-channel right-sided central venous line still cannulates the azygous vein. No pneumothorax.","AP chest compared to ___, 6:19 p.m.: Moderately severe pulmonary edema has changed in distribution but not in overall severity.",pulmonary edema,,Stable,['files/p17/p17660889/s59585133/015ea7fc-c85de02a-66fb71f2-6ba30068-7bc3cd06.jpg'],['files/p17/p17660889/s59218047/2a88d2ea-b4df4439-14b9c286-c0e29650-2acedd69.jpg\n']
s59585133_17,p17660889,s59585133,17,Impression,"AP chest compared to ___, 6:19 p.m.: Moderately severe pulmonary edema has changed in distribution but not in overall severity. Previous right lower lobe collapse has substantially improved. Small right pleural effusion is presumed. Severe cardiomegaly has decreased. ET tube, left internal jugular line, and nasogastric feeding tube are in standard placements. The dual-channel right-sided central venous line still cannulates the azygous vein. No pneumothorax.",The dual-channel right-sided central venous line still cannulates the azygous vein.,central venous line,right-sided,Stable,['files/p17/p17660889/s59585133/015ea7fc-c85de02a-66fb71f2-6ba30068-7bc3cd06.jpg'],['files/p17/p17660889/s59218047/2a88d2ea-b4df4439-14b9c286-c0e29650-2acedd69.jpg\n']
s59588714_15,p17660889,s59588714,15,Findings,"Right Port-A-Cath ends at upper SVC, left internal jugular line terminates at lower SVC, and an endotracheal tube terminates approximately 6.1 cm above the carina; all are in appropriate position. Feeding tube is seen to course below the diaphragm into the stomach; however, its distal end is off radiographic view. Mild to moderate bilateral pulmonary edema is unchanged since ___, however pulmonary vascular congestion appear little more than before. Mild to moderately enlarged heart, mediastinal and hilar contours are stable.","Mild to moderately enlarged heart, mediastinal and hilar contours are stable.","heart, mediastinal and hilar contours",,Stable,['files/p17/p17660889/s59588714/442f2cb0-2fcd458a-939733cf-ba72f0cc-0fed5672.jpg'],['files/p17/p17660889/s59585133/015ea7fc-c85de02a-66fb71f2-6ba30068-7bc3cd06.jpg\n']
s59588714_15,p17660889,s59588714,15,Findings,"Right Port-A-Cath ends at upper SVC, left internal jugular line terminates at lower SVC, and an endotracheal tube terminates approximately 6.1 cm above the carina; all are in appropriate position. Feeding tube is seen to course below the diaphragm into the stomach; however, its distal end is off radiographic view. Mild to moderate bilateral pulmonary edema is unchanged since ___, however pulmonary vascular congestion appear little more than before. Mild to moderately enlarged heart, mediastinal and hilar contours are stable.","Mild to moderate bilateral pulmonary edema is unchanged since ___, however pulmonary vascular congestion appear little more than before.",pulmonary edema,bilateral,Stable,['files/p17/p17660889/s59588714/442f2cb0-2fcd458a-939733cf-ba72f0cc-0fed5672.jpg'],['files/p17/p17660889/s59585133/015ea7fc-c85de02a-66fb71f2-6ba30068-7bc3cd06.jpg\n']
s59588714_15,p17660889,s59588714,15,Impression,"Mild to moderate pulmonary edema, unchanged since ___.","Mild to moderate pulmonary edema, unchanged since ___.",pulmonary edema,,Stable,['files/p17/p17660889/s59588714/442f2cb0-2fcd458a-939733cf-ba72f0cc-0fed5672.jpg'],['files/p17/p17660889/s59585133/015ea7fc-c85de02a-66fb71f2-6ba30068-7bc3cd06.jpg\n']
s59599710_0,p16034181,s59599710,0,Impression,Slight interval increase in consolidation overlying the right lower lobe concerning for pneumonia.,Slight interval increase in consolidation overlying the right lower lobe concerning for pneumonia.,consolidation,right lower lobe,Worse,"['files/p16/p16034181/s59599710/4bff02b3-33fb0ab8-388c4cb5-8790815e-f7ef8937.jpg', 'files/p16/p16034181/s59599710/b399bd52-4c8c5e61-6bb23031-5843f7ed-c1134475.jpg']","['files/p16/p16034181/s58564406/95f4c351-08ade2e1-786e44a0-8d53ac86-c22dc8c7.jpg\n', 'files/p16/p16034181/s58564406/bfa3140e-43c1a4f9-ad9f9649-57f9f1bd-08070a23.jpg\n']"
s59599710_0,p16034181,s59599710,0,Findings,There appears to be slight interval increase in opacification overlying the right lower lobe. There is stable mild-to-moderate cardiomegaly with mild pulmonary vascular engorgement. There is no evidence of pulmonary edema. There are small bilateral pleural effusions. There is a stable hiatal hernia. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.,There is a stable hiatal hernia.,hiatal hernia,,Stable,"['files/p16/p16034181/s59599710/4bff02b3-33fb0ab8-388c4cb5-8790815e-f7ef8937.jpg', 'files/p16/p16034181/s59599710/b399bd52-4c8c5e61-6bb23031-5843f7ed-c1134475.jpg']","['files/p16/p16034181/s58564406/95f4c351-08ade2e1-786e44a0-8d53ac86-c22dc8c7.jpg\n', 'files/p16/p16034181/s58564406/bfa3140e-43c1a4f9-ad9f9649-57f9f1bd-08070a23.jpg\n']"
s59599710_0,p16034181,s59599710,0,Findings,There appears to be slight interval increase in opacification overlying the right lower lobe. There is stable mild-to-moderate cardiomegaly with mild pulmonary vascular engorgement. There is no evidence of pulmonary edema. There are small bilateral pleural effusions. There is a stable hiatal hernia. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.,There is stable mild-to-moderate cardiomegaly with mild pulmonary vascular engorgement.,pulmonary vascular engorgement,,Stable,"['files/p16/p16034181/s59599710/4bff02b3-33fb0ab8-388c4cb5-8790815e-f7ef8937.jpg', 'files/p16/p16034181/s59599710/b399bd52-4c8c5e61-6bb23031-5843f7ed-c1134475.jpg']","['files/p16/p16034181/s58564406/95f4c351-08ade2e1-786e44a0-8d53ac86-c22dc8c7.jpg\n', 'files/p16/p16034181/s58564406/bfa3140e-43c1a4f9-ad9f9649-57f9f1bd-08070a23.jpg\n']"
s59599710_0,p16034181,s59599710,0,Findings,There appears to be slight interval increase in opacification overlying the right lower lobe. There is stable mild-to-moderate cardiomegaly with mild pulmonary vascular engorgement. There is no evidence of pulmonary edema. There are small bilateral pleural effusions. There is a stable hiatal hernia. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.,There is stable mild-to-moderate cardiomegaly with mild pulmonary vascular engorgement.,cardiomegaly,,Stable,"['files/p16/p16034181/s59599710/4bff02b3-33fb0ab8-388c4cb5-8790815e-f7ef8937.jpg', 'files/p16/p16034181/s59599710/b399bd52-4c8c5e61-6bb23031-5843f7ed-c1134475.jpg']","['files/p16/p16034181/s58564406/95f4c351-08ade2e1-786e44a0-8d53ac86-c22dc8c7.jpg\n', 'files/p16/p16034181/s58564406/bfa3140e-43c1a4f9-ad9f9649-57f9f1bd-08070a23.jpg\n']"
s59599710_0,p16034181,s59599710,0,Findings,There appears to be slight interval increase in opacification overlying the right lower lobe. There is stable mild-to-moderate cardiomegaly with mild pulmonary vascular engorgement. There is no evidence of pulmonary edema. There are small bilateral pleural effusions. There is a stable hiatal hernia. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.,There appears to be slight interval increase in opacification overlying the right lower lobe.,opacification,right lower lobe,Worse,"['files/p16/p16034181/s59599710/4bff02b3-33fb0ab8-388c4cb5-8790815e-f7ef8937.jpg', 'files/p16/p16034181/s59599710/b399bd52-4c8c5e61-6bb23031-5843f7ed-c1134475.jpg']","['files/p16/p16034181/s58564406/95f4c351-08ade2e1-786e44a0-8d53ac86-c22dc8c7.jpg\n', 'files/p16/p16034181/s58564406/bfa3140e-43c1a4f9-ad9f9649-57f9f1bd-08070a23.jpg\n']"
s59602068_9,p17559288,s59602068,9,Findings,"The patient has been extubated and the orogastric tube has been removed. Right IJ central line again extends to the mid SVC. Widespread pulmonary opacities appear slightly more confluent at the right lung base, though there is slightly improved aeration in the retrocardiac region. The appearance at the right base may reflect atelectasis in the setting of extubation. Presumed effusions are again not readily apparent. There is no pneumothorax. Hilar and cardiomediastinal contours are unchanged. There is no free air in the upper abdomen.","Widespread pulmonary opacities appear slightly more confluent at the right lung base, though there is slightly improved aeration in the retrocardiac region.",Pulmonary opacities,Right lung base,Worse,['files/p17/p17559288/s59602068/7cd4e7d0-69d6bb9f-93a8c61e-941e3664-68a658d2.jpg'],['files/p17/p17559288/s59460245/8bae8ab0-e159b156-5842575c-b4b8c1ae-e9c64339.jpg\n']
s59602068_9,p17559288,s59602068,9,Impression,"Persistent widespread pulmonary opacities, slightly increased at the right base possibly reflecting interval extubation.","Persistent widespread pulmonary opacities, slightly increased at the right base possibly reflecting interval extubation.",Pulmonary opacities,Right base,Worse,['files/p17/p17559288/s59602068/7cd4e7d0-69d6bb9f-93a8c61e-941e3664-68a658d2.jpg'],['files/p17/p17559288/s59460245/8bae8ab0-e159b156-5842575c-b4b8c1ae-e9c64339.jpg\n']
s59602068_9,p17559288,s59602068,9,Findings,"The patient has been extubated and the orogastric tube has been removed. Right IJ central line again extends to the mid SVC. Widespread pulmonary opacities appear slightly more confluent at the right lung base, though there is slightly improved aeration in the retrocardiac region. The appearance at the right base may reflect atelectasis in the setting of extubation. Presumed effusions are again not readily apparent. There is no pneumothorax. Hilar and cardiomediastinal contours are unchanged. There is no free air in the upper abdomen.",Hilar and cardiomediastinal contours are unchanged.,Contours,Hilar and cardiomediastinal,Stable,['files/p17/p17559288/s59602068/7cd4e7d0-69d6bb9f-93a8c61e-941e3664-68a658d2.jpg'],['files/p17/p17559288/s59460245/8bae8ab0-e159b156-5842575c-b4b8c1ae-e9c64339.jpg\n']
s59602068_9,p17559288,s59602068,9,Findings,"The patient has been extubated and the orogastric tube has been removed. Right IJ central line again extends to the mid SVC. Widespread pulmonary opacities appear slightly more confluent at the right lung base, though there is slightly improved aeration in the retrocardiac region. The appearance at the right base may reflect atelectasis in the setting of extubation. Presumed effusions are again not readily apparent. There is no pneumothorax. Hilar and cardiomediastinal contours are unchanged. There is no free air in the upper abdomen.",The patient has been extubated and the orogastric tube has been removed.,Orogastric tube,,Resolve,['files/p17/p17559288/s59602068/7cd4e7d0-69d6bb9f-93a8c61e-941e3664-68a658d2.jpg'],['files/p17/p17559288/s59460245/8bae8ab0-e159b156-5842575c-b4b8c1ae-e9c64339.jpg\n']
s59602068_9,p17559288,s59602068,9,Findings,"The patient has been extubated and the orogastric tube has been removed. Right IJ central line again extends to the mid SVC. Widespread pulmonary opacities appear slightly more confluent at the right lung base, though there is slightly improved aeration in the retrocardiac region. The appearance at the right base may reflect atelectasis in the setting of extubation. Presumed effusions are again not readily apparent. There is no pneumothorax. Hilar and cardiomediastinal contours are unchanged. There is no free air in the upper abdomen.","Widespread pulmonary opacities appear slightly more confluent at the right lung base, though there is slightly improved aeration in the retrocardiac region.",Aeration,Retrocardiac region,Better,['files/p17/p17559288/s59602068/7cd4e7d0-69d6bb9f-93a8c61e-941e3664-68a658d2.jpg'],['files/p17/p17559288/s59460245/8bae8ab0-e159b156-5842575c-b4b8c1ae-e9c64339.jpg\n']
s59602068_9,p17559288,s59602068,9,Findings,"The patient has been extubated and the orogastric tube has been removed. Right IJ central line again extends to the mid SVC. Widespread pulmonary opacities appear slightly more confluent at the right lung base, though there is slightly improved aeration in the retrocardiac region. The appearance at the right base may reflect atelectasis in the setting of extubation. Presumed effusions are again not readily apparent. There is no pneumothorax. Hilar and cardiomediastinal contours are unchanged. There is no free air in the upper abdomen.",Right IJ central line again extends to the mid SVC.,Position,Right IJ central line,Stable,['files/p17/p17559288/s59602068/7cd4e7d0-69d6bb9f-93a8c61e-941e3664-68a658d2.jpg'],['files/p17/p17559288/s59460245/8bae8ab0-e159b156-5842575c-b4b8c1ae-e9c64339.jpg\n']
s59602068_9,p17559288,s59602068,9,Findings,"The patient has been extubated and the orogastric tube has been removed. Right IJ central line again extends to the mid SVC. Widespread pulmonary opacities appear slightly more confluent at the right lung base, though there is slightly improved aeration in the retrocardiac region. The appearance at the right base may reflect atelectasis in the setting of extubation. Presumed effusions are again not readily apparent. There is no pneumothorax. Hilar and cardiomediastinal contours are unchanged. There is no free air in the upper abdomen.",Presumed effusions are again not readily apparent.,Effusions,,Stable,['files/p17/p17559288/s59602068/7cd4e7d0-69d6bb9f-93a8c61e-941e3664-68a658d2.jpg'],['files/p17/p17559288/s59460245/8bae8ab0-e159b156-5842575c-b4b8c1ae-e9c64339.jpg\n']
s59614080_7,p17933711,s59614080,7,Findings,"There are relatively low lung volumes. Mild pulmonary edema is seen. No definite focal consolidation is seen. There may be trace pleural effusions posteriorly, but no large pleural effusion is seen. Cardiac and mediastinal silhouettes are stable. .",Cardiac and mediastinal silhouettes are stable.,Cardiac and mediastinal silhouettes,,Stable,"['files/p17/p17933711/s59614080/76b89f70-52ebf792-8b3a551f-ea727bca-0170ec15.jpg', 'files/p17/p17933711/s59614080/c9490237-d2939ebb-637bda9a-e5a0039f-284b489b.jpg']","['files/p17/p17933711/s58596812/64ba487d-285e23ce-4369891e-c5abb4a1-ad8ca078.jpg\n', 'files/p17/p17933711/s58596812/6c9b8bc4-94ef9ac4-cd7187f1-d90c32b0-75b2e5a5.jpg\n']"
s59614205_22,p16033763,s59614205,22,Impression,"PA and lateral chest compared to ___ through ___: Small left pleural effusion has decreased since ___, basal pleural tube still in place. Very large cardiac silhouette may have decreased slightly in size. There is also the suggestion that some of the lung nodules in the right lung may be slightly smaller, but this determination is better made, particularly if there is substantial clinical significance, by CT scanning measurements. Transvenous right ventricular pacer lead unchanged in position. No appreciable pneumothorax.","There is also the suggestion that some of the lung nodules in the right lung may be slightly smaller, but this determination is better made, particularly if there is substantial clinical significance, by CT scanning measurements.",lung nodules,right lung,Better,['files/p16/p16033763/s59614205/907d02e0-45812902-cf944cc5-0b4c93de-bfbab9ea.jpg'],"['files/p16/p16033763/s59137251/bd694b87-8f969c41-a3b1bd9a-b27547e1-acefab41.jpg\n', 'files/p16/p16033763/s59137251/dedbcf5c-540d2883-d85fbcfd-dfec626d-9621d11b.jpg\n']"
s59614205_22,p16033763,s59614205,22,Impression,"PA and lateral chest compared to ___ through ___: Small left pleural effusion has decreased since ___, basal pleural tube still in place. Very large cardiac silhouette may have decreased slightly in size. There is also the suggestion that some of the lung nodules in the right lung may be slightly smaller, but this determination is better made, particularly if there is substantial clinical significance, by CT scanning measurements. Transvenous right ventricular pacer lead unchanged in position. No appreciable pneumothorax.",Transvenous right ventricular pacer lead unchanged in position.,Transvenous pacer lead,right ventricular,Stable,['files/p16/p16033763/s59614205/907d02e0-45812902-cf944cc5-0b4c93de-bfbab9ea.jpg'],"['files/p16/p16033763/s59137251/bd694b87-8f969c41-a3b1bd9a-b27547e1-acefab41.jpg\n', 'files/p16/p16033763/s59137251/dedbcf5c-540d2883-d85fbcfd-dfec626d-9621d11b.jpg\n']"
s59614205_22,p16033763,s59614205,22,Impression,"PA and lateral chest compared to ___ through ___: Small left pleural effusion has decreased since ___, basal pleural tube still in place. Very large cardiac silhouette may have decreased slightly in size. There is also the suggestion that some of the lung nodules in the right lung may be slightly smaller, but this determination is better made, particularly if there is substantial clinical significance, by CT scanning measurements. Transvenous right ventricular pacer lead unchanged in position. No appreciable pneumothorax.","PA and lateral chest compared to ___ through ___: Small left pleural effusion has decreased since ___, basal pleural tube still in place.",pleural effusion,left,Better,['files/p16/p16033763/s59614205/907d02e0-45812902-cf944cc5-0b4c93de-bfbab9ea.jpg'],"['files/p16/p16033763/s59137251/bd694b87-8f969c41-a3b1bd9a-b27547e1-acefab41.jpg\n', 'files/p16/p16033763/s59137251/dedbcf5c-540d2883-d85fbcfd-dfec626d-9621d11b.jpg\n']"
s59614205_22,p16033763,s59614205,22,Impression,"PA and lateral chest compared to ___ through ___: Small left pleural effusion has decreased since ___, basal pleural tube still in place. Very large cardiac silhouette may have decreased slightly in size. There is also the suggestion that some of the lung nodules in the right lung may be slightly smaller, but this determination is better made, particularly if there is substantial clinical significance, by CT scanning measurements. Transvenous right ventricular pacer lead unchanged in position. No appreciable pneumothorax.",Very large cardiac silhouette may have decreased slightly in size.,cardiac silhouette,,Better,['files/p16/p16033763/s59614205/907d02e0-45812902-cf944cc5-0b4c93de-bfbab9ea.jpg'],"['files/p16/p16033763/s59137251/bd694b87-8f969c41-a3b1bd9a-b27547e1-acefab41.jpg\n', 'files/p16/p16033763/s59137251/dedbcf5c-540d2883-d85fbcfd-dfec626d-9621d11b.jpg\n']"
s59624830_0,p11805011,s59624830,0,Impression,"In comparison with the study of ___, there again is mild enlargement of the cardiac silhouette with tortuosity of the aorta. No evidence of acute pneumonia, vascular congestion, or pleural effusion.","In comparison with the study of ___, there again is mild enlargement of the cardiac silhouette with tortuosity of the aorta.",mild enlargement of the cardiac silhouette,,Stable,['files/p11/p11805011/s59624830/c0f09085-246fdee9-571d4688-2450db13-fb67b641.jpg'],
s59624830_0,p11805011,s59624830,0,Impression,"In comparison with the study of ___, there again is mild enlargement of the cardiac silhouette with tortuosity of the aorta. No evidence of acute pneumonia, vascular congestion, or pleural effusion.","In comparison with the study of ___, there again is mild enlargement of the cardiac silhouette with tortuosity of the aorta.",tortuosity of the aorta,,Stable,['files/p11/p11805011/s59624830/c0f09085-246fdee9-571d4688-2450db13-fb67b641.jpg'],
s59627293_8,p10543994,s59627293,8,Impression,Mild interstitial edema has minimally worsened. There are low lung volumes. Patient has underline interstitial lung disease / fibrosis. There is no pneumothorax. Cardiomegaly and widened mediastinum are stable. Right port catheter tip is in the upper right atrium. Pacemaker lead tip is in the right ventricle.,Cardiomegaly and widened mediastinum are stable.,cardiomegaly,,Stable,['files/p10/p10543994/s59627293/ef13f435-fe872e16-39f17cfe-50700e9c-c69a04d3.jpg'],['files/p10/p10543994/s59383182/b2093612-0ee94341-26838e2f-d6912ecd-14c5aa64.jpg\n']
s59627293_8,p10543994,s59627293,8,Impression,Mild interstitial edema has minimally worsened. There are low lung volumes. Patient has underline interstitial lung disease / fibrosis. There is no pneumothorax. Cardiomegaly and widened mediastinum are stable. Right port catheter tip is in the upper right atrium. Pacemaker lead tip is in the right ventricle.,Cardiomegaly and widened mediastinum are stable.,widened mediastinum,,Stable,['files/p10/p10543994/s59627293/ef13f435-fe872e16-39f17cfe-50700e9c-c69a04d3.jpg'],['files/p10/p10543994/s59383182/b2093612-0ee94341-26838e2f-d6912ecd-14c5aa64.jpg\n']
s59627293_8,p10543994,s59627293,8,Impression,Mild interstitial edema has minimally worsened. There are low lung volumes. Patient has underline interstitial lung disease / fibrosis. There is no pneumothorax. Cardiomegaly and widened mediastinum are stable. Right port catheter tip is in the upper right atrium. Pacemaker lead tip is in the right ventricle.,Mild interstitial edema has minimally worsened.,mild interstitial edema,,Worse,['files/p10/p10543994/s59627293/ef13f435-fe872e16-39f17cfe-50700e9c-c69a04d3.jpg'],['files/p10/p10543994/s59383182/b2093612-0ee94341-26838e2f-d6912ecd-14c5aa64.jpg\n']
s59630478_3,p16617702,s59630478,3,Findings,"Left PICC courses through the left brachiocephalic vein, with tip not well seen, but likely in the upper SVC. Left lower lobe consolidation persists, with obscuration of the left hemidiaphragm. Moderate left parapneumonic effusion persists. There is also increased volume overload, with central venous congestion and interstitial edema. Probable small right pleural effusion. The heart size is normal.",Moderate left parapneumonic effusion persists.,parapneumonic effusion,left,Stable,['files/p16/p16617702/s59630478/c883a555-56436deb-19627be5-6be529df-c6009b0c.jpg'],"['files/p16/p16617702/s58848750/102f4ba7-1322e8d6-a5776e75-ccf4447a-7d64aa0c.jpg\n', 'files/p16/p16617702/s58848750/ceca213c-88ded0e6-ac5306af-5de899b7-3c6dbaca.jpg\n']"
s59630478_3,p16617702,s59630478,3,Findings,"Left PICC courses through the left brachiocephalic vein, with tip not well seen, but likely in the upper SVC. Left lower lobe consolidation persists, with obscuration of the left hemidiaphragm. Moderate left parapneumonic effusion persists. There is also increased volume overload, with central venous congestion and interstitial edema. Probable small right pleural effusion. The heart size is normal.","Left lower lobe consolidation persists, with obscuration of the left hemidiaphragm.",consolidation,left lower lobe,Stable,['files/p16/p16617702/s59630478/c883a555-56436deb-19627be5-6be529df-c6009b0c.jpg'],"['files/p16/p16617702/s58848750/102f4ba7-1322e8d6-a5776e75-ccf4447a-7d64aa0c.jpg\n', 'files/p16/p16617702/s58848750/ceca213c-88ded0e6-ac5306af-5de899b7-3c6dbaca.jpg\n']"
s59630478_3,p16617702,s59630478,3,Findings,"Left PICC courses through the left brachiocephalic vein, with tip not well seen, but likely in the upper SVC. Left lower lobe consolidation persists, with obscuration of the left hemidiaphragm. Moderate left parapneumonic effusion persists. There is also increased volume overload, with central venous congestion and interstitial edema. Probable small right pleural effusion. The heart size is normal.","There is also increased volume overload, with central venous congestion and interstitial edema.",edema,interstitial,Worse,['files/p16/p16617702/s59630478/c883a555-56436deb-19627be5-6be529df-c6009b0c.jpg'],"['files/p16/p16617702/s58848750/102f4ba7-1322e8d6-a5776e75-ccf4447a-7d64aa0c.jpg\n', 'files/p16/p16617702/s58848750/ceca213c-88ded0e6-ac5306af-5de899b7-3c6dbaca.jpg\n']"
s59630478_3,p16617702,s59630478,3,Findings,"Left PICC courses through the left brachiocephalic vein, with tip not well seen, but likely in the upper SVC. Left lower lobe consolidation persists, with obscuration of the left hemidiaphragm. Moderate left parapneumonic effusion persists. There is also increased volume overload, with central venous congestion and interstitial edema. Probable small right pleural effusion. The heart size is normal.","There is also increased volume overload, with central venous congestion and interstitial edema.",venous congestion,central,Worse,['files/p16/p16617702/s59630478/c883a555-56436deb-19627be5-6be529df-c6009b0c.jpg'],"['files/p16/p16617702/s58848750/102f4ba7-1322e8d6-a5776e75-ccf4447a-7d64aa0c.jpg\n', 'files/p16/p16617702/s58848750/ceca213c-88ded0e6-ac5306af-5de899b7-3c6dbaca.jpg\n']"
s59631748_9,p16319384,s59631748,9,Findings,"PA and lateral chest radiographs demonstrate a left chest dual pacing device, its leads which appear intact and stable in position. Heart size is mildly enlarged. There is central vascular engorgement without overt evidence of pulmonary edema. Blunting of the left costophrenic angle is likely atelectatic in etiology. There is no pleural effusion or pneumothorax. There is no evidence to suggest pneumonia.","PA and lateral chest radiographs demonstrate a left chest dual pacing device, its leads which appear intact and stable in position.",Dual pacing device,Left chest,Stable,"['files/p16/p16319384/s59631748/bb5c15b8-775b1e4a-d704d49b-19215671-ce9ffb25.jpg', 'files/p16/p16319384/s59631748/c06025b9-935d32ff-0efabf34-2f711ce7-e4fc7000.jpg']","['files/p16/p16319384/s59369376/4a0e4892-05ce6193-0cd30bb3-2ab7b697-539ea57d.jpg\n', 'files/p16/p16319384/s59369376/f90a985b-e0ebbe62-bfe40107-e99c6162-7df4b246.jpg\n']"
s59638386_1,p13196707,s59638386,1,Impression,Stent is seen projecting over the SVC. There is a new right subclavian central line with the distal lead tip in the cavoatrial junction. There are low lung volumes. There is elevation of the right hemidiaphragm and a small right-sided pleural effusion. Numerous bilateral parenchymal nodules are again seen and better assessed on the prior CT scan.,Numerous bilateral parenchymal nodules are again seen and better assessed on the prior CT scan.,Nodules,bilateral parenchymal,Stable,['files/p13/p13196707/s59638386/ea657c75-4d5d227a-c3adf2dc-0bf06970-bfa15f60.jpg'],['files/p13/p13196707/s56558687/75872755-7b9a13ad-1980114f-743ec5a7-064e7ac0.jpg\n']
s59638386_1,p13196707,s59638386,1,Impression,Stent is seen projecting over the SVC. There is a new right subclavian central line with the distal lead tip in the cavoatrial junction. There are low lung volumes. There is elevation of the right hemidiaphragm and a small right-sided pleural effusion. Numerous bilateral parenchymal nodules are again seen and better assessed on the prior CT scan.,There is a new right subclavian central line with the distal lead tip in the cavoatrial junction.,Central line,right subclavian,New,['files/p13/p13196707/s59638386/ea657c75-4d5d227a-c3adf2dc-0bf06970-bfa15f60.jpg'],['files/p13/p13196707/s56558687/75872755-7b9a13ad-1980114f-743ec5a7-064e7ac0.jpg\n']
s59647298_0,p15176968,s59647298,0,Findings,"There has been improvement in the pulmonary edema, now moderate. Small bilateral pleural effusions are unchanged. The cardiac silhouette remains mildly enlarged. The mediastinal contours at the hilar structures are unremarkable. There is no pneumothorax or focal airspace consolidation.","There has been improvement in the pulmonary edema, now moderate.",pulmonary edema,,Better,['files/p15/p15176968/s59647298/fa879b10-e59b6500-0f17b51e-22c2d961-29242fa0.jpg'],['files/p15/p15176968/s59642952/5bf38a0d-d30e0de1-37c34461-92633fb0-d208538e.jpg\n']
s59647298_0,p15176968,s59647298,0,Impression,"Improving pulmonary edema, now moderate.","Improving pulmonary edema, now moderate.",pulmonary edema,,Better,['files/p15/p15176968/s59647298/fa879b10-e59b6500-0f17b51e-22c2d961-29242fa0.jpg'],['files/p15/p15176968/s59642952/5bf38a0d-d30e0de1-37c34461-92633fb0-d208538e.jpg\n']
s59647298_0,p15176968,s59647298,0,Findings,"There has been improvement in the pulmonary edema, now moderate. Small bilateral pleural effusions are unchanged. The cardiac silhouette remains mildly enlarged. The mediastinal contours at the hilar structures are unremarkable. There is no pneumothorax or focal airspace consolidation.",The cardiac silhouette remains mildly enlarged.,cardiac silhouette,,Stable,['files/p15/p15176968/s59647298/fa879b10-e59b6500-0f17b51e-22c2d961-29242fa0.jpg'],['files/p15/p15176968/s59642952/5bf38a0d-d30e0de1-37c34461-92633fb0-d208538e.jpg\n']
s59647298_0,p15176968,s59647298,0,Findings,"There has been improvement in the pulmonary edema, now moderate. Small bilateral pleural effusions are unchanged. The cardiac silhouette remains mildly enlarged. The mediastinal contours at the hilar structures are unremarkable. There is no pneumothorax or focal airspace consolidation.",Small bilateral pleural effusions are unchanged.,pleural effusions,bilateral,Stable,['files/p15/p15176968/s59647298/fa879b10-e59b6500-0f17b51e-22c2d961-29242fa0.jpg'],['files/p15/p15176968/s59642952/5bf38a0d-d30e0de1-37c34461-92633fb0-d208538e.jpg\n']
s59648901_14,p11717909,s59648901,14,Findings,"The left chest tube has been removed. There is no new large pleural effusion. There is no pneumothorax. There is a persistent left retrocardiac opacity which may be secondary to infection, pleural effusion, or atelectasis. Cardiomegaly is unchanged. The left PICC, right IJ Swan-Ganz catheter, and LVAD are unchanged in appropriate in position.",The left chest tube has been removed.,chest tube,left,Resolve,['files/p11/p11717909/s59648901/9296d4e5-8c81e5dd-f08e6cfb-658feaeb-fe3cdfa5.jpg'],['files/p11/p11717909/s59549909/c25143a2-4277be3e-75e5e1e0-67b10cbb-2386d4ca.jpg\n']
s59648901_14,p11717909,s59648901,14,Findings,"The left chest tube has been removed. There is no new large pleural effusion. There is no pneumothorax. There is a persistent left retrocardiac opacity which may be secondary to infection, pleural effusion, or atelectasis. Cardiomegaly is unchanged. The left PICC, right IJ Swan-Ganz catheter, and LVAD are unchanged in appropriate in position.",Cardiomegaly is unchanged.,cardiomegaly,,Stable,['files/p11/p11717909/s59648901/9296d4e5-8c81e5dd-f08e6cfb-658feaeb-fe3cdfa5.jpg'],['files/p11/p11717909/s59549909/c25143a2-4277be3e-75e5e1e0-67b10cbb-2386d4ca.jpg\n']
s59648901_14,p11717909,s59648901,14,Findings,"The left chest tube has been removed. There is no new large pleural effusion. There is no pneumothorax. There is a persistent left retrocardiac opacity which may be secondary to infection, pleural effusion, or atelectasis. Cardiomegaly is unchanged. The left PICC, right IJ Swan-Ganz catheter, and LVAD are unchanged in appropriate in position.","The left PICC, right IJ Swan-Ganz catheter, and LVAD are unchanged in appropriate in position.",LVAD,,Stable,['files/p11/p11717909/s59648901/9296d4e5-8c81e5dd-f08e6cfb-658feaeb-fe3cdfa5.jpg'],['files/p11/p11717909/s59549909/c25143a2-4277be3e-75e5e1e0-67b10cbb-2386d4ca.jpg\n']
s59648901_14,p11717909,s59648901,14,Findings,"The left chest tube has been removed. There is no new large pleural effusion. There is no pneumothorax. There is a persistent left retrocardiac opacity which may be secondary to infection, pleural effusion, or atelectasis. Cardiomegaly is unchanged. The left PICC, right IJ Swan-Ganz catheter, and LVAD are unchanged in appropriate in position.","There is a persistent left retrocardiac opacity which may be secondary to infection, pleural effusion, or atelectasis.",retrocardiac opacity,left,Stable,['files/p11/p11717909/s59648901/9296d4e5-8c81e5dd-f08e6cfb-658feaeb-fe3cdfa5.jpg'],['files/p11/p11717909/s59549909/c25143a2-4277be3e-75e5e1e0-67b10cbb-2386d4ca.jpg\n']
s59648901_14,p11717909,s59648901,14,Findings,"The left chest tube has been removed. There is no new large pleural effusion. There is no pneumothorax. There is a persistent left retrocardiac opacity which may be secondary to infection, pleural effusion, or atelectasis. Cardiomegaly is unchanged. The left PICC, right IJ Swan-Ganz catheter, and LVAD are unchanged in appropriate in position.","The left PICC, right IJ Swan-Ganz catheter, and LVAD are unchanged in appropriate in position.",IJ Swan-Ganz catheter,right,Stable,['files/p11/p11717909/s59648901/9296d4e5-8c81e5dd-f08e6cfb-658feaeb-fe3cdfa5.jpg'],['files/p11/p11717909/s59549909/c25143a2-4277be3e-75e5e1e0-67b10cbb-2386d4ca.jpg\n']
s59648901_14,p11717909,s59648901,14,Findings,"The left chest tube has been removed. There is no new large pleural effusion. There is no pneumothorax. There is a persistent left retrocardiac opacity which may be secondary to infection, pleural effusion, or atelectasis. Cardiomegaly is unchanged. The left PICC, right IJ Swan-Ganz catheter, and LVAD are unchanged in appropriate in position.","The left PICC, right IJ Swan-Ganz catheter, and LVAD are unchanged in appropriate in position.",PICC,left,Stable,['files/p11/p11717909/s59648901/9296d4e5-8c81e5dd-f08e6cfb-658feaeb-fe3cdfa5.jpg'],['files/p11/p11717909/s59549909/c25143a2-4277be3e-75e5e1e0-67b10cbb-2386d4ca.jpg\n']
s59648901_14,p11717909,s59648901,14,Impression,Persistent left retrocardiac opacity. No evidence of large volume left pleural effusion. No pneumothorax after removal of chest tube.,Persistent left retrocardiac opacity.,retrocardiac opacity,left,Stable,['files/p11/p11717909/s59648901/9296d4e5-8c81e5dd-f08e6cfb-658feaeb-fe3cdfa5.jpg'],['files/p11/p11717909/s59549909/c25143a2-4277be3e-75e5e1e0-67b10cbb-2386d4ca.jpg\n']
s59658365_25,p19358609,s59658365,25,Impression,"Compared to chest radiographs ___ through ___. Combination of moderate right pleural effusion and right lower lobe atelectasis has decreased slightly. Severe volume loss in the left lower lobe and somewhat smaller left pleural effusion are stable. Multifocal left upper lobe consolidation is unchanged. Heart size is indeterminate. Right PIC line, ET tube, nasogastric drainage tube are all in standard placements.",Multifocal left upper lobe consolidation is unchanged.,consolidation,left upper lobe,Stable,['files/p19/p19358609/s59658365/2d432182-9bf3ffc9-5168db43-277efaa2-9a16f74a.jpg'],['files/p19/p19358609/s59343870/ae4f09dd-f871aed3-8165305a-661a70af-14375e0d.jpg\n']
s59658365_25,p19358609,s59658365,25,Impression,"Compared to chest radiographs ___ through ___. Combination of moderate right pleural effusion and right lower lobe atelectasis has decreased slightly. Severe volume loss in the left lower lobe and somewhat smaller left pleural effusion are stable. Multifocal left upper lobe consolidation is unchanged. Heart size is indeterminate. Right PIC line, ET tube, nasogastric drainage tube are all in standard placements.",Compared to chest radiographs ___ through ___. Combination of moderate right pleural effusion and right lower lobe atelectasis has decreased slightly.,pleural effusion,right,Better,['files/p19/p19358609/s59658365/2d432182-9bf3ffc9-5168db43-277efaa2-9a16f74a.jpg'],['files/p19/p19358609/s59343870/ae4f09dd-f871aed3-8165305a-661a70af-14375e0d.jpg\n']
s59658365_25,p19358609,s59658365,25,Impression,"Compared to chest radiographs ___ through ___. Combination of moderate right pleural effusion and right lower lobe atelectasis has decreased slightly. Severe volume loss in the left lower lobe and somewhat smaller left pleural effusion are stable. Multifocal left upper lobe consolidation is unchanged. Heart size is indeterminate. Right PIC line, ET tube, nasogastric drainage tube are all in standard placements.",Compared to chest radiographs ___ through ___. Combination of moderate right pleural effusion and right lower lobe atelectasis has decreased slightly.,atelectasis,right lower lobe,Better,['files/p19/p19358609/s59658365/2d432182-9bf3ffc9-5168db43-277efaa2-9a16f74a.jpg'],['files/p19/p19358609/s59343870/ae4f09dd-f871aed3-8165305a-661a70af-14375e0d.jpg\n']
s59658365_25,p19358609,s59658365,25,Impression,"Compared to chest radiographs ___ through ___. Combination of moderate right pleural effusion and right lower lobe atelectasis has decreased slightly. Severe volume loss in the left lower lobe and somewhat smaller left pleural effusion are stable. Multifocal left upper lobe consolidation is unchanged. Heart size is indeterminate. Right PIC line, ET tube, nasogastric drainage tube are all in standard placements.",Severe volume loss in the left lower lobe and somewhat smaller left pleural effusion are stable.,pleural effusion,left,Stable,['files/p19/p19358609/s59658365/2d432182-9bf3ffc9-5168db43-277efaa2-9a16f74a.jpg'],['files/p19/p19358609/s59343870/ae4f09dd-f871aed3-8165305a-661a70af-14375e0d.jpg\n']
s59658365_25,p19358609,s59658365,25,Impression,"Compared to chest radiographs ___ through ___. Combination of moderate right pleural effusion and right lower lobe atelectasis has decreased slightly. Severe volume loss in the left lower lobe and somewhat smaller left pleural effusion are stable. Multifocal left upper lobe consolidation is unchanged. Heart size is indeterminate. Right PIC line, ET tube, nasogastric drainage tube are all in standard placements.",Severe volume loss in the left lower lobe and somewhat smaller left pleural effusion are stable.,volume loss,left lower lobe,Stable,['files/p19/p19358609/s59658365/2d432182-9bf3ffc9-5168db43-277efaa2-9a16f74a.jpg'],['files/p19/p19358609/s59343870/ae4f09dd-f871aed3-8165305a-661a70af-14375e0d.jpg\n']
s59664377_0,p17465363,s59664377,0,Findings,"There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. There is a well-circumscribed ovoid density in the posterior right eighth rib, consistent with a bone island seen on prior CT.","There is a well-circumscribed ovoid density in the posterior right eighth rib, consistent with a bone island seen on prior CT.",bone island,posterior right eighth rib,Stable,"['files/p17/p17465363/s59664377/2ba8a7e1-5344e916-23345925-d9ce9860-ac1dee84.jpg', 'files/p17/p17465363/s59664377/c8dca367-d7fe3dc0-4c52aca3-18ba96b0-06ac98ad.jpg']",
s59665820_0,p13731472,s59665820,0,Findings,The heart size is moderately enlarged but is less prominent than on the study from ___ years prior. There is mild pulmonary vascular redistribution. There is increased opacity at both bases compatible with volume loss/early infiltrate.,The heart size is moderately enlarged but is less prominent than on the study from ___ years prior.,Heart size enlargement,,Better,['files/p13/p13731472/s59665820/7a12e8a5-770ebdb4-2304e41d-535a3f1c-7409884f.jpg'],['files/p13/p13731472/s51901233/7fb879bd-f49e00bd-91609953-bf71e17f-5a419295.jpg\n']
s59665820_0,p13731472,s59665820,0,Impression,Mild fluid overload. Compared to the study from ___ years prior the amount of CHF is less.,Compared to the study from ___ years prior the amount of CHF is less.,CHF,,Better,['files/p13/p13731472/s59665820/7a12e8a5-770ebdb4-2304e41d-535a3f1c-7409884f.jpg'],['files/p13/p13731472/s51901233/7fb879bd-f49e00bd-91609953-bf71e17f-5a419295.jpg\n']
s59665820_0,p13731472,s59665820,0,Findings,The heart size is moderately enlarged but is less prominent than on the study from ___ years prior. There is mild pulmonary vascular redistribution. There is increased opacity at both bases compatible with volume loss/early infiltrate.,There is increased opacity at both bases compatible with volume loss/early infiltrate.,opacity,both bases,New,['files/p13/p13731472/s59665820/7a12e8a5-770ebdb4-2304e41d-535a3f1c-7409884f.jpg'],['files/p13/p13731472/s51901233/7fb879bd-f49e00bd-91609953-bf71e17f-5a419295.jpg\n']
s59688115_3,p18573829,s59688115,3,Findings,"Left subclavian central venous catheter is stable. Lung volumes are reduced, and the cardiomediastinal contours are unchanged. Basilar lung haziness is likely fluid or atelectasis. No evidence of pneumonia or pulmonary edema.",Left subclavian central venous catheter is stable.,central venous catheter,left subclavian,Stable,['files/p18/p18573829/s59688115/135f0d17-a5c68038-e9f9097a-b89be36b-245e82fe.jpg'],"['files/p18/p18573829/s59567651/20c64870-d997ca68-0c568c8b-eaa9f10c-809cbc76.jpg\n', 'files/p18/p18573829/s59567651/99dbd90a-b66a0c18-466175fd-f5fe089e-8c92b47e.jpg\n', 'files/p18/p18573829/s59567651/c1f674d5-7e36152f-fbd6eadc-a4030a72-2000a929.jpg\n']"
s59688115_3,p18573829,s59688115,3,Findings,"Left subclavian central venous catheter is stable. Lung volumes are reduced, and the cardiomediastinal contours are unchanged. Basilar lung haziness is likely fluid or atelectasis. No evidence of pneumonia or pulmonary edema.","Lung volumes are reduced, and the cardiomediastinal contours are unchanged.",cardiomediastinal contours,,Stable,['files/p18/p18573829/s59688115/135f0d17-a5c68038-e9f9097a-b89be36b-245e82fe.jpg'],"['files/p18/p18573829/s59567651/20c64870-d997ca68-0c568c8b-eaa9f10c-809cbc76.jpg\n', 'files/p18/p18573829/s59567651/99dbd90a-b66a0c18-466175fd-f5fe089e-8c92b47e.jpg\n', 'files/p18/p18573829/s59567651/c1f674d5-7e36152f-fbd6eadc-a4030a72-2000a929.jpg\n']"
s59694374_11,p13421580,s59694374,11,Findings,"As compared to the previous radiograph, there is minimally improved ventilation at the lung apices. Otherwise, the lung parenchyma has an unchanged appearance. Unchanged size of the cardiac silhouette. Unchanged presence of extensive bilateral pleural effusions and subsequent areas of atelectasis. Unchanged appearance of the cardiac silhouette.",Unchanged size of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p13/p13421580/s59694374/8ed65ad6-239bbf7b-5e6858f2-f00269d0-41305065.jpg'],['files/p13/p13421580/s59568253/40f27d37-e6a130c7-a8f437de-a7caafc0-1f106075.jpg\n']
s59694374_11,p13421580,s59694374,11,Findings,"As compared to the previous radiograph, there is minimally improved ventilation at the lung apices. Otherwise, the lung parenchyma has an unchanged appearance. Unchanged size of the cardiac silhouette. Unchanged presence of extensive bilateral pleural effusions and subsequent areas of atelectasis. Unchanged appearance of the cardiac silhouette.","As compared to the previous radiograph, there is minimally improved ventilation at the lung apices.",ventilation,lung apices,Better,['files/p13/p13421580/s59694374/8ed65ad6-239bbf7b-5e6858f2-f00269d0-41305065.jpg'],['files/p13/p13421580/s59568253/40f27d37-e6a130c7-a8f437de-a7caafc0-1f106075.jpg\n']
s59694374_11,p13421580,s59694374,11,Findings,"As compared to the previous radiograph, there is minimally improved ventilation at the lung apices. Otherwise, the lung parenchyma has an unchanged appearance. Unchanged size of the cardiac silhouette. Unchanged presence of extensive bilateral pleural effusions and subsequent areas of atelectasis. Unchanged appearance of the cardiac silhouette.",Unchanged presence of extensive bilateral pleural effusions and subsequent areas of atelectasis.,atelectasis,,Stable,['files/p13/p13421580/s59694374/8ed65ad6-239bbf7b-5e6858f2-f00269d0-41305065.jpg'],['files/p13/p13421580/s59568253/40f27d37-e6a130c7-a8f437de-a7caafc0-1f106075.jpg\n']
s59694374_11,p13421580,s59694374,11,Findings,"As compared to the previous radiograph, there is minimally improved ventilation at the lung apices. Otherwise, the lung parenchyma has an unchanged appearance. Unchanged size of the cardiac silhouette. Unchanged presence of extensive bilateral pleural effusions and subsequent areas of atelectasis. Unchanged appearance of the cardiac silhouette.",Unchanged appearance of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p13/p13421580/s59694374/8ed65ad6-239bbf7b-5e6858f2-f00269d0-41305065.jpg'],['files/p13/p13421580/s59568253/40f27d37-e6a130c7-a8f437de-a7caafc0-1f106075.jpg\n']
s59694374_11,p13421580,s59694374,11,Findings,"As compared to the previous radiograph, there is minimally improved ventilation at the lung apices. Otherwise, the lung parenchyma has an unchanged appearance. Unchanged size of the cardiac silhouette. Unchanged presence of extensive bilateral pleural effusions and subsequent areas of atelectasis. Unchanged appearance of the cardiac silhouette.","Otherwise, the lung parenchyma has an unchanged appearance.",lung parenchyma,,Stable,['files/p13/p13421580/s59694374/8ed65ad6-239bbf7b-5e6858f2-f00269d0-41305065.jpg'],['files/p13/p13421580/s59568253/40f27d37-e6a130c7-a8f437de-a7caafc0-1f106075.jpg\n']
s59694374_11,p13421580,s59694374,11,Findings,"As compared to the previous radiograph, there is minimally improved ventilation at the lung apices. Otherwise, the lung parenchyma has an unchanged appearance. Unchanged size of the cardiac silhouette. Unchanged presence of extensive bilateral pleural effusions and subsequent areas of atelectasis. Unchanged appearance of the cardiac silhouette.",Unchanged presence of extensive bilateral pleural effusions and subsequent areas of atelectasis.,extensive pleural effusions,bilateral,Stable,['files/p13/p13421580/s59694374/8ed65ad6-239bbf7b-5e6858f2-f00269d0-41305065.jpg'],['files/p13/p13421580/s59568253/40f27d37-e6a130c7-a8f437de-a7caafc0-1f106075.jpg\n']
s59746851_11,p11135350,s59746851,11,Impression,"Consolidation in the left lower lobe is new since ___, without improvement since ___. Previous moderate right pleural effusion is slightly smaller. Severe cardiomegaly is not. There is no pulmonary edema. No pneumothorax. ET tube is in standard placement. Sharp definition of the upper margin of the cuff indicates secretions pooling above the. Right jugular line ends in the low SVC.",Previous moderate right pleural effusion is slightly smaller.,pleural effusion,right,Better,['files/p11/p11135350/s59746851/56291d00-a7244635-53aa8eb3-dce3a174-bc250ba0.jpg'],"['files/p11/p11135350/s59122716/556d5af6-986670c8-db365f47-e8286407-b025908b.jpg\n', 'files/p11/p11135350/s59122716/88877d10-188b5a1e-d99e6d09-75236a50-63e30ee8.jpg\n']"
s59746851_11,p11135350,s59746851,11,Impression,"Consolidation in the left lower lobe is new since ___, without improvement since ___. Previous moderate right pleural effusion is slightly smaller. Severe cardiomegaly is not. There is no pulmonary edema. No pneumothorax. ET tube is in standard placement. Sharp definition of the upper margin of the cuff indicates secretions pooling above the. Right jugular line ends in the low SVC.","Consolidation in the left lower lobe is new since ___, without improvement since ___.",Consolidation,left lower lobe,New,['files/p11/p11135350/s59746851/56291d00-a7244635-53aa8eb3-dce3a174-bc250ba0.jpg'],"['files/p11/p11135350/s59122716/556d5af6-986670c8-db365f47-e8286407-b025908b.jpg\n', 'files/p11/p11135350/s59122716/88877d10-188b5a1e-d99e6d09-75236a50-63e30ee8.jpg\n']"
s59755997_12,p17660889,s59755997,12,Impression,"1. Right internal jugular hemodialysis catheter is unchanged in position. Left internal jugular central line with its tip in the superior vena cava. Endotracheal tube has its tip approximately 4.5 cm above the carina. A nasogastric tube is seen coursing below the diaphragm with the tip not identified. 2. There has been interval worsening of the diffuse bilateral airspace process, likely representing worsening pulmonary edema, less likely superimposed infectious process. No pleural effusions. No evidence of pneumothorax. Heart remains borderline enlarged. Aorta is calcified.",1. Right internal jugular hemodialysis catheter is unchanged in position.,hemodialysis catheter,right internal jugular,Stable,['files/p17/p17660889/s59755997/7c25c976-41dc34c9-ccd3aa02-da854aa5-27de7109.jpg'],['files/p17/p17660889/s59588714/442f2cb0-2fcd458a-939733cf-ba72f0cc-0fed5672.jpg\n']
s59755997_12,p17660889,s59755997,12,Impression,"1. Right internal jugular hemodialysis catheter is unchanged in position. Left internal jugular central line with its tip in the superior vena cava. Endotracheal tube has its tip approximately 4.5 cm above the carina. A nasogastric tube is seen coursing below the diaphragm with the tip not identified. 2. There has been interval worsening of the diffuse bilateral airspace process, likely representing worsening pulmonary edema, less likely superimposed infectious process. No pleural effusions. No evidence of pneumothorax. Heart remains borderline enlarged. Aorta is calcified.","2. There has been interval worsening of the diffuse bilateral airspace process, likely representing worsening pulmonary edema, less likely superimposed infectious process.",airspace process,diffuse bilateral,Worse,['files/p17/p17660889/s59755997/7c25c976-41dc34c9-ccd3aa02-da854aa5-27de7109.jpg'],['files/p17/p17660889/s59588714/442f2cb0-2fcd458a-939733cf-ba72f0cc-0fed5672.jpg\n']
s59755997_12,p17660889,s59755997,12,Impression,"1. Right internal jugular hemodialysis catheter is unchanged in position. Left internal jugular central line with its tip in the superior vena cava. Endotracheal tube has its tip approximately 4.5 cm above the carina. A nasogastric tube is seen coursing below the diaphragm with the tip not identified. 2. There has been interval worsening of the diffuse bilateral airspace process, likely representing worsening pulmonary edema, less likely superimposed infectious process. No pleural effusions. No evidence of pneumothorax. Heart remains borderline enlarged. Aorta is calcified.",Heart remains borderline enlarged.,borderline enlarged heart,,Stable,['files/p17/p17660889/s59755997/7c25c976-41dc34c9-ccd3aa02-da854aa5-27de7109.jpg'],['files/p17/p17660889/s59588714/442f2cb0-2fcd458a-939733cf-ba72f0cc-0fed5672.jpg\n']
s59756989_87,p11717909,s59756989,87,Impression,"Swan-Ganz catheter tip is at the level of right main pulmonary artery. Heart size and mediastinum are stable. Minimal bibasal atelectasis, right more than left are similar to previous study. There is no pneumothorax.","Minimal bibasal atelectasis, right more than left are similar to previous study.",atelectasis,"bibasal, right more than left",Stable,['files/p11/p11717909/s59756989/c6e3ce13-2009d15c-22403934-c8b0ed0a-84811273.jpg'],['files/p11/p11717909/s59648901/9296d4e5-8c81e5dd-f08e6cfb-658feaeb-fe3cdfa5.jpg\n']
s59756989_87,p11717909,s59756989,87,Impression,"Swan-Ganz catheter tip is at the level of right main pulmonary artery. Heart size and mediastinum are stable. Minimal bibasal atelectasis, right more than left are similar to previous study. There is no pneumothorax.",Heart size and mediastinum are stable.,,Heart and mediastinum,Stable,['files/p11/p11717909/s59756989/c6e3ce13-2009d15c-22403934-c8b0ed0a-84811273.jpg'],['files/p11/p11717909/s59648901/9296d4e5-8c81e5dd-f08e6cfb-658feaeb-fe3cdfa5.jpg\n']
s59762894_2,p17559288,s59762894,2,Findings,"In comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip approximately 3.1 cm above the carina. Diffuse bilateral pulmonary opacifications are again seen, possibly even more intense than previously on the right.","Diffuse bilateral pulmonary opacifications are again seen, possibly even more intense than previously on the right.",pulmonary opacifications,right,Worse,['files/p17/p17559288/s59762894/94cf13e6-4ce08671-ed55ba8e-42a83718-37c56071.jpg'],['files/p17/p17559288/s59602068/7cd4e7d0-69d6bb9f-93a8c61e-941e3664-68a658d2.jpg\n']
s59786298_8,p12056668,s59786298,8,Findings,"AP single view of the chest was obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of ___. In the interval, the right-sided pigtail end drainage catheter in the lower pleural space has been removed. Aeration of the lung is unchanged and no evidence of increasing pleural effusion is present. Again, however, a small up to 2 cm wide apical pneumothorax cavity persists. No other new abnormalities. Left-sided pleural effusion persists and is seen to extend in the posterior pleural space as well as identified on a lateral view in sitting position.",Aeration of the lung is unchanged and no evidence of increasing pleural effusion is present.,aeration,lung,Stable,['files/p12/p12056668/s59786298/ae2e7d80-ff33449e-b88a8013-66cff528-5fc0d503.jpg'],['files/p12/p12056668/s59247330/0bf4ce04-1a1975cb-30d2e4c3-72803b59-f383d941.jpg\n']
s59786298_8,p12056668,s59786298,8,Findings,"AP single view of the chest was obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of ___. In the interval, the right-sided pigtail end drainage catheter in the lower pleural space has been removed. Aeration of the lung is unchanged and no evidence of increasing pleural effusion is present. Again, however, a small up to 2 cm wide apical pneumothorax cavity persists. No other new abnormalities. Left-sided pleural effusion persists and is seen to extend in the posterior pleural space as well as identified on a lateral view in sitting position.","Again, however, a small up to 2 cm wide apical pneumothorax cavity persists.",pneumothorax cavity,apical,Stable,['files/p12/p12056668/s59786298/ae2e7d80-ff33449e-b88a8013-66cff528-5fc0d503.jpg'],['files/p12/p12056668/s59247330/0bf4ce04-1a1975cb-30d2e4c3-72803b59-f383d941.jpg\n']
s59786298_8,p12056668,s59786298,8,Findings,"AP single view of the chest was obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of ___. In the interval, the right-sided pigtail end drainage catheter in the lower pleural space has been removed. Aeration of the lung is unchanged and no evidence of increasing pleural effusion is present. Again, however, a small up to 2 cm wide apical pneumothorax cavity persists. No other new abnormalities. Left-sided pleural effusion persists and is seen to extend in the posterior pleural space as well as identified on a lateral view in sitting position.","In the interval, the right-sided pigtail end drainage catheter in the lower pleural space has been removed.",pigtail end drainage catheter,right-sided,Resolve,['files/p12/p12056668/s59786298/ae2e7d80-ff33449e-b88a8013-66cff528-5fc0d503.jpg'],['files/p12/p12056668/s59247330/0bf4ce04-1a1975cb-30d2e4c3-72803b59-f383d941.jpg\n']
s59786298_8,p12056668,s59786298,8,Findings,"AP single view of the chest was obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of ___. In the interval, the right-sided pigtail end drainage catheter in the lower pleural space has been removed. Aeration of the lung is unchanged and no evidence of increasing pleural effusion is present. Again, however, a small up to 2 cm wide apical pneumothorax cavity persists. No other new abnormalities. Left-sided pleural effusion persists and is seen to extend in the posterior pleural space as well as identified on a lateral view in sitting position.",Left-sided pleural effusion persists and is seen to extend in the posterior pleural space as well as identified on a lateral view in sitting position.,pleural effusion,left-sided,Stable,['files/p12/p12056668/s59786298/ae2e7d80-ff33449e-b88a8013-66cff528-5fc0d503.jpg'],['files/p12/p12056668/s59247330/0bf4ce04-1a1975cb-30d2e4c3-72803b59-f383d941.jpg\n']
s59794043_0,p13022116,s59794043,0,Findings,"The lung volumes are normal and the lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Bilateral apical thickening is symmetric and unchanged. Heart is normal size. The mediastinal and hilar contours are unremarkable.",Bilateral apical thickening is symmetric and unchanged.,thickening,Bilateral apical,Stable,"['files/p13/p13022116/s59794043/a5dbfeb9-868150c3-2d9545bd-f01f5543-d4a57638.jpg', 'files/p13/p13022116/s59794043/bb2d16ed-83a9269c-7f1b2130-45116784-a9c8a430.jpg']",
s59801791_10,p11888614,s59801791,10,Impression,1. Unchanged multifocal pneumonia. 2. Improved background mild pulmonary edema. 3. Unchanged small left pleural effusion.,1. Unchanged multifocal pneumonia.,multifocal pneumonia,,Stable,['files/p11/p11888614/s59801791/0886cd4d-6d1a9134-0b1779b9-11e210e4-39cc1a2d.jpg'],['files/p11/p11888614/s59192793/8c6326e3-b3e4f913-8ee4674e-d82424f7-ee0e7d74.jpg\n']
s59801791_10,p11888614,s59801791,10,Impression,1. Unchanged multifocal pneumonia. 2. Improved background mild pulmonary edema. 3. Unchanged small left pleural effusion.,2. Improved background mild pulmonary edema.,mild pulmonary edema,,Better,['files/p11/p11888614/s59801791/0886cd4d-6d1a9134-0b1779b9-11e210e4-39cc1a2d.jpg'],['files/p11/p11888614/s59192793/8c6326e3-b3e4f913-8ee4674e-d82424f7-ee0e7d74.jpg\n']
s59801791_10,p11888614,s59801791,10,Findings,An endotracheal tube terminates 5.8 cm above the carina. The heart size is normal. Multifocal consolidations persist since ___. Mild superimposed pulmonary edema has improved and a small left pleural effusion is unchanged. There is no pneumothorax.,Multifocal consolidations persist since ___.,Multifocal consolidations,,Stable,['files/p11/p11888614/s59801791/0886cd4d-6d1a9134-0b1779b9-11e210e4-39cc1a2d.jpg'],['files/p11/p11888614/s59192793/8c6326e3-b3e4f913-8ee4674e-d82424f7-ee0e7d74.jpg\n']
s59801791_10,p11888614,s59801791,10,Findings,An endotracheal tube terminates 5.8 cm above the carina. The heart size is normal. Multifocal consolidations persist since ___. Mild superimposed pulmonary edema has improved and a small left pleural effusion is unchanged. There is no pneumothorax.,Mild superimposed pulmonary edema has improved and a small left pleural effusion is unchanged.,small pleural effusion,left,Stable,['files/p11/p11888614/s59801791/0886cd4d-6d1a9134-0b1779b9-11e210e4-39cc1a2d.jpg'],['files/p11/p11888614/s59192793/8c6326e3-b3e4f913-8ee4674e-d82424f7-ee0e7d74.jpg\n']
s59801791_10,p11888614,s59801791,10,Findings,An endotracheal tube terminates 5.8 cm above the carina. The heart size is normal. Multifocal consolidations persist since ___. Mild superimposed pulmonary edema has improved and a small left pleural effusion is unchanged. There is no pneumothorax.,Mild superimposed pulmonary edema has improved and a small left pleural effusion is unchanged.,Mild superimposed pulmonary edema,,Better,['files/p11/p11888614/s59801791/0886cd4d-6d1a9134-0b1779b9-11e210e4-39cc1a2d.jpg'],['files/p11/p11888614/s59192793/8c6326e3-b3e4f913-8ee4674e-d82424f7-ee0e7d74.jpg\n']
s59801791_10,p11888614,s59801791,10,Impression,1. Unchanged multifocal pneumonia. 2. Improved background mild pulmonary edema. 3. Unchanged small left pleural effusion.,3. Unchanged small left pleural effusion.,small pleural effusion,left,Stable,['files/p11/p11888614/s59801791/0886cd4d-6d1a9134-0b1779b9-11e210e4-39cc1a2d.jpg'],['files/p11/p11888614/s59192793/8c6326e3-b3e4f913-8ee4674e-d82424f7-ee0e7d74.jpg\n']
s59808069_1,p13453133,s59808069,1,Impression,"As compared to the previous radiograph, the right chest tube is in unchanged position. There is unchanged evidence of a small right apical pneumothorax. The lung volumes have slightly decreased, with development of basal areas of atelectasis. Borderline size of the cardiac silhouette. No pulmonary edema. Please see recent CT torso examination for a more detailed description of the findings, in particular the pericardial effusion.",There is unchanged evidence of a small right apical pneumothorax.,pneumothorax,small right apical,Stable,['files/p13/p13453133/s59808069/1096d9fd-e71aefb9-50874d07-29cb8e86-2da35512.jpg'],"['files/p13/p13453133/s58917692/3ff7aa6a-fcc94e00-adc8df6a-de85a781-27c9f662.jpg\n', 'files/p13/p13453133/s58917692/c448141e-083d9d4b-bf1a42bb-1d9de6ab-35d172f8.jpg\n']"
s59808069_1,p13453133,s59808069,1,Impression,"As compared to the previous radiograph, the right chest tube is in unchanged position. There is unchanged evidence of a small right apical pneumothorax. The lung volumes have slightly decreased, with development of basal areas of atelectasis. Borderline size of the cardiac silhouette. No pulmonary edema. Please see recent CT torso examination for a more detailed description of the findings, in particular the pericardial effusion.","The lung volumes have slightly decreased, with development of basal areas of atelectasis.",atelectasis,basal,Worse,['files/p13/p13453133/s59808069/1096d9fd-e71aefb9-50874d07-29cb8e86-2da35512.jpg'],"['files/p13/p13453133/s58917692/3ff7aa6a-fcc94e00-adc8df6a-de85a781-27c9f662.jpg\n', 'files/p13/p13453133/s58917692/c448141e-083d9d4b-bf1a42bb-1d9de6ab-35d172f8.jpg\n']"
s59808069_1,p13453133,s59808069,1,Impression,"As compared to the previous radiograph, the right chest tube is in unchanged position. There is unchanged evidence of a small right apical pneumothorax. The lung volumes have slightly decreased, with development of basal areas of atelectasis. Borderline size of the cardiac silhouette. No pulmonary edema. Please see recent CT torso examination for a more detailed description of the findings, in particular the pericardial effusion.","As compared to the previous radiograph, the right chest tube is in unchanged position.",chest tube position,right,Stable,['files/p13/p13453133/s59808069/1096d9fd-e71aefb9-50874d07-29cb8e86-2da35512.jpg'],"['files/p13/p13453133/s58917692/3ff7aa6a-fcc94e00-adc8df6a-de85a781-27c9f662.jpg\n', 'files/p13/p13453133/s58917692/c448141e-083d9d4b-bf1a42bb-1d9de6ab-35d172f8.jpg\n']"
s59819600_2,p12056668,s59819600,2,Impression,"AP chest compared to ___: Large bilateral pleural effusions and moderate enlargement of the cardiac silhouette are continuing to increase. It could be a pericardial effusion. Moderate pulmonary edema is exaggerated by low lung volumes, but also worsened. No pneumothorax. Right PIC line follows a course consistent with either the right internal mammary vein or upper right atrium.",AP chest compared to ___: Large bilateral pleural effusions and moderate enlargement of the cardiac silhouette are continuing to increase.,pleural effusions,bilateral,Worse,"['files/p12/p12056668/s59819600/3bf027ad-4ea50807-05aa327c-3b30394d-7aa6759b.jpg', 'files/p12/p12056668/s59819600/d57952c1-89986306-f483eb47-8dc115ff-36d4fb7b.jpg']",['files/p12/p12056668/s59786298/ae2e7d80-ff33449e-b88a8013-66cff528-5fc0d503.jpg\n']
s59819600_2,p12056668,s59819600,2,Impression,"AP chest compared to ___: Large bilateral pleural effusions and moderate enlargement of the cardiac silhouette are continuing to increase. It could be a pericardial effusion. Moderate pulmonary edema is exaggerated by low lung volumes, but also worsened. No pneumothorax. Right PIC line follows a course consistent with either the right internal mammary vein or upper right atrium.","Moderate pulmonary edema is exaggerated by low lung volumes, but also worsened.",pulmonary edema,,Worse,"['files/p12/p12056668/s59819600/3bf027ad-4ea50807-05aa327c-3b30394d-7aa6759b.jpg', 'files/p12/p12056668/s59819600/d57952c1-89986306-f483eb47-8dc115ff-36d4fb7b.jpg']",['files/p12/p12056668/s59786298/ae2e7d80-ff33449e-b88a8013-66cff528-5fc0d503.jpg\n']
s59819600_2,p12056668,s59819600,2,Impression,"AP chest compared to ___: Large bilateral pleural effusions and moderate enlargement of the cardiac silhouette are continuing to increase. It could be a pericardial effusion. Moderate pulmonary edema is exaggerated by low lung volumes, but also worsened. No pneumothorax. Right PIC line follows a course consistent with either the right internal mammary vein or upper right atrium.",AP chest compared to ___: Large bilateral pleural effusions and moderate enlargement of the cardiac silhouette are continuing to increase.,cardiac silhouette,,Worse,"['files/p12/p12056668/s59819600/3bf027ad-4ea50807-05aa327c-3b30394d-7aa6759b.jpg', 'files/p12/p12056668/s59819600/d57952c1-89986306-f483eb47-8dc115ff-36d4fb7b.jpg']",['files/p12/p12056668/s59786298/ae2e7d80-ff33449e-b88a8013-66cff528-5fc0d503.jpg\n']
s59847097_14,p17559288,s59847097,14,Findings,"In comparison with the study of ___, there is little change in the diffuse primarily reticular changes involving both lungs, consistent with the diagnosis of PCP ___. The endotracheal tube has been removed. The other monitoring and support devices are essentially unchanged.",The other monitoring and support devices are essentially unchanged.,other monitoring and support devices,,Stable,['files/p17/p17559288/s59847097/5c817d58-918d46f3-7e31bce6-2a7e7cd8-f30eaae6.jpg'],['files/p17/p17559288/s59762894/94cf13e6-4ce08671-ed55ba8e-42a83718-37c56071.jpg\n']
s59847097_14,p17559288,s59847097,14,Findings,"In comparison with the study of ___, there is little change in the diffuse primarily reticular changes involving both lungs, consistent with the diagnosis of PCP ___. The endotracheal tube has been removed. The other monitoring and support devices are essentially unchanged.","In comparison with the study of ___, there is little change in the diffuse primarily reticular changes involving both lungs, consistent with the diagnosis of PCP ___.",diffuse primarily reticular changes,both lungs,Stable,['files/p17/p17559288/s59847097/5c817d58-918d46f3-7e31bce6-2a7e7cd8-f30eaae6.jpg'],['files/p17/p17559288/s59762894/94cf13e6-4ce08671-ed55ba8e-42a83718-37c56071.jpg\n']
s59847097_14,p17559288,s59847097,14,Findings,"In comparison with the study of ___, there is little change in the diffuse primarily reticular changes involving both lungs, consistent with the diagnosis of PCP ___. The endotracheal tube has been removed. The other monitoring and support devices are essentially unchanged.",The endotracheal tube has been removed.,endotracheal tube,,Resolve,['files/p17/p17559288/s59847097/5c817d58-918d46f3-7e31bce6-2a7e7cd8-f30eaae6.jpg'],['files/p17/p17559288/s59762894/94cf13e6-4ce08671-ed55ba8e-42a83718-37c56071.jpg\n']
s59848394_9,p13171410,s59848394,9,Findings,"Right chest tube remains in place with a persistent small right apicolateral pneumothorax. Cardiomediastinal contours are stable in the postoperative period. Bibasilar atelectasis persists and is slightly worsened in the left lower lobe. Moderate partially loculated left pleural effusion has slightly decreased in size, and a small right pleural effusion is unchanged.",Bibasilar atelectasis persists and is slightly worsened in the left lower lobe.,bibasilar atelectasis,left lower lobe,Worse,['files/p13/p13171410/s59848394/01913fe9-f0448eac-8f439832-dc05486f-95545a64.jpg'],['files/p13/p13171410/s58511483/b141bf84-f515c0d9-96113b11-9349f481-567cb70e.jpg\n']
s59848394_9,p13171410,s59848394,9,Findings,"Right chest tube remains in place with a persistent small right apicolateral pneumothorax. Cardiomediastinal contours are stable in the postoperative period. Bibasilar atelectasis persists and is slightly worsened in the left lower lobe. Moderate partially loculated left pleural effusion has slightly decreased in size, and a small right pleural effusion is unchanged.",Right chest tube remains in place with a persistent small right apicolateral pneumothorax.,pneumothorax,right apicolateral,Stable,['files/p13/p13171410/s59848394/01913fe9-f0448eac-8f439832-dc05486f-95545a64.jpg'],['files/p13/p13171410/s58511483/b141bf84-f515c0d9-96113b11-9349f481-567cb70e.jpg\n']
s59848394_9,p13171410,s59848394,9,Findings,"Right chest tube remains in place with a persistent small right apicolateral pneumothorax. Cardiomediastinal contours are stable in the postoperative period. Bibasilar atelectasis persists and is slightly worsened in the left lower lobe. Moderate partially loculated left pleural effusion has slightly decreased in size, and a small right pleural effusion is unchanged.",Cardiomediastinal contours are stable in the postoperative period.,contours,cardiomediastinal contours,Stable,['files/p13/p13171410/s59848394/01913fe9-f0448eac-8f439832-dc05486f-95545a64.jpg'],['files/p13/p13171410/s58511483/b141bf84-f515c0d9-96113b11-9349f481-567cb70e.jpg\n']
s59848394_9,p13171410,s59848394,9,Findings,"Right chest tube remains in place with a persistent small right apicolateral pneumothorax. Cardiomediastinal contours are stable in the postoperative period. Bibasilar atelectasis persists and is slightly worsened in the left lower lobe. Moderate partially loculated left pleural effusion has slightly decreased in size, and a small right pleural effusion is unchanged.","Moderate partially loculated left pleural effusion has slightly decreased in size, and a small right pleural effusion is unchanged.",effusion,left pleural,Better,['files/p13/p13171410/s59848394/01913fe9-f0448eac-8f439832-dc05486f-95545a64.jpg'],['files/p13/p13171410/s58511483/b141bf84-f515c0d9-96113b11-9349f481-567cb70e.jpg\n']
s59868000_31,p15911529,s59868000,31,Impression,"Substantial right pleural effusion collected laterally and in the inter lobar fissures has reaccumulatied since ___, after previous drainage of the lateral collection after a new or repositioned right pigtail pleural drainage catheter. Moderate atelectasis at the base the right lung is stable. Pulmonary vascular engorgement has improved since ___, but severe cardiomegaly has not. Transvenous atrioventricular pacer leads are unchanged in their respective positions. Tiny residual right apical pneumothorax remains.",Tiny residual right apical pneumothorax remains.,Pneumothorax,right apical,Stable,['files/p15/p15911529/s59868000/6f7c8371-2e3b25ff-83624c4e-2be20956-b6845eca.jpg'],['files/p15/p15911529/s59474704/0184704e-f5d6feff-cbe7f37e-d6c77a0f-db1e7472.jpg\n']
s59868000_31,p15911529,s59868000,31,Impression,"Substantial right pleural effusion collected laterally and in the inter lobar fissures has reaccumulatied since ___, after previous drainage of the lateral collection after a new or repositioned right pigtail pleural drainage catheter. Moderate atelectasis at the base the right lung is stable. Pulmonary vascular engorgement has improved since ___, but severe cardiomegaly has not. Transvenous atrioventricular pacer leads are unchanged in their respective positions. Tiny residual right apical pneumothorax remains.","Substantial right pleural effusion collected laterally and in the inter lobar fissures has reaccumulatied since ___, after previous drainage of the lateral collection after a new or repositioned right pigtail pleural drainage catheter.",Pleural effusion,"right, laterally, inter lobar fissures",Worse,['files/p15/p15911529/s59868000/6f7c8371-2e3b25ff-83624c4e-2be20956-b6845eca.jpg'],['files/p15/p15911529/s59474704/0184704e-f5d6feff-cbe7f37e-d6c77a0f-db1e7472.jpg\n']
s59868000_31,p15911529,s59868000,31,Impression,"Substantial right pleural effusion collected laterally and in the inter lobar fissures has reaccumulatied since ___, after previous drainage of the lateral collection after a new or repositioned right pigtail pleural drainage catheter. Moderate atelectasis at the base the right lung is stable. Pulmonary vascular engorgement has improved since ___, but severe cardiomegaly has not. Transvenous atrioventricular pacer leads are unchanged in their respective positions. Tiny residual right apical pneumothorax remains.",Transvenous atrioventricular pacer leads are unchanged in their respective positions.,Transvenous atrioventricular pacer leads,,Stable,['files/p15/p15911529/s59868000/6f7c8371-2e3b25ff-83624c4e-2be20956-b6845eca.jpg'],['files/p15/p15911529/s59474704/0184704e-f5d6feff-cbe7f37e-d6c77a0f-db1e7472.jpg\n']
s59868000_31,p15911529,s59868000,31,Impression,"Substantial right pleural effusion collected laterally and in the inter lobar fissures has reaccumulatied since ___, after previous drainage of the lateral collection after a new or repositioned right pigtail pleural drainage catheter. Moderate atelectasis at the base the right lung is stable. Pulmonary vascular engorgement has improved since ___, but severe cardiomegaly has not. Transvenous atrioventricular pacer leads are unchanged in their respective positions. Tiny residual right apical pneumothorax remains.",Moderate atelectasis at the base the right lung is stable.,Atelectasis,base of the right lung,Stable,['files/p15/p15911529/s59868000/6f7c8371-2e3b25ff-83624c4e-2be20956-b6845eca.jpg'],['files/p15/p15911529/s59474704/0184704e-f5d6feff-cbe7f37e-d6c77a0f-db1e7472.jpg\n']
s59868000_31,p15911529,s59868000,31,Impression,"Substantial right pleural effusion collected laterally and in the inter lobar fissures has reaccumulatied since ___, after previous drainage of the lateral collection after a new or repositioned right pigtail pleural drainage catheter. Moderate atelectasis at the base the right lung is stable. Pulmonary vascular engorgement has improved since ___, but severe cardiomegaly has not. Transvenous atrioventricular pacer leads are unchanged in their respective positions. Tiny residual right apical pneumothorax remains.","Pulmonary vascular engorgement has improved since ___, but severe cardiomegaly has not.",Cardiomegaly,,Worse,['files/p15/p15911529/s59868000/6f7c8371-2e3b25ff-83624c4e-2be20956-b6845eca.jpg'],['files/p15/p15911529/s59474704/0184704e-f5d6feff-cbe7f37e-d6c77a0f-db1e7472.jpg\n']
s59873577_16,p15793456,s59873577,16,Impression,"Compared to chest radiographs ___ through ___ at 03:35. Patient has severe emphysema, with most severe vascular deficiency in the lower lungs, especially the left, a distribution which suggests alpha one antitrypsin deficiency. There are no focal pulmonary findings to suggest either pneumonia or edema. However there has been substantial interval increase in the ___ of the left hilus, some of which is due to substantial enlargement of the pulmonary artery proximally, and perhaps the descending pulmonary artery or supra be needing atelectasis. The importance of a CTA to exclude a large central pulmonary embolus has been discussed with the clinical care team. No pleural abnormality. ET tube and left PIC line are in standard placements.","However there has been substantial interval increase in the ___ of the left hilus, some of which is due to substantial enlargement of the pulmonary artery proximally, and perhaps the descending pulmonary artery or supra be needing atelectasis.",enlargement of the pulmonary artery,left hilus,Worse,"['files/p15/p15793456/s59873577/2ff56cb4-34295633-6d7f37de-def5c897-97e56f55.jpg', 'files/p15/p15793456/s59873577/b1c89b98-a8652b78-b91909d9-858c38d3-cf9a6962.jpg']",['files/p15/p15793456/s58666598/e42b4605-f902c4ae-7379b10b-bb8897a0-0a74f22a.jpg\n']
s59874624_16,p14798972,s59874624,16,Impression,Stable appearance of the mediastinum with the neoesophagus. Lungs are clear. No pneumonia/aspiration.,Stable appearance of the mediastinum with the neoesophagus.,Appearance,Mediastinum,Stable,['files/p14/p14798972/s59874624/f10984d9-b7e843e6-ebb071e2-68fe6b30-930a5e31.jpg'],"['files/p14/p14798972/s59492394/177c6b71-3af02ee2-4f3241ab-176e34c0-0cee31fb.jpg\n', 'files/p14/p14798972/s59492394/ccda45e0-517df94b-12cabece-0accc381-8622980c.jpg\n']"
s59874624_16,p14798972,s59874624,16,Findings,"Mild mediastinal widening on the right side is from an air-filled neoesophagus which has an unchanged appearance since ___. Both lungs are well expanded and clear. No evidence to suggest aspiration or pneumonia. There is no pneumothorax. Heart size is normal, mediastinal and hilar contours are unremarkable.",Mild mediastinal widening on the right side is from an air-filled neoesophagus which has an unchanged appearance since ___.,Mediastinal widening,Right side,Stable,['files/p14/p14798972/s59874624/f10984d9-b7e843e6-ebb071e2-68fe6b30-930a5e31.jpg'],"['files/p14/p14798972/s59492394/177c6b71-3af02ee2-4f3241ab-176e34c0-0cee31fb.jpg\n', 'files/p14/p14798972/s59492394/ccda45e0-517df94b-12cabece-0accc381-8622980c.jpg\n']"
s59881207_7,p12669344,s59881207,7,Findings,There has been interval removal of an endotracheal tube and enteric tube. The heart is persistently enlarged but stable in size from the prior exam. Mild interstitial edema persists. Opacities involving the right middle lobe and left lower lobe are again demonstrated and may represent atelectasis or infection in the appropriate setting.,There has been interval removal of an endotracheal tube and enteric tube.,Endotracheal tube,,Resolve,['files/p12/p12669344/s59881207/59b7e3c4-05bcf819-da6417fa-60f5b61a-38711e5c.jpg'],['files/p12/p12669344/s59437027/edd99c90-fa96205f-04b2900c-127c69bd-d632e5c5.jpg\n']
s59881207_7,p12669344,s59881207,7,Findings,There has been interval removal of an endotracheal tube and enteric tube. The heart is persistently enlarged but stable in size from the prior exam. Mild interstitial edema persists. Opacities involving the right middle lobe and left lower lobe are again demonstrated and may represent atelectasis or infection in the appropriate setting.,Opacities involving the right middle lobe and left lower lobe are again demonstrated and may represent atelectasis or infection in the appropriate setting.,Opacities,Left lower lobe,Stable,['files/p12/p12669344/s59881207/59b7e3c4-05bcf819-da6417fa-60f5b61a-38711e5c.jpg'],['files/p12/p12669344/s59437027/edd99c90-fa96205f-04b2900c-127c69bd-d632e5c5.jpg\n']
s59881207_7,p12669344,s59881207,7,Findings,There has been interval removal of an endotracheal tube and enteric tube. The heart is persistently enlarged but stable in size from the prior exam. Mild interstitial edema persists. Opacities involving the right middle lobe and left lower lobe are again demonstrated and may represent atelectasis or infection in the appropriate setting.,There has been interval removal of an endotracheal tube and enteric tube.,Enteric tube,,Resolve,['files/p12/p12669344/s59881207/59b7e3c4-05bcf819-da6417fa-60f5b61a-38711e5c.jpg'],['files/p12/p12669344/s59437027/edd99c90-fa96205f-04b2900c-127c69bd-d632e5c5.jpg\n']
s59881207_7,p12669344,s59881207,7,Findings,There has been interval removal of an endotracheal tube and enteric tube. The heart is persistently enlarged but stable in size from the prior exam. Mild interstitial edema persists. Opacities involving the right middle lobe and left lower lobe are again demonstrated and may represent atelectasis or infection in the appropriate setting.,The heart is persistently enlarged but stable in size from the prior exam.,Cardiomegaly,,Stable,['files/p12/p12669344/s59881207/59b7e3c4-05bcf819-da6417fa-60f5b61a-38711e5c.jpg'],['files/p12/p12669344/s59437027/edd99c90-fa96205f-04b2900c-127c69bd-d632e5c5.jpg\n']
s59881207_7,p12669344,s59881207,7,Findings,There has been interval removal of an endotracheal tube and enteric tube. The heart is persistently enlarged but stable in size from the prior exam. Mild interstitial edema persists. Opacities involving the right middle lobe and left lower lobe are again demonstrated and may represent atelectasis or infection in the appropriate setting.,Mild interstitial edema persists.,Edema,Interstitial,Stable,['files/p12/p12669344/s59881207/59b7e3c4-05bcf819-da6417fa-60f5b61a-38711e5c.jpg'],['files/p12/p12669344/s59437027/edd99c90-fa96205f-04b2900c-127c69bd-d632e5c5.jpg\n']
s59881207_7,p12669344,s59881207,7,Findings,There has been interval removal of an endotracheal tube and enteric tube. The heart is persistently enlarged but stable in size from the prior exam. Mild interstitial edema persists. Opacities involving the right middle lobe and left lower lobe are again demonstrated and may represent atelectasis or infection in the appropriate setting.,Opacities involving the right middle lobe and left lower lobe are again demonstrated and may represent atelectasis or infection in the appropriate setting.,Opacities,Right middle lobe,Stable,['files/p12/p12669344/s59881207/59b7e3c4-05bcf819-da6417fa-60f5b61a-38711e5c.jpg'],['files/p12/p12669344/s59437027/edd99c90-fa96205f-04b2900c-127c69bd-d632e5c5.jpg\n']
s59881207_7,p12669344,s59881207,7,Impression,Persistent mild edema. Multifocal opacities could represent areas of atelectasis or infection in the appropriate setting.,Persistent mild edema.,Edema,Interstitial,Stable,['files/p12/p12669344/s59881207/59b7e3c4-05bcf819-da6417fa-60f5b61a-38711e5c.jpg'],['files/p12/p12669344/s59437027/edd99c90-fa96205f-04b2900c-127c69bd-d632e5c5.jpg\n']
s59882746_46,p11717909,s59882746,46,Impression,"In comparison with the study of ___, the there may be even further opacification in the right hemithorax. Persistent opacification in the retrocardiac region with blunting of the left costophrenic angle. Monitoring and support devices are essentially unchanged.","In comparison with the study of ___, the there may be even further opacification in the right hemithorax.",opacification,right hemithorax,Worse,['files/p11/p11717909/s59882746/78ed3ced-cd79570f-e1427410-e2202da1-75dd1584.jpg'],"['files/p11/p11717909/s59872440/427b4ab7-9ff413ad-27cb0c6a-12e7de89-7ab26654.jpg\n', 'files/p11/p11717909/s59872440/7db9f8cc-6fa31cc8-1a5129e9-9c39ac1c-a1a15416.jpg\n']"
s59882746_46,p11717909,s59882746,46,Impression,"In comparison with the study of ___, the there may be even further opacification in the right hemithorax. Persistent opacification in the retrocardiac region with blunting of the left costophrenic angle. Monitoring and support devices are essentially unchanged.",Persistent opacification in the retrocardiac region with blunting of the left costophrenic angle.,blunting,left costophrenic angle,Stable,['files/p11/p11717909/s59882746/78ed3ced-cd79570f-e1427410-e2202da1-75dd1584.jpg'],"['files/p11/p11717909/s59872440/427b4ab7-9ff413ad-27cb0c6a-12e7de89-7ab26654.jpg\n', 'files/p11/p11717909/s59872440/7db9f8cc-6fa31cc8-1a5129e9-9c39ac1c-a1a15416.jpg\n']"
s59882746_46,p11717909,s59882746,46,Impression,"In comparison with the study of ___, the there may be even further opacification in the right hemithorax. Persistent opacification in the retrocardiac region with blunting of the left costophrenic angle. Monitoring and support devices are essentially unchanged.",Monitoring and support devices are essentially unchanged.,monitoring and support devices,,Stable,['files/p11/p11717909/s59882746/78ed3ced-cd79570f-e1427410-e2202da1-75dd1584.jpg'],"['files/p11/p11717909/s59872440/427b4ab7-9ff413ad-27cb0c6a-12e7de89-7ab26654.jpg\n', 'files/p11/p11717909/s59872440/7db9f8cc-6fa31cc8-1a5129e9-9c39ac1c-a1a15416.jpg\n']"
s59882746_46,p11717909,s59882746,46,Impression,"In comparison with the study of ___, the there may be even further opacification in the right hemithorax. Persistent opacification in the retrocardiac region with blunting of the left costophrenic angle. Monitoring and support devices are essentially unchanged.",Persistent opacification in the retrocardiac region with blunting of the left costophrenic angle.,opacification,retrocardiac region,Stable,['files/p11/p11717909/s59882746/78ed3ced-cd79570f-e1427410-e2202da1-75dd1584.jpg'],"['files/p11/p11717909/s59872440/427b4ab7-9ff413ad-27cb0c6a-12e7de89-7ab26654.jpg\n', 'files/p11/p11717909/s59872440/7db9f8cc-6fa31cc8-1a5129e9-9c39ac1c-a1a15416.jpg\n']"
s59889283_5,p16346354,s59889283,5,Impression,"ICD leads over right atrium, right ventricle, and in region of coronary sinus. Probable atelectasis and small right pleural effusion new or more pronounced than on ___. Right lung base pneumothorax is considered much less likely. Attention to this area on followup films is requested.",Probable atelectasis and small right pleural effusion new or more pronounced than on ___,effusion,Right pleural,Worse,"['files/p16/p16346354/s59889283/0b54a128-2cfacc36-cc674a81-fd5c16c5-78bc9882.jpg', 'files/p16/p16346354/s59889283/81352ea3-46dd9764-71a8e980-798f84b0-45f4f3e5.jpg', 'files/p16/p16346354/s59889283/948bd46d-61f1d63e-56f946d2-b4c37349-5d0518ae.jpg']","['files/p16/p16346354/s56181168/9e908d18-6a7658db-5a1fbbaa-b26ea86f-ce549cba.jpg\n', 'files/p16/p16346354/s56181168/f58f13fc-5e0dd5d2-eb74ea1e-e45cb8dd-be5cda6e.jpg\n']"
s59889283_5,p16346354,s59889283,5,Findings,"An ICD is in place. 1 lead overlies right atrium AND AN other overlies the right ventricle. The third lead courses posteriorly and lies in the expected location of the coronary sinus. There is a small effusion at the right costophrenic angle. There is probable atelectasis with a small curvilinear sliver of air in between. This is less likely to represent a RIGHT LUNG BASE pneumothorax, as there is no corresponding abnormality on the lateral view. Left costophrenic sulcus is clear. No overt CHF or focal infiltrate identified. No apical pneumothorax detected. Background hyperinflation likely present, similar to prior","Background hyperinflation likely present, similar to prior",hyperinflation,Background,Stable,"['files/p16/p16346354/s59889283/0b54a128-2cfacc36-cc674a81-fd5c16c5-78bc9882.jpg', 'files/p16/p16346354/s59889283/81352ea3-46dd9764-71a8e980-798f84b0-45f4f3e5.jpg', 'files/p16/p16346354/s59889283/948bd46d-61f1d63e-56f946d2-b4c37349-5d0518ae.jpg']","['files/p16/p16346354/s56181168/9e908d18-6a7658db-5a1fbbaa-b26ea86f-ce549cba.jpg\n', 'files/p16/p16346354/s56181168/f58f13fc-5e0dd5d2-eb74ea1e-e45cb8dd-be5cda6e.jpg\n']"
s59889283_5,p16346354,s59889283,5,Impression,"ICD leads over right atrium, right ventricle, and in region of coronary sinus. Probable atelectasis and small right pleural effusion new or more pronounced than on ___. Right lung base pneumothorax is considered much less likely. Attention to this area on followup films is requested.",Probable atelectasis and small right pleural effusion new or more pronounced than on ___,atelectasis,Probable,New,"['files/p16/p16346354/s59889283/0b54a128-2cfacc36-cc674a81-fd5c16c5-78bc9882.jpg', 'files/p16/p16346354/s59889283/81352ea3-46dd9764-71a8e980-798f84b0-45f4f3e5.jpg', 'files/p16/p16346354/s59889283/948bd46d-61f1d63e-56f946d2-b4c37349-5d0518ae.jpg']","['files/p16/p16346354/s56181168/9e908d18-6a7658db-5a1fbbaa-b26ea86f-ce549cba.jpg\n', 'files/p16/p16346354/s56181168/f58f13fc-5e0dd5d2-eb74ea1e-e45cb8dd-be5cda6e.jpg\n']"
s59914893_0,p12932866,s59914893,0,Impression,"Left lower lobe lesion containing a fudicial marker, not significantly changed from the prior study. Probable bibasilar atelectasis though infection is difficult to exclude.","Left lower lobe lesion containing a fudicial marker, not significantly changed from the prior study.",lesion with fudicial marker,left lower lobe,Stable,"['files/p12/p12932866/s59914893/8f1eedc1-d6955632-09f93aa7-392775ca-cd76ca09.jpg', 'files/p12/p12932866/s59914893/b8c518d2-2678df3c-cc723678-5d0d8ff2-310965c9.jpg']","['files/p12/p12932866/s53816282/f3fe398f-bb2b70e1-8ee5b14b-b9a498be-9d923e21.jpg\n', 'files/p12/p12932866/s53816282/fadf202c-b58902f4-74479a47-d1cb4e1f-f67332ba.jpg\n']"
s59914893_0,p12932866,s59914893,0,Findings,"Heart size is normal. The mediastinal and hilar contours are unremarkable with atherosclerotic calcification of the aortic arch again noted. A fudicial seed is again seen within a posterior left lower lobe lesion, compatible with known malignancy status post CyberKnife therapy. Minimal streaky bibasilar opacities likely reflect atelectasis, though infection is difficult to exclude. There is no new focal consolidation, pleural effusion or pneumothorax. No pulmonary vascular congestion is present. Multiple clips are again seen within the upper abdomen. There are no acute osseous abnormalities.","A fudicial seed is again seen within a posterior left lower lobe lesion, compatible with known malignancy status post CyberKnife therapy.",lesion with fudicial seed,posterior left lower lobe,Stable,"['files/p12/p12932866/s59914893/8f1eedc1-d6955632-09f93aa7-392775ca-cd76ca09.jpg', 'files/p12/p12932866/s59914893/b8c518d2-2678df3c-cc723678-5d0d8ff2-310965c9.jpg']","['files/p12/p12932866/s53816282/f3fe398f-bb2b70e1-8ee5b14b-b9a498be-9d923e21.jpg\n', 'files/p12/p12932866/s53816282/fadf202c-b58902f4-74479a47-d1cb4e1f-f67332ba.jpg\n']"
s59914893_0,p12932866,s59914893,0,Findings,"Heart size is normal. The mediastinal and hilar contours are unremarkable with atherosclerotic calcification of the aortic arch again noted. A fudicial seed is again seen within a posterior left lower lobe lesion, compatible with known malignancy status post CyberKnife therapy. Minimal streaky bibasilar opacities likely reflect atelectasis, though infection is difficult to exclude. There is no new focal consolidation, pleural effusion or pneumothorax. No pulmonary vascular congestion is present. Multiple clips are again seen within the upper abdomen. There are no acute osseous abnormalities.",Multiple clips are again seen within the upper abdomen.,clips,upper abdomen,Stable,"['files/p12/p12932866/s59914893/8f1eedc1-d6955632-09f93aa7-392775ca-cd76ca09.jpg', 'files/p12/p12932866/s59914893/b8c518d2-2678df3c-cc723678-5d0d8ff2-310965c9.jpg']","['files/p12/p12932866/s53816282/f3fe398f-bb2b70e1-8ee5b14b-b9a498be-9d923e21.jpg\n', 'files/p12/p12932866/s53816282/fadf202c-b58902f4-74479a47-d1cb4e1f-f67332ba.jpg\n']"
s59914893_0,p12932866,s59914893,0,Findings,"Heart size is normal. The mediastinal and hilar contours are unremarkable with atherosclerotic calcification of the aortic arch again noted. A fudicial seed is again seen within a posterior left lower lobe lesion, compatible with known malignancy status post CyberKnife therapy. Minimal streaky bibasilar opacities likely reflect atelectasis, though infection is difficult to exclude. There is no new focal consolidation, pleural effusion or pneumothorax. No pulmonary vascular congestion is present. Multiple clips are again seen within the upper abdomen. There are no acute osseous abnormalities.",The mediastinal and hilar contours are unremarkable with atherosclerotic calcification of the aortic arch again noted.,atherosclerotic calcification,aortic arch,Stable,"['files/p12/p12932866/s59914893/8f1eedc1-d6955632-09f93aa7-392775ca-cd76ca09.jpg', 'files/p12/p12932866/s59914893/b8c518d2-2678df3c-cc723678-5d0d8ff2-310965c9.jpg']","['files/p12/p12932866/s53816282/f3fe398f-bb2b70e1-8ee5b14b-b9a498be-9d923e21.jpg\n', 'files/p12/p12932866/s53816282/fadf202c-b58902f4-74479a47-d1cb4e1f-f67332ba.jpg\n']"
s59921918_6,p19890030,s59921918,6,Findings,"In comparison with the study of ___, the monitoring and support devices are essentially unchanged. Again, there are diffuse areas of increased opacification bilaterally, consistent with pulmonary edema with cardiomegaly and bilateral pleural effusions with compressive atelectasis at the bases. In the appropriate clinical setting, supervening pneumonia would have to be considered.","In comparison with the study of ___, the monitoring and support devices are essentially unchanged.",monitoring and support devices,,Stable,['files/p19/p19890030/s59921918/fd85d68f-eb20917f-47c20d2b-ecd0f4e7-2bdee415.jpg'],['files/p19/p19890030/s59340980/7302c211-bcfb3845-18039b6f-551fc6f1-549ee247.jpg\n']
s59926281_8,p19358609,s59926281,8,Findings,"In comparison with the study of ___, there is little overall change in the post-surgical appearance of the left upper chest. Chronic changes are seen bilaterally, but no evidence of acute focal pneumonia.","In comparison with the study of ___, there is little overall change in the post-surgical appearance of the left upper chest.",post-surgical appearance,left upper chest,Stable,['files/p19/p19358609/s59926281/6f58b90c-095967a1-12f62c81-70614815-9208a903.jpg'],['files/p19/p19358609/s59658365/2d432182-9bf3ffc9-5168db43-277efaa2-9a16f74a.jpg\n']
s59930189_15,p10337896,s59930189,15,Findings,"Support and monitoring devices are unchanged in position, and cardiomediastinal contours are similar. Interval worsening of pulmonary edema as well as slight increase in size of moderate bilateral pleural effusions. Otherwise, no relevant short interval change.","Support and monitoring devices are unchanged in position, and cardiomediastinal contours are similar.",,Position of support and monitoring devices,Stable,['files/p10/p10337896/s59930189/56ba2b4a-a47cedaf-139af8c9-10d8a957-74ec4f4f.jpg'],['files/p10/p10337896/s58472100/837a3315-a9ccd709-59623363-1b86d9d7-0682317f.jpg\n']
s59930189_15,p10337896,s59930189,15,Findings,"Support and monitoring devices are unchanged in position, and cardiomediastinal contours are similar. Interval worsening of pulmonary edema as well as slight increase in size of moderate bilateral pleural effusions. Otherwise, no relevant short interval change.",Interval worsening of pulmonary edema as well as slight increase in size of moderate bilateral pleural effusions.,Pleural effusions,Bilateral,Worse,['files/p10/p10337896/s59930189/56ba2b4a-a47cedaf-139af8c9-10d8a957-74ec4f4f.jpg'],['files/p10/p10337896/s58472100/837a3315-a9ccd709-59623363-1b86d9d7-0682317f.jpg\n']
s59930189_15,p10337896,s59930189,15,Findings,"Support and monitoring devices are unchanged in position, and cardiomediastinal contours are similar. Interval worsening of pulmonary edema as well as slight increase in size of moderate bilateral pleural effusions. Otherwise, no relevant short interval change.",Interval worsening of pulmonary edema as well as slight increase in size of moderate bilateral pleural effusions.,Pulmonary edema,,Worse,['files/p10/p10337896/s59930189/56ba2b4a-a47cedaf-139af8c9-10d8a957-74ec4f4f.jpg'],['files/p10/p10337896/s58472100/837a3315-a9ccd709-59623363-1b86d9d7-0682317f.jpg\n']
s59930189_15,p10337896,s59930189,15,Findings,"Support and monitoring devices are unchanged in position, and cardiomediastinal contours are similar. Interval worsening of pulmonary edema as well as slight increase in size of moderate bilateral pleural effusions. Otherwise, no relevant short interval change.","Support and monitoring devices are unchanged in position, and cardiomediastinal contours are similar.",Cardiomediastinal contours,,Stable,['files/p10/p10337896/s59930189/56ba2b4a-a47cedaf-139af8c9-10d8a957-74ec4f4f.jpg'],['files/p10/p10337896/s58472100/837a3315-a9ccd709-59623363-1b86d9d7-0682317f.jpg\n']
s59936924_0,p11623255,s59936924,0,Findings,Increased opacification in the left infrahilar region is consistent with early pneumonia. A followup chest radiograph in six weeks after appropriate therapy is recommended to confirm resolution. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and unchanged. Findings were posted by Dr. ___ to the radiology critical results dashboard for communication to Dr. ___ at 6:30 p.m. on ___.,Increased opacification in the left infrahilar region is consistent with early pneumonia.,opacification,left infrahilar region,Worse,"['files/p11/p11623255/s59936924/5f8a2e95-393adc85-02071eb8-cb3c6071-0c90090d.jpg', 'files/p11/p11623255/s59936924/8900dcbb-18a63f4a-5da806d5-d2d1e1e4-856fb310.jpg', 'files/p11/p11623255/s59936924/b1bf08c1-0f016663-5e5500bb-8b341326-b12e9c6b.jpg']","['files/p11/p11623255/s53102795/2c84eba3-ede5570c-1cff3236-2b3c5748-9baa7a93.jpg\n', 'files/p11/p11623255/s53102795/4fd22157-f8b84ac2-55459e95-3cff08bf-28cd4a16.jpg\n']"
s59936924_0,p11623255,s59936924,0,Findings,Increased opacification in the left infrahilar region is consistent with early pneumonia. A followup chest radiograph in six weeks after appropriate therapy is recommended to confirm resolution. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and unchanged. Findings were posted by Dr. ___ to the radiology critical results dashboard for communication to Dr. ___ at 6:30 p.m. on ___.,The mediastinal and hilar contours are within normal limits and unchanged.,contours,mediastinal and hilar contours,Stable,"['files/p11/p11623255/s59936924/5f8a2e95-393adc85-02071eb8-cb3c6071-0c90090d.jpg', 'files/p11/p11623255/s59936924/8900dcbb-18a63f4a-5da806d5-d2d1e1e4-856fb310.jpg', 'files/p11/p11623255/s59936924/b1bf08c1-0f016663-5e5500bb-8b341326-b12e9c6b.jpg']","['files/p11/p11623255/s53102795/2c84eba3-ede5570c-1cff3236-2b3c5748-9baa7a93.jpg\n', 'files/p11/p11623255/s53102795/4fd22157-f8b84ac2-55459e95-3cff08bf-28cd4a16.jpg\n']"
s59945120_5,p16172396,s59945120,5,Findings,Lung volumes are somewhat low but clear. The cardiomediastinal silhouette and contour are within normal limits. There is no pleural effusion or pneumothorax. Old lateral left eighth rib fracture is again noted. There is atelectasis at the left lung base.,Old lateral left eighth rib fracture is again noted.,fracture,lateral left eighth rib,Stable,"['files/p16/p16172396/s59945120/2a8b4162-428841d5-78833596-19ea5555-bfe4701b.jpg', 'files/p16/p16172396/s59945120/c2fc9ae4-da3745b6-66a1c465-1739af85-f61fa22d.jpg']","['files/p16/p16172396/s58362071/47bc92de-7c76c78d-2af6018d-6625e000-3f694250.jpg\n', 'files/p16/p16172396/s58362071/f7dc11e5-43c374d7-48d89864-86815a5f-388045ef.jpg\n']"
s59951875_1,p11226572,s59951875,1,Findings,"Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Mild left base and lingular linear atelectasis/scarring is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.",The cardiac and mediastinal silhouettes are stable and unremarkable.,,Cardiac and mediastinal silhouettes,Stable,"['files/p11/p11226572/s59951875/1231dc8f-4cf6ae66-2754d2f7-db1abf04-fe0eb62b.jpg', 'files/p11/p11226572/s59951875/ecd38a1a-a066f8ff-860275d8-be7ba46b-09449675.jpg']","['files/p11/p11226572/s59178330/a2c7838e-c081e69b-ecdee541-780db068-00b5fd81.jpg\n', 'files/p11/p11226572/s59178330/c468a266-8cdc345b-7830d55d-85f6be9c-42a47dc9.jpg\n']"
s59956973_16,p11717909,s59956973,16,Impression,Stable retrocardiac opacification consistent with left lower lobe consolidation and small pleural effusion.,Stable retrocardiac opacification consistent with left lower lobe consolidation and small pleural effusion.,consolidation,Left lower lobe,Stable,['files/p11/p11717909/s59956973/0df3e21f-5672d561-1479a9a6-bb24d13a-afd4f39e.jpg'],['files/p11/p11717909/s59882746/78ed3ced-cd79570f-e1427410-e2202da1-75dd1584.jpg\n']
s59956973_16,p11717909,s59956973,16,Impression,Stable retrocardiac opacification consistent with left lower lobe consolidation and small pleural effusion.,Stable retrocardiac opacification consistent with left lower lobe consolidation and small pleural effusion.,opacification,Retrocardiac,Stable,['files/p11/p11717909/s59956973/0df3e21f-5672d561-1479a9a6-bb24d13a-afd4f39e.jpg'],['files/p11/p11717909/s59882746/78ed3ced-cd79570f-e1427410-e2202da1-75dd1584.jpg\n']
s59956973_16,p11717909,s59956973,16,Findings,"Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Dense retrocardiac opacification persists, consistent with left lower lobe consolidation and small pleural effusion. Vague haziness projecting over the left upper lobe, in the region of recent chest tube, is stable. The cardiomediastinal and hilar contours are unchanged. Left ventricular assist device is remains in similar position. Left-sided PICC line ends at the cavoatrial junction. No pneumothorax or pleural effusion","Dense retrocardiac opacification persists, consistent with left lower lobe consolidation and small pleural effusion.",opacification,Retrocardiac,Stable,['files/p11/p11717909/s59956973/0df3e21f-5672d561-1479a9a6-bb24d13a-afd4f39e.jpg'],['files/p11/p11717909/s59882746/78ed3ced-cd79570f-e1427410-e2202da1-75dd1584.jpg\n']
s59956973_16,p11717909,s59956973,16,Findings,"Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Dense retrocardiac opacification persists, consistent with left lower lobe consolidation and small pleural effusion. Vague haziness projecting over the left upper lobe, in the region of recent chest tube, is stable. The cardiomediastinal and hilar contours are unchanged. Left ventricular assist device is remains in similar position. Left-sided PICC line ends at the cavoatrial junction. No pneumothorax or pleural effusion","Dense retrocardiac opacification persists, consistent with left lower lobe consolidation and small pleural effusion.",consolidation,Left lower lobe,Stable,['files/p11/p11717909/s59956973/0df3e21f-5672d561-1479a9a6-bb24d13a-afd4f39e.jpg'],['files/p11/p11717909/s59882746/78ed3ced-cd79570f-e1427410-e2202da1-75dd1584.jpg\n']
s59956973_16,p11717909,s59956973,16,Impression,Stable retrocardiac opacification consistent with left lower lobe consolidation and small pleural effusion.,Stable retrocardiac opacification consistent with left lower lobe consolidation and small pleural effusion.,small pleural effusion,,Stable,['files/p11/p11717909/s59956973/0df3e21f-5672d561-1479a9a6-bb24d13a-afd4f39e.jpg'],['files/p11/p11717909/s59882746/78ed3ced-cd79570f-e1427410-e2202da1-75dd1584.jpg\n']
s59956973_16,p11717909,s59956973,16,Findings,"Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Dense retrocardiac opacification persists, consistent with left lower lobe consolidation and small pleural effusion. Vague haziness projecting over the left upper lobe, in the region of recent chest tube, is stable. The cardiomediastinal and hilar contours are unchanged. Left ventricular assist device is remains in similar position. Left-sided PICC line ends at the cavoatrial junction. No pneumothorax or pleural effusion","Dense retrocardiac opacification persists, consistent with left lower lobe consolidation and small pleural effusion.",small pleural effusion,,Stable,['files/p11/p11717909/s59956973/0df3e21f-5672d561-1479a9a6-bb24d13a-afd4f39e.jpg'],['files/p11/p11717909/s59882746/78ed3ced-cd79570f-e1427410-e2202da1-75dd1584.jpg\n']
s59956973_16,p11717909,s59956973,16,Findings,"Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Dense retrocardiac opacification persists, consistent with left lower lobe consolidation and small pleural effusion. Vague haziness projecting over the left upper lobe, in the region of recent chest tube, is stable. The cardiomediastinal and hilar contours are unchanged. Left ventricular assist device is remains in similar position. Left-sided PICC line ends at the cavoatrial junction. No pneumothorax or pleural effusion","Vague haziness projecting over the left upper lobe, in the region of recent chest tube, is stable.",haziness,Left upper lobe,Stable,['files/p11/p11717909/s59956973/0df3e21f-5672d561-1479a9a6-bb24d13a-afd4f39e.jpg'],['files/p11/p11717909/s59882746/78ed3ced-cd79570f-e1427410-e2202da1-75dd1584.jpg\n']
s59956973_16,p11717909,s59956973,16,Findings,"Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Dense retrocardiac opacification persists, consistent with left lower lobe consolidation and small pleural effusion. Vague haziness projecting over the left upper lobe, in the region of recent chest tube, is stable. The cardiomediastinal and hilar contours are unchanged. Left ventricular assist device is remains in similar position. Left-sided PICC line ends at the cavoatrial junction. No pneumothorax or pleural effusion",The cardiomediastinal and hilar contours are unchanged.,cardiomediastinal contours,,Stable,['files/p11/p11717909/s59956973/0df3e21f-5672d561-1479a9a6-bb24d13a-afd4f39e.jpg'],['files/p11/p11717909/s59882746/78ed3ced-cd79570f-e1427410-e2202da1-75dd1584.jpg\n']
s59956973_16,p11717909,s59956973,16,Findings,"Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Dense retrocardiac opacification persists, consistent with left lower lobe consolidation and small pleural effusion. Vague haziness projecting over the left upper lobe, in the region of recent chest tube, is stable. The cardiomediastinal and hilar contours are unchanged. Left ventricular assist device is remains in similar position. Left-sided PICC line ends at the cavoatrial junction. No pneumothorax or pleural effusion",The cardiomediastinal and hilar contours are unchanged.,hilar contours,,Stable,['files/p11/p11717909/s59956973/0df3e21f-5672d561-1479a9a6-bb24d13a-afd4f39e.jpg'],['files/p11/p11717909/s59882746/78ed3ced-cd79570f-e1427410-e2202da1-75dd1584.jpg\n']
s59956973_16,p11717909,s59956973,16,Findings,"Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Dense retrocardiac opacification persists, consistent with left lower lobe consolidation and small pleural effusion. Vague haziness projecting over the left upper lobe, in the region of recent chest tube, is stable. The cardiomediastinal and hilar contours are unchanged. Left ventricular assist device is remains in similar position. Left-sided PICC line ends at the cavoatrial junction. No pneumothorax or pleural effusion",Left ventricular assist device is remains in similar position.,ventricular assist device,Left,Stable,['files/p11/p11717909/s59956973/0df3e21f-5672d561-1479a9a6-bb24d13a-afd4f39e.jpg'],['files/p11/p11717909/s59882746/78ed3ced-cd79570f-e1427410-e2202da1-75dd1584.jpg\n']
s59962763_12,p11717909,s59962763,12,Findings,"Comparison is made to previous study from ___. There is a Swan-Ganz catheter. There is a left-sided chest tube. There is an LVAD device. There are mediastinal drains. There is a left-sided PICC line. These are all stable. The heart size is upper limits of normal, but unchanged. There remains a left retrocardiac opacity. There are no signs for overt pulmonary edema. No pneumothoraces are identified. Overall, there has been no change.",There remains a left retrocardiac opacity.,retrocardiac opacity,left,Stable,['files/p11/p11717909/s59962763/321f3032-be0e27a3-89aaf76d-79b01d0b-1c4d5b9b.jpg'],['files/p11/p11717909/s59956973/0df3e21f-5672d561-1479a9a6-bb24d13a-afd4f39e.jpg\n']
s59962763_12,p11717909,s59962763,12,Findings,"Comparison is made to previous study from ___. There is a Swan-Ganz catheter. There is a left-sided chest tube. There is an LVAD device. There are mediastinal drains. There is a left-sided PICC line. These are all stable. The heart size is upper limits of normal, but unchanged. There remains a left retrocardiac opacity. There are no signs for overt pulmonary edema. No pneumothoraces are identified. Overall, there has been no change.","The heart size is upper limits of normal, but unchanged.",heart size,,Stable,['files/p11/p11717909/s59962763/321f3032-be0e27a3-89aaf76d-79b01d0b-1c4d5b9b.jpg'],['files/p11/p11717909/s59956973/0df3e21f-5672d561-1479a9a6-bb24d13a-afd4f39e.jpg\n']
s59964362_5,p16319384,s59964362,5,Findings,"Heart size remains moderately enlarged but unchanged. The aortic knob is diffusely calcified. Pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes within the thoracic spine. Surgical clip is seen within the upper abdomen on the lateral view.",Heart size remains moderately enlarged but unchanged.,Moderate enlargement,Heart,Stable,"['files/p16/p16319384/s59964362/7c8ae529-1be1249d-ea74aa33-e2075e92-d36b66f3.jpg', 'files/p16/p16319384/s59964362/8e6a0848-5eb51eaf-ff31f21a-a030a9fb-daef4652.jpg', 'files/p16/p16319384/s59964362/cc7b8e1f-7ddae921-3326c55e-50bae94b-4e8eaa76.jpg']","['files/p16/p16319384/s59631748/bb5c15b8-775b1e4a-d704d49b-19215671-ce9ffb25.jpg\n', 'files/p16/p16319384/s59631748/c06025b9-935d32ff-0efabf34-2f711ce7-e4fc7000.jpg\n']"
s59968677_1,p15195289,s59968677,1,Findings,"In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease. Cardiac silhouette is at the upper limits of normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. Cervical fusion device is again seen.","In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease.",acute cardiopulmonary disease,,Stable,"['files/p15/p15195289/s59968677/2b9a39ff-6c9adb54-fb4749e8-0b7c6b3a-efb44324.jpg', 'files/p15/p15195289/s59968677/97665b53-8da96eef-00829a6c-105f445c-be77a88d.jpg']","['files/p15/p15195289/s58574233/63cbc1ba-9c1c2426-1afe0a5d-efc95e28-826f383a.jpg\n', 'files/p15/p15195289/s58574233/ca6270f2-04c17d88-cd4d219a-ba2ce815-f95b4e51.jpg\n']"
s59968677_1,p15195289,s59968677,1,Findings,"In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease. Cardiac silhouette is at the upper limits of normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. Cervical fusion device is again seen.",Cervical fusion device is again seen.,fusion device,Cervical,Stable,"['files/p15/p15195289/s59968677/2b9a39ff-6c9adb54-fb4749e8-0b7c6b3a-efb44324.jpg', 'files/p15/p15195289/s59968677/97665b53-8da96eef-00829a6c-105f445c-be77a88d.jpg']","['files/p15/p15195289/s58574233/63cbc1ba-9c1c2426-1afe0a5d-efc95e28-826f383a.jpg\n', 'files/p15/p15195289/s58574233/ca6270f2-04c17d88-cd4d219a-ba2ce815-f95b4e51.jpg\n']"
s59969313_31,p19358609,s59969313,31,Findings,Compared to the prior study there is no significant interval change.,Compared to the prior study there is no significant interval change.,,,Stable,['files/p19/p19358609/s59969313/37230aa4-c435f397-efca09f0-e71f6a7f-ccd59a4a.jpg'],['files/p19/p19358609/s59926281/6f58b90c-095967a1-12f62c81-70614815-9208a903.jpg\n']
s59969313_31,p19358609,s59969313,31,Impression,No change.,No change.,,,Stable,['files/p19/p19358609/s59969313/37230aa4-c435f397-efca09f0-e71f6a7f-ccd59a4a.jpg'],['files/p19/p19358609/s59926281/6f58b90c-095967a1-12f62c81-70614815-9208a903.jpg\n']
s59971654_3,p11068484,s59971654,3,Impression,"Severe cardiomegaly and pulmonary vascular engorgement are unchanged since ___. Mild pulmonary edema on present on ___ has resolved. Atelectasis in the right middle lobe and atelectasis or consolidation in the infrahilar left lower lobe are unchanged. Pleural effusions are small if any. No pneumothorax. Chest CT scanning would be useful to determine the extent of pulmonary abnormality the size of right pleural effusion, and the presence if any pericardial effusion. Chest CTA would of course be diagnostic regarding pulmonary emboli.",Atelectasis in the right middle lobe and atelectasis or consolidation in the infrahilar left lower lobe are unchanged.,Atelectasis,right middle lobe,Stable,['files/p11/p11068484/s59971654/b0f9a42a-784e16e8-201986c2-ae91c454-6f5cbbd6.jpg'],"['files/p11/p11068484/s59455276/804c7e55-eb848216-fc96a88b-0e374004-dacbc260.jpg\n', 'files/p11/p11068484/s59455276/a85d21f5-217f24d8-6de4274b-ec73620f-ac05403c.jpg\n']"
s59971654_3,p11068484,s59971654,3,Impression,"Severe cardiomegaly and pulmonary vascular engorgement are unchanged since ___. Mild pulmonary edema on present on ___ has resolved. Atelectasis in the right middle lobe and atelectasis or consolidation in the infrahilar left lower lobe are unchanged. Pleural effusions are small if any. No pneumothorax. Chest CT scanning would be useful to determine the extent of pulmonary abnormality the size of right pleural effusion, and the presence if any pericardial effusion. Chest CTA would of course be diagnostic regarding pulmonary emboli.",Atelectasis in the right middle lobe and atelectasis or consolidation in the infrahilar left lower lobe are unchanged.,Atelectasis or consolidation,infrahilar left lower lobe,Stable,['files/p11/p11068484/s59971654/b0f9a42a-784e16e8-201986c2-ae91c454-6f5cbbd6.jpg'],"['files/p11/p11068484/s59455276/804c7e55-eb848216-fc96a88b-0e374004-dacbc260.jpg\n', 'files/p11/p11068484/s59455276/a85d21f5-217f24d8-6de4274b-ec73620f-ac05403c.jpg\n']"
s59971654_3,p11068484,s59971654,3,Impression,"Severe cardiomegaly and pulmonary vascular engorgement are unchanged since ___. Mild pulmonary edema on present on ___ has resolved. Atelectasis in the right middle lobe and atelectasis or consolidation in the infrahilar left lower lobe are unchanged. Pleural effusions are small if any. No pneumothorax. Chest CT scanning would be useful to determine the extent of pulmonary abnormality the size of right pleural effusion, and the presence if any pericardial effusion. Chest CTA would of course be diagnostic regarding pulmonary emboli.",Severe cardiomegaly and pulmonary vascular engorgement are unchanged since ___.,Severe cardiomegaly and pulmonary vascular engorgement,,Stable,['files/p11/p11068484/s59971654/b0f9a42a-784e16e8-201986c2-ae91c454-6f5cbbd6.jpg'],"['files/p11/p11068484/s59455276/804c7e55-eb848216-fc96a88b-0e374004-dacbc260.jpg\n', 'files/p11/p11068484/s59455276/a85d21f5-217f24d8-6de4274b-ec73620f-ac05403c.jpg\n']"
s59971654_3,p11068484,s59971654,3,Impression,"Severe cardiomegaly and pulmonary vascular engorgement are unchanged since ___. Mild pulmonary edema on present on ___ has resolved. Atelectasis in the right middle lobe and atelectasis or consolidation in the infrahilar left lower lobe are unchanged. Pleural effusions are small if any. No pneumothorax. Chest CT scanning would be useful to determine the extent of pulmonary abnormality the size of right pleural effusion, and the presence if any pericardial effusion. Chest CTA would of course be diagnostic regarding pulmonary emboli.",Mild pulmonary edema on present on ___ has resolved.,Mild pulmonary edema,,Resolve,['files/p11/p11068484/s59971654/b0f9a42a-784e16e8-201986c2-ae91c454-6f5cbbd6.jpg'],"['files/p11/p11068484/s59455276/804c7e55-eb848216-fc96a88b-0e374004-dacbc260.jpg\n', 'files/p11/p11068484/s59455276/a85d21f5-217f24d8-6de4274b-ec73620f-ac05403c.jpg\n']"
s59975773_13,p19112585,s59975773,13,Impression,Moderate cardiomegaly is stable. Widening mediastinum is grossly unchanged. Moderate to severe pulmonary edema has worsened. Small to moderate bilateral effusions have increased with increasing adjacent atelectasis. ET tube is in standard position. Swan-Ganz catheter tip is in the main pulmonary artery. Enteric tube tip is out of view below the diaphragm. Sternal wires are aligned,Small to moderate bilateral effusions have increased with increasing adjacent atelectasis.,atelectasis,adjacent,Worse,"['files/p19/p19112585/s59975773/a09b466b-9724e5f0-d2ac9a43-4acb44c4-dac93e07.jpg', 'files/p19/p19112585/s59975773/bccf39d1-b1198fdc-c79b3778-9ae6e91c-8804d3ac.jpg']",['files/p19/p19112585/s58996566/f1f2b384-1ed8cf77-dbdb7e4c-c5c50a77-ffb579d3.jpg\n']
s59975773_13,p19112585,s59975773,13,Impression,Moderate cardiomegaly is stable. Widening mediastinum is grossly unchanged. Moderate to severe pulmonary edema has worsened. Small to moderate bilateral effusions have increased with increasing adjacent atelectasis. ET tube is in standard position. Swan-Ganz catheter tip is in the main pulmonary artery. Enteric tube tip is out of view below the diaphragm. Sternal wires are aligned,Moderate cardiomegaly is stable.,moderate cardiomegaly,,Stable,"['files/p19/p19112585/s59975773/a09b466b-9724e5f0-d2ac9a43-4acb44c4-dac93e07.jpg', 'files/p19/p19112585/s59975773/bccf39d1-b1198fdc-c79b3778-9ae6e91c-8804d3ac.jpg']",['files/p19/p19112585/s58996566/f1f2b384-1ed8cf77-dbdb7e4c-c5c50a77-ffb579d3.jpg\n']
s59975773_13,p19112585,s59975773,13,Impression,Moderate cardiomegaly is stable. Widening mediastinum is grossly unchanged. Moderate to severe pulmonary edema has worsened. Small to moderate bilateral effusions have increased with increasing adjacent atelectasis. ET tube is in standard position. Swan-Ganz catheter tip is in the main pulmonary artery. Enteric tube tip is out of view below the diaphragm. Sternal wires are aligned,Widening mediastinum is grossly unchanged.,widening mediastinum,,Stable,"['files/p19/p19112585/s59975773/a09b466b-9724e5f0-d2ac9a43-4acb44c4-dac93e07.jpg', 'files/p19/p19112585/s59975773/bccf39d1-b1198fdc-c79b3778-9ae6e91c-8804d3ac.jpg']",['files/p19/p19112585/s58996566/f1f2b384-1ed8cf77-dbdb7e4c-c5c50a77-ffb579d3.jpg\n']
s59975773_13,p19112585,s59975773,13,Impression,Moderate cardiomegaly is stable. Widening mediastinum is grossly unchanged. Moderate to severe pulmonary edema has worsened. Small to moderate bilateral effusions have increased with increasing adjacent atelectasis. ET tube is in standard position. Swan-Ganz catheter tip is in the main pulmonary artery. Enteric tube tip is out of view below the diaphragm. Sternal wires are aligned,Moderate to severe pulmonary edema has worsened.,moderate to severe pulmonary edema,,Worse,"['files/p19/p19112585/s59975773/a09b466b-9724e5f0-d2ac9a43-4acb44c4-dac93e07.jpg', 'files/p19/p19112585/s59975773/bccf39d1-b1198fdc-c79b3778-9ae6e91c-8804d3ac.jpg']",['files/p19/p19112585/s58996566/f1f2b384-1ed8cf77-dbdb7e4c-c5c50a77-ffb579d3.jpg\n']
s59975773_13,p19112585,s59975773,13,Impression,Moderate cardiomegaly is stable. Widening mediastinum is grossly unchanged. Moderate to severe pulmonary edema has worsened. Small to moderate bilateral effusions have increased with increasing adjacent atelectasis. ET tube is in standard position. Swan-Ganz catheter tip is in the main pulmonary artery. Enteric tube tip is out of view below the diaphragm. Sternal wires are aligned,Small to moderate bilateral effusions have increased with increasing adjacent atelectasis.,effusions,bilateral,Worse,"['files/p19/p19112585/s59975773/a09b466b-9724e5f0-d2ac9a43-4acb44c4-dac93e07.jpg', 'files/p19/p19112585/s59975773/bccf39d1-b1198fdc-c79b3778-9ae6e91c-8804d3ac.jpg']",['files/p19/p19112585/s58996566/f1f2b384-1ed8cf77-dbdb7e4c-c5c50a77-ffb579d3.jpg\n']
s59982171_48,p11717909,s59982171,48,Impression,Comparison to ___. No relevant change. Mildly increased lung volumes with the subsequent decrease in radiodensity of the pre-existing right parenchymal opacities and consolidations. The left changes are constant. Stable correct position of the monitoring and support devices.,The left changes are constant.,changes,left,Stable,['files/p11/p11717909/s59982171/1c847671-bd632b77-11107efc-969f0d03-ffb45c06.jpg'],['files/p11/p11717909/s59962763/321f3032-be0e27a3-89aaf76d-79b01d0b-1c4d5b9b.jpg\n']
s59982171_48,p11717909,s59982171,48,Impression,Comparison to ___. No relevant change. Mildly increased lung volumes with the subsequent decrease in radiodensity of the pre-existing right parenchymal opacities and consolidations. The left changes are constant. Stable correct position of the monitoring and support devices.,Stable correct position of the monitoring and support devices.,monitoring and support devices,,Stable,['files/p11/p11717909/s59982171/1c847671-bd632b77-11107efc-969f0d03-ffb45c06.jpg'],['files/p11/p11717909/s59962763/321f3032-be0e27a3-89aaf76d-79b01d0b-1c4d5b9b.jpg\n']
s59982171_48,p11717909,s59982171,48,Impression,Comparison to ___. No relevant change. Mildly increased lung volumes with the subsequent decrease in radiodensity of the pre-existing right parenchymal opacities and consolidations. The left changes are constant. Stable correct position of the monitoring and support devices.,Mildly increased lung volumes with the subsequent decrease in radiodensity of the pre-existing right parenchymal opacities and consolidations.,parenchymal opacities and consolidations,right,Worse,['files/p11/p11717909/s59982171/1c847671-bd632b77-11107efc-969f0d03-ffb45c06.jpg'],['files/p11/p11717909/s59962763/321f3032-be0e27a3-89aaf76d-79b01d0b-1c4d5b9b.jpg\n']